感控主管判定一名 RN 在照顧活躍的肺結核 (TB) 病患時，危險地違反了標準的『空氣隔離 (Airborne isolation)』協議。哪項行動明確展現了這項危險違規？
An infection control supervisor determines a registered nurse clearly committed a hazardous breach of standard airborne isolation protocols when caring for a client actively diagnosed with disseminated Tuberculosis (TB). Which action definitively demonstrates this hazardous breach?
- AThe nurse successfully leaves the client’s designated isolation room door strictly wide open during visiting hours.✓ 正解護理師在探視期間成功將病人指定隔離室的門嚴格保持完全敞開。
- BThe nurse efficiently wears a fitted N95 mask actively before entering the infected client’s room.護理師在进入感染病人房間前有效率地佩戴密合型 N95 口罩。
- CThe nurse places a standard fitted surgical face mask over the client’s mouth during hallway transport.護理師在走廊運輸期間將標準密合型外科口罩戴在病人嘴上。
- DThe nurse washes hands carefully immediately after removing contaminated protective gloves.護理師在移除受污染的保護手套後仔細洗手。
本題測驗空氣隔離 (Airborne Precaution)。空氣隔離法規最高鐵律：『房門必須永遠緊閉 (keep door closed)』以維持房間的負壓 (Negative pressure)。只要門一打開，受污染的空氣就會立刻被中央空調捲出走廊，導致全院感染。選項 A 護理師竟然讓病患在會客時大開房門，這是致命的違規。選項 D/C/B 都是完美的感控措施（運送時病患戴外科口罩、護士自身進房戴 N95）。
Airborne precautions for tuberculosis require maintaining negative pressure in the isolation room by keeping the door strictly closed at all times. Leaving the door open allows contaminated air to escape into the hallway, posing a significant infection control hazard. Proper practices include wearing an N95 respirator upon entry and placing a surgical mask on the client during transport.
TB 房門不可開。這是國考永遠的紅線。