一位患有 MRSA 感染壓瘡的病人正被送往放射科。哪項行動最重要?
A client with a MRSA-infected pressure ulcer is being transported to the radiology department. Which action is most important?
- AThe infected wound must be covered with a clean dressing✓ 正解受感染傷口必須以清潔敷料覆蓋
- BThe client must wear a surgical mask during transport病患在運送期間必須佩戴外科口罩
- CNotify the radiology department to clear the hallway通知放射科部門清空走廊
- DThe transporter must wear a gown and gloves運送人員必須穿著隔離衣和手套
運送接觸隔離(contact precautions)病人至其他部門(如放射科)時,防止病原體傳播是護理師的首要任務。MRSA(抗甲氧西林金黃色葡萄球菌)主要透過直接接觸受污染的物體表面或人員傳播。因此,關鍵在於「源頭控制」,即確保感染源本身被妥善覆蓋,以防止其在運送過程中污染環境、設備或與他人接觸。將感染傷口覆蓋清潔敷料,能有效阻斷病原體與外界的接觸,是預防交叉感染最重要且最直接的措施。
When transporting a patient on contact precautions to other departments (such as radiology), preventing pathogen transmission is the nurse's primary task. MRSA (methicillin-resistant Staphylococcus aureus) spreads mainly through direct contact with contaminated surfaces or personnel. The key is therefore 'source control' — ensuring the source of infection itself is properly covered to prevent contamination of the environment, equipment, or contact with others during transport. Covering the infected wound with a clean dressing effectively blocks contact between the pathogen and the outside world and is the most important and direct measure to prevent cross-infection.
美國醫院運送流程強調「Source Control」(源頭控制);台灣同樣強調覆蓋傷口,但有時會讓病人穿上隔離衣。