— 照護管理 · MEDIUM · MCQ —
護理長觀察到一位新進護理師在更換中心靜脈導管敷料時未遵守無菌技術。優先採取哪項行動？
A charge nurse observes a newly licensed nurse failing to use sterile technique when changing a central line dressing. What is the priority action?
- AIntervene immediately to stop the procedure✓ 正解立即介入以停止程序
- BReport the nurse to the nursing supervisor at the end of the shift在輪班結束時向護理主管報告該護理師
- CIgnore the mistake as it is a minor procedural error忽略此錯誤，因為這只是輕微的程序失誤
- DDiscuss the error with the nurse after the procedure is finished在程序結束後與該護理師討論此錯誤
— Explanation · 中文詳解 —
中心靜脈導管具備高度感染風險，無菌技術違反可能導致病人發生導管相關血液感染（CLABSI）。作為護理長，當下最優先的事務是保護病人的安全，必須立即介入制止錯誤行為，確保程序回到無菌規範，而非事後才檢討。
The charge nurse must intervene immediately to stop the procedure because violating sterile technique during a central line dressing change creates a high risk for catheter-related bloodstream infections. Ensuring patient safety takes precedence over post-event education or reporting, as delaying correction could result in preventable harm.
✦ 台美臨床差異
美台皆強調「Stop the line」文化，鼓勵任何階層人員在發現危及病患安全時即刻出面阻止。