— 安全與感染控制 · EASY · MCQ —
下列何者描述了正確的手部衛生過程？
Which of the following describes the correct process for hand hygiene?
- ATurn off the faucet with your bare hand after drying以裸露的手關閉水龍頭
- BRub hands for at least 20 seconds✓ 正解搓手至少 20 秒
- CWash hands with hot water to kill all bacteria用熱水洗手以殺死所有細菌
- DKeep rings on while washing hands洗手時戴著戒指
— Explanation · 中文詳解 —
手部衛生是預防醫療照護相關感染（HAIs）最簡單且有效的手段。根據 CDC 指引，使用肥皂與水洗手時，摩擦時間需持續至少 20 秒，這是透過機械性摩擦去除微生物的關鍵。臨床工作中，護理師應確保每個角落（指縫、指尖、手背）皆被清潔到。錯誤選項忽略了感染控制的細節，如水溫過高會破壞皮膚屏障，戒指會藏匿細菌，而觸摸水龍頭則會造成手部再次污染。
Effective hand hygiene requires rubbing hands with soap and water for at least 20 seconds to mechanically remove pathogens from all surfaces, including between fingers and under nails. Water temperature does not kill bacteria, and jewelry should be removed to prevent harboring microbes.
✦ 台美臨床差異
美國醫院極度強調手部衛生（Hand Hygiene）稽核，通常設有專職的感染控制護理師（ICN）定期查核，若被發現未遵循五時機或洗手時間不足，可能會面臨嚴格的紀律處分甚至解僱。