— 安全與感染控制 · EASY · MCQ —
護理師離開接觸隔離病人的房間時，下列哪項行動表現出正確的個人防護裝備（PPE）使用？
Which action by the nurse demonstrates proper use of PPE when leaving an isolation room with a patient in contact precautions?
- AKeep the gown on until reaching the nursing station將隔離衣穿至護理站
- BRemove the mask outside the patient room在病患房間外脫除口罩
- CRemove gloves first, then the gown✓ 正解先脫手套，再脫隔離衣
- DRemove the gown first, then the gloves先脫隔離衣，再脫手套
— Explanation · 中文詳解 —
卸除個人防護裝備（Personal Protective Equipment, PPE）的順序旨在保護護理師免於接觸已污染的裝備表面。依據 CDC 指引，手套通常被視為最受污染的部分，因此應首先移除。正確順序為：手套 → 手部衛生 → 防護衣 → 手部衛生 → 口罩/護目鏡。若先脫防護衣，手套上的污染物極易接觸到護理師的皮膚或制服。
Proper PPE removal prioritizes eliminating the most contaminated items first to protect the healthcare worker; therefore, gloves should be removed before the gown. This sequence prevents contaminants on the gloves from touching the skin or uniform during the removal of the gown, adhering to CDC guidelines for safe decontamination.
✦ 台美臨床差異
美國醫院對隔離 PPE 的脫除順序有極嚴格的查核（Checklist），特別強調在脫除每個組件前後進行手部衛生（Hand Hygiene），此點在 NCLEX 考試中為必考重點。