— 安全與感染控制 · EASY · MCQ —
護理師處置使用過的針頭,下列哪項行動正確?
A nurse is disposing of a used needle. Which action is correct?
- APlace it in the regular waste bin將其放入一般垃圾筒
- BRecap it before disposal丟棄前重新套上針帽
- CBreak the needle before disposal丟棄前將針頭折斷
- DPlace it in a puncture-resistant container✓ 正解將其放入防穿刺容器中
— Explanation · 中文詳解 —
依據標準預防措施(Standard Precautions),預防針扎是保障醫護人員安全的核心。使用後的針頭必須直接丟入防穿刺的銳器盒(Sharps container)。嚴禁回套(Recapping)、彎折或折斷針頭,因為這些動作會顯著增加針扎風險。若必須回套,應使用單手技術,但在 NCLEX 考試中,直接丟棄是唯一正確的行動。
Used needles must be disposed of immediately in a puncture-resistant sharps container to prevent accidental needlestick injuries and protect staff safety. Recapping, bending, or breaking needles significantly increases the risk of injury and is prohibited under standard precautions. Direct disposal without manipulation is the safest and most compliant practice.
✦ 台美臨床差異
台灣醫院目前已全面推動安全針具與銳器盒使用,概念與美國一致,強調嚴禁回套。