— 安全與感染控制 · EASY · MCQ —
護理師教導學生如何預防針扎傷害,下列何者為預防針扎最有效的措施?
A nurse is teaching a student about preventing needle-stick injuries. Which action is the most effective in preventing these injuries?
- AStoring sharps in an open container for easy access將銳器存放在開放容器中以便取用
- BWearing double gloves for every procedure每次操作時戴雙層手套
- CUsing needleless systems whenever possible✓ 正解盡可能使用無針系統
- DRecapping the needle immediately after use使用後立即重新套上針頭保護套
— Explanation · 中文詳解 —
預防針扎最根本且有效的策略是採取工程控制(Engineering Controls),即從源頭減少尖銳物品的使用。針頭無針系統(Needleless systems)完全消除了針扎風險,優於任何操作習慣上的改善。Recapping 是導致受傷的主要原因之一。
The most effective way to prevent needle-stick injuries is through engineering controls, specifically using needleless systems that eliminate sharps entirely. This approach addresses the root cause of the hazard, whereas recapping needles increases risk and double gloving does not prevent punctures.
✦ 台美臨床差異
美國醫院全面推廣安全針具與無針系統;台灣近年在評鑑要求下已大幅導入,但部分臨床舊型針具仍存在。