— 安全與感染控制 · EASY · MCQ —
護理師照護一位因 MRSA 採取接觸防護的病人，下列哪項措施對於防止傳播最為重要？
A nurse is caring for a client on contact precautions for MRSA. Which action is the most important to prevent transmission?
- AWearing a surgical mask when entering the room進入病房時佩戴外科口罩
- BEnsuring the client remains in the room at all times確保病人始終留在病房內
- CDisinfecting the client's bed frame twice daily每日兩次消毒病人床架
- DPerforming hand hygiene before and after client contact✓ 正解在接觸病人前後執行手部衛生
— Explanation · 中文詳解 —
手部衛生是阻斷病原體透過醫療照護人員之手傳播最直接且有效的方法。接觸防護病原體常見於環境表面，徹底洗手或使用酒精性乾洗手液能大幅降低交叉感染風險。其餘選項雖為輔助措施，但手部衛生在感染控制層級中具最高優先性。
Hand hygiene is the single most effective measure for preventing the transmission of infections, including MRSA, during contact precautions. While environmental cleaning and limiting room access are important supportive measures, they are secondary to rigorous hand washing or use of alcohol-based hand rubs before and after client contact.
✦ 台美臨床差異
台美醫療機構均嚴格執行手部衛生，但美國醫院常配置較多酒精乾洗手液於病室入口，台灣臨床則更強調洗手台與肥皂的使用率。