— 安全與感染控制 · MEDIUM · SATA —
護理師為採取接觸防護措施的病人規劃護理計畫，下列哪些行動是正確的？（選所有適合的）
A nurse is planning care for a client who is placed on contact precautions. Which actions should the nurse include? (Select all that apply.)
- AWear a gown when entering the room✓ 正解進入病房時穿著防護衣
- BKeep a dedicated stethoscope in the room✓ 正解在病房內放置專用聽診器
- CWear a surgical mask at all times全程佩戴外科口罩
- DPerform hand hygiene after removing gloves✓ 正解脫除手套後執行手部衛生
- ELimit the use of non-essential equipment✓ 正解限制非必要設備的使用
— Explanation · 中文詳解 —
接觸防護措施適用於可能透過直接或間接接觸傳播的病原體。關鍵在於阻斷傳播途徑：穿著防護衣避免衣物污染、使用專用設備（血壓計、聽診器）避免交叉污染、確實手部衛生及限制不必要設備進入。外科口罩並非接觸防護的標準配備，除非同時涉及飛沫防護。
Contact precautions require wearing a gown to prevent clothing contamination, using dedicated equipment to avoid cross-contamination, performing hand hygiene after glove removal, and limiting non-essential items in the room. Surgical masks are not routinely required for contact precautions unless there is a risk of splashing or if droplet/airborne precautions are also indicated.
✦ 台美臨床差異
美台對於專用設備（Dedicated equipment）的執行皆嚴格，但在執行接觸防護的標準 SOP 宣導上，美國更強調流程一致性。