— 安全與感染控制 · MEDIUM · SATA —
護理師在置入導尿管過程中,哪項行為顯示無菌技術遭到破壞?(選所有適合的)
Which of the following actions by the nurse indicates a breach in sterile technique while inserting an indwelling urinary catheter? (Select all that apply.)
- AOpening the sterile kit with gloved hands after initial prep初步準備後,以戴手套的手打開無菌包
- BTouching the edge of the sterile drape while setting up✓ 正解在設置過程中觸碰無菌鋪單的邊緣
- CCleaning the meatus with a cotton ball in a circular motion以棉花球螺旋式清潔尿道口
- DMaintaining a continuous view of the sterile field持續監控無菌區域
- EReaching over the sterile field to pick up a lubricant package✓ 正解伸手跨越無菌區域去拿潤滑劑包裝
— Explanation · 中文詳解 —
無菌技術(sterile technique)的核心在於維持無菌區(sterile field)的完整性。無菌區邊緣一英吋(2.5 公分)視為已污染,任何物品置於此區外或接觸邊緣皆違規。此外,無菌區必須保持在視線範圍內,伸手跨越無菌區會導致空氣中的微粒落下造成污染。這些規定旨在降低導尿管相關尿路感染(CAUTI)的風險。
Touching the one-inch border of a sterile drape contaminates the field, as this area is considered non-sterile. Additionally, reaching over the sterile field risks contaminating it with airborne particles, violating the principle of maintaining a sterile environment to prevent infection.