— 照護管理 · MEDIUM · MCQ —
護理長觀察新進護理師，哪項行為需立即介入糾正？
A charge nurse is observing a new nurse perform care. Which action by the new nurse requires immediate intervention?
- APlacing a client with Clostridium difficile in contact precautions將梭狀芽孢桿菌感染的病人實施接觸隔離
- BChecking the client's identification band before administering medication給藥前檢查病人識別手環
- CRemoving personal protective equipment before leaving the isolation room✓ 正解離開隔離病室前脫除個人防護裝備
- DReporting a medication error to the charge nurse immediately立即向護理長報告用藥疏失
— Explanation · 中文詳解 —
正確的脫除個人防護裝備（PPE）順序對於防止交叉感染至關重要。若新進護理師在離開隔離室前就脫除裝備，將導致自身與環境暴露於病原體風險中。正確程序應為離開病室後在緩衝區或指定區域依序脫除，以維護感染控制標準。
Removing personal protective equipment (PPE) before leaving the isolation room compromises infection control and exposes the nurse and environment to pathogens. PPE must be removed in the correct sequence, typically within the room or in a designated anteroom/buffer area, to ensure safe decontamination. Immediate intervention is required to prevent cross-contamination and protect staff safety.
✦ 台美臨床差異
美國醫院感染控制政策較嚴格，脫 PPE 錯誤通常視為重大缺失；台灣臨床亦遵循嚴格感控，但執行步驟受限於設施規劃。