— 降低風險 · HARD · SATA —
護理師照護一位剛置入周邊置入中心靜脈導管（PICC）的病人，下列哪些措施是正確的？（選所有適合的）
A nurse is caring for a client with a new peripherally inserted central catheter (PICC). Which of the following actions should the nurse perform? (Select all that apply.)
- AVerify chest X-ray results for proper tip placement✓ 正解確認胸部X光結果以驗證導管尖端位置正確
- BFlush the catheter with 10 mL saline using a 10 mL syringe✓ 正解使用10 mL注射器以10 mL生理食鹽水沖洗導管
- CChange the dressing every 24 hours to prevent infection每24小時更換敷料以預防感染
- DAssess the insertion site for redness, swelling, or drainage✓ 正解評估插入部位是否有發紅、腫脹或滲出液
- EUse sterile technique when performing dressing changes✓ 正解進行敷料更換時使用無菌技術
— Explanation · 中文詳解 —
PICC 置入後，確認位置的黃金準則是胸部 X 光。使用 10mL 以上針筒是為了避免過大壓力導致導管破裂。更換敷料應遵循無菌原則，根據臨床指引通常採 7 天更換一次，非 24 小時。觀察部位是預防感染及早期偵測併發症的基礎。
Verification of tip placement via chest X-ray is mandatory before initiating infusions to ensure safety. Nurses must use a 10 mL or larger syringe to prevent excessive pressure that could rupture the catheter, and maintain strict aseptic technique during dressing changes to prevent infection.
✦ 台美臨床差異
美國醫院針對 PICC 的維護有極為嚴格的 bundle care 規範，台灣各醫院規範則略有差異。