— 安全與感染控制 · HARD · MCQ —
脫除個人防護裝備（PPE）時，哪一個步驟對於防止自身感染最關鍵？
When removing Personal Protective Equipment (PPE), which step is the most critical to prevent self-contamination?
- ARemoving the gown before the gloves在脫除手套前脫除隔離衣
- BPerforming hand hygiene only after all PPE is removed在所有個人防護裝備脫除後才進行手部衛生
- CRemoving the mask before the goggles在脫除護目鏡前脫除口罩
- DRemoving gloves first, being careful not to touch the outside✓ 正解首先脫除手套，小心不要觸碰手套外側
— Explanation · 中文詳解 —
脫除個人防護裝備（PPE）時，最容易發生自身污染的環節在於接觸污染的 PPE 外表面。手套是接觸病人最頻繁的部位，細菌負荷量最高，因此必須優先脫除，以減少後續作業污染其他部位的風險。脫除過程中，手部應避免接觸手套外側，並在脫除後立即執行洗手，以徹底切斷感染傳播途徑。此順序符合感染控制原則，能最大限度降低醫護人員暴露於病原體的機率。
Gloves are the most contaminated item during patient care and must be removed first to prevent self-contamination. Removing gloves carefully without touching the outer surface reduces the risk of transferring pathogens to other PPE or skin. Proper hand hygiene should follow immediately after glove removal.