— 照護管理 · EASY · MCQ —
護理師督導照服員為一位有困難梭菌感染史的病人進行清潔護理。照服員哪項行動需要立即介入？
A nurse is supervising an assistive personnel (AP) who is providing hygiene care for a client with a history of Clostridioides difficile. Which action by the AP requires immediate intervention?
- AThe AP wears gloves when cleaning the perineal area護理助理在清潔會陰區域時戴手套
- BThe AP discards soiled linen in a leak-proof bag護理助理將髒衣物丟入防漏袋中
- CThe AP wears a gown while assisting the client with a bed bath護理助理在協助病人洗澡時穿隔離衣
- DThe AP uses alcohol-based hand sanitizer after exiting the room✓ 正解護理助理離開房間後使用酒精性手部消毒液
— Explanation · 中文詳解 —
困難梭菌（C. difficile）會形成芽孢，酒精性乾洗手無法有效去除，必須使用肥皂與流動水洗手才能將芽孢物理性移除。使用酒精會導致交叉感染風險增加。其他選項皆符合接觸隔離（Contact Precautions）原則。
Immediate intervention is required because alcohol-based hand sanitizers do not effectively kill Clostridioides difficile spores. Soap and water must be used to physically remove spores and prevent cross-contamination. The other actions, such as wearing gloves, gowns, and using leak-proof bags, correctly adhere to contact precaution guidelines.
✦ 台美臨床差異
台美兩地在感染控制指引上高度一致，均嚴格執行接觸隔離，強調處理 C. diff 病人後之洗手規範。