— 安全與感染控制 · HARD · SATA —
護理師清潔帶有引流管的傷口時，下列哪些操作正確？（選所有適合的）
Which actions by the nurse are correct when cleaning a client's wound with a drain? (Select all that apply.)
- AClean from the cleanest area to the dirtiest area✓ 正解從最乾淨區域向最髒區域清潔
- BClean in circular motions starting from the outer edge從外緣開始以圓形動作清潔
- CClean the drain site first先清潔引流管部位
- DUse a new gauze for every cleaning pass✓ 正解每次清潔使用新的紗布
— Explanation · 中文詳解 —
傷口（含引流管）清潔的核心無菌原則：A. 由「最乾淨」處往「最污染」處清潔——傷口中心通常較乾淨，引流管周圍因滲液聚集污染度最高，故先清傷口中心、最後處理引流管；D. 每次擦拭使用一片新紗布（single gauze per stroke），避免重複擦拭把細菌帶回傷口。其他選項：B. 由外圍向中心清潔反方向，會把皮膚菌帶入傷口；C. 先清引流管會把高濃度病原帶到傷口其他部位。
When cleaning a wound with a drain, the nurse must follow aseptic technique by cleaning from the cleanest area to the dirtiest to prevent introducing pathogens. Since the drain site is often the most contaminated due to exudate, it should be cleaned last. Additionally, using a new gauze for each stroke prevents transferring bacteria from one area back into the wound.