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感染管制護理師觀察中心靜脈導管敷料照護。哪些動作需要追蹤？請標示會增加導管相關感染風險的作法。

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Care step照護步驟	Observed action觀察到的動作
Before care照護前	Performs hand hygiene before touching the catheter or dressing supplies.接觸導管或敷料用品前執行手部衛生。
Skin preparation皮膚準備	Uses chlorhexidine with alcohol and allows the site to dry completely.使用 chlorhexidine 與酒精，並讓部位完全乾燥。
Barrier inspection屏障檢查	Keeps a loose transparent dressing until the scheduled change.將鬆脫的透明敷料留置到預定更換時間。
Dressing placement敷料放置	Covers the clean insertion site with a sterile transparent dressing.以無菌透明敷料覆蓋清潔的置入部位。
Site assessment部位評估	Touches the prepared site again with a nonsterile glove.再次以非無菌手套觸摸已準備的部位。
Shower teaching淋浴衛教	Uses an impermeable cover to keep the catheter and connection dry.使用防水保護套保持導管及連接處乾燥。
Hub access接頭操作	Disinfects the connection before access using the approved technique.使用核可技術在操作前消毒連接處。
Topical product局部產品	Applies antibiotic ointment to a nondialysis central-line site.在非透析中心靜脈導管部位塗抹抗生素藥膏。
Glove sequence手套順序	Reuses old-dressing gloves for the new sterile dressing.重複使用移除舊敷料的手套來覆蓋新無菌敷料。

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