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一位個案需要持續使用中心靜脈導管。完成實證為基礎的維護與感染預防計畫。

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Before manipulating the line, the nurse should ::선택::put on sterile gloves without cleaning the handsflush every lumen to test whether it is openpalpate beneath the dressing with bare fingersperform hand hygiene and gather supplies for aseptic care. The damp dressing requires ::선택::an additional layer of tape over the moistureobservation until the scheduled weekly changeprompt replacement using aseptic technique and recommended skin antisepsisroutine guidewire exchange of the catheter. Each connector access requires ::선택::access as soon as the cap looks visibly cleanfriction disinfection with the approved antiseptic and adequate drying before connectionrinsing the connector with tap waterleaving the connector open between infusions, and the team should ::선택::review catheter and lumen necessity daily and remove access that is no longer essentialretain every lumen until discharge regardless of usereplace the catheter on a fixed schedule to prevent all infectionswait for a positive blood culture before correcting technique.

在操作管路前，護理師應 ::선택::未清潔雙手即戴上無菌手套沖洗每個管腔以測試是否通暢以徒手觸摸敷料下方執行手部衛生並備妥無菌照護用物。潮濕的敷料需要 ::선택::在潮濕處再加一層膠帶觀察至排定的每週更換使用無菌技術及建議的皮膚消毒劑立即更換例行性以導絲更換導管。每次接頭使用需要 ::선택::只要蓋子看起來明顯乾淨即可使用以核准的消毒劑進行摩擦消毒，並在連接前充分乾燥以自來水沖洗接頭在輸注之間讓接頭保持開放，且團隊應 ::선택::每天檢視導管及管腔必要性，並移除不再必要的管路無論是否使用，每個管腔都保留至出院依固定時程更換導管以預防所有感染等待血液培養陽性再矯正技術。

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