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基本照護與舒適 · EASY · MCQ

一位活動受限的病人需要從床轉移至椅子,護理師應採取哪項行動以確保最高程度的安全性?

A nurse is assisting a client with limited mobility to transfer from the bed to a chair. Which nursing action ensures the highest level of client safety?

  • ALock the wheels of the bed and the chair✓ 正解
    鎖定床輪與椅輪
  • BUse a gait belt securely around the client's waist
    牢固地將步態帶繫於病人腰部
  • CAllow the client to stand for 30 seconds before pivoting
    讓病人在轉動前先站立 30 秒
  • DPlace the chair on the client's stronger side
    將椅子置於病人較強健的一側
Explanation · 中文詳解

轉移位(transfer)過程中的跌倒預防是護理安全的基石。在進行任何物理移動前,確保環境設備(床與椅子)處於靜止狀態,是預防因重心轉移而導致設備滑動引發跌倒的首要步驟。優先級原則(Priority)要求護理師先排除環境風險,再進行個案評估與協助,這是預防跌倒(Fall Prevention)的標準作業流程。

Fall prevention during a transfer is the cornerstone of nursing safety. Before any physical movement, ensuring that the environmental equipment (bed and chair) is stationary is the first step to prevent equipment from sliding and causing a fall as the center of gravity shifts. The priority principle requires the nurse first to eliminate environmental risk and then to perform client assessment and assistance; this is the standard operating procedure for fall prevention.

✦ 台美臨床差異

美國臨床非常重視「步態帶」的使用,幾乎所有轉移位過程皆要求強制使用步態帶,以保護個案安全並預防護理師背部受傷,此點與台灣部分臨床單位較少強制要求步態帶的情況略有不同。

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