— 基本照護與舒適 · EASY · MCQ —
護理師協助行動受限的病人從床轉移到椅子上。哪項措施最能確保安全？
A nurse is assisting a client with mobility limitations in transferring from bed to chair. Which action best ensures safety?
- AUse a mechanical lift for all transfers對所有轉移使用機械式升降機
- BPlace the chair on the client's stronger side將椅子置於病人較強健的一側
- CStand on the client's weaker side with a wide base of support站在病人較弱的一側並保持寬廣的支撐基底
- DLock the brakes on the bed and the chair✓ 正解鎖定床和椅子的煞車
— Explanation · 中文詳解 —
確保移動安全的首要原則是消除環境隱憂。鎖定床和椅子煞車能防止移動過程中設備滑動導致跌倒。雖然加強側靠近椅子（B）以及護理師站位（C）也很重要，但環境設備的穩固是執行任何轉移動作前必須優先完成的基礎步驟。
The first principle for safe transfers is to eliminate environmental hazards. Locking the brakes on the bed and chair prevents the equipment from sliding during transfer and causing a fall. Although having the stronger side closer to the chair (B) and the nurse's positioning (C) are also important, stabilizing the equipment is the foundational step that must be completed before performing any transfer maneuver.
✦ 台美臨床差異
美台臨床皆視固定設備為標準程序，但美國更強調移位時的職能治療評估結果執行。