護理師協助活動受限的病人從床邊移位至椅子。哪項行動對病人安全最重要?
A nurse is assisting a client with limited mobility to transfer from the bed to a chair. Which action is most important for safety?
- AStand directly in front of the client to provide support站在病人正前方提供支撐
- BLock the wheels of both the bed and the chair✓ 正解鎖定病床和椅子的輪子
- CPlace the chair on the client's stronger side將椅子置於病人較強健的一側
- DApply a gait belt around the client's waist在病人腰部綁上步態帶
轉移位安全的首要原則是消除所有可能移動的因素。鎖定床和椅子可以防止病人起身時設備滑動,導致跌倒。選項C與D是良好的輔助措施,但若設備本身沒有固定,輔助工具也無法保證安全。護理師應先確保作業環境靜態穩定,再執行轉移動作。
The primary principle of safe transfer is to eliminate all potential sources of unintended motion. Locking the wheels of both the bed and the chair prevents the equipment from sliding as the client rises and prevents falls. Options C and D are good supportive measures, but if the equipment itself is not stabilized, even appropriate assistive devices cannot guarantee safety. The nurse should first ensure that the working environment is stable and stationary before performing the transfer.
美台臨床皆強調轉移位安全準則;台灣因醫療器材較為標準化,護理師更需嚴格檢查床體煞車機制。