護理師在繁忙的內外科病房工作。哪項優先作為最能體現高品質照護中的「安全」層面？
A nurse is working on a busy medical-surgical unit. Which priority action best exemplifies the 'Safety' component of quality care?
- AEnsuring the call light is within the client's reach✓ 正解確保呼叫鈴在個案觸手可及之處
- BAdministering medications exactly on time, even if the client is agitated即使個案躁動也準時給藥
- CCompleting documentation before assisting a fall-risk client在協助跌倒風險個案前先完成病歷記錄
- DAsking the client to ambulate alone to promote independence要求個案單獨步行以促進獨立性
安全照護的核心在於預防性措施。將呼叫鈴放在病人可及處是防止病人因下床自行活動而跌倒的重要手段。Documentation 雖重要，但不能優於病人的立即安全需求；強行給藥若忽視病人狀況易引發風險；讓高跌倒風險病人自行下床則直接違反安全原則。
The core of safety care is preventive intervention. Keeping the call light within the client's reach is an important measure to prevent the client from attempting to get out of bed independently and falling. Documentation is important but does not take precedence over an immediate safety need. Forcing medication while ignoring the client's condition creates risk, and asking a high-fall-risk client to ambulate independently directly violates safety principles.
美國護理重視 Fall Prevention Bundle，台灣則強調床欄設置與照服員的即時監控。