— 安全與感染控制 · MEDIUM · SATA —
護理師發展跌倒預防指引。應包含哪些組成要素？（選所有適合的）
A nurse is developing a fall prevention protocol. Which components should be included? (Select all that apply.)
- AStandardized fall risk assessment tool✓ 正解標準化的跌倒風險評估工具
- BRegular toileting schedule✓ 正解規律的如廁時間表
- CMedication review for fall-inducing agents✓ 正解審查會導致跌倒的藥物
- DRoom placement near the nursing station✓ 正解將房間安排在護理站附近
- EFrequent use of restraints頻繁使用約束帶
— Explanation · 中文詳解 —
預防跌倒策略：使用標準化風險評估（如 Morse Fall Scale）、定時協助如廁（減少病人自行下床需求）、審查可能導致跌倒的藥物、將高風險病人安排在離護理站近的位置以利監測。約束非預防跌倒的首選，應盡量避免。
Fall prevention strategies include the use of a standardized risk assessment (such as the Morse Fall Scale), scheduled toileting (to reduce a client's need to get out of bed alone), a review of medications that may contribute to falls, and placing high-risk clients near the nursing station to facilitate observation. Restraints are not a first-line intervention for fall prevention and should be avoided whenever possible.
✦ 台美臨床差異
美台皆強調跌倒預防需跨團隊（護理、藥師、物理治療）合作執行。