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照護管理 · MEDIUM · MCQ

護理師監督輔助人員(UAP)協助活動障礙的病人時,哪項行為需要立即介入?

A nurse is supervising an unlicensed assistive personnel (UAP) who is assisting a client with mobility issues. Which action by the UAP requires immediate intervention?

  • AThe UAP uses a mechanical lift alone to transfer the client✓ 正解
    輔助人員單獨使用機械升降設備轉移病人
  • BThe UAP stands on the client's stronger side while ambulating
    輔助人員在病人較強健的一側行走
  • CThe UAP places a gait belt around the client's waist before standing
    輔助人員在病人站立前將步態腰帶圍繞在病人腰部
  • DThe UAP asks the client to dangle their legs before getting up
    輔助人員要求病人在起身前將腿懸垂於床緣
Explanation · 中文詳解

使用機械式移位機(Lift)進行轉移位時,為確保病人與人員安全,規定必須由至少兩名工作人員同時執行。單人操作會導致設備重心不穩或病人滑落,是嚴重的安全疏失。其他選項皆為正確的操作步驟:使用步態腰帶、站在強側輔助、以及採漸進式坐起以預防姿勢性低血壓。

When using a mechanical lift for transfers, at least two staff members must perform the procedure simultaneously to ensure the safety of both the client and the personnel. Operating the lift alone may cause instability of the equipment or cause the client to slip, constituting a serious safety violation. The other options describe correct procedures: using a gait belt, standing on the strong side to assist, and performing gradual sitting up to prevent postural hypotension.

✦ 台美臨床差異

美國非常強調移位機的二人操作規範;台灣醫療機構雖有規範,但因人力短缺,常有單人違規操作之情形。

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