護理師為一位需要使用「機械升降機」移位的病人進行護理。下列哪些安全預防措施是必要的？（選所有適合的）
A nurse is caring for a client who requires a mechanical lift for transfer. Which safety precaution is essential? (Select all that apply.)
- AEnsure that at least two staff members are present during the lift.✓ 正解確保在搬運過程中至少有兩名工作人員在場
- BCheck the weight capacity of the lift before use.✓ 正解使用前檢查升降機的承重限制
- CLock the wheels of the lift while raising the client.在抬高病人時鎖定升降機的輪子
- DPosition the sling to support the client's head if they lack neck control.✓ 正解若病人缺乏頸部控制能力，調整吊帶以支撐病人頭部
- ETest the emergency stop button and battery level before starting.✓ 正解開始使用前測試緊急停止按鈕和電池電量
機械升降機（Hoyer Lift）的使用涉及高風險移位，安全標準極其嚴格。首先，必須有兩名工作人員同時在場（A）以確保一人操作、一人守護病人。確認限重（B）是預防設備損毀與墜落的基本動作。對於頸部控制力差者，吊帶必須支撐到頭部（D）。每次使用前確認電力與緊急裝置（E）是必須的。選項 C 是常見陷阱：在升降過程中「不應」鎖定升降機輪子，這樣設備才能在重心變動時自動微調位置以維持平衡，否則可能導致升降機翻覆。護理師必須接受專門訓練始可操作。
Use of a mechanical lift (Hoyer lift) involves high-risk transfers, and safety standards are extremely strict. First, at least two staff members must be present (A), one to operate the device and the other to guard the patient. Verifying the weight capacity (B) is fundamental to prevent equipment failure and falls. For clients with poor neck control, the sling must support the head (D). Before each use, checking battery level and emergency equipment (E) is mandatory. Option C is a common pitfall: during the lifting process, the wheels of the lift should not be locked, because the device must be able to self-adjust its center of gravity as the load shifts; otherwise, the lift may tip over. Nurses must be specifically trained before operating this equipment.
美國醫療機構對機械移位有極嚴格的「Safe Patient Handling」政策，甚至禁止護理師徒手搬運。台灣雖然升降機漸普及，但病房空間狹窄常導致操作不便，仍需加強兩人在場與不鎖輪的安全概念。