NurslixJournal
安全與感染控制 · MEDIUM · MCQ

護理師正在照顧一位即將跌倒的病人。哪項行動最能有效預防護理師與病人雙方受傷?

A nurse is caring for a client who is falling. Which action is most appropriate to prevent injury to both the nurse and the client?

  • ATry to catch the client and hold them upright
    嘗試接住病人並扶正其姿勢
  • BQuickly move the client toward the nearest chair
    迅速將病人移向最近的椅子
  • CStep behind the client and use a wide base of support to slide them down the nurse's leg✓ 正解
    站在病人背後,以寬廣的支撐基底沿護理師的大腿將其緩慢放下
  • DCall for help while keeping the client in a standing position
    在維持病人站立姿勢的同時呼救
Explanation · 中文詳解

當病人跌倒已不可避免時,護理師不應強行支撐其重量(A),以免造成雙方背部受傷。正確做法是站在病人後方,雙腳張開增加支撐點,讓病人的重量順著護理師的大腿滑向地面(C),緩衝衝擊力。強行維持站姿(D)或急促移動(B)反而容易造成嚴重的扭傷或跌傷。

When a client's fall is unavoidable, the nurse should not forcibly support the client's full weight (A), as this can cause back injury to both. The correct technique is to stand behind the client, widen the base of support, and allow the client's weight to slide down along the nurse's thigh to the floor (C), cushioning the impact. Forcefully maintaining a standing posture (D) or abruptly moving the client (B) tends to cause serious sprains or fall-related injuries.

✦ 台美臨床差異

美國非常強調「No Lift Policy」與護理師的職業安全;台灣醫院雖有推廣,但在病人家屬面前,護理師常因社會期待而勉強支撐病人。

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