護理師正準備將一位無法負重的病人從床位移至椅子。為確保安全，哪項行動是首要考量？
A nurse is preparing to transfer a client who is non-weight-bearing from the bed to a chair. Which action is the priority to ensure safety?
- APlace the chair at a 90-degree angle to the bed將椅子擺放於與床鋪呈九十度角
- BUse a mechanical lift with the assistance of another staff member✓ 正解在另一位工作人員協助下使用機械移位機
- CInstruct the client to push off the bed with their hands指示客戶用手推離床鋪
- DPivot the client using a gait belt to steady them使用步態帶旋轉病人以穩定其身體
安全轉移（Safe Patient Handling）的首要考量是病人的體能限制與護理師的人體工學。針對「無法負重」（Non-weight-bearing）的病人，若嘗試手動轉移，不僅極易造成病人跌倒，更會導致護理師嚴重的下背部損傷。使用機械移位機（Mechanical lift）是目前臨床實證中預防意外的最佳策略。
The primary consideration in safe patient handling is the client's physical limitations and the nurse's ergonomic safety. For a non-weight-bearing client, attempting a manual transfer not only places the client at high risk for falls but can also cause serious back injury to the nurse. Using a mechanical lift is currently the evidence-based best practice for preventing accidents in clinical settings.
美國醫院有嚴格的「No-lift policy」，護理師被禁止徒手抬起無法負重的病人，若違反導致病人跌倒或護理師受傷，責任歸屬極重，且機械移位機在美國病房為基本配備。