— 基本照護與舒適 · HARD · SATA —
在評估醫院環境時，哪些項目應優先納入以確保病人安全？（選所有適合的）
Which assessment findings should be prioritized when assessing a client's safety in the hospital environment? (Select all that apply.)
- ACall light within reach✓ 正解呼叫鈴在可及範圍內
- BBed in the lowest position✓ 正解床鋪置於最低位置
- CSiderails up (as appropriate)✓ 正解拉起床邊護欄（視情況而定）
- DRoom lighting is dim at all times房間燈光始終調暗
- EFloor is free of clutter✓ 正解地板無雜物堆放
— Explanation · 中文詳解 —
醫院環境安全的核心在於「防跌」。確保呼叫鈴在手邊以便聯繫協助、低床位減少墜床跌落高度、側欄防護、維持走道乾淨以防絆倒，均是標準的安全作業。環境應保持適度光線，不可為了省電或助眠而昏暗，會影響病人視線。
Fall prevention strategies include keeping the call light within reach, maintaining the bed in the lowest position, raising siderails as appropriate, and ensuring the floor is free of clutter. Adequate lighting is also essential to prevent tripping, whereas dim lighting increases safety risks.
✦ 台美臨床差異
美國醫院防跌評估（Morse Fall Scale）非常嚴格；台灣臨床對病人跌倒定義有時較寬鬆，重點應加強環境安全巡視。