— 基本照護與舒適 · EASY · MCQ —
護理師準備將一位完全不能負重的病人從床位轉移到椅子上。哪項安全措施是優先考慮的？
A nurse is preparing to transfer a client who is non-weight-bearing from the bed to a chair. Which action is the priority for safety?
- AAsk the client to hold onto the nurse's neck請病患抓住護理師的脖子
- BUse a mechanical lift device with assistance✓ 正解在協助下使用機械移位裝置
- CPerform a two-person manual lift執行兩人徒手搬運
- DPivot the client using a gait belt使用步態腰帶讓病患轉身
— Explanation · 中文詳解 —
針對無法自行負重的病人，人體工學原則首選輔助設備，以預防病人跌倒及護理師腰部受傷。機械移位機是最佳選擇。B（步態腰帶）適用於尚可負重的病人；C（抱頸）嚴重違反移位安全，增加摔倒風險；D（徒手搬運）已不建議作為常規方式。
For a non-weight-bearing client requiring transfer, using a mechanical lift device is the priority action to ensure safety for both the client and the nurse. This approach adheres to ergonomic principles by minimizing the risk of musculoskeletal injury to staff and preventing client falls, whereas manual lifting or pivoting is unsafe for this population.
✦ 台美臨床差異
美國醫院全面推廣 No-Lift Policy，強制使用機械設備；台灣部分單位因人力與設備配置問題，徒手搬運仍較常見。