— 安全與感染控制 · MEDIUM · MCQ —
使用束縛時，護理師必須確保什麼？
When applying restraints, what must the nurse ensure?
- AThe restraint is tied to the bed frame✓ 正解束縛帶應綁在床架上
- BThe restraint is as tight as possible束縛帶應盡可能綁緊
- CThe restraint is applied over the patient's clothing束縛帶應穿在病人衣物外
- DThe restraint is tied to the bed rail束縛帶應綁在床欄上
— Explanation · 中文詳解 —
束縛（Restraint）的使用目的是保護病人安全，但必須遵循嚴格規範。束縛帶必須固定在「床架（Bed frame）」上，而非可移動的床欄（Side rails）。若繫在床欄上，當床欄升降時會造成束縛帶拉扯，甚至導致肢體受傷或骨折。此外，束縛需確保鬆緊度適中（可放入兩指為原則），並優先考慮非侵入性措施。
Restraints must be secured to the bed frame rather than the side rails to prevent injury; raising the rail while a restraint is attached could pull the limb and cause harm. The restraint should be snug enough to prevent slipping but loose enough to allow two fingers to fit underneath, ensuring adequate circulation.
✦ 台美臨床差異
美國法規對於束縛的「醫囑（Order）」極為嚴格，通常需由醫師親自評估後開立，且有嚴格的定時評估與解除時間限制，護理師必須詳細記錄非侵入性措施的嘗試過程。