— 安全與感染控制 · MEDIUM · MCQ —
護理師準備協助一位能部分負重的病人從床位移動到椅子上。哪項動作最合適？
The nurse is preparing to transfer a client who can partially bear weight from the bed to a chair. Which action is most appropriate?
- AUse a gait belt to assist with the transfer✓ 正解使用移位帶協助轉移
- BLift the client under the axillae to provide support從腋下抬起病人以提供支撐
- CPlace the chair on the client's weaker side將椅子置於病人較弱的一侧
- DKeep the nurse's feet together to maintain balance保持護理師雙腳併攏以維持平衡
— Explanation · 中文詳解 —
移動病人時，使用移位帶（Gait belt）可提供穩定施力點，減少護理師受傷與病人跌倒風險。不應從腋下抬舉（會造成神經損傷）。椅子應放在病人的強側（健側）以利支撐。護理師應雙腳分開（寬基底）以維持重心穩定。
Using a gait belt provides a secure point for the nurse to assist and stabilize the client during transfers, reducing the risk of falls and nurse injury. Lifting under the axillae is unsafe as it can cause brachial plexus nerve damage. The chair should be placed on the client’s stronger side to facilitate leading with the strong leg, and the nurse should stand with feet shoulder-width apart for a stable base of support.
✦ 台美臨床差異
美國極度強調「零抬舉政策」(No-lift policy) 與移位輔助具的使用；台灣臨床上徒手搬運仍較常見，但 NCLEX 考試必須選輔助具（如移位帶）。