— 基本照護與舒適 · MEDIUM · MCQ —
在床與椅子轉移時，哪項介入措施對於確保病人安全最重要？
Which of the following interventions is most important to ensure client safety during bed-to-chair transfers?
- AAsking the client to move quickly要求病人快速移動
- BLocking the wheels of the bed and chair✓ 正解鎖定床和椅子的輪子
- CEnsuring the client is wearing fancy slippers確保病人穿著時尚拖鞋
- DStanding behind the client to provide full support站在病人背後提供充分支撐
— Explanation · 中文詳解 —
轉移（Transfer）過程的核心是確保穩定性與預防跌倒。在轉移前，鎖定所有活動設備（如病床、輪椅、便盆椅）是護理師的第一優先行動，這是防止設備位移導致病人重心不穩的關鍵安全屏障。臨床思路遵循 ABC（Airway, Breathing, Circulation）後的安全原則，即「環境安全」高於一切。
Locking the wheels of both the bed and the chair is the most critical intervention to ensure client safety during transfers, as it prevents equipment movement that could cause falls or instability. This environmental safety measure takes precedence over speed or footwear, which can actually increase fall risk if inappropriate.
✦ 台美臨床差異
美國醫院非常強調使用輔助設備（如 Gait belt / Transfer belt），護理師在進行任何轉移前，通常需評估病人能力並依規定佩戴轉移帶，以保護病人及護理師的腰背安全。