在規劃一位有跌倒病史的病人照護計畫時，下列哪些介入措施最為優先？（選所有適合的）
When planning care for a client with a history of falls, which interventions are the highest priority? (Select all that apply.)
- APlacing the client in a room far from the nursing station將病人安置在遠離護理站的房間
- BEnsuring the call light is within reach✓ 正解確保呼叫鈴在可及範圍內
- CImplementing a regular rounding schedule✓ 正解實施定期巡房計畫
- DKeeping the bed in the lowest position✓ 正解保持床位在最低位置
- EApplying physical restraints at night夜間使用身體約束
跌倒預防的核心在於環境控制與主動監測。高跌倒風險病人需採取多層次防護，包括確保呼叫鈴（Call light）位置明確、護理師主動巡視（Rounding）以評估需求，以及降低重心（床置低位）。臨床思路應優先處理可預防的環境因素，而非依賴限制性手段。約束（Restraints）屬於最後手段，僅在緊急且其他措施無效時使用，且需依循嚴格的倫理與法律規範。
Fall prevention requires a multi-layered approach focusing on environmental control and active monitoring. Ensuring the call light is within reach, implementing regular rounding, and keeping the bed in the lowest position are key interventions to reduce fall risk. Physical restraints should be avoided as they are a last resort and can increase injury risk.
美國醫院對跌倒預防（Fall prevention）有嚴格的標準化作業程序（SOP），特別強調「Hourly Rounding」的落實與記錄，並將跌倒視為「Never Events」之一，醫院需承擔極高的品質指標壓力。