護理長評估單位安全性,哪些情況暗示病人跌倒風險?(選所有適合的)
A nurse manager is evaluating the safety of the unit. Which situation indicates a potential risk for a client fall? (Select all that apply.)
- AA bed alarm that has not been reset after transferring a client✓ 正解轉移病人後未重設床邊警報器
- BFrequent bedside rounding by nursing staff護理人員頻繁進行床邊巡房
- CClutter near the client's path to the bathroom✓ 正解病人前往廁所路徑旁有雜物
- DThe client is wearing non-slip socks病人穿著防滑襪
- EA call light is out of reach of the client✓ 正解呼叫鈴超出病人可及範圍
單位安全性(Unit safety)的評估涉及識別潛在的風險因素,以預防病人發生意外,尤其是跌倒(Falls)。核心概念是了解哪些環境或流程上的疏忽可能增加病人的跌倒風險。 正確答案 A, C, E 都代表了明顯的跌倒風險。A(未重設的床邊警報器)意味著如果病人嘗試下床,警報系統將無法發出預警,護理人員無法及時介入。C(病人通往廁所的路徑有雜物)增加了絆倒的物理危險。E(呼叫鈴超出病人範圍)則剝奪了病人及時尋求協助的能力,可能迫使他們冒險自行起身。 選項 B(護理人員頻繁的床邊訪視)實際上是降低跌倒風險的措施。定期的訪視能讓護理師及時了解病人的需求,提供協助,並觀察其活動情況。選項 D(病人穿著防滑襪)也是一項預防措施,防滑襪可以增加腳底與地面的摩擦力,減少滑倒的可能性。
Potential fall risks include non-functional equipment, environmental hazards, and lack of access to assistance. A bed alarm that is not reset fails to alert staff if the client attempts to get out of bed. Clutter near the path to the bathroom creates a tripping hazard, and a call light that is out of reach prevents the client from summoning help safely.