— 基本照護與舒適 · MEDIUM · SATA —
護理師準備協助活動困難的病人從床上移位至椅子，應採取哪些措施以確保安全？（選所有適合的）
A nurse is preparing to assist a client with mobility issues to transfer from bed to chair. Which actions should the nurse perform to ensure safety? (Select all that apply.)
- APlace the chair on the client's stronger side✓ 正解將椅子置於病人較強健的一側
- BAssess the client for orthostatic hypotension before moving✓ 正解在移動前評估病人是否有姿勢性低血壓
- CLock the wheels on both the bed and the chair✓ 正解鎖定病床與椅子的輪子煞車
- DAsk the client to hold onto the nurse's neck during the transfer要求病人在轉移時抓住護理師的脖子
- EApply a gait belt around the client's waist✓ 正解在病人腰部綁上移位腰帶
— Explanation · 中文詳解 —
移位安全要點：椅子靠近強側以利發力；移位前評估姿勢性低血壓避免暈厥；煞車鎖定防止移動；腰間繫上轉移帶（gait belt）提供支撐點。絕對禁止讓病人抓住護理師頸部，這會造成護理師脊椎受傷且病人重心不穩。
Position the chair on the client’s stronger side to facilitate weight-bearing and leverage during the transfer. Assess for orthostatic hypotension beforehand to prevent dizziness, lock all wheelchair and bed wheels to ensure stability, and apply a gait belt to provide a secure handhold for the nurse.
✦ 台美臨床差異
美國非常強調 gait belt 的使用以保護護理人員勞保安全；台灣臨床對於使用腰帶的習慣與器材普及度稍有差異。