Which actions help prevent falls during care?

• A. Keep call bell within reach; keep pathways clear; use bright lighting only.
• B. Keep bed high and wheels unlocked; do not use a gait belt.
• C. Keep call bell out of reach to force independence.
• D. Keep call bell within reach, keep pathways clear, lock wheelchair brakes, keep bed in low position when not delivering care, use gait belt.

Answer: (D)

Fall prevention during care relies on environmental safety, proper equipment use, and safe handling during movements. Keeping the call bell within reach allows a patient to request help before attempting to move, which reduces the risk of falls. Clear pathways remove tripping hazards that can cause slips. Locking wheelchair brakes prevents unintended movement when a patient is seated or transfers are attempted. Keeping the bed in a low position when not delivering care lowers the height from which a fall could occur and makes assisted transfers safer. Using a gait belt gives you a secure grip and better control during transfers or repositioning, helping prevent loss of balance. Together, these steps create safer conditions and support safer care. Other options omit essential safeguards, such as enabling assistance when needed, preventing movement, or relying on lighting alone.