Which of the following is a key safety check before starting NMES?

• A. Confirm indication and consent
• B. Screen contraindications
• C. Inspect skin and electrode sites
• D. All of the above

Answer: (D)

Before starting NMES, a comprehensive safety check that covers all practical aspects protects the patient and supports effective treatment. Confirming indication and consent ensures the therapy is appropriate for the patient and that they understand and agree to it. Screening contraindications identifies conditions or circumstances that would make NMES unsafe or inappropriate, such as implanted electrical devices, certain medical conditions, or skin infections near the treatment area. Inspecting skin and electrode sites is essential to ensure good contact, prevent burns or irritation, and allow proper electrode placement and safe current distribution. These checks address different safety angles—whether the therapy is right for the patient, whether any risk factors exist, and whether the skin and setup are prepared for safe stimulation—so performing all of them provides the best protection and preparation.