Second-tier duty system in the medical ward care i

e707004304 · Wysłany: Nie 23:26, 27 Mar 2011

Second-line care in the duty system in the implementation of a medical ward

thesupervisornurses. Results: Supervisornursessolved96casesofnursingserviceproblemsaloneandwerepraisedbynurse,[link widoczny dla zalogowanych], associatenurseandpatients. Conclusions: Supervisornursedutyinstitutionimprovednursingservicequalityinmedicinedepartmentsickroominnight. Author'Saddress: JiangmenCenterHospital, No. 23, HaiBangStreet, BeiStreet, Jiangmen, GuangdongProvince, 529030, PRC hospital night shift workload, heavy responsibility, emergency task more relatively scarce in the case of staff, how to improve the quality of night nursing care managers in today's topic of concern. ... With the development of medical technology and the overall conduct of care, the patient needs to improve, so that night shift work is increasing, while the care team younger, uncertainties and other factors, so that the quality of care at night can not be guaranteed [ ,],[Night work in order to ensure and improve the quality of our hospital from January 2006 began implementation of care second-line duty, and is divided into internal medicine, surgery, maternity children, comprehensive, emergency, surgery six groups. Given the different characteristics of the major Division I Division hospital group based on their characteristics, the implementation of a more suitable second-line characteristics of undergraduate nursing duty system receive satisfactory results, are presented below: 1 select the implementation method, the implementation of second-line duty 1.1 persons before the first duty of the nurses involved in selection. We identified by clinical experience and strong sense of responsibility, there is ownership, a large internal medicine specialist familiar with professional knowledge and, with a certain management, observation, work plan, reasonability good, have good ability to handle emergencies in charge Nurse as second-line classes. 1.2 Training of trainers involved in second-line duty, training content: second-line class call of duty; common medical nursing skills; common clinical care and emergency plans; care management system; the use of a variety of rescue equipment, medical ward of the Key points of observation and nursing care. Each other mainly in lectures and training seminars, exchanges and other forms. And according to medical characteristics, the design of the common rescue scenarios for trainees to practice the scene. 1.3 The development of front-line responsibility for clinical nurses; understanding of the work of various subjects, especially the new hospital patients and the circumstances in critically ill patients; check security measures subjects; solve the system difficult problems within the ward care, guidance, Care to help difficult technical operations; coordination of nurse-patient conflict; make the necessary psychological care and health education; supervise front-line nurses to fulfill their duties; emergency events; inspection, guidance and supervise the work of night workers and so on. 1.4 The duty to set a method of general internal binary night nurse on duty one morning 8:00 time was 18:00, where the sections are in the duty room to be classes, phone opened, every ward Tian Lai Zhongqiong left Xuemei; Guangdong Jiangmen Central Hospital, Jiangmen City, Guangdong Province 529030 Praya Street, 23 North Street, on call as to the. When the night nurse for help, 5 minutes to reach the specified sections. Duty period, must inspect the internal medicine ward, to help ward work. Duty to establish a unified record sheet shift duty are written records in the next morning, a major rescue and special report to the nurse on duty. 2 implementation of the effect of the value of 2.1 nurses workload statistics in 2006, second-line duty nurses to assist undergraduate made a lot of work, the independent solution of the l66 patients care problems. 85 cases of which help save time, solve difficult health problems l5 cases, and technical guidance l3 cases, and intensive care guide l2 cases, and 6 cases of psychological care, hygiene education ll cases, and to accompany to manage the 5 cases, to help ward Work l5 cases, and dealing with emergencies 4 cases. Improve the quality of care in the night to play an active role. Nurses, nurse call at night the main reason for the two values: to help rescue 51.2%, 24.1% to solve difficult problems, the other 24.7%. Second, the value of nurses to get a value of nurses and doctors highly. A value of 2.2 nurses and nursing care and long the attitude of the binary 1 year after the implementation of second-line duty to investigate the value of retaining a Chinese hospital. June 2007 No. 6 11 73 *