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yxfbbiedtj · Wysłany: Pią 14:03, 18 Mar 2011

New Emergency Surgical Care Problems and Solutions Facing

ONC Ⅲ NESECL Ⅱ CALM turn DIC83 With the development of market economy, Wuxi City, and the gradual introduction of health insurance policies from perfect, most of the patients participated in the health insurance. Affected by this restriction, save the sick, we must also consider the economic cost. Because of the personal burden to be part of multiple drugs, in particular, imports of drugs, or even to completely take care of themselves. Some patients have more difficult by families after surgery outstanding fees, and even some of the patients after an escape, to the hospital unnecessary economic losses. 1.3 emergency surgery patients in the nurse on duty nearly two decades of work overload, for example, more than 6000 cases of surgical patients throughout the year, but nearly more than 800 cases of emergency surgery. Elective surgery patients accounted for about 16%. Only two nurses on duty at night, and take the hospital's emergency surgery subjects, tend to have several sections at the same time to emergency surgery. Therefore, when on duty a larger workload, overload. 1.4 increase in medical disputes, disrupting the normal order of emergency medical care focused on life-saving surgery, and some emergency patients ferocious illness, disease complex, requiring immediate treatment. When some patients into the hospital in critical condition, died after He died, there did not understand the behavior of individual family members, hoping to have a say, or even health care in order to disrupt the normal order. 2,[link widoczny dla zalogowanych], emergency surgical care management strategies 2.1 open green channel, is that all critically ill patients to the operating room after the timely rescue time is life, especially with bleeding, passage barriers fatal injury patients, race against time to rescue, will be able to save the patient's life. Therefore, emergency surgery operating room open green channel, and to take on duty 24 hours a person responsible for the system. Arrangements and the high qualification of the charge nurse and nurse on duty,[link widoczny dla zalogowanych], all the surgical supplies and rescue equipment, have someone keep checking into the rescue use at all times. 2.2 introduced a list of El A, so that patients and their families medical expenses plainly in emergency rescue operation, patients and their families generally pay attention to first save lives, do not consider the economic costs. But stable condition, the patient and family than the strong economic sense,: because the current publicly funded health insurance policy has changed in the past almost all-inclusive labor practices, but from the personal medical spending accounts, some or all of the self medication. Patients and their families do not understand, for this characteristic we have in the rescue operation and postoperative course of time communicating with patients and their families the cost of treatment used. And introduced the hospital computer network, a daily list of the patient, so patients and their families the cost of treatment for all plainly understood in order to avoid misunderstandings caused by the dispute. 2.3 The implementation of flexible care system, to ensure that emergency surgery upon arrival in the operating room equipment and personnel to do the same premise, the implementation of flexible care system. As the number and timing of emergency surgery is difficult to accurately estimate the characteristics,[link widoczny dla zalogowanych], so nurse can be arranged at any time based on the amount of emergency surgical care class time. In addition to arrangements for officers in regular classes, flexibility classes every day to arrange. Divided into the day shift on duty and emergency classes. Operating room nurses, all left home phone and cell phone,[link widoczny dla zalogowanych], according to the needs of operating room, prepare to be on call shifts of nurses. And requested that after receiving the notice, in the shortest time to reach the operating room, participate in the rescue. 2.4 The strict implementation of rules to guard against their own interests nursing dispute the concept of protection as people continue to enhance the nursing staff is not aware of or violation of operating rules slightly, it will lead to patient dissatisfaction and complaints, resulting in conflicts between nurses and patients and care disputes. So we critically ill patients in the rescue operation process in strict accordance with the law. Strict implementation of the three investigations of the seven systems. All medical activities and conduct are Two years, with no operating room nursing dispute. We deeply appreciate the patient to the hospital for medical treatment, the purpose of life safety, health,[link widoczny dla zalogowanych], hope of survival is to step into the operating room with the door. For nurses from the patient's perspective and interests to work hard, protect the rights of patients, especially in the patient's life and health and security. Excellent service, superb technology, skilled nursing operations, and quality care, quality service standards to services for patients, the only way to prevent nursing disputes.