Attend to and hold a consultation: Concentrate the advantage troops on making the assault of fortified positions

Attend to and hold a consultation: Concentrate the advantage troops on making the assault of fortified positions
Attend to and hold a consultation: Concentrate the advantage troops on making the assault of fortified positions
Staff reporter Sun Meng If the serious disease room accepts a critical patient that occuring frequently complex injured for medical treatment, nursing staff consider while the intersection of pelvis and fracture apply the brake, how about guarantee not to pigeonhole emergence of the sore, let the patient's wound be healed as soon as possible? After finishing dealing with the problem of applying the brake of the wound, nurses neglect paying close attention to the fact the drainage tube inserted on patient could keep unobstructed? Now, the hospital is more and more detailed in branch. As it is not the questions of the universities and colleges that the patient appears, need to employ the medicine, instrument and equipment of the non- universities and colleges, or while carrying on the new operation, adopting the new treatment, their nursing result can not often get the best assurance. How to deal with these contradictions? Subsidiary the fifth nursing of the People's Hospital system of holding a consultation of Shanghai of Fudan University is offered the new thinking. There are 10 to hold a consultation in groups " The brain trust " At the end of 2005, five institutes in Shanghai begin to try caregiver's holding a consultation and system of attending to the group and running of training, set up and attend to and consult about the group, group members are made up of chief and vice directors, attending to reputable expert, every subject head nurse and training nurse backbone of the nursing dept.. Under consulting about the group, 10 trainings attend to the group as supporting: Intravenous to manage the group, endanger and manage the group again, press the sore and manage the group, comfortable to attend to group and baby comfort touch group and diabetes manage group and health education manage group, sterilize, isolate group and issue manage the group, pipeline manage the group. Group of these trainings attends to and consults about the group " The brain trust " ,Have guaranteed to attend to the normal running holding a consultation. When encountering the problems that need solving, attend to, hold a consultation group meeting assemble, stand up, discuss jointly every relevant the intersection of training and group, confirm the training group needing getting involved to the patient's nursing difficult point, they make the specialized nursing scheme. When implementing concrete nursery work, break the single department's nurse and attend to the undergraduate course patient's limitation, centralized " most crack forces " Intelligence,knotty problem of solving in being at times shortest and attending to. At the beginning of this year, the hospital hematology accepts the unusual syndrome patient of hyperplasia of a bone marrow for medical treatment. Problem on for treating it is sour in hematuria it is high, let patient not taken and named each doctor " don't Piao alcohol " Medicine. Have never expected the medicine causes serious side reaction - -Big blister loosens necrosis dermatitis. After body of patient's blister breaks, ooze the tissue fluid outside constantly, black and blue. The nurse of the hematology meets this kind of patient few chances, attend to and have no way of doing it, then consult about the group and put forward the application of holding a consultation to the nursing of the hospital. Holding a consultation in the group brings and endangers and manages the group, presses the sore and manages the group and comfortable and attends to the group again. Behind finding out about situation of patient, deal with, press sore and serious caregiver of disease, change dressings way and guarantee ward temperature propose the strict requirement quickly. Because patient's dorsal skin festers the area is very large, can't contact the bed clothes directly, comfortable to attend to the group to also specially make and protect the support, can already be cold-proof, repeated infection of preventing the pollution of wound from causing again. Attend to the plan wholly " Make " And then, holding a consultation in the group will organize the nurse to implement at once. The group members familiar with the training and attend to change dressings for the patient two times a day, want for more than two hours once. A few days later, the patient's wound becomes dry, festered the area shrank too. Group all have scientific research project this Yang QingMin, head of the nursing department of institute, and say the trainings, should guarantee to attend to the quality of holding a consultation, the professional level that 10 trainings attend to the group is the key. According to her introduction, the setting-up of the training group regards main department that these groups depend on as the fulcrum, if diabetes it manages groups to be to set up, stand up on the basis of nurse of division of endocrinology. Basically all have support of the scientific research project behind training group, for example the comfortable research contents of attending to the group are subjects of Shanghai State Scientific and Technological Commission. Group members should let to try to figure out carefully it can help to fully recover as soon as possible which body postures the patient adopt; The mat that the patient used was all made and tried out by nurse; There is a successful one " Invent small " ,The hospital will also let the support department make in enormous quantities. In addition, the nurses of the training groups mostly pass the training and train. For example it is to is obtain the specialized certificate, is changed dressings a nurse by the vocational traininged, makes what a nurse makes up to press the sore and manage the group; Intravenous most nurses who manage the groups have all accepted the training of deep intravenous conduit management; The pipeline attends to the group and is mainly made up of nurse of ICU, each member holds Shanghai and guards nurse's work license of the room. Attend to and consult about and promote hospital stays " Shrink " The blood head of the department Liu Lies of this institute say root: "This year, because of clinical first line personnel's joint efforts, day shortened one day averagely compared with last year in hospital in the hospital, attending to the consultation plays an important role among them. " "Attend to, hold a consultation system reach same trade and skill and knowledge complementary between the different specialized nurse, have solved the problem that they can't be solved in one's own original nursing speciality. Each nursing endangers the patient's course again, each nurse can learn a lot of things from it. Implement behind the these system, attending to work quality raises greatly. " Yang QingMin says.


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