It must be thinning that the nurse allocates the standard
It must be thinning that the nurse allocates the standard
Take care of the palm and grow " nurse's regulations " that Wu Wei implements from May 12 this year, has made the clear regulation to nursing staff's phenomenon in short for a long time of our country. Article 20 of " nurse's regulations " stipulates: "The quantity that the medical health organ allocates the nurse can not be lower than the nurse that the responsible institution of the hygiene of the State Council stipulate to allocate the standard. " Article 28 points out again, the intersection of hygiene and until " whether violate the intersection of this regulation and provision, the intersection of outfit and quantity of nurse lower than the intersection of the State Council and the intersection of hygiene and nurse that responsible institution stipulate, allocate not standard " responsible institution The medical organization will punish in accordance with the law. Unless as everyone knows, whose name is that the State Council hygiene responsible institution stipulate for nurse allocate standard to be berth and nurse the proportions of number is for 1:0. 4, that is to say every 100 berths should allocate 40 nurses at least. But there are a great deal of intangible factors in carrying out the course specifically. It is a definite question of the berth quantity at first. For various reasons, there are numerous uncertainties in berths in the medical organization, the most common situation is berth and two pieces of berth quantity totally inconsistent of specified berth that a lot of hospitals are real and open, and differ greatly between some hospital two. Such as the evaluation of the grade hospital, in order to reach a certain grade, need to reach certain berth quantity, under such a situation, the specified berth counts and exceeds the actual open berth to count. Also there are opposite situations, in order to pay some fewer to count the relevant expenses (handle the fee with the berth like the solid waste) , reduce the intersection of personnel and disposition, specified berth count less than actual open berth, count. Another kind of situation, even the specified berth is counted and counted with the real open berth the same, but also there is serious adding the bed phenomenon in the hospital. Secondly it is the nurse's work position question. The dirty, tired, bitter phenomenon with low treatment is very serious that the nurse works, the working environment like this causes a large amount of loss of the nursing staff, a lot of nurses with way or leaving the hospital under order, or leave the post under order. Like some large hospital, hundreds of nurse or because relation, or because of age, change one's profession out of health one after another, have left and attended to the post. But no matter they what does do nowadays, so long as people, in the hospital, the hospital when being calculated the proportion of nurse and berth finally, they will calculate among them. In order to really implement " nurse's regulations ", lighten the nurse's burden, by the seeing of the author, should specify the nurse's outfit standard in the following respects. First, confirm the rational berth is counted. If make it rigidly uniform and counting and allocating nurse's quantity with the specified berth, may cause personnel's waste or cause the staffing deficiency. Likewise, if make it rigidly uniform and counting and allocating nurse's quantity with the real open berth, also perhaps cause the nurse to allocate insufficiently in fact because of serious adding the bed phenomenon. So, the situation that the whole institute berth was used, as establishing the standard that the berth was counted while answering for 1~3 years of before, and there should be a dynamic berth to count. Second, confirm and include in the nurse post who calculates the proportion. Can't bring all nurses obtaining nurse's practicing qualification within and calculate in the proportion, only those are engaged in being exposed to the nurse on the patient's post to put under proportion of 0.4 directly. Also can confirm the proportions of different nursing staff based on different clinical department's properties. If number of nurse of ICU and berth proportion should be up to 2.5~3:1, number of nurse of the surgical system and berth proportion should reach 0.5:1, number of nurse of the system of internal medicine department and berth proportion and should be up to 0.45:1 Only in this way, could attend to the team, improves and attends to quality steadily.
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