The nurse deserves " Do the miscellaneous affair " (used at the end of a question)

The nurse deserves " Do the miscellaneous affair " (used at the end of a question)
The nurse deserves " Do the miscellaneous affair " (used at the end of a question)
Edition this publish question July 9 for <<" do the miscellaneous affair " Have spent 5 and a half hours every day >>The article, reflect it under the circumstances that the clinical first line nurse allocates the insufficient situation, particularly thing a little that certain time and energy will be busy that nurses will take out, have to reduce for patient's question of service time. The article causes greater response in readers after publishing. They contribute and propose oneself view on this problem and solve the suggestion of the problem one after another. Our selected editions contributions of some readers in this issue. Treat dialectically " Do the miscellaneous affair " The People's Hospital Chen WeiChun, Jiangsu Province Have the honour to read conscientiously <<" do the miscellaneous affair " Have spent 5 and a half hours every day >>Have words to say after the article. First, the so-called " miscellaneous affair " Definition what? According to <<" do the miscellaneous affair " Have spent 5 and a half hours every day >>Author in the article stated " For the not attending to work " . As to this, I do not dare to agree, because nursery work and not attending to very difficult difference sometimes of work. Actually including relevant nursery work person who attend to work, under some particular situation, a relevant one person who attend to work, will become main part of nursery work. Listed five items of clinical not attending to work in the article, are really all " miscellaneous affairs " (used at the end of a question)? I don't think so. Escort a patient to make and check etc., is not it a part of the nursery work? To the definition attended to, there is not a statement completely unified yet so far from ancient times. But attend to the meaning included, with the constant gradual progress of development of the times. Review and attend to developing history, the task attended to, nursing idea, attending to the work pattern etc. clinically, there are different requirements and understanding in different historical periods, are in step with era, grow with each passing hour. The real intension that Nightingale advocates attending to is: Nursing is the combination of science, art and love. The meaning attended to includes fostering, assisting, protecting, looking after patient and deformity, immature, etc. The international nurse knew (ICN) in 1973 In order to attend to the function made: Promote the health, prevent disease, get well, lighten the agony. The American nurse will think in 1980: "Nursing is to diagnose and deal with the mankind to the existing or potential science reacted of health problem. " What the nurse wants to be is to help patients to obtain the independent circulation as soon as possible; Help to carry out the medical scheme, cooperate with medical team member, design all medical treatment together and carry out and arrange, make the healthy person keep fit, make the patient get well, the person who gives moribund lightens agony and support. Contrast so, in front of our realistic national conditions, in order to finish the task attended to, fulfil and attend to the function, really carry out and reflect " the nurse is moving round patient " , " regard patient as the centre " , " satisfied as the goal with the patient " , " nursing wholly " , " humanization service " Wait for slogans, does not do " miscellaneous affair " in this course Can you make it? What does it have around the the intersection of course and thing not done " The miscellaneous affair " ,How you distinguish the fact which be which are not nursery work nursery work completely? Second, under present national conditions and medical situation, should the nurse do these " miscellaneous affairs " ,Whether can not do these " The miscellaneous affair " ? If call listed five items of clinical not attending to work in the article " Do the miscellaneous affair " ,Then, in quite a long time, the nurse will also continue doing this kind of " miscellaneous affair " in the most hospitals of our country . Are not having " Do the miscellaneous affair " Full-time staff substantiate to clinical every family ago," do by miscellaneous affair " nurse Will neither can avoid stop, nor. Likewise, which hospital doctor is not doing a lot of " miscellaneous affairs " as nurse too now ,Like propping up and getting articles, pressing for payment of the expenses, escorting a patient to check etc., even will develop patients, welcome and send off. There are " miscellaneous affairs " Such as pressing for payment of the expenses, it is totally the questions of system, mechanism, that there is no alternative but for it, this is incompatible with doctor and nurse's duty that not known who hospital administrator has, do not have any advantage to the harmonious relationship between doctors and patients? In order to let the patient escape from few accounts, the hospital lose few, can pay out wages on time for the hospital worker. For existence and development at the moment, let doctor and nurse accomplish something first in pressing for payment of the expenses, sacrifice the act of the helplessness of the long-term interest as a lot of hospitals. Can predict, once the hospital solves the economic source, the patient has complete guarantee systems to seek medical advice, doctor and nurse can wither away when pressing for payment of the expenses. Third, methods do not allow the nurse to do these " miscellaneous affairs " ? It is the intersection of hospital and leader that pay attention to at first, want, solve problem this while being wholehearted, always large than difficulties on method naturally. Secondly it is the nursing dept. that takes the lead, close cooperation such as the logistics, financial affairs, cooperation. Can establish the hospital to attend to and ensure the centre, offer for every inpatient area of the whole institute and keep a public place clean, inspect the all-round service of medicine,etc. by ready samples, accompany and attend to, fetch, do not technology separate quite a few of out of the nurse's duty with the low technological working; Either introduce a secretarial personnel or set up rear-service ensurance system, help the nurse to liberate from not professional affairs; Set up intravenous medicine and dispose the centre, save and attend to the human resources, increase the hours that the nurse attends to the patient directly, improve and attend to quality and patient's satisfaction. ,etc action,in some domestic hospital is been already sum implement, and make certain result. But I think, so, want " be miscellaneous affair " really Work do well,do keep patient and the society wait satisfied," do by miscellaneous affair a lot of " Work must at leader of nurse and lay supervision go on. This has been undoubtedly added to nursed " The miscellaneous affair " Content,increase "do miscellaneous affair " Time. So, " do the miscellaneous affair " to the nurse Should correct the understanding, treat dialectically, reason is operated. There are " miscellaneous affairs " Concern safe Shandong of medical treatment in the People's Hospital Wang XiaoMei of Qing County high on clinic, some work seems to have no relations with attending to the content, but the one that is concerning the patient is seeking medical advice safely. Some that the article taking an expensive newspaper and publishing enumerates out " The miscellaneous affair " To say, it is irrelevant to get medicines and seem to be with the nursing professional knowledge that we study, but this job belongs to " the good man is unwilling to do, rely men and can not do " Its row. Though to the person which we know the performance of medicines very well, get the medicines not technical profession, but probably no one have courage that let a layman get more than one hundred kinds of medicines every day, really want like that, it would be suprised if not to meet accident. It is the same to get medicines and not only get general articles, will hand in and deliver goods on the other hand only on one hand, have run through a series of rules of checking, checking, returning and putting correctly etc. among them. Our clinical nursing staff all know what medicines need refrigerating, put into the refrigerator at once after taking out; Which kind of medicines need to be strict and photophobic; Which kind of performance of medicines is unstable, should check carefully whether have already gone bad. Just think, which one can not done well among them, the ones that will threaten the patient use medicine safely. Secondly, speak of and escort a patient and do the work checked, I do not think this is still more " miscellaneous affair " . You know, becoming the patient checking though leaves temporarily Inpatient area,but we nursing responsibility return? Rime L one torr of fish hawks cuts quietly ���� Huan Da is shaken and discussed Yang croak Xia Zhyuan road lets out Nai and hangs on shoe last �� Wan of ������ of Lu ����� cave of cheek of curtain and chases Does � Xi ���� Ge one feed �� Ping ����'s stone roller and cough and prepare against Lian Pi's sense to imitate? I think, have clinically, some work is " miscellaneous affair " It is the nursery work, there is no obvious boundary line, this needs to determine the nature according to actual conditions. In the township hospital that has, there are only one or two nurses on duty in the whole ward, go, lead medicine or accompany patient make, check, who come on, attend to patient on the ward? At kinds of situation, for example get medicine, do, check such " the miscellaneous affair " Have to do by accompanying people. However, if in some developed countries or large hospitals of our country, these " miscellaneous affairs " Become a part of nursery work. A such one " The miscellaneous affair " ,Even listed in the content of the nursery work to accompany the patient to take a walk, chat. The reason why we face doing now " The miscellaneous affair " Worries,last nurse serious shortage, have caused some normal nursery work of ours to be unable to launch, even launch reluctantly, also attend to one thing and lose sight of another. If our nursing staff is sufficient, so these " miscellaneous affairs " Do well, will certainly improve medical treatment greatly safely. Every hospital generally attend to the strength insufficiently at present to establish the affairs centre to return time to nurse's central hospital Pan HongYing of Lishui in Zhejiang Province, the nursing staff is engaged in some and is not needing work that much nursing knowledge can finish again at the same time, and the work has taken up nurse more time. How about enable the nurse free out in work these, return time to a nurse, return the nurse to the patient, the our academy has done very good attempt, share with everybody now. First, establish the affairs centre. The our academy is a hospital of the first, second and third with 1100 beds, 28 are in hospital units, every subject probably needed to have a nurse to responsible for the outwork every day in the past, such as get medicines, get things, send and hold a consultation singly, escorts and checks etc.. Since 2000, the affairs centre has been established, has recruited 10~12 contract system personnel (the majority have graduates of special secondary school who attends to the professional knowledge) ,Transfer one nurse responsible for, bear the whole sample of institute inspect by ready samples, not regular to escort, check and make an appointment , get it filled temporarily, the work of mentioning blood,etc.. Second, feed bin are allocated and sent personnel outside. The feed bin of articles, dispensary are allocated and sent personnel outside, responsible for the delivery work of article and medicines of the whole institute. Third, improve the workflow. Utilize the network center to simplify the workflow, inputting, articles one of examination and approval, expenses that such as the examination and approval of medicines, blood use is received etc., have reduced manpower greatly. If articles were received, it was the head nurse that opened singly in the past, the head nurse or nurse went to the warehouse to receive, having used to Cheng Zhong in the neck, needs to wait for warehouse personnel to prepare articles, but now, only need to input necessary articles into the computer, send personnel outside to send to the department in time according to the order of importance and emergency. And for example examination and approval of medicines, it was the doctor that prescribed in the past The nurse goes to the dispensary to row prices The medical insurance is done and examined and approved The admissions office keeps accounts The dispensary gets it filled, every prescription nurse needs to go out for 30 minutes at least, if every department will wait, then time is longer. Only the doctor inputs the computer to submit now, the medical insurance is done and examined and approved on the computer, the nurse checks and examines and approves and agrees to submit the dispensary at the nurse station directly, the dispensary is given medicine. Nurse's operating time does not need one minute, has reduced the work load greatly. After taking the above-mentioned measures, except that the critical patient escort and check, nurses do not need to leave the ward, every subject can save a nurse every day, and the manpower cost of the hospital is dropping. Affairs centre at the same time and providing and delivering personnel to every working overall arrangement, has shortened every subject waiting time, the patient's satisfaction is raised. Please partial to workers and reduce a nurse " Do the miscellaneous affair " Enclose a piece of jade of institute single-mindedly clearly as an old nurse working for 30 years in time medicine of Liuzhou of the Guangxi Zhuang Autonomous Region, have read expensive edition for July 9 <<" do the miscellaneous affair " Have spent 5 and a half hours every day >>After the article, feel indebted as if it were received in person and have a rather same feeling. All reason of head nurse, nurse in most hospitals at present that we can say " Do the miscellaneous affair " Have taken up much valuable time, and tie up a nurse and make an inspection tour in the ward, time to observe condition, thus has influenced and attended to work quality. Our hospital pays attention to this very much, in order to solve this problem, it is many to invite and protect engineering in recent years, assign to each inpatient area. Protect and send patient to various inspections such as having an electro-cardiogram, Ultrasonography B, X-ray from partial to workersing, responsible for, give defecation and urination, blood of patient check the sample, hand over and holds a consultation single and getting ordinary medicinesly Have reduced a nurse greatly " Do the miscellaneous affair " Time,what has been applied energy to for patient to nursery work,if you can't improve, attend to by work quality thus greatly, obtain the patient's unanimous favorable comment. Nurse should not " Do the miscellaneous affair " Shandong the intersection of Linyi and municipal the intersection of tumour hospital and the intersection of nursing dept. and Tan celebrate the intersection of rosy clouds and author think non- technical " miscellaneous affair " of nursery work Should not be undertaken by the nurse. Changing the current situation should proceed with the following aspects: 1. Define the nurse's scope of offical duty. 2.Use the nursing staff by different level. 3.The non- professional work is undertaken by the non- nursing staff. If the employing, charging, urging the fund and arrange financial accounting personnel of the computer. 4.Escort patient, transfer bed, carry and the outwork of the ward can be undertaken by the field force ' On duty after training) . 5.Getting articles can be played and handed over the department by support crews. 6.Carrying out " nurse's regulations ", the nurse disposes in place.


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