Nurse half the time stay behind to take care of things in the ward

Nurse half the time stay behind to take care of things in the ward
Nurse half the time stay behind to take care of things in the ward
It is reported ' Reporter Chen Qing) The change in only half a year, the nurses leave time to the patient more, at work, 50% of the time can be kept by patient's bed, about 40%. This the intersection of Shanghai and ten the intersection of the People's Hospital and that nursing dept. realize transition, head of the nursing department, take on Shanghai, attend to the intersection of quality and Shi Yan, control centre of director, say at the same time, popularize new the intersection of nursing and system of arranging an ordering according to class and grade in the whole city, rebuild and attend to the workflow future, return the nurse's time to more patients as much as possible. From from each patient lives in that time to enter the ward, the responsibility nurse has been already clear, and most hospitals will also write the responsibility nurse's name at the gate of ward while telling orally. Can often when leaving hospital, the patients are not still familiar with one's own responsibility nurse very much. This kind of phenomenon is very general in clinic, " responsibility system nurse " Nursing mode,giving a great discount. Why? The tenth one that the People's Hospital launches in Shanghai reveals about investigation which attends to man-hour: The nurse attends to time and accounts for about 40% directly, attend to time and account for 53.43% indirectly during working time, a first one is to attend to the document to write that among them occupy and attend to time indirectly. Meanwhile, the investigation was still found, because the hospital shortened days when patients are in hospital greatly, usually on about 10 days, this is so as to attend to the mode of arranging an ordering according to class and grade of working in three shifts early and middly and late originally, make the responsibility nurse very difficult to implement the patient within limited time " The whole service " . To this current situation, as Ministry of Public Health first batch of " demonstration projects of the high-quality care " Contact the institute of city ten of the hospital to launch in the whole of institute especially " The head storm " ,Attend to quality to put out in order to improve " The combination blow " : --Change the mode of arranging an ordering according to class and grade of the tradition, implement the systems of class two in morning and evening. The traditional early, middle, late three-shift system mode of arranging an ordering according to class and grade of nursing, change into the early, late systems of class two, rotate cycle as one month, in order to reduce the frequentness of relieving, let patients touch the relatively fixed nurse during hospital stays. This institute began the pilot project since last the second half year, " highly successful " in 35 inpatient areas after the Spring Festival . --Change group's overall rationing system, implement the overall rationing system of doing away with a hierarchical system. Originally by the group leader, his responsibility of every department of nurse, low age and service seniority nurse of responsibility " Three level of group " Attend to mode, even up, get including head nurse everybody undertake to do a job until it is completed patient, namely a nurse is responsible for 3- 6 patients, from admitted to hospitalling to leave hospital, after to the skill before the skill, treat nursing and health education,etc. from implementing life and looking after to finishing the speciality. --Set up the portable nurse station, move attending to center to the ward gate. Nurse's platform of inpatient area has been that the nurse has worked all the time " The main battle field " ,Protect the contact while suffering from in order to increase, make the mutual distance close, this institute has designed all-embracing" treat the car " by oneself ,Reduce turning back run of nurse, finish from send medicine, inject, change the intersection of urine and bag, fill in, format, attend to document,etc. nearby. --Critical patient's centralized management, cancel helping entertain the guest of honor. Attend to the reform in grades, implement critical patient's centralized management to inpatient areas such as heart ICU, the department of nerve internal medicine, department of neurosurgery,etc., the patient's direct life is looked after and finished by nursing staff, cancel helping entertain the guest of honor, so as to ensure to attend to quality. Meanwhile, explore that attends to inferior type management, so as to ensure a patient individualized good services needed, let, attend to efficiency, give play to at most great intensity. Meanwhile, ten hospitals of every relevant departments of market link, it is not the nursery work that is devoted to reducing the nurse together. Dispose the centre such as setting up intravenously, the special messenger sends the medicine including first aid medicine to the ward; The support department puts out applying to get on the net, special messenger and delivers goods and makes house calls etc., make the nurse leave more time and energy to the patient. The statistics show, " combination blow " Can not implement half a year, the nurse attends to time and accounts for the rate that the patient always attends to time and rises to 50% directly, the implementation of the overall rationing system doing away with a hierarchical system, enable the health instruct the coverage rate and up to 100%, the qualification rate of basic nursing is promoted from 85% to 99%, the care has realized zero is complained. "People are still these people, the thing is still these, only need to change the idea sometimes, the thinking becomes alive, has changed by method more, the difficult matter is no longer so difficult too. And let each responsibility nurse really take on, is familiar with one's own patient, dispel the blind spot in the care as much as possible, realizing and is attended to wholly, improve the foundation of attending to quality. " Shi Yan says.


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