The nurse holds concurrently and does manual labour and attends to Nanning hospital - comes with without protects - meet the predicament of charging

The nurse holds concurrently and does manual labour and attends to Nanning hospital - comes with without protects - meet the predicament of charging
The nurse holds concurrently and does manual labour and attends to Nanning hospital - comes with without protects - meet the predicament of charging
Guangxi news network reporter Wei summer /gentle The core is pointed out for October 12, the encephalopathy subject ward of the first affiliated hospital of college of traditional Chinese medicine of Guangxi is very quiet, water of lysol assails the nostrils, the figure of all white overall shuttles back and forth among the sick beds, the escalator came out pushing the patient who takes wheelchair, it is a white clothing nurse too Why see in blue uniform to partial to workers? Learn, this hospital cancelled and protected the work post of engineering from August 1 this year through inquiring, it is all nurses that the hospital is engaged in care. The reporter has visited hospitals such as the national hospital of autonomous region the People's Hospital and Guangxi,etc. subsequently, find these hospitals pursue since March of this year " The service engineering of high-quality nursing " Since, reform attend to mode, turn to, take nurse as the core basic the intersection of care and weight gradually, living and attending to including making the bed, scrubing, combing one's hair, standing up, feeding meals etc. is finished by nurse. According to the unified expenses standard of the medical care of Nanning Price Bureau, the tertiary first grade of first rate hospital attends to the fee as 5 yuan / bed / day. Obviously, implement " accompany without protecting " ,It is favorable to the patient in spending. Have pilot hospital claim until the intersection of Nanning and 80 of average price / bed / society for day accompany and attend to to accompany and attend to fee, come, say trade at present, 5 yuan / bed / first grade of day attends to the fee obviously too low. " accompany without protecting " How long can be kept, can service quality receive assurance? 1,The current situation hospital tries water " Accompany without protecting " 70 -year-old uncle Zeng of this year, because acute pancreatitis happen suddenly to need surgery to treat, because the old man has some complications, can not move in two weeks in hospital, the first grade that it is gi medicine of autonomous region the People's Hospital attends to the patient, uncle Zeng infusion take medicine, stand up, scrub, wash and dress, make the bed, give meal, it hands over ink, defecation and urination to be all under nurse's care every day. Uncle Zeng tell reporter whether he have 5 children, come, watch he seldom, " children invite to accompany passport take care of I one 80 yuan per day originally, but the nurses really look after too thoughtfully, still more fine than my children, I dismiss accompanying and attending to. " It is reported, Chinese Health Ministry pursues " demonstration project of the high-quality care " at the beginning of this year ,Reform, the People's Hospital of autonomous region, attend to mode, turn to, take nurse as the core basic the intersection of care and weight gradually, living and attending to including making the bed, scrubing, combing one's hair, standing up, feeding meals etc. is finished by nurse. This Deputy Director of hospital nursing dept. Wang KeMin says: "This attends to the transition of mode, uncle Zeng just lives in our pilot ward, we make every effort, accomplish good service, let patient find feeling of house, try hard, let relative ' accompany without protect '. " 2,Investigate the hospital attends to and charges low Some pilot hospitals pursue " The demonstration project of the high-quality care " And then, according to the new nursing mode, a nurse can only look after 15 ordinary patients, or 3- 5 serious illness patients. But the hospital says, it charges too low to attend to, become and restrict the important factor attending to development of mode newly. "The current grade in Nanning attended to the expenses standard, it was the medical expenses standard of services that Nanning Price Bureau, health bureau issued of the 1990s of last century that was continued to use, among them stipulate the tertiary first grade of first rate hospital attends to the fee as 5 yuan / bed / day; Second attends to the fee as 4 yuan / bed / day; Tertiary to attend to the fee as 3 yuan / bed / day. " Strength of national Deputy Director of hospital nursing dept. Zhao Zi in Guangxi is said. Deputy Director of autonomous region nursing dept. of the People's Hospital Wang KeMin points out too, the superfine of this hospital attends to the fee as 2 yuan / bed / hour, attend to first grade by fee as 5 yuans / bed / day, attend to second by fee as 4 yuans / bed / day, tertiary to attend to by fee as 2 yuans / bed / day; And the nursing fee which protect the worker is only: 12 of first grade / bed / day, second 6 / bed / day, tertiary 3 yuan / bed / day. "Compare the society accompanies and attends to 40 yuan collected - 80 yuan / bed / day, festivals or holidays or even 90 yuan - 160 yuan / bed / charge on day is come to say, our high-quality nursing service charge is obviously too low. " Wang KeMin says. Compare the low nursing fee in the hospital, the charge that the society accompanies and attends to should be high much. A gentleman of staff member of the housekeeping service department of community of bridge of swan of Nanning tells reporters, accompany and attend to hand to be in exceedingly short supply, need ahead of time making an appointment in one week, " some accompany and attend to and worry about infectious disease, would only like to look after patients at employer's home, collect 40 yuan - 70 yuan / bed / day and accompany and attend to the fee. Look for nurses, estimate that can only look for those cleaners from countryside into hospital, they are not on night shift, can hold a part-time job to accompany and attend to. " "The nursing fee accompanied and attended to is 70 yuan - 80 yuan / bed / day, meet two-day weekend or festivals or holidays, they get the double salary, it is 90 yuan - 160 yuan / bed / day, and accompany and attend to oneself to agree on by the employer. " A staff member of Nanning Co., Ltd. in accordance with the big service for infrastructure says to reporters. 3,The statement charges to hang with the cost upside down in the interview, the reporter sees such a piece of data: An operation patient of intestines and stomach surgery of the People's Hospital of autonomous region is in hospital for 15 days, costs 46860.96 yuan altogether. Among them, the fee of Western medicine is 20731.44 yuan, accounts for 44% of the all-inclusive cost; The fee of material is 14578.13 yuan, accounts for 31%; The fee of operation is 4603.20 yuan, accounts for 10%; Test the fee of 2902.50 yuan, accounts for 6%; Treat the fee of 446.70 yuan, accounts for 1%; Attend to the intersection of fee and 120 only, account for 0.3% only. It is reported, some nursing projects of hospital charge, can only remedy about twenty percent of the cost. Attending to the price project of charging mainly includes two parts. A part is a basic nursing price project in hospital, for example attend to the fee, special sickness nursing fee, neonate and attend to fee, psychosis and attend to the fee etc. according to the grade in need of setting up of the condition; Another part is a daily general treatment price project implemented by the medical personnel, for example injection, oxygen intake, atomization suck, change dressings, physics temperature-dropping, catheterization,etc. treat and other projects attend to the fee. Reveal, our country is current the nursing paying price is far lower than the actual cost in hospital according to a nurse working in the hospital for 30 years, take intravenous infusion as examples, charge for 2 yuan each time while being current, and according to calculating, its cost is about 18.93 yuan, among them the labor cost is about 12.74 yuan, cost of consumables is about 6.19 yuan. Strength of national Deputy Director of hospital nursing dept. Zhao Zi in Guangxi shows, through checking and calculating the cost, average unit cost that grade attend to should for 50 / bed / about day, that is to say foundation of hospital attend to the intersection of price and event, charge, have 10 times lack ofed compared with cost in hospital. 4,After the countermeasure hospital offers some ideas and develops resources and reduces expenditures to attend to the mode to change, the awkwardness that the pilot hospital meets and attends to the service price and the cost hangs upside down, attend to service charge, lower than cost while being high-quality, cause work load, nurse of hospital, increase, and the income is low-level Wander up and down, it is unavoidable to attend to the brain drain. In order to save the cost, hospitals put out the new action one after another, develop resources and reduce expenditures. The first affiliated hospital of college of traditional Chinese medicine of Guangxi is clear-cut since August 1 this year in order to lower costs, cancel, partial to worker, work out formally, basic nursing, live attend to and handing over, checking, handing over resulting of holding a consultation, connecting outside the ward in the ward? Tube �� give Xie bucktooth, fetch unreasonable towering the intersection of Huan and in a difficult position ��, scar of ��, add, cover ��.with mat, would like, melt tool instrument of ��! ? The national hospital of Guangxi recruits nearly hundred and partial to the school graduate and takes on a hospital attendant, still receive nurse and intern actively, assist 545 nurses to launch the care together. In addition, also two " transport the team " of internal medicine department and surgery have been established in this hospital ,28 workers in all take on and unite the work outside, let hospital attendant and nurse go out of the ward, improve and attend to the service quality, thus absorb more patients in hospital. 5,How long quizing nursing of one day of 5 yuan can be maintained In the interview, a lot of patients, to " accompany without protecting " Affirm, think that has lightened the burden economically at first and and can get better service too. But a hospital personage proposes, it influences nurse's income directly to attend to the service charge low, their service quality and attitude will unavoidably drop. Look from the view of nurse, because the work is not paid attention to, the treatment is low, some nursing staff drop to the curiosity of new knowledge, attend to the enthusiasm of the engineering level to drop in improving, the improvement of personnel's quality will be influenced too. Then, what to do to let the high-quality care go on? Recently, have not " accompanied melting to attend to " in pilot project of district of medical ward of intestines and stomach of the People's Hospital of Jiangsu Province ,Deserving province Price Bureau raises and attends to the expenses: First grade attend to 90 / bed / day, second attend to 60 / bed / day, tertiary to attend to 30 / bed / day, the life that the increased expenses are used mainly in the patient is attended to. The public hospital pursues and will not have accompanied and attended to serving above the whole province second too this year Anhui Province, this save department of public health, apply, set up, have, accompany and attend to expenses standard to attend to fee it authorizes to be to the intersection of province and Price Bureau: One, two, whom third grade attend to have, accompany and attend to, it attends to fee to be 40 / bed / day, 30 / bed / day and 20 / bed / day respectively. Hospital personage says, the methods of Jiangsu and Anhui are worth drawing lessons from Guangxi. Deputy Director of autonomous region nursing dept. of the People's Hospital Wang KeMin says, the patient engages one to accompany and attend to and need sixty or seventy yuan each day, this money is drawn by patient, the financial burden which has increased them is not said, also influenced the normal medical order of the hospital. Moreover, accompany and attend to and has not undergone the formal training of the nursing speciality, provide service by patient's bed directly, it is unable to guarantee to attend to security and quality. Though the expenses standard of the high-quality care has already been close to accompanying and attending to and attending to the fee, but patients can enjoy the service with different qualities of the price. Explanation of nouns nurse: Mean that is obtained nurse's practising certificate by the registration of operation, is engaged in attending to the activity according to the provision of " nurse's regulations ", fulfil to the hygiene technical staff protecting the life, lightening the agony, duty of improving health. The nurse's concrete working content includes: First, carry out the foundation, training and attend to the routine, attend to regulations for technical operation and relevant rules and regulations. Second, assist the doctor to do the consultation, coaching of patient and his relative well, connect examining and treat the work. Third, carry out taking orally, injecting, other routes and give medicine and treat and gather and examine the sample; Pay attention to making an inspection tour, observing condition and infusion situation, find abnormality to report to a doctor in time; Assist entering newly, operation, treatment of urgent, critical patient; Take charge of preparing against the blood, fetching the blood, escort the critical patient and go out to check. Fourth, the regular deepening ward is exchanged with patient, in order to obtain information about patient's condition, find out about the patient's doubt, solve the problem that the patient exists in time, explain the reason of the disease, treat the principle, attentive matters and carry on life guidance of diet, health education guidance to relatives to the patient. Fifth, strengthen the study of foundation and professional knowledge, study the relevant knowledge of the undergraduate course room especially. Sixth, responsible for medical file and article to manage, do articles well to check and hand over. Partial to workers: In hospital, take on the intersection of patient and person that life attend to while being for hire. Call attending to the worker sometimes. Partial to workers compared with general nurse and accompanying and attending to, have more professional nursing knowledge and skill, can be paralysed patient,etc. lying in bed and carried on the specialized recovery to attend to, to postoperative patient, vegetable. They generally study and basically attend to, recover attending to and knowledge and skill that the life of the special patient is attended to,etc., can assist the nurse to do a good job of basic nursing. Include life physical sign and oral cavity, perineum, skin of observing blood pressure, pulse, body temperature, breathing etc., press nursing of the sore, carry on nutrition pantry, patient for the patient and put in the bed upper limbs one, carry on a whole set of professional knowledge such as the psychological consultation and use of some daily rehabilitation appliances to the patient.


|