Nurse: The patient's approval of since the motive force reason adhered to
Nurse: The patient's approval of since the motive force reason adhered to
As the saying goes, three points of treatments and seven points are attended to. To impatient, the nurse contacts the closest medical worker with them. However, today tense in the relationship between doctors and patients, the nurse faces their own troubles, life working pressure. How could adjust the psychology, offer high-quality services to patient with consummate nursing technology? Let us listen to the personal feeling of the nurse of BJ Union Hospital - -Training nurse: The administrator of disease has some nurses specially engaged in a certain sickness nursing with hospital in the association of Beijing, for example diabetes, AIDS, making Lou, hemophilia,etc.. Except they want to attend to at ordinary times well, the main work is for particular disease to carry on the propaganda and education to the patient and offer comprehensive help. Zhou ZiJuan (the completely central training nurse of belly) : Training nurse completely as a piece of belly, my main work is the work of wanting managing patient's propaganda and education, case history well, complication to observe etc.. I in 10 years have contacted more than 430 patients, the training nurse, can stablize their condition, reduce the infection rate, it is the greatest motive force that I work. I contact one patient, infect many times until other institute make the intersection of belly and the intersection of intubate and surgery completely 2002, come to our academy to go to a doctor. Check through us, find it is not up to standard that the main reason why he infects is operated aseptically, the patient will not use and dialyse managing at home. So we train he and his relative, achieve the good result. From 2002 to seven years at present, infection of this patient did not take place. We belly of Peking Union Medical College Hospital patient whether 68.8 take place, infect in the same way month in infection rate completely, and the international average level literature report is 24- 48 months, the level coordinated is much higher than the international average. This could not be separated from that the efforts of the training nurse are. Li KuiXing (the specialized department nurse of hemophilia) : I am the first full-time hemophilia specialized department nurse in the whole country. Engaged in the work of training, I think compared with medical treatment, the nurse's independence is a little stronger. Hemophilia patient's treatment is very simple, but inject the blood coagulation factor according to the weight. It is very much but treat work, education, assessment, psychology are attended to etc.. See from this the potentiality to attend to is very big, the thing that nurses can do is numerous. In order to do well the training nurse, the hospital has given me a chance of a lot of study. I study advanced hemophilia and attend to the experience, combine our practice abroad, get at home again and train the nurse of the other places, I think this job is very meaningful. I hope all blood friend patients can get the treatment, as the training nurse, I am making great efforts for this. The patient approves to the most largely encourage the nurse that can become BJ Union Hospital to be very glorious hard that the nurse works very, but who can realize the hardships that the nurses work behind the beautiful ring of light? The motive force that they insist comes from the patient's approval. Wang YuJing (department's nurse of facial features) : In the intersection of we and the intersection of facial features and department, all clear to create, change dressings, treat, work, come on, operate by nurse. Meet serious patient, one may want an hour while being clear to create. Always bending over to work, Corey's nurse's waist is not very good, and the patient can't wear the clothes, the room is taller in temperature, it was often a suit of profuse sweating when nurses operated. My colleague is pregnant but still on night shift in four months, it is really very arduous. Corey, only six nurses pour the night shift, few everyone are not all right. 80~120 night shifts on you got off in statistics last year, half of time is on night shift in the working time of one year. I was 120 last night shifts last year, my husband said: "Why you have 1/3 time in one year, can not sleep in the evening? " Liu Yang (the nurse of operating room) : The nurse of operating room has several great characteristics: Can't have a meal on time, it is restricted to go to toilet, quitting time is not a little more fixed either, when could when to finish the operation to take, and should all at someone's beck and call in 24 hours. My friend family joke I have no freedom of person. At night one day, an emergency call comes to cut open the patient that the palace had, because it is too many to lose blood, have already had no consciousness. Actually I had a rest that day, received the called telephone I got to the operating room immediatelied. People of the whole match of ours in twinkling of an eye when the child gave birth to have breathed a sigh of relief. I remember, embrace, go out, give that relative think when child, relatives almost kneel down, wonder how to thank us. At that time I thought it was worth that I did not sleep this evening. We joke you think what is heartbeat of patient at that time, we might as yet quickly as he in at that time heartbeat in fact often. Li Li (nursing dept.) : I have been a nurse for six years in the gynaecology and obstetrics, I and another nurse are on night duty that there is once, come pieces of drunken person, fall blood all on one's body, want, look for emergency call, find we come on the gynecological ward. I showed the way for him, he turned around to come back again, repeat for three times, because the person of he of shelf is drunk, two people can not both find the place. I let another nurse look at the ward, have sent them the emergency call. On the way of coming back, see the relatives of two our patients of the ward, they were afraid I was dangerous to follow me all the time originally. They say, watch I lead two drunk person, pierce through to the building from the building while being getting late so, I'm afraid I meet accident, so protect me in the dark. I specially moved at that time. Putting on a nurse will get involved when admiring me, never what danger has thought. This is that the patient gives us the best repayment, how oneself works hard is worthy. Deal with and protect and suffer from the relation: Want, learn, respect, understand some patient patient vent discontent to doctor on on nurse, today tense in the relationship between doctors and patients, protecting may be said to suffer from the relation that " goes even farther " . How did the nurse coordinating deal with and protect and suffer from the relation? Wang Ran (group's nurse of cancer of gynaecology and obstetrics) : I think one of the most important points of the relationship between doctors and patients is a question understood each other, if you want to let patients respect you, you should really respect patients first. The first prescription coordinated to the patient is caring about. Our head nurse has said, " disease " The middle the word is individual. The patient is the people too, when they are in physical and psychological agony, lie in the ward alone, it is that everyone will feel lonely to change and do, need the nurse's care even more at this time. Liu Jing (the nurse of thoracic surgery) : When just reached surgery, the leader told me, communicated and was divided into to communicate effectively and communicate invalid. Nursing is an art, it is an art too to speak, should let the patient understand you, your work could not be straining, can take much fewer detours too. Generally relatives would all like to look at patients in the ward after finishing the operation, but need aseptic environment to be unfavorable after this pair of operations. When the nurse should invite relatives to go, speaking should tell relative that this will offer more opportunities that infected from the view of patient, once the sense Dye in hospital day and spend, can increase. This question relative will understand to make it clear. Huang JingYa (the nurse of emergency department) : I met patients or relatives not understanding us either in the work at ordinary times, for example the patient not breathing independently, need breathing machine to assist. But some patients think that insert the tube to feel a pain very much, will use and hold the tube in hand. We do not have so many nurses who have been looking at him all the time, can only discuss with relative, restrain patient's both hands temporarily. Do not some relatives understand very much, think this is very inhuman, say " why you want to tie patients? " We explain patiently: "If patient pull out tube, have oxygen, most likely possible even life. " In this way relatives understand. Still some old patients, especially have COPD medical history, he has no strength to cough up phlegm, come out, take place probably phlegm lung infect at this moment. Meet this kind of situation, the nurse will help the patient to stand up, pat on his back with strength, strike the phlegm hung on the lung out. The method often can suffer understanding of relative, " see 70 more than years old, father of I, you pat him in this way, can he stand? " If we do a good job of relative in advance, relatives will have no opinion. I think whether to want to let patient and relative understand or want to start from oneself, start from minor matter of every little bit, strict with oneself, regard patient as the relative and even regard patient relatives as a relative. Lie in patient, around him relative fragile equally in psychology, we should look after their mood too. The system that the emergency call has not been visited, but our emergency department is all transparent, any operation of yours is exposed to countless pairs of eyes, this requires even more you operate skilledly. Whether relatives are in, whether the leader is in, regard patient's interests as the starting point. The nurse is in charge of having an injection, sending medicines not only the nurse has an injection and takes place the medicine tradition in idea, but nurses in new era not merely can finish attending to at ordinary times well, they but also the doctor's good assistants, the patient's good friends. Li KuiXing: As the saying goes, 3 divides and rules seven are raised, the nurse has an injection and takes place this continuity that is only the treatment of medicines, and more seven fen is raised to attend to the work very about to do, such as care, treatment of the patient, etc.. Now is not too enough to the nurse's approval in the society, we can well do more. Cai BiE (basic surgical nurse) : I think the nurse is the doctor's helper, should assist the doctor to remind the doctor. Give an example, transfer ICU to over a patient once, the nutrient liquid that the doctor's order is prescribed is containing candy. I find he examine the blood glucose list in front of the skill until ward on duty evening, realize he may have diabetes at once. I could regarded as and did not see, the doctor will examine blood glucose for him again the next day at that time. I should examine blood glucose for him at this moment, once the blood glucose value is high, I will get him the insulinogenic pump, monitor blood glucose, a lot of things will be done. I considered it at that time, high blood glucose that the surgical patient was afraid, the wound will heal badly. If this patient is my own parents, he is neglected by the nurse like this if I am unwilling to be sure. So I examine blood glucose for patients, the blood glucose value is very high as expected, in this case should not be defeated by and sucked candies the liquid one. I called out a watch doctor at that time, doctors used the insulinogenic pump for him, and monitored blood glucose, all has been done according to what I anticipated. Sun Bei (international health care medical treatment department nurse) : I attend to, make old patient to make Lou by one rectal cancer practise, I was not knowing well to this respect at that time, but the family nursing plan regarding it is detailed to do in the materials that this disease attended to that I can find me, give to this grandfather. This old gentleman thanks me very much, so he reaches on New Year's Day and other festivals each time the meeting gets in touch with me, report his condition. I have been like this all the time now while practising from 2000. This is a Hong Kong patient, will all get to my ward to reexamine to get back to the hinterland each time, come to see me on a special trip, this point makes me very moved. Through this, I think the nursery work is very meaningful. This newspaper cub reporter Yang outstanding to looses, make up
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