Nurse's topic: " give first aid in advance " It's easy to know but difficult to practise

Nurse's topic: " give first aid in advance " It's easy to know but difficult to practise
Nurse's topic: " give first aid in advance " It's easy to know but difficult to practise
Staff reporter Tan Jia's our country attends to the worker long-awaited " nurse's regulations " and already begins to implement formally on May 12 this year. The staff reporter finds while interviewing the performance recently - -Anything can be regarded as " It is essential " ? Nurse Xiao Zhang working in one hospital emergency department has been a bit worried recently. A provision in " nurse's regulations " that her worries begin to be implemented with this year has something to do. Provision of the first paragraph of article 17 of chapter three of " nurse's regulations " beginning to be implemented formally on May 12 this year, in the nurse moves about in the operation, find patient's condition critical and should notify the doctor immediately; In urgent cases in order to rescue the critically ill patient's life, should implement the essential urgent rescue in advance. "If doctors are rescuing other patients and smoking without opening the body, which ' essential ' rescue measures should I implement? Rescue, come over, the intersection of patient and relative can look for the intersection of I and trouble, because I does not doctor that have the right to write out a prescription after all. " Xiao Zhang says, in the emergency department, it is basically a routine to deal with the critically ill patient, this hang-up in mind has not been untied, has always felt on tenterhooks while working. "The regulation that gives first aid in advance is to proceed from patient angle, although the purpose is good, also there is a problem to operate. What under the situation, can come, punish by nurse, can use medicine, can take what rescue the measure, there is no clear provision in " nurse's regulations ". " One hospital person in charge in Jiangsu Province says, such condition in a dilemma is still quite general in the clinical work. For example working characteristic of emergency department determine to meet, examine, work, go on in advance by nurse often some patient. According to the current relevant regulation, when it is critical to appear as the patient, the nurse's authority is quite limited, can only make oxygen intake, open intravenous passway general urgent treatment, show up or have, down under the situation of the doctor's order yet in doctor, if the nurse implements using medicine, trachea intubate etc. and rescues the measure, rescue successful and to the satisfaction of allly without authorization, if patient's death, will cause " very great trouble " . From " in power " To " essential " The nurse that mentions as to article 17 of chapter three of " nurse's regulations " is in urgent cases, should implement the regulation of the essential urgent rescue in advance. The hospital of Ministry of Public Health manages the research institute and attends to Gong YuXiu, director of centre, to emphasize at first, this is to stricter, more high-level requirement that the nurse puts forward, have reflected the human-oriented key demand regarding patient as the centre of nursery work. Director Gong points out, should notify the doctor in " management of nurse of the People's Republic of China " in time in urgent cases about the nurse, and take the content of the rescue measure in power, and propose in " nurse's regulations " it is " essential " Requirement which doesn't carry on strict in obligation for nurse's requirement. " in power " Proceed from the nurse's professional ability, attend to the difference of ability because of different age, qualifications, specialized department, it is determined that the nurse's clinical skill level has certain difference. "The old nurse attending to the experience for many years compares with young nurse who just graduated, its clinical experience affirms the difference, they must take rescuing the measure in the urgent rescue according to one's own professional ability. " And " nurse's regulations " are proposed, the nurse, in urgent cases in order to rescue patient's life, should implement in advance " It is essential " Urgent rescue,in terms of patient correctly put forward nursery work requirement, put emphasis on the importance of guaranteeing patient's life security. She points out at the same time, because medical treatment and attending to the speciality that is two pieces of difference, in the patient's treatment, doctor and nurse are bearing different duties, the doctor is responsible for diagnosing and confirming the healing solution, the nurse assists the implementation of the scheme. For this reason, in reality clinic works, it is " essential " what is meant by ,The nurse knows that there is certain difficulty to stand up, if it is improper to hold, initiate the dispute easily. "The regulation that the nurse gave first aid in advance has already reflected the highest rescue principle of patient's life, it is the value of nurse's job ethics at the same time. Problem of defining etc. that it is difficult but there are smudgy duties, legal liability in the clause. " The relationship between doctors and patients of Xuanwu Hospital of Capital University of Medical Sciences coordinates Du ShuYing, Deputy Director of office, to propose, nurse's " urgent rescue " Legitimacy with feasibility worthy discussion. In respect to legal, the relevant legal clause has a conflict. If rescue and has not succeeded, accord with " medical crash handling regulations ", it causes death that the medical worker adopts the technological means of medical treatment to rescue a patient in urgent cases, can avoid the responsibility, but the civil liability of nurse's out-of-range operation does not have relevant regulation that can be avoided. On the other hand, " urgent rescue " under a lot of situations It is not what the nurse can finish, this is decided by nurse's job characteristic. For example the operation category that the first aid measure which implements the trachea intubate belongs to doctor's first aid, if nurses have implemented the trachea intubate in the urgent rescue, it is the out-of-range operation, lack sufficient legal support. And if nurse's place except registering the practising place is rescued in advance, also face undertaking the risk of legal liability. Should make and have practicality that stipulates Du pure Great Britain thinks, the related file of " nurse's regulations " should be issued as soon as possible even more. Parts of law can not all of limits situation,it is improve and change constantly not to need on practices judicial, " nurse's regulations " should be like this too. If " nurse's regulations " can only be made the norm of the sense of principle, then, need to speed up the steps of carrying on improving and adjustment while implemented. So, should issue the relevant related file, implementing regulation or judicial explanation of " nurse's regulations " as soon as possible. She proposes " nurse's regulations " should be like the thing that " operation medicine is imitated ", stipulate clearly the nurse should implement within the range of job registered or within the duty " The urgent rescue " And do a good job of nurse, can avoid in this way that the awkwardness with unclear responsibility after the problem happen. Need to offer in terms of medical ethics at the same time " Give first aid in advance " Idea support more,because in the long run in this to patient life and health the protections of right. Have personage think " the the intersection of nurse and regulations " " the management, nurse of the People's Republic of China, " obviously progress and develop relatively. " nurse's regulations " have entrusted more responsibility and obligation for the nurse too while bringing the right to nurse and ensuring, but it is obviously insufficient to compare with " operation medicine in the People's Republic of China is imitated ", hope to issue " nurse of the People's Republic of China " as soon as possible. Gong YuXiu proposes, in order to guarantee the carrying out and implementation of " nurse's regulations ", avoids initiating the medical dispute and sending the nurse to the defendant's seat, the medical organization should improve control measures, make and have effective regulations even more. Cooperate from medical matters department, nursing dept. and every training together, which critical states may be presented to any diseases, in different and critical cases, which one must most should the nurse adopt Rescue measure,etc. make simple and clear regulation. Authorize the nurse appropriately, make the nurse have regulations to abide by while working in clinic. In addition, the nurse needs to improve one's own professional skill constantly too, study the normal professional knowledge correlated to speciality engaged ined of basically making a diagnosis conscientiously, can't carry out the doctor's order passively, should ask several more why. Improving the urgent rescue ability to the critical patient in the clinical nursery work constantly, grasp the medical measure that should be taken in urgent cases. Beijing accumulate head of the nursing department of puddle hospital JinLan Song point out in at first should study " the intersection of nurse and regulations solve reader " conscientiously work, while being clinical nurse, standardize oneself and attend to the behavior clinically. In the urgent rescue, the nurse should be according to attending to the technical specification of making a diagnosis, combine patient's condition and one's own ability and carry on the treatment and cure in power. " nurse's regulations solved the reader " had paid explaining to the urgent rescue, it is a medical worker bounden duty to heal the wounded, rescue the dying, but in the real work, when patient's condition is critically ill, the doctor can't arrive in time, it may cause patient's death that passivism waits for, nurses should adopt essential emergency rescue, save patient's life; When the nurse is on duty independently, the situation happens suddenly to meet this kind of, while notifying the doctor rapidly, first aid measure of can carry on the heart and lungs and recover ing etc.. Head of the nursing department of PLA general hospital second affiliated hospital Jiao WeiHong says, "nurse regulations" this provision from " Report in time " Get and " rescue in advance " ,Give the nurse a greater authority in first aid, propose higher requirement to the nurse's clinical first aid skill, nursing ability of the training disease too. She introduces, this institute has carried on standardized training from all respects such as pre-job training, first aid skills training,etc.. In first aid, carry on the exercise of and examine technology by nurse's possible skill of giving oxygen, breathing in the phlegm, heart and lungs to recover etc., in fulfilment of this so voluntary as to lay technological foundation.


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