摘要
目的探讨规范院内危重患者护理转运流程中患者的安全性和患者的满意度。方法 2013年10月1日-2014年9月30日期间,我科共146例患者因病情需要进行出科转运,病因有外伤引发失血性休克67例,脑外伤及脑血管意外出现意识障碍52例,急性冠脉综合症11例,低血糖昏迷6例,感染及其它不明原因引起低血压8例,脊柱损伤2例,其中呼吸心跳停止复苏成功4例,气管插管71例,血氧饱和度低于85%16例。规范化转运护理流程主要是负责转运的护士具有独立工作和应急处理问题的能力,并接受过基础抢救技术培训;出科前对患者进行风险评估及签署知情同意书;备足急救药品,带好抢救器材,做好抢救预案;在转运准备过程中,护士要保持有条不紊,操作熟练,并进行实时心理护理,使患者及家属感到有安全感,当出现病情变化时能够积极有效地配合治疗;到达目的地进行床旁交接和病历交接,交接后双方科室交接人员签名。结果 146例患者因病情需要共进行209人次转运,转运过程中出现不同程度并发症19例,其中呼吸停止1例,心搏停止1例,血压波动大于20%以上11例,血氧饱和度下降至70%以下6例。未发生因呼吸机管道和输液通路等脱落、阻塞引发意外责任事件。结论规范转运护理流程是把简单的护送转变为对患者全方位、全过程无缝隙,提高危重患者救治的安全性,提高患者的满意度。
Objective Discussion on standard hospital critical care patients in the process oftransport the patient safety and patient satisfaction. MethodsA total of 146 patients with disease of transport needs, causes of traumacaused by hemorrhagic shock in 67 cases, traumatic brain injury and cerebrovascular disturbance of consciousness in 52 cases, acute coronary syndrome 11 cases, hypoglycemia coma in 6 cases, infection and other unexplained hypotension in 8 cases, 2 cases of spinal cord injuries, including breathing and heartbeat stop the successful recovery of 4 cases, 71 cases of tracheal intubation, blood oxygen saturation of less than 85% in 16 cases. In the October 1, 2013 to September 30, 2014. Standardized nursing process is mainly responsible for the transport capacity transport nurses to work independently and emergency handling problems, and received the basic rescue training, nursing in patients before the risk assessment and signed informed consent, the availability of emergency medicine, with rescue equipment, rescue plan fortransport, in the preparation process, the nurses to keep methodically, skilled operation, and real-time psychological nursing, the patients and their families a sense of security, when the condition changes cancooperate with treatment, destination for bedside handover andhandover handover records, after the two sides signed transfer of personnel department.Results146 patients whose condition requires a total of 209 passengers transfer, transfer process occurred different degrees of complications in 19 cases, including 1 cases of respiratory arrest, cardiac arrest in 1 cases, blood pressure is more than 20% in 11 cases, blood oxygen saturation decreased to below 70% in 6 cases. Not because of the ventilator tubeand infusion pathway, blocking off caused the accident responsibility. Conclusion Regulate the transport of nursing process is escorted into the whole process of a full range of patients, no gap, improve the safety of the treatment of critically ill patients, improve patient satisfaction.
出处
《中国继续医学教育》
2015年第8期161-162,共2页
China Continuing Medical Education
关键词
危重患者
规范化转运
护理
安全
Critically ill patients
Standardization of transport
Nursing
Safety
