Still use and does not need to ask to accompany and attend to in hospital

Still use and does not need to ask to accompany and attend to in hospital
Staff reporter Sun Meng This year, the demonstration project of the high-quality care has become a " hot word " . Meanwhile, the price adjustment of the care causes the social each side to talk about endlessly too. The focus that the public pays close attention to is: Can high-quality nursing meet impatient's demands? Will attend to the price to rise, the patient must look for and is partial to workers, will spend two copies of money? Recently, reporters have taken the doubt, enter the pilot ward of demonstration project of high-quality care of many hospitals and " stay at a unit " Interview. Eat and drink, draw, let go, need relative meddle in, attend to the project, implement, nurses say jokingly while being high-quality, what oneself faced is one to change " The new job " . What difference is there on earth? Smooth king in November 25 ' Assumed name) Fourth day after BJ Union Hospital finishes the pancreas duodenum excision. Still covered with the bag on his body this day, hold urine, there are ones that hold the operation to ooze liquid in the wound, and jejunum makes Lou and puts tube and centre vein and is the close and numerous tube of in charge ofing etc. is put. Because is serious and attending to the big difficulty, what he enjoyed is that " first grade is attended to " . At over 8 o'clock, nurses just gave to Lao Wang after wiping the body with the warm water, Lao Wang said and thought of expectoration to the nurse. "I help you to pat some, you put forth one's strength a bit more carefully too, pay attention to the wound by oneself. " The reporter sees, the nurse teaches him the method of expectoration gesticulating while knocking on Lao Wang's back from down to top: "Come on, you open the tiger's mouths of two hands, then push inwards, inwards from the stomach both sides, in this way, crowd and support the wound. " Two or three minutes later, Lao Wang expectorates two mouthfuls of white and sticks the phlegm with the help of nurse. " assist, lie in bed patient stand up and knock and give a piggyback and promote coughing effectively " ,This is only this institute " First grade is attended to " It is very partially small in the content. On request, in the demonstration ward, all nursery work is undertaken by nurse and hospital attendant. "this actually draw lessons from ICU ( Serious disease guards the ward) Nursing mode,let food and drink of patient go while drawing wrap up all for hospital, it is unnecessary whether there are relatives. " One knows the expert who attends to management very well to tell reporters. "One people, in hospital, the whole family accompanies and attends to; A person leaves hospital, the whole family falls ill. " These are the current situation that a lot of families with impatient face. Implement, attend to behind the project while being high-quality, can not relatives do it around? The third central hospital in Tianjin implements the ward of the whole institute since 2005 " Have not accompanied and attended to " (except obstetrical department, pediatrics) ,Except does not generally allow relatives to enter the ward at small half a day visiting hours, other time of afternoon. The inpatient area reporter sees in this institute liver and gall 13, have less than half a glass of water in each patient's cup at least. Tell reporters in head nurse's right moon: "At we air water first, patient want, drink water or get some need take medicine, add, can drink when being cashed by some hot water. " The lunch is ready, but in the hematology ward of the first hospital in Peking University but it is very quiet. Since March of this year, the hematology ward has become high-quality to attend to the pilot ward. Because most blood patients and a cell are scarce, the immune line of defence is fragile, need to control relatives to accompany and attend to strictly. After nutrition department sends the meal to the ward, responsibility nurse Han Na in ward of blood of BJ Univ Hospital begins to look over whether 6 patients of one's own management have eaten meals, how many meals are eaten each person in turn. One patient flat brag, in the first day, Korea S. Na specially drink for him from house morning. Reporter see Na Han take microwave oven, make porridge hot noon, carry get ward, support patients and stand up to help him to hold comfortably, then is stiring the porridge slowly with the spoon and accompanying the patient to speak. After a while, she has touched the temperature of the bowl again, just a spoon one of spoons are fed for this patient to drink slowly. "I defecate strenuously, it is not affective to take medicine, are even all that nurse Han helps personally in 3 days. " In the patient who Han Na is in charge of, one has already reached the serious patient in latter stage in leukemia. Because lie in bed for a long time, the blood platelet is low, his constipation is very serious. The patient says, the tears stop flowing: "Today, my darling was here too when the nurse helped, but even they do not allow her to meddle in in such a thing. Nurse Han says, relatives are non- professional, once treatment is not easy to bleed, my disease is not good correctly. " "We bed of ward protect, than up to 10.5, can well look after the good patient now. " A basic surgery a ward head nurse Liu WeiNan of BJ Union Hospital says to reporters. In order to assist the nurse to look after the good patient better, BJ Union Hospital has recruited a large number of hospital attendants. This year, they increase 3 hospital attendants in the ward, except that a hospital attendant is mainly responsible for more trifling work such as cleaning sterilizing and collection of articles, the medical rubbish of sick bed, wardrobe, other persons pour water, meet their life's needs at any time for tea of end of patient with need at patient's side. "The hospital attendant is engaged by the hospital, the monthly salary of each person is 1500 yuan. This sum of money is born by hospital completely. " The speciality attends to and helps a patient to resume reporter's seeing in BJ Univ Hospital the nurse makes the whole course that oral cavity attends to for the heavy patient more quickly, it is only a simple operation for nurse: Grip the cotton ball with the styptic pincers each time, will use the physiological saline or mouthwash to be wet, then wash the patient's gingivae, tooth, tongue fur meticulously and help patients to suck the mouthwash and gargle finally. The whole course comes down, average each patient must use about 12 cotton balls, probably takes 10 minutes. "The nurse with the professional skill is sure to help the patient to resume better. " Deputy Director of BJ Univ Hospital nursing dept. Chai Jie says, in the endocrine ward, nurse's nursing of diabetes patient's foot, clean and so simple when not merely washing the foot. While making foot to clean for the diabetes patient, the water temperature should use the toilet soap 40 �� at 38 ��. The nurse will observe the patient's skin, assess the patient's situation, instruct the patient what kind of shoes and socks should be worn, once have potential dangers to discover the skin, take and attend to the measure at once. This can reduce the amputation caused by diabetic foot even dies dangerously, it is significant to improving diabetic's life quality. And what these patients invited is partial to what workers can not do. The reporter finds in a ward of basic surgery of BJ Union Hospital, there are more than 40 patients here altogether, only a patient who has just transferred from one department to another please partial to workers. A whole morning, are partial to workers and sit on the stool by patient's sick bed, pass a glass of water to drink for him once in a while, exchange it little with the patients. The reporter, with partial to workers and chatting to learn, her expenses of one day are 85 yuan that the patient is invited, she is accompanying the patient in 24 hours, mainly responsible for water upside down, get food, support patients and go to toilet. "It still makes the expenditure of some recessiveness saved that the speciality is attended to. " Jie Chai say for example patient infect one 10 pigeonholing the sore while being the second stage of about, except the patient should bear physiologically Agony outside,at some it is large-scale hospital in treat to last sore expenses thousands of yuans on average that be increaseds extra. And specialized nursing can save this sum of money. It is introduced institute this implement high-quality attend to, through taking a series of pointed nursing measure, from March of this year to October, the infection rate of the hematology ward has already dropped from 15.06% of the same period last year to 8.78%. The development of hygiene of Ministry of Public Health is studied yellow two of reform of central hospital and management research room redly and said, the high-quality care has undoubtedly reduced accompanying and attending to the burden of relatives, has reduced and is engaged the expenses partial to the worker. ,Before the end of this year, the national tertiary hospital should all start this project. The expert points out, if this project can really be spread out and insisted on doing in the national hospital, attend to quality to promote to some extent, the patients needn't rely on relative and engage and protect engineering and then, should the nursing expenses standard then made 10 years ago be adjusted?

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