Informationization Let the nursery work be more high-efficient

Informationization Let the nursery work be more high-efficient
It is method and means to attend to management innovation and development that one attends to the informationization and manages as the hospital of tinkling of pieces of jade of general Fan, play an important supporting role to nursery work in many aspects, advanced information-based the intersection of platform and many angle, all-round to guarantee to attend to the promotion of the service level, offer accurate, safe, convenient high-quality nursing service for the patient. Nurse's high-efficient patient moves the nurse station in the past work pattern safely, the nurses must all record on the body temperature one to the information of patient who is gathered by the bed, then get back to the nurse station and input in the computer. It is with the information system of the hospital (HIS) to move the nurse station Based on platform,with palmtop computer (PDA) In order to employ tools, realize HIS to the expansion of the ward and extend. The nurse hand-carries PDA, can observe and gather life physical sign data such as body temperature, pulse, breathing, blood pressure,etc. and the patient's condition and change information by patient's bed dynamically, input, can turn into the intersection of body temperature and form, attend to, record single, etc immediately in the intersection of HIS and system keep, by the bed, and can produce the signatures of time and nurse that information is gathered automatically and improve and write the speed and write quality. The nurse at present does not exceed half an hour every day. The two-dimentional bar code wrist strap our academy has introduced the disposable specialized wrist strap in hospital the patient of using for, begin to adopt the bar code to manage to patient's identity in hospital. Patient in hospital cashier the intersection of patient and name admitted to hospital, and number, gender, age print on the wrist pulling to in hospital, and turn into the two-dimentional bar code for the index with the number in hospital and meet the responsibility nurse that examines by every ward and wear the wrist strap on the patient's wrist, after the nurse uses the wrist strap that PDA scans the patient, can obtain this patient's integrated information. Patient give medicine at the same time ' Blood transfusion, infusion, oral medicine) Label, bar code which examines the sample associate with identification label bar code information that patient's wrist takes through the computer network of the hospital. While carrying out blood transfusion, infusion, oral medicine and sample to gather etc. and handle, nurse handheld PDA, scan patient's wrist strap bar code, obtain relevant information, rescan and use the swab bar code, the two keep after matching, start the course of using medicine and turn into time started and executor. If mismatch, the system will produce and remind automatically. After the infusion finishes, scan patient's wrist strap bar code and use the swab bar code, the system finished using medicine and producing and finishing time and executor automatically after confirming. Meanwhile, nurses can inquire about the doctor's order implementation of this patient by patient's bed at any time, it is determined that a patient continues using medicine, finishing using medicine, prevent the doctor's order from omitting or delaying execution time. The use of PDA saves the nurse to check time repeatedly, guarantees accuracy, timeliness that the doctor's order carries out, have reduced the incidence of attending to the mistake. It is patient's nursing mode during in hospitalling that the electron attends to the route to attend to the route clinically clinically, it is for the pointed nursing plan that the patient makes, it is to particular patient's colony, regard time as the cross axle, in order to be admitted to hospital guidance, admitted to hospital, diagnose, check, use medicine, treat, attend to, the intersection of diet and guidance, activity, education in hospital, leave hospital the intersection of person who plan and ideal attend to means as axis of ordinates, make a standard procedure, it is a that forgives and follows medical science of the card, attends to wholly, quality guaranteeing and standardized method of improved nursing of lasting quality. The clinical route of nursing that the our academy implements attends to the clinic of electronization the route to associate with PDA through the network, the nurse has finished the execution work of the route while the patient used PDA to gather the physical sign of the life, input the condition to change information and write to attend to recording by bed promptly, transmit and can produce the execution of the route to confirm through the network, has avoided the nurse's repeated work. Comment on the health education to merge into it systematically on this basis, have realized and guides attended to and guided a teacher, diet nutrition and guided teacher and health psychology and instructed the result which the teacher guides toed clinical application healthily to appraise effectively. Examined electronization since 2005 in performance, the our academy attended to and managing vertically, an important part among them was the whole institute's nurse's performance subsidy released by the nursing dept. in unison. And how to assign fairly, justly it is the subject that we face. The our academy, through research in the past half years, test and assess and the aid of the hospital network system, develop and attend to the work load and count the software by oneself, regard this as the performance subsidy that the main basis distributed the whole institute's nurse. The work load determines to each attend to the assigned primary index of the unit performance. Attend to the work load and count the software and attend to clinical 132 items to operate the project to entrust to the weight score, the intersection of score and comprehensive man-hour this determine technological content, work risk factor, every attend to, operate the frequency from HIS ' Information system of the hospital) The module of charge of China is turned into, product of operating weight and frequency of all nursing and getting the work load of this department. Informationization to transform into scientific management in addition our academy install, in hospital the intersection of patient and the intersection of expense and automatic inquiry machine by one Taiwan in each ward, have cancelled consuming nurse Shi Li's list of one day, has met the demand that patient and relative understand the expense state at any time better, strengthened the transparency of charging, saved printing, released the manpower that the list consumes, material resources for one day at the same time, let the nurse not free in the nursery work out, have more time to keep from a strenuous one at patient's side. All these need support of the strong information-based platform, so, the information construction of the hospital becomes strong guarantee of high-quality care. Move nurse's work station, touch the rejecting use of apparatuses such as the expense inquiry machine,etc. in hospital, lighten the nurse's work load greatly, free the nurse from out more working links with low technical content, with bad professionalism, have saved the human resources, has relieved the high-quality personnel's relatively insufficient current situation while attending to, attend to the procedure optimally, raise and attend to working efficiency, make the nurse have more time and energy to deepen the ward, find out about the patient's condition change. Meanwhile, the informationization of the nursery work offered greater guarantee for the patient's security. Hospital informationization make it become more meticulous further not to attend to management, more rigorous norm, realize high-efficient convenient safe economic, realize, manage to quantitative to manage, manage to transition of scientific management from experience determining the nature. (Author's unit: Chinese Medical Sciences University attaches to and holds Beijing hospital)

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