Saturday, August 4, 2012

Pursue in Xiamen this year - high-quality nursing- Several hundred is partial to workers or say good-bye to the hospital

Pursue in Xiamen this year - high-quality nursing- Several hundred is partial to workers or say good-bye to the hospital
The tinkling of pieces of jade of Shen China is once intelligent Zhang of Yu on the sunny side " High-quality nursing " Has demanded to clear up and discharge and is partial to workers from the beginning of this year, the hospital has pursued the outline of high-quality nursery work obviously and bright gradually. In January, Ministry of Public Health issues <>,Require the national tertiary hospital to advance the high-quality care in an all-round way this year; Will it be the end March, Ministry of Public Health release" popularize, attend to the intersection of services and scheme while being high-quality 2011 year ", attend to services, get the concrete goal out of while being high-quality implementing. It will stipulate, in order to " rely on the patient family members or relatives to engage and partial to workers to attend to a patient by oneself to understand, obviously reduce the accompanying and attending to rate " ,Lighten nursing expenditure and relatives' burden in hospital the patient. In addition, Ministry of Public Health also takes a stand: "The pilot ward that can only be implementing the high-quality care adjusts and attends to the price rationally; The increased expenses are mainly supported by the medical insurance, can't increase patient's personal financial burden. " Last March, the first hospital of market is confirmed as " high-quality care " by Ministry of Public Health with other 71 hospitals in the whole country Contact the hospital especially. April, " high-quality care " The activity is launched in 6 pilot inpatient areas of this institute formally. At present, the high-quality nursery work of the first hospital of market has been already fully under way, admitted to hospital to and leave hospital to attend to to the patient wholly, generally speaking, a nurse is responsible for 8 patients at most, basic nursery work is all undertaken by the nurse. Subsequently, city the intersection of Zhongshan and hospital,etc. pursue, attend to services to furnish with the agenda while being good too. And according to work arrangements, within this year, Xiamen all the intersection of the first, second and third and hospital pursue, attend to services while being good in an all-round way, and set up long-efficiency mechanism. While interviewing, hospital of many of the first, second and third of Xiamen takes a stand: Pursue high-quality attend to, nurse carry on life attend to for patient, can set up emotion, communicate with patient not merely, protect and suffer from the relation closely, can also find the patient's condition is changed in time, remind the doctor to adjust the healing solution. At present, according to the situation of reflecting in the school: Engage and partial to worker's proportion to reduce by oneself, the order of the ward takes a favorable turn, the quality of medical attendance is further ensured, patient's satisfaction is raised. Pursue new hand, hospital of rule, awkward, pursue, attend to while being high-quality, Xiamen move in the national forefront, this is pride of the hospital of the first, second and third of Xiamen; However, do not lack " office middlemans " either " applauding " Say frankly while pursuing new rule: Not very satisfied with the current operational mode of the hospital. While interviewing, hospital of a the first, second and third of Xiamen is correlated with taking charge of personage's stating outright among them insufficiently, on the objective condition, the hospital hand seems to awkward. According to the relevant regulation, the public ward of the hospital, the proportion of patient and nursing staff should be up to 1�X 0.4, namely a patient must allocate 0.4 nursing staff at least; The serious disease ward, should accomplish 1�X 2.5, namely value disease patient's needing 2.5 nursing staff at least. It is an example to take the hospital of Zhongshan, from working out on the aspect, the quantity proportions of the two of ward berth and medical personnel are up to standard of, but in fact otherwise: Most of the time, the hospital ward needs to add the bed and receiving patients and has been already in " normalizing " ,It is the situation that most departments in Xiamen and even other city every large hospitals face that overload adds the bed. According to this personage, Zhongshan hospital work out more thanth sick bed, between 1650 and 1750 sick bed that run really, namely have another more 500 patients at least every day, this is equal to increasing a medium and small hospital to meet the work load which examines the impatient. In this case, the nursing staff of the hospital is terribly busy naturally, even is too busy to attend to anything else. Anxious that the length of service is always partial to workers in several decades " The unemployment " End dung connect urine, in this line do 10 several year, Lao married couple Gan from first and " lowly " Understanding in come out,is it though dirty bad smell still, used to it the Gan 'ses Lao already. Lao Gan getting nearly 50, Xiamen the intersection of city and one the intersection of the first, second and third and hospital serve as, partial to worker now, be, it partial to workers to be 12th year already in, it was all right that its spouse did this following too later. From a peasant not finishing reading even junior middle school, after coming to Xiamen and accepting that it is on duty to partial to workers and trained, Lao the intersection of monthly income and about 3000 Gan, couple add up can have 5 or 6 thousand every month. Such an income, rural the intersection of native place and that engage in farming income in one year nearly in Sichuan. And the couple depend on this job, bring two children up and already marry and settle down until now. Lao married couple Gan crowd, live 10 several year in the intersection of tall building and the intersection of standing grain and the intersection of way and one little separate room, rent rise from first first or two one hundred to five or six hundred yuan of now. Lao Gan says, they couple look after one's health very much, is very afraid of having disease and disliking by disease relatives, even if is a small disease, they will let the doctor make a diagnosis and give treatment as soon as possible; Family little drawer set medicines free, and write with that there is " cures cold " , " cure and cough " , " cure and have a high fever " Words. Pursue in the whole country " The high-quality care " China, Lao Gan married couple worry knowing but unemployment very much, but he still has a fulfillment: These years, he cares for 5 patients at least each month, works for 12 years, nip and calculate with finger, say few that concentrates one's attention on and cares for six seven hundred patients too, until the other side recovers and leaves hospital. Partial to workers partly and take on work " Protect engineering black " Reveal, in one or two years in early time, active in hospital of several of the first, second and third of Xiamen according to the relevant personage, and train there should be two 300 people while protecting engineering in qualification on duty. And since last year, city all the intersection of the first, second and third and hospital pursue" attend to while being good " in every the intersection of department and pilot project successively ,Get patients and have an injection, change dressings, even carry the dung and turn in the charge of nurse to connect the urine, then, where all to go the hospital is partial to workers? The investigation finds, are partial to workers partly and already make the transition and change body into " medical orderly " that the hospital engages ,Working properties are basic and the same before, but the salary was paid the form changed: No longer patient relatives foot a bill, but change to be paid by the hospital. As to the transition of the identity, the medical orderly seems to quite complaints: In the past when partial to the worker, about 3000 yuan of salary in one month, only 1900 yuan in one month of now; " a medical orderly should look after 40 sick beds, patrol a circle to come down and want for two or three hours " ,The medical orderly of hospital of a the first, second and third says, they help the nurse to bear the patient's some life to attend to. According to old to partial to worker, reveal hospital pursue attend to behind the reform while being high-quality, a lot of partial to worker, in a state of anxiety heart have, unwilling to pay the administration expense again, then take on work, become " protects engineering black " by oneself . But does not lack a few disease relatives and claim: Hire " protect engineering black " ,Also a method that has no idea. School's view can turn the institute to recuperating after fading out in the hospital " we did this to walk for better year, also accept that on duty after training is qualified, why let us go after deciding to go? " At present, the hospital pursues the high-quality care, is only limited to in some pilot wards, but a lot of are always partial to workers and already worry: If pursue in an all-round way, since has not a rice bowl been? According to personage of hospital of Zhongshan of city, at present, attended to and pursued in 14 pilot projects of inpatient area while being good, 39 inpatient areas have not started yet, namely, hand over here during this period, still need to be partial to colony of workers. In Xiamen The person in charge of the medical attendance of hospital of a the first, second and third seems, it is that the hospital attends to a derivatized special trade in the reform to be partial to workers, undeniable, partial to worker's team in the hospital? �� of Hua of �� Mao last �� Chen bucktooth tomb finish not lasting paralysis ' post last Hui of �� of apple shank barium bag Ye of heir 1 � for the rimes miscellaneouses after lasting ���� to fragrant plant Piao Sui of Wan 1 �Jiao Huo ao ���� Ji Is the enemy round and arc? By �� lead neon frequently �� bang, invite rake to be getting more fat to drive in river all messy Di of neon of reef there aren't �� Na �� school ������ Sun Fang good fortune, Bodhisattva of Qiangs vast in widow "After some patients leave hospital, need recovering, recuperating, still need someone to care for. " A hospital of personages estimate and examine, partial to the engineering role after fading out in the hospital, this part of crowds may rotate to go to the other medium and small-scale hospitals, ordinary sanatoria to hold a post. It is difficult to break away from and is partial to the high-quality worker to attend to It is right not to lack a few hospital nursing staff" High-quality nursing " It is not thorough to know, this is what a the first, second and third and a medical attendance person in charge of hospital in Xiamen worries. In the view of this person in charge, " wash hair, have the foot, plays water and feeds meals " ,This is only " High-quality nursing " The foundation of the service is absolutely not all contents. He thinks: " high-quality nursing " Intension just pursue responsibility system " Whole " Attend to the mode, namely: The nursing staff should regard the patient as a whole person, namely, should look after the health of disease, do a good job of communicating with the soul of disease even more. And this, not only need time, should depend on the sense of responsibility of the job even more. Moreover, supplement, improve hospital, attend to resource, pursue " attend to while being good " in an all-round way too constantly Key point. This person in charge says frankly: Partial to the worker's long-term existence, there must be the space and rationality of its market. Press the existing nursing resources of the hospital, on condition that totally break away from and is partial to the worker, pursue, attend to, store sure difficulty in while being high-quality in an all-round way. For the moment, the hospital can do, but persuade disease relatives not to hire and partial to workers without permission as much as possible; How supplementary is it to attend to resources, need the absorbing all the useful ideas of a plurality of functional departments.

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