Attend to project implement one year while being high-quality It is still the biggest bottleneck to be short of hands

Attend to project implement one year while being high-quality It is still the biggest bottleneck to be short of hands
High-quality attending to is a service engineering that the public hospital pursues that Ministry of Public Health begins to be oriented towards the whole country in 2010, first job known as medical reform. Confirmed the first batch since last March " The demonstration project of the high-quality care " The pilot hospital, Ministry of Public Health has printed and distributed formally by the end of last year <>(are abbreviate as " The working standard " ),This project has already been pursued for more than one year. According to " working standard " Stipulate, at the end of 2010, all tertiary hospitals must start high-quality care, and advanced the high-quality care in an all-round way in 2011. This in more than one year, attend to how about does it pursue while being high-quality? What questions are met while pursuing course? The reporter visited Beijing Gynecological and Obstetric Hospital and BJ Union Hospital to carry on the investigation recently. Investigate that it is still prominent to short of hands in things the Supreme People's Court and the Supreme People's Procuratorate of Gynecological and Obstetric Hospital of Beijing, there are 17 inpatient areas and more than 500 berths in all. At present, it accounts for 53% of the total number of wards of the whole institute to launch the high-quality ward attended to, will attend to the ward and will be counted and be up to 100% high-quality next year. The nursery work of Beijing Gynecological and Obstetric Hospital has its particularity, especially obstetrical department. What the nurses faced is not merely lying-in woman, also include the baby just born, therefore the nurse's work is mostly the neonatal nursery work besides facing pregnant and parturient women, vaccine injection, baby comfort and touch etc. to include changing diaper, shower, getting for the baby. Pretty young woman Zhang, nursing dept. of Gynecological and Obstetric Hospital, tell reporters, there is one's own special in the high-quality nursing of Gynecological and Obstetric Hospital, "obstetrical department is most mothers that gives a birth naturally of lying-in woman when being in hospital, on the living conditions, they do not actually need the nurse for a lot of assistance, can take care of oneself most of the time. Compare most basic life, attend to, whom mother care about even more the baby has enough often, how to attend to baby,etc. correctly after one's own milk is sufficient and leaves hospital. Launch, attend to demonstration project while being high-quality, we make some adjustment in these respects more focal point of work too. Beijing Gynecological and Obstetric Hospital is several rare hospitals attended to by beds of mother and baby of the whole country. It refers to babies after born in that mother and baby attend to bed with mother in 24 hours, in order to guarantee mother and baby together, all babies attend to and treat and go on at mother's side. " Zhang E says, have three advantages to attend to beds of mother and baby and first, can prevent making mistakes, prevent the baby from being embraced by mistake. Second, nurses, while have a bath, swim, comfort touching for the baby, mother can study while seeing nearby, get ready to attend to the baby after leaving hospital. Third, there are parents nearby, can play a role in supervising to the work of the medical worker. Attend to in the course of advancing while being high-quality, one main bottleneck that meet whether nurse short of hands. In Beijing obstetrical ward of Gynecological and Obstetric Hospital, this question is more obvious. Wang Ying is that a master in two inpatient areas of obstetrical department blames a nurse, her every day's groundwork includes the nursery work of making the rounds of the wards, taking a shower, comforting touching and infusion, examining the body temperature for neonates etc., more work is to do a good job of the health education to mother that appear, is admitted to hospital. Another one cooperating with her is buy responsibility nurse's, a hospital attendant's and one partial to workersing. Buy the responsibility nurse assists the main responsibility nurse to do the work such as changing the liquid, carrying out the temporary doctor's order, getting it filled, sending medicines etc. mainly. Job of hospital attendant include, assist breast milk feed, change diaper,etc., partial to worker, carry on most basic life look after, work. Four people groups divide the work clearly, face 12 lying-in women and 12 neonates every day. Ministry of Public Health " The working standard " Unless stipulate, count actual wards berth should last 1:0 with the proportions of nurse. 4,responsible for patient quantity's exceeding 8 pieces each responsibility nurse on average. But in the obstetrical ward, the target who the nurse attends to actually wants to be well-above this figure. Actually 24 people that Wang Ying and colleague of she attend to every day, among them there are 12 neonates, their nursery work needs patience even more too more triflingly than to grow up far. Two Zang Tong, head nurse of inpatient area of obstetrical department invites the reporter to watch a neonatal comforting and touching the course, the ones that broadcast in the CD machine accompanying by releived the music, the nurse puts on baby's oil on hand, comfort and touch from head to foot for the neonate softly, do guidance for mother on one side at the same time, the whole course has probably lasted seven or eight minutes. The such one should do it 5-6 times to touch a nurse on average in one day when being comforted. Unless tell E Zhang by reporter, to obstetrical department, 1:0. that 4 "protect bed than " It is far from enough. "1:0 such as obstetrical department. direct 4 ones that allocate by nurse number of lying-in woman against,but baby is more often, there are large very on work load that be attended to baby, make departments relevant ' protect bed than ' standard time consider by special circumstances of obstetrical department, the berth that the neonate accounted for has been neglected. " The obstetrical department is seriously imbalanced " Bed protect than " Let the nurse's mix seem to awkward. Zang Tong tells reporters, her responsible inpatient area has 41 pregnant and parturient women now, can basically guarantee a nurse is sufficient in the daytime, having arrived at night, there are only two nurses on duty in the inpatient area of such a size, mainly deal with some emergent cases. Zang Tong says, arranges to be actually that there being no alternative too in this way, because of short of handsing, arrange and does not open. As far as reporter know,"bed protect than " It is and not merely issues of Gynecological and Obstetric Hospital to lack proper care, nearly in the high-quality public hospital attended to of all implementation, hand's nervous situations generally exist. Gynecological and Obstetric Hospital has thought of some methods too in this respect. The hospital has already in July - August of this year employed a group of new nurses to relieve the pressure short of hands, Gynecological and Obstetric Hospital will all pursue the high-quality care in 17 inpatient areas next year, the hospital will continue recruiting the new nurse, will hope to meet the bed and is partial to personnel's matching in this year and next year. Should turn the intersection of hospital and many kinds of work load, nurse of equilibrium, into, attend to admitted to hospitalling attending to fee, attend to, attend to at night the morning, the diet is attended to, excrete and attend to, comfortable and attend to, poach attending to, postoperative the skill in the location to attend to Attend to, attend to the intersection of aspect and work in nurse, carry on from 11 thinningly while being high-quality, among them include playing up by the media " Wash hair, wash the foot, trim the nails for patients " . A kind of view thinks, it is too cheap to attend to the fee currently, can not embody the nurse's labour value. The reporter knows in the interview, the charge that the first grade of Gynecological and Obstetric Hospital attends to is 8 yuan per day at present, it is 7 yuan per day that second is attended to. The first grade of Peking Union Medical College Hospital attends to the fee of 9 yuan per day, it is 7 yuan per day that second attends to the fee, tertiary 5 yuan per day, another superfine is attended to, that mainly faced is that some value the disease wards, charges 25 yuan per day. In interview, two the intersection of hospital and nursing dept. responsible for per person say, implement high-quality attend to, attend to the fee the same as before, there is no change. In income, mainly depend on the subsidy of the hospital at present. Pretty young woman Zhang, nursing dept. of Gynecological and Obstetric Hospital, tell reporter, the nurse's income now Without obvious change, but the hospital has some ones that lays particular emphasis on on the reward in launching the high-quality nurse who attends to the ward. In addition, the school divides some work finished by the nurse in the past out, is transferred to other personnel such as hospital attendant and partial to workers to finishes, in order to equilibrate and pursue the high-quality care, bring the nurse's work load. In balanced nurse's work load, Peking Union Medical College Hospital has allocated manpower too. Will give the sample, accompany the patient to do the outwork checked etc. to wrap up to specialized company, medicines and implement hospital's mixing, recruiting a hospital attendant and sharing the nurse's some work in unison too outside. On the salary, director Wu XinJuan of nursing dept. of BJ Union Hospital says, level, working difficulty, work load, patient's satisfaction according to the nurse at present in Peking Union Medical College Hospital, attending to complication, work performance and making the reward mechanism, so as to reflect the nurse's ability level. What is understood to attend to Q as being high-quality: High-quality attending to is that a nurse washes hair, washes the foot, trims the nails for patients, is what the nurse actually did the work of protecting the worker? A: Have mistaken idea all the time to high-quality understanding that attend to at the society, think, attend to, wash hair, wash the foot for patients while being high-quality, this to understand the intersection of nurse and work too getting simple in fact, these only very light a part under nursery work, the nursery work mostly involves training attending to, psychology attending to and health education,etc.. Director Wu says, the seemingly simple one washes the foot, carries the bedpan, rubs one's back with a towel, stands up and includes very high technological content too in fact, regard rubing one's back with a towel as the example, the nurse has needed whether to find patient's back in the course of rubing one's back with a towel or not the skin has been weighed wounded. The simple one washes the foot, the nurse will observe skin of patient's instep artery or situation that the lower extremities circulate. Carrying it in the course of the bedpan, nurses should observe the stool unusually. The patient of dept. of orthopedics does not stand up and turn over well, may cause the operation all that has been achieved has come to nothing. "Nursery work contain professional lines, foreign the intersection of nurse and work these want to do equally too, no one will feel inferior to others. " Director Wu still emphasizes, the return that high-quality attending to is actually a kind of nurse's duty, it is originally a content of protecting training of school. Q: High-quality ones that attend to recommending " Zero is accompanied and attended to " Have realized at present? A: " zero is accompanied and attended to " Does not say that there can't be relatives, what it reflected is that the patient's basic nursing not taking care of oneself is finished by nursing staff. Some hospitals did uncompletely in basic nursing in the past, caused relatives to have to be accompanied, have to be done manual labour nursery work by relatives. Attend to through being high-quality now, we do the work more sturdily and putting, let patient relatives lighten the burden, the patient reduces and is engaged the expenses partial to the worker. Relatives have rested assured, it has been reduced that accompanied and attended to. (Understand experts: Peking Union Medical College Hospital head of the nursing department reporter Wu XinJuan and Kong YaoYao)

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