From " want me to do " " I want to do " to get

From " want me to do " " I want to do " to get
Fudan University subsidiary the intersection of Zhongshan and department who attends to hospital " duty that attend to does not to carry out doctor's order, finish, have an injection, send medicine briefly, but should offer specialized nursing to patient to look after and instruct healthily, assist the doctor to implement the plan of making a diagnosis, the whole course that the idea that it is attended to, seven points that really ' implements the medical care. " The subsidiary nursing dept. director Xu XiaoPing of hospital of Zhongshan of Fudan University is in this institute will advance the special topic of the high-quality care emphasical many times. Launch by oneself " The demonstration project of the high-quality care " Since the activity, the hospital has regarded fulfilling nurse's duty as the foothold, the reform attends to the mode, improve the intersection of nurse and understanding of nursery work and enthusiasm of working, emphasize care responsibility get people. Launch it in more than one year, the patient's satisfaction to medical care soars successively, commendatory letter and silk banner from patient increase greatly. Basic nursing is not that the simple life looks after and contains a large amount of nursing professional knowledge in basic nursing. Once a patient of angina pectoris said: "Partial to worker help I I feel uncomfortable having a chest pain, partial to worker say, stand up, rub one's body with a towel trick to be too in weight just now after wiping body, so will ache. But the nurse tells me to be angina pectoris brought out after strengthening activity degree, first should want the prudent activity, even in bed. " A same patient not complete of heart function says: "Partial to workers to help me to say I am fat, but the nurse tells me this is that edema caused because the heart is with complete function behave while rubing one's body with a towel, they understand my urine amount in time, still tell I pay attention to the salt in the diet at the same time. " In practice, the nurse says with deep feeling too, rub one's body with a towel, strike and carry, stand up equally, the nurse can achieve and prevent and cure the purpose of weighing down accumulating pneumonia, preventing bedsore etc. to attend to, and is partial to workers or relatives and can only accomplish clean, comfortable. The nurses also say: "Life is attended to the nurse does more professionally, while assisting a patient to take food such as us, will observe the patient's appetite situation, will know patient's today and yesterday's appetite change; While rubing one's body with a towel, changing one's clothes for the patient not getting up, will see the intersection of skin and situation, the intersection of limb and the intersection of activity and degree of patient, do a little more nursing preventing from pressing the sore. While instructing patient that functions does exercises, we will not assist the patient in training simply, and will follow the need of different disease, different individual and teach the patient how to know the specialized movement main point pointedly, help the patient to recover as soon as possible; While making an inspection tour in the ward, we will do some exchanges and communicate with the patient, and through the patient's expression, speech, finding out about their psychological condition or potential nursing question or hidden danger. " In attend to experience realize reach personally with a one's own one in the practice while being high-quality nurse, the life that the nursing speciality is engaged in is attended to and looked after by the simple life in a popular meaning, but the closely bound up specialized skill of recovering with the patient. The transition of the service consciousness can give play to enormous latent energy by sending the service to the bed before the patient needs. There are many large inner, large medical ward patients, the condition is serious, turnover is quick, accompany and attend to it more, should make the patient satisfied, it is a key to think deeply and serve voluntarily in replacement. How could serve voluntarily? After the nurses undergo some discussions, advocating should be before the patient need help, by sending the service to the bed voluntarily before the call bell sounds. Then everybody surveys and studies the inpatient area spontaneously " The calling out rate " ,Have analyzed carefully again " Call out cause " . For example analyze that it is high to call out the frequency at 11 o'clock - 12 o'clock from time slot; Analyzing and calling out from cause is in the majority mainly in order to change fluid infusion; Analyze function make attend to mode to be improper, one nurse come, have an injection and one nurse come, send medicine, one nurse, come on, make an inspection tour from source, no matter the nurse who is in charge of having an injection sends medicines, no matter the ones that are in charge of sending medicine make an inspection tour, it is not clear who the patient's health problem meets difficulty and looks for, can only call out. Analyze from managing the angle, it is a factor that can't be ignored too that it is relatively insufficient to attend to manpower. Why solve, attending to the mode changes the function to make as the responsibility system, give the patient to a nurse, undertaken to do a job until it is completed a patient by the nurse, responsibility is fulfilled down to everyone. What about manpower is insufficient? The nursing dept. allocates the whole institute's nursing staff dynamically, allocate in the real work load department of department's head nurse's foundation in time, the head nurse adopts flexibly, elastically, individualizedly to arrange an order according to class and grade, such as lengthening night cycle, there is a great little night shift to make and change into that rotates in one week, two Mondays. Change from single order of classes to the pluralistic order of classes, have the class, 12 hours class for 8 hours; There are morning shifts, early morning shift, connect with the class, two classes, help the class etc. at night. Change the original post to set up, cancel full-time treatment class, auxiliary class, main class,etc., expand, undertake to do a job until it is completed directly nurse of patient count, reduce nurse undertake to do a job until it is completed patient's number. The change choosing the right person in the mode, way of arranging an ordering according to class and grade, has strengthened the nurse's working enthusiasm greatly. Patient paying close attention to the fact voluntarily oneself is in charge of, observe the patient's conditions and mood changes voluntarily, communicate with the patient voluntarily, understand the patient's demand, pay attention to the patient's satisfaction; Head nurse, head of the nursing department insist on to the ward to make an inspection tour especially, solicit the patient's opinions and suggestions voluntarily, deal with the problem the bud, and make it institutionalized, normalize. Have served and brought the high efficiency too diligently. The nurse changed in the past " Who calls out and replies whom " Habit,recommend"pass by pass by miss " Idea of caring about,change by fluid infusion to you and be lasted fluid infusion of him too and be made by Jiao Xuan to you, also ask what you have to need. In this way, through attending to the renewal of the mode, transition of service consciousness, the nurses are by the hardworking reducing " calling out rate " in the real work . Make and do away with a hierarchical system, not light to undertake to do a job until it is completed procedure that meet as everyone knows, assembly line type division of labour taking dealing with the doctor's order as centre attends to the mode, three common cards of the whole ward: Treat the card, oral medicine card, intravenous card. Three pattern and do away with a hierarchical system of card, light responsibility system that undertake to do a job until it is completed attend to mode to be suitable wholly. Should see three cards while attending to a patient, 6- 7 responsibility nurses nearly strive to use these three cards at one time. Therefore reduce working efficiency, increase two-way time, make the nurse can have an overall understanding to the patient's therapeutic information. The nurse, in order to wait for these three cards to still have to delay treating time sometimes, it is messy to appear in or busy, even lead to the fact the bad incident happens. Attend to the mode to change, the workflow that used to should change too. Surgery has taken the lead in designing " Patient's information all-purpose card " . Each nurse correlated with treating to attend to information to gather patient that oneself undertake to do a job until it is completed at this card, including being attend to rank, diet and intravenous / oral administration use medicine, attend to project, the intersection of health and propaganda and education,etc.. There is this that is nipped on hands, the nurse attends to a patient to do in an expert way, in a planned way, in order, the patient's treatment information, the work of arranging every period rationally that also helped the nurse know and undertake to do a job until it is completed, there is an all-round understanding on in charge of the patient's recovery process. More important, in the patient checking with the doctor oneself is in charge of, in observation The patient's condition makes sure to know what's what while changing. Really regard patient as the serivce object of the subject, responsibility target, has realized the responsibility system of special messenger that a nurse incorporates treating, attending to, propaganda and education into an organic whole to the patient. From the file the high-quality care " Leave " Get to the ward The high-quality care is from the file " Leave " Get to the ward, should be by improving and attending to quality, nursing level, improving serving to realize. Should be by making a solid nursery work, doing one well, accomplishing, let relatives rest assured, the patient settles down. Combine the real work, each inpatient area of our academy has proposed: While doing every thing, every operation for the patient, pay the utmost attention to the patient's feeling. If looking after life, ask whether one sound is suitable? While shaking and getting up the head height, ask whether to feel comfortable? While standing up, changing the bed, ask whether to feel hard? Ask one sound is cold and hot, salty and light, is the speed used to it while feeding meals? Guard the room on the basis of insisting on not accompanying and attending to in decades, has put forward higher requirement. Such as treating a patient with a certain discrimination soberly and going into a coma, exchange with the sober patient more, communicate more, feedback more; Treat with a certain discrimination, link up the intersection of ability and kind and patient of obstacle. The ones that communicated inquired voluntarily, the persons who can't express adopt instruction card of the demand and board, find out about the condition, make sure to know what's what, have an object in view.

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