Patient life attend to made and can popularize by the nurse ' Leave)

Patient life attend to, made and can popularize by the nurse ' Leave)
Patient life attend to, made and can popularize by the nurse ' Leave)
How to solve impatient's life to attend to the problem, not merely perplexing patient relatives for a long time, also make attending to the administrator and nurse have a headache. Like the People's Hospital of Jiangsu Province ' See 18 Japan editions of February) ,While raising and attending to fee, is the patient's life attended to and be popularized by the method which the nurse undertakes? Would the nurse like to do manual labour and attend to the patient? " nurse's topic " in this issue We select some contributions on this topic, hope to the reader enlightenment to some extent paying close attention to this question. Attending to the management mode must reform Chen XiaoHong of general hospital of PLA at present, the nursing idea and attending to the management mode of our country is outmoded and backward, so will propose who patient's life is attended to to do the question. We only change the backward nursing idea and attend to the management mode completely, this question could be easily solved. What most hospitals in our country implement at present is to work as the centre with the nurse, but not the nursing management mode of regarding patient as the centre. The present nursery work is to divide the work and serve the patient with the work of the assembly line type. Per tour has main classes, there is medicine that treats the class, treats the class, clinical class etc., do their own work respectively, no matter the ones that have formed and taken place medicine had an injection, no matter having injection sends medicines, the ones that sent medicines and had an injection left patient's condition change alone, also nobody pays close attention to the patient's psychology and state of patient's personal hygiene. Nurse finish one's own individual event work even if finish the work, what feeling patient have and what idea does it have, have what tiny condition change, master seldom, form who have who ask the nurse's convention thing patient. Has gone to Australia to study the nursery work recently, I find, what they implemented is the nursing management mode that really regard patient as the centre. A nurse of day shift of general ward is responsible for attending to 4- 10 patients according to the weight of patient's condition, this nurse needs to be responsible for the patient's taking medicine, having an injection, infusion, condition observing, the psychology is attended to, personal hygiene of patient who can't take care of oneself, wash hand, wash face, have a bath and lie in bed the intersection of defecation and urination and punish, skin care,etc. of patient, what every patient needs is taken charge of by this nurse. This kind of mode can ensure the safety of quality and nursing attended to, can make patients realize the comfortableness attended to, this kind of nursing regarding patient as the centre does not need to be accompanied and attended to, are well received by patient and the patient family members. This kind is attended to wholly, need and attend to management system and ensure. Our nursing management system should be from splitting into every inpatient area director to manage at present, improve in order to manage vertically, make the nursery work form unified specialized management in the hospital, allocate nurse resources in unison, unify nurse's technology to train, release the pattern of nurse's remuneration in unison, make it rational for the nurse to divide the work and prone to, nurse's remuneration prones to the justice, nurse's management is high-efficient and orderly, make the nurse of the hospital take shape " The overall situation " Management mode, utilize the human resources to the maximum extent. Only in this way how much is ability according to the impatient of inpatient area, allocate nurse's number at any time, guarantee a nurse's day shift attends to 6- 10 patients wholly, a nurse of night shift attends to 8- 12 patients wholly; A nurse of day shift of ICU attends to 1- 2 patients, the night shift attends to 1- 4 patients. According to such work load, superintendents of nurse will adjust the nurse appearing more in the inpatient area to the inpatient area that lacks the nurse at any time, the nurse has a special string to obey and allocate while signing a contract. Such dynamic nurse's management mode, draw up plans while needing the administrator of stronger ability to organize while going on, but not sit in the room " The leader " . Also only in this way makeover and attend to the mode, could attend to wholly, attend to, regard patient as the centre, implement all-round nursing to the patient wholly, the difference that any life attends to and other nursing does not exist at all. Should call the presidents, try the human-oriented nurse and manage the new mode boldly, establish and guarantee to attend to quality, guarantee the management system that the patient attends to wholly. Only attend to quality to promote, improving charges to become patients, common understanding of the relative, hospital and government. It is more to hope to have " Have not accompanied " Ward Third affiliated hospital Wang QiuSheng of medical college in the port of clam of Anhui The People's Hospital of Jiangsu Province has 4 inpatient areas to try " Have not accompanied " Attend to, it is really a good action. Though additional nursing expenses have been approved by verification of the departments of public health of Jiangsu Province Price Bureau, Jiangsu Province, but can enter the submitting an expense account in the range of basic medical insurance? If can't enter, this part of expenses should be all undertaken by patient relatives, has just increased and joined paying the part for itself of the sponsor, so, is it ill to let some patients look down upon further? If can submit an expense account, then certainly will aggravate the financial burden of the medical insurance, on condition that nowadays advocate the whole people's medical insurance, can the national medical insurance fund be afforded? Five years ago, a hospital in Zhengzhou had ever launched this service, had not just increased the patient's nursing expenses, have whom relative accompany and attend to and have relative it accompanies and attends to charges of ward to be the same. The outline requirement according to attending to is whole attend to and does not need relatives to accompany and attend to, and what the hospital should do. But does not know when, the life among them is attended to and already transferred to patient relative's body all or partly unconsciously, and people have all already been accustomed to. It is a trend which the hospital develops to have no relative to accompany and attend to, that is to require the hospital to offer more complete whole service, this kind of method has been already very general in the developed country. Just because of cost, favor, etc., most hospitals of our country have not launched yet. But the tentative hospital, shift to all nursing costs increased on the patient if in advance, will unavoidably and not understand the public's query. I wish eagerly " Have not accompanied and attended to the ward " Can pursue in the hospital in us as soon as possible, but prerequisite to mustn't increase expense expenditure of patient seldom. Relationship between doctors and patients whether the the intersection of obstacle and the intersection of Dalian and medical university that mode popularize attach to first hospital the intersection of Nation and army Li, think report that your newspaper " have relative accompany and attend to into reality " February 18, I feel very surprised. I heard of the similar method too in the past, have never expected that really hospitals put into practice. As to this I have some ideas to canvass with you. First of all, I think the attempt, very well, I agree relatively too. However, I discuss my worry. The present medical environment is not very good, the patient and having trust crises between the doctors, in case of not accompanying and attending to, if patient's condition takes a favorable turn gradually everybody natural lives together peacefully, but if patient's condition changes, that nurse will stand in the breach and is criticized. Even if we make all-out efforts again, the intersection of patient and relative either will understand to this he may regarded as the intersection of we and medical worker in relative in a situation that at one's side, just cause improper treatment and nursing. Though I hope " There is no relative to accompany Protect " Can popularize, but if can not improve doctors and patients fundamentally? Impossible the intersection of load and the intersection of  and Buddhist nunnery the intersection of flag and J lower, able to bear the intersection of table tennis and Qian so of the intersection of Dong and Bi know well, sigh shellfish angry to practise  to imitate Shan have? Have not " accompanied " Should voluntary the intersection of Shandong and high king, the People's Hospital of Qing County, the plum author thinks, are implementing " not accompanying " at the present stage dawn Still need to notice in the course of the ward to some extent. First of all, implement " not accompanying " Must guard against doing in the ward " Make it rigidly uniform " ,Should be in line with patient's voluntary principle. Want to build up a certain department " Have not accompanied " Ward, must one accompany and attend to, stay either, good thing will turn bad thing into in this way. Each family has situation of each family after all, each patient's emotion demand, economic situation are not the same. Moreover, have not " accompanied " The management of the ward should be put in place. In order to make relatives have no worry, every assistant nurse who is responsible for looking after patient's life must work under the guidance a grade of nursing staff high, the daily daily life of some patients related to condition is planned and recorded, offer the valuable materials for diagnosis, treating of disease, the positive support that offer to the patient's recovery. Although what the assistant nurse is engaged in is attended to by life, must not equate with relatives and care for patient's simple life. The nurse attends to the professional knowledge, what kind of body posture is known to suitable for what kind of patient, what kind of disease is apt to take place what kind of complication, and the precautionary measures in daily life,etc.. It has not been " accompanied " that, should make The nursing management of the ward is really superior to " Accompany " Ward. Will be approved by patient and the society like this. Success only the intersection of time and the intersection of issue and the intersection of Sichuan Province and the intersection of Mianyang and the intersection of city and third the People's Hospital for now Tian Hua, it must be conditioned that the patient's life is attended to and done by the nurse, just as the People's Hospital of Jiangsu Province can implement on condition that increase a nursing staff and improve and attend to the fee. And it is very difficult to realize these two conditions, it is to increase the expenditure cost of the hospital to increase and attend to working out, it is very difficult for us to possess this condition. Even if the hospital agrees to increase the nurse to work out, and it is so easy to raise and attend to the fee, the adjustment of the hospitalization cost must be verified and sanctioned through Price Bureau and department of public health, can change if which person not. However, we are able to see in the population of China and development trend of family's structure, two families that children raised four old men will increase year by year, once the old man falls ill, children are all working, only please accompany the passport to see the life of the old man. And whom relative look for accompany and attend to quality to be different, neither professional, it is not low to ask yet, just as our nurse even wants seventy or eighty yuan each day, this and first grade after adjusting of the People's Hospital of Jiangsu Province attend to the fee of 90 yuan almost. Moreover, what the hospital employs are all that have been attended to you by the nurse of formal training, quality is certainly different. I think any reform is only in line with serving patient, interests of safeguarding the patient are starting points, success is only a question of time. Life attend to make suitable the intersection of Jilin Province and all fragrant I Meng, infectious hospital of Baishan, read article of " have relative accompany and attend to into reality " partial to workering, can't say what the People's Hospital of Jiangsu Province have to do in this way well, but as a nurse, my answer is: I am unwilling to do manual labour and attend to the patient. I have studied in the special secondary school for three years after graduating from junior middle school, work, use free time to teach oneself course of junior college, have made the education of junior college, at present and half released from regular work for study the undergraduate course. We can say that has been working, studying and exploring constantly all the time, study higher and newer front and attend to technology, and various advanced apparatus operation method, psychology,etc.. Let me do manual labour, attend to for patient, I feel learning and working, disconnecting one's own, can't stimulate my working enthusiasm, enterprising enthusiasm of seeking knowledge to go to school. Everybody knows it is a work of very low technological content that life is attended to, the nurses recruiting in the hospital all need the undergraduate course education now, and should be admitted to nurse's practising certificate. One passes the study for many years, should be engaged in the work of very low such technological content after working, time of going to school when has really fallen into disuse for many years. The hospital should not accompanied attending to and facilitating patients, can direct against the characteristic of each department, led by nursing dept. specially train one batch to understand some medical science attends to protecting engineering of knowledge. After getting to the inpatient area, the head nurse in the inpatient area, according to the actual conditions intensive training of the undergraduate course room, being partial to workers in this case will carry on very good nursing to the patient too, the patient's nursing fee can be needn't accept so high either, because to partial to the worker's salary after all is much lower than that of the nurse. Would like to do manual labour and attend to, but should undertake the risk Wheat Liu, mental hospital of Henan Province, celestial we tertiary first rate the intersection of psychosis and section hospital in hospital, for various reasons, for instance the condition needs, family's discriminating against, economy is poverty-stricken, nearly nobody accompanies and attends to our patient, all nursing including that life is attended to is finished by nurse, we think too this is work that we should do. However, the speciality of psychiatric department is a risky job in the medical trade, but the patient with phychological problems damages the behavioral high-risk group in hospital. The difficult accident that expect and keep a lookout may happen because of the condition or body factor to the patient, such as committing suicide, feeling sorrow for oneself, hurting one's feeling, destroying things, leaving, dying suddenly, and resist serious side effect,etc. that the drug therapy of psychosis causes. Though the hospital has taken the relevant safety measure, patient's sudden accidental event still happens occasionally in hospital, a lot of these accidental events are the common behavioral behavior of patients with phychological problems. Because the spiritual hygienic knowledge is not enough to popularize, we often meet very awkward and thorny problem because of not accompanying and attending to in the real work. For instance, suicide, self-injury or condition change that the patient causes because of spiritual symptom, once it take place this kind of accident situation, patient relative, unit and society can't understandings correct, push responsibility to the hospital, it is very thorny to deal with the aftermath of, lead to the fact doctors and patients' dispute takes place, have interfered with clinical management and normal medical order of psychiatric department seriously. Whether the responsible institution of the hygiene can issue the relevant measure, can safeguard the right of mental patient and relative, also ensure the rights and interests of the hospital. Suit in large hospital implementing Hebei six the intersection of the People's Hospital and Zhao to the present stage such as brightness selectively, the regional economy development level is very unbalanced, resident's income gap is too big in our country, under the situation not comparatively very sound yet of social security system, the method of the People's Hospital of Jiangsu Province can not be popularized in the whole country in an all-round way, suitable for only engineering level superb and soft hardware environment of hospital fine, make a diagnosis apparatus implement selectively in the loud advanced hospital in medical attendance. Particularly, for example in the tertiary first rate hospital in the hierarchical management of the hospital, carry on the ward ABC tertiary management, each clinical department has A grade and has not " accompanied " specially in the hospital Attend to the ward, just like VIP The same, the high consumption brings the honored guest to enjoy, it is in fact so-called honored guest's ward. Are there B grade and C grade disease at the same time? It dredge  Qiong gray in  lie  Lian Zhyuan bank lie  s gray pass through many hands or places and last lie  s gray and last Gui radon V ひ and last duckweed border  s lame and last lie > take off to prize pay  last Ω heads of Patient of the ward, the patient in charge of B grade and C grade ward, and should treat equally without discrimination again. The reason why suit and implement in the large hospital, because the large hospital has the ability to offer honored guest of the whole service, but not simple " Have not accompanied " Attend to, if is simple " not accompanying " Attend to, that, just like flower without leaf, it is unicolor too to be more beautiful, existing can't be permanent. The reason why implement selectively, because not every patient in hospital has economic ability to enjoy " not accompanying " The services for VIPs attended to, the person of the general income can not accept. The reason why require each doctor to manage the tertiary ward, because can avoid the suspicion that is discriminated against to the patient's identity, the same doctor is not only manage the patient in the A grade ward but also managing the patient in the C grade ward, it was the equality of a kind of social status that reflected. Have not " accompanied " It is not easy to unify the auspicious great wave of king of second affiliated hospital of Zhengzhou University to attend to workers to attend to the standard as one, individual thinks it is very difficult to popularizes in the whole country the method of the People's Hospital of Jiangsu Province recently, the condition is unripe at least, I think the main reason not popularized recently has the following several points: 1. It is not easy to unify to do a good job of the standard that life attends to. Reach patients satisfiedly, what is their standard? 2.The assistant nurse lacks legislative authority of safeguarding the rights. It is unable to state to live and attend to with the characters, the assistant nurse is in case of not having doctor's order and writing record, if patient's unexpected condition worsens the death or the legal dispute appears in the course of attending to, someone is them " Check " ? 3.The patient's individual privacy is unable to ensure. Could the patient accept the service of the opposite sex? But the proportions of nurses of men and women of our country are seriously imbalanced! 4.It is not clear to divide the work in the boundary line in work. Which are what the assistant nurse want to do? Which are " Professional nurse " Do? Assistant nurse make, attend to, can discriminate against by some life only? Wait a moment.


|