The patient applauds doctors and nurses call hard Some hospitals in Shanghai test - accompany and attend to the responsibility system to attend to-

The patient applauds doctors and nurses call hard Some hospitals in Shanghai test - accompany and attend to the responsibility system to attend to-
The patient applauds doctors and nurses call hard Some hospitals in Shanghai test - accompany and attend to the responsibility system to attend to-
Author: Li Bei selects the draft: Wei of Tang Yi the intersection of www.eastday.com and April 6 news: According to " Trud ", at the request of Ministry of Public Health, the new round of medical reform of Shanghai pushes the nurse to reforming the forefront for the first time, this city take the lead in, offer to 50% hospital and berth of the above this year " Have not accompanied and attended to the responsibility system to attend to " . Patient relative accompany without, protect, wash face rub one's body with a towel, go to toilet by nurse instead of partial to worker, come on, finish in hospital. Reporter Lian Ri comes to visit some hospitals to find, have not accompanied and attended to and attended to launching testing silently. The relevant expert points out, replacing with nurse and partial to workers will help patients to treat and recover gradually, but must start the public hospital reform at the same time, improve the compensation mechanism of government of the care. Phenomenon: Responsibility nurse all to want, do early in the morning, reporter come Shanhai to be first to cancel, partial to worker, pursue, have, accompany and attend to the intersection of Changning and the intersection of district and healthcare hospital for women children that responsibility system attend to in an all-round way. Responsibility nurse should be clearing up the oral cavity, washing the face for a lying-in woman who just gets up in the obstetrical ward while being little. "One group of we two's works for 12 hours per person per day, have holidays by turns after going to work for 3 days continuously, basically a lying-in woman is only exposed to her responsibility nurse in 3-4 days when are in hospital. " Should tell reporter whether besides have an injection, change the intersection of herbal medicine shop and bed, responsibility nurse should responsible for, give the lying-in woman wash the foot to rub one's body with a towel to transfer to garment to wash hair while being small, offer service of attending to wholly. In the past, the ward nurse worked by assembly line mode, having an injection by all means of having injection, no matter other things that health propaganda and education only do the propaganda and education, perhaps a patient will run into a lot of nurses and offer different services to him every day. Once what there is, which nurse to look for on earth, often the patient does not know very much. "A patient only needs to look for one's own responsibility nurse now. " President of Changning district healthcare hospital for women children Ma Jun tells reporters, according to the new regulation, take in the ward " Eliminate the ring tones " ,Each responsibility nurse must run hardworkingly and observe hardworkingly before one's own patient ring bell and call out, discover the problems and solve the problem voluntarily, it means the nurse breaches that the patient rings bell. In the large medical ward of the hospital of Zhongshan, a patient not complete of heart function tells reporters, partial to workers and help him to say he was fat, but the nurse tells him this is that edema that a heart function did not cause completely behave while rubing one's body with a towel, they monitor the patient's urine amount in time, and tell that should pay attention to the salt in the diet. Fan Jia, Vice President of hospital of Zhongshan, says, life is attended to and replaced and protects engineering to finish by the nurse, furthermore help continuity and security that the patient treats and recovers. For example nurses can observe patient's appetite while feeding the food, find out about appetite change; May observe patient's skin situation, limb activity degree while rubing one's body with a towel and changing one's clothes, do a little more nursing preventing from pressing the sore, even can know the patient's psychological mood change in time. It says, the responsibility nurse shoulders the responsibility of telephone paying a return visit, follow-up service to the lying-in woman after leaving hospital too that the long woman protects president Ma Jun, the question that the new mother meets in nursing can all be answered in time. Question: " overwork " Value is unable to reflect to this reform action of lightening the burden of family members of impatients, the patient is nearly " Lurch " Applaud. However, the first line nurse's work load increases sharply after the reform, the clinical nurse hand is more and more nervous. A head nurse of inpatient area unwilling to sign in Rui Jin hospital tells reporters, a nurse is on duty and nursing in 24 hours in 8 hours that the responsibility system attends to demanding, a lot of nurses are without a single halt while going to work, coming off duty will still " feel concerned about the sick bed " ,The nursing staff who has originally already awkwarded asks for emergency help day by day, a lot of nurses feel body and mind is all tired. The Ministry of Health calculates finding, a postoperative patient's whole nursing on first day takes 7-9 hours on average, among them clean and attend to and want for 40 minutes only among the morning, attend to and need 50 minutes just before going to bed. Protect institute's statistics according to the woman of Changning district, because the hand limits, this institute stipulates a responsibility system nurse wants to be responsible for 6 patients' whole life and medical attendance at the same time. Before the reform, patient's nurse is to 1: 0.4,It rises to 1 after the reform: 0.5,The service time that the patient got increased, but the nurse's labour value was not obviously promoted. "Already the public hospital reform was started first to attend to the reform, but relevant compensation mechanism was not still set up so far completely. " Ma Jun says. Vice President of Rui Jin hospital Yuan KeJian and Fan Jia, Vice President of Zhongshan hospital, both point out, it is one of the important contents of the public hospital reform to attend to the reform, this job is lasting. The expert says, the past nursing expenses standard loses money, mainly by medicines and checking incomes to make up the difference of the hospital, cancel the start of institutional reforms such as the addition fee,etc. with medicines, the long-efficiency compensation mechanism to the care of public hospital should establish as soon as possible.


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