The ward has not been " accompanied and attended to " Where is it difficult to popularize

The ward has not been " accompanied and attended to " ,Where is it difficult to popularize
The ward has not been " accompanied and attended to " ,Where is it difficult to popularize
The reporter observes the news to brief on: My provincial hospital attends to the fee to ferment and rise. Many hospitals such as drum-tower hospital, the first hospital of market have already jointly put forward to price department and improved the application which attend to the expenses standard. In Nanjing, the intersection of province and the People's Hospital launch, have pilot hospital to accompany and attend to ward as only, have 13 the intersection of nursing and price of inpatient area as every day 30-90, high much than the intersection of public ward and yuan of prices. While raising and attending to the price, offer high-quality nursing service, many patients applaud for not accompanying and attending to the ward. But most hospital persons in charge show, popularize and has not accompanied and attended to the ward when being interviewed by reporter, the difficulty is not small. B difficult problem thinks highly of performing the operation while paying insufficient attention to attending to the idea to change "Except that the nurse helped to rub one's body with a towel in 2 days just finishing the operation, it is that I do by oneself so long as I can move, the nurse helps me to hit water, just get the towel ready. " Living in and has not accompanying and attending to Mr. Qian in the ward to say, " make the small nurse next to the skin and attend to, does not really a little used to it. " The idea is outmoded, have not accompanied and attended to the ward to popularize the first difficulty met in the course. Mr. Qian's worry is still only " Sorry " . What many relatives worried about is, " throw " the patient like this Give to the hospital, will seem " too cold and detached " . "Only-child's family can relatively approve, think that has liberated patient relatives out to this kind of mode. " Take care of beautifully and say. Some patients think, some of family is the relative working, do not need the nurse to attend to. "In fact, this is still the question that an idea changes. " President of province nurses association piece calm to say " patients pay attention to surgery, ignore the postoperative nursing course, need speciality attend to even more while being postoperative in fact. A lot of patients' condition is changed, can find early while attended to. " Take care of beautifully and say: "For example, not accompanying and attending to the ward, the patient after the operation leaves the bed for the first time, the nurses will all put hands under patient's foot, tell him what strength can be used, relative these and partial to Engineer, right away make. " Many people of 30- 90 yuan dislike expensiveness every day "Just last month, it is complained that we received. " Take care of beautifully and say, " what complained is not nursery work, but the price. " It is 90 yuan, 60 yuan, 30 yuan every day respectively not to accompany and attend to the ward one, two, third grade and attend to the expenses standard. And the public ward of the tertiary hospital of our city, it is 7.8 yuan, 4.7 yuan, 2.3 yuan every day respectively that one, two, third grade attend to the expenses standard. "Not accompanying and attending to the ward price and is really higher than much, but cost accounting comes down, the charge of 30- 90 yuan has been just enough for the human resources cost of the hospital until every day. " Take care of beautifully and say. There is not nursery work which accompanies and attends to the ward that involve the professional technique, too including the life that the wide quantity of surface is great is looked after and served, this needs to appear there times more manpower than the public ward. And the hospital introduces a nurse, needs more than 600 yuan if society's premium of each moonlight is minimum, not having a nurse who accompanies and attends to the ward who is much larger because of the work load, the bonus treatment should increase to some extent too, all these are the cost of human resources. "To patient, inviting one want about 60- 100 yuan too while protecting worker's salary of one day, the professional intensity is unable to compare with nurse at all. " Take care of beautifully and say, " they solicit trade in the ward yet, take on the work of making several patients alone, it is difficult for the hospital to manage. " Treatment bad, it is difficult for nurse not to employ difficult to stay While interviewing, the relevant hospital is responsible for per person's saying, has not accompanied and attended to the ward to popularize, the greatest difficulty lacks the nurse. Reporter know in some tertiary hospital, obtain employment over 3 nurse of year, in the public ward, salaries are about 2000 yuans after finishing paying the social insurance, have not been accompanying and attending to the ward, the salary is about 3000 yuan. This year and last year, province the People's Hospital recruited 120 nurses respectively. "The hospital lacks people very much, but it is very difficult to want to keep a nurse here. " Take care of beautifully and say. Department of public health of the province statistics show, the total bed of 76 above- second -class average inpatient areas of medical organization in our province is protected than as 1: 0.37 (average every impatient has 0.37 nurses who look after) ,There are tertiary hospital beds large protect than 1:0 at least on and to require Ministry of Public Health. 7,there are for 1:0 on second hospital.6. International average level is 1 at present: 1. "All after 80 just out of university, after 90. Not accompanying and attending to the ward, a big chunk of job of the nurse is a treatment patient, they possible for any house work to make at home, in here but wash hair, rub one's body with a towel, the intersection of assistance and defecation and urination. Work in three shifts for a long time, many nurses, all the biological clock is disorderly. If salary does not raise some, how much have to like to do after 80? " Take care of beautifully and say. "Many people are defending the school studying the nursing speciality for 5 years, graduate, go to the hospital to see, arduous and receive the grievance, does not earn more, change one's profession immediately. Is not this waste of an educational resource? " One is said calmly. Idea, charging and personnel, it is sad to close The pilot hospital of A phenomenon has not accompanied and attended to the ward to need to add the bed On last Tuesday, after the 58 -year-old Ding Hong cloud lived in the joint inpatient area of bone of province the People's Hospital, the first thing that considers is to ask one to be partial to workers. "Nurse tell me whether this to have, accompany and attend to ward, need, please partial to worker, breakfast,lunch and dinner can book in hospital, life is attended to, recovered and trained to all do by the nurse. " Ding HongYun says, the nurses all come to make an inspection tour per hour, two activities of assisting her in leaving the bed regularly of one day, brush teeth, wash the face, wash hair, rub one's body with a towel, go to toilet, a nurse helps completely. "Accompany family in hospital too in the past, one the intersection of ward and three patient, family, partial to worker to be at least and two times larger than patient that accompany and attend to, in the room is all people, clamorous. Here, noon and in the evening break does not allow what relatives accompany and attend to, it has nurses to come over immediately that there are things to ring, convenient and quiet. " In 2008, province the People's Hospital has taken the lead in not accompanying and attending to and attending to the whole province. 13 inpatient areas such as division of gastroenterology, obstetrical department, general medicine, comprehensive surgery of this institute have launched this service at present. Get to the ward at half past 6 in the morning, put the berth in order, inspect a patient, change and guide the bag, help patients to wash the face and gargle, assist patient's stool and urine, clear up and wipe the bath, stands up and pats carrying, joint activity, various injections, helping patients to trim the nails, shave beard, wash hair once every 3 days at the perineum, bed This does not have nursing repertory which accompanies and attends to the nurse of inpatient area. Zhang Wei born in 1987, from defending to province the People's Hospital to work as a nurse after graduation from school 3 years ago. "Compared with ordinary inpatient area, it is much greater not to accompany and attend to the work load in the inpatient area. " Zhang Wei says, " we divide the morning, afternoon, great night shift, 6 orders of classes altogether of little night shift, each order of classes guarantees that there are 8 nurses at least. Though so, or so busy that the foot does not dip in the ground. " "Not accompanying and attending to the ward to all already occupy of the hospital, some need to add the bed yet. Some patients call the roll to want to live in after coming not to accompany and attend to the ward. " The head of the nursing department of the People's Hospital of province takes care of beautifully and says. C sound The news is chained It is very general not to accompany and attend to the ward abroad Have not " accompanied and attended to the ward " It is still new things in our country, but very general in some developed countries. Germany: The ward is very quiet, it is come from nurse to carry out that all life of the patient's is attended to, can't see and accompany and attend to personnel in the ward. The German hospital has express provisions, the layman can not touch and lie in bed patients. U.S.A.: In other words the hospital of the scale of tertiary hospital of our city is furnished with 4000 nurses at least. The nurse's work divides class three of morning, afternoon, night. The nurse can scrub clean all over once respectively in the morning and afternoon for patients. Britain: The nurse needs to undergo higher nursing education, all of patients' nursing is finished by nurse. The government stipulates, the nurse works for 37 hours every week, the interval of break tours can't be smaller than 11 hours, this regulation comes from the phenomenon that about more than 3000 nurses retire ahead of time because backs are wounded that suffered from of every year of Britain. It is not to specially need to serve not to accompany and attend to, can enter the medical insurance while attending to the fee? It is introduced, 3 hospitals have been sanctioned not accompanying and attending to the pilot project of the ward in Nanjing area, but only saved the People's Hospital at present to launch this service, other two hospitals can not go on. "This is a kind of new nursing mode, though is very popular abroad, also need certain time at home and is accepted. Need a clear one, have, accompany and attend to, need, serve specially, come on, engaged in the patient's nursing by professional personnel, this is necessary, should cover all hospitals finally. " One is said calmly. "If our province attends to the fee and can be raised, will be much smaller that there is not the charge pressure of accompanying and attending to the ward, it will not be so difficult either to introduce a nurse. " Take care of beautifully and say. It is reported, our province attends to the fee and can be raised, need price department to carry on the cost investigation and supervises and examine, hold the hearing, a series of procedure of reviewing collectively etc., could make the decision. Have experts to propose too while interviewing, if attend to the fee and can include in the medical insurance, the patient's burden can be further lightened, help to have no popularization which accompanies and attends to the ward. "Whether after readjusting the price, attending to the fee could enter the medical insurance, need people to assuare the department carries on on-the-spot study, listen to unit of opinions, check and calculate while being a series of, could determine. " A person in charge in the medical insurance centre in the province says. (The source of this text: Nanjing Journalism Website - Nanjing daily)


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