医护卫同组梯次排班模式在中国埃博拉诊疗中心的应用  

Validity of shifts management by group schedule comprising doctors,nurses and sanitary cleaners simultaneously on the basis of echelon allocation in Ebola Treatment Unit of China

作　　者：张丽敏[1] 宋彩萍[2] 王丽慧[3] 

机构地区：[1]第三军医大学新桥医院心内科,重庆400037 [2]第三军医大学新桥医院护理部,重庆400037 [3]沈阳军区总医院心外科,沈阳110016

出　　处：《重庆医学》2015年第22期3079-3081,共3页Chongqing medicine

摘　　要：目的探讨医生、护士、卫生保洁员同组梯次排班在埃博拉诊疗中心病房中的实施效果。方法根据埃博拉传染病防控特点,分别从医生、护士、卫生保洁员的构成、工作时段、岗位职责分工等方面进行了合理的排班,并对该排班模式的效果,从出入院时间、个人防护用品(PPE)消耗、PPE穿脱差错、队员的满意度等环节进行考核评价。结果通过这种工作模式的运行,减少了患者出院入院等候时间,减少了PPE消耗及PPE穿脱差错的发生,提高了医生、护士、卫生保洁员的满意度,比较差异有统计学意义(P<0.01)。结论采用医生、护士、卫生保洁员同组梯次排班工作模式有助于埃博拉诊疗中心各项护理工作的安全顺利进行。Objective To evaluate the validity of shifts management by group schedule comprising doctors,nurses and sanita- ry cleaners simultaneously on the basis of echelon allocation in Ebola Treatment Unit（ETU）of China. Methods According to the characteristics of Ebola infectious disease prevention and control, working schedule was designed basing on the medical staff compo- sition,working duration and job responsibilities. The validity of this schedule was evaluated by hospital admission time, discharge time,PPE supplies consumption, the errog frequence of PPE wearing or uncoating and staff satisfaction. Results Through this mode of shift management, hospital admission time and discharge time were shortened, PPE supplies consumption and the error fre- quence of PPE wearing or uncoating were decreased, the satisfaction degree were improved among doctors, nurses and sanitary cleaners（P〈0.01）. Conclusion The application of this new style working schedule could ensure the nursing services to be procee- ded safely and smoothly.

关 键 词：感染控制 流行病学方法 埃博拉诊疗中心 医护卫人员 同组梯次排班 

分 类 号：R473.5[医药卫生—护理学]