急诊输液室应对成批患者的预案管理的实践与思考  

Practices and Reflection of the Plans to Deal with the Batch Patients in the Emergency Infusion Room

作　　者：徐国君[1] 姜永珊[2] 林冬梅[3] 郭慧芳[1] 赵春丽[4] 周玲[3] 

机构地区：[1]大连医科大学附属第一医院护理部,辽宁大连116011 [2]大连医科大学附属第一医院中医康复科,辽宁大连116600 [3]大连医科大学附属第一医院三部急诊输液室,辽宁大连116600 [4]大连医科大学附属第一医院三部急诊科,辽宁大连116011

出　　处：《医学与哲学（B）》2015年第7期95-96,F0003,共3页Medicine & Philosophy(B)

基　　金：辽宁省科学技术计划项目;项目编号:2012225020

摘　　要：探讨急诊输液室应对50例急性一氧化碳（CO）轻度中毒患者成批静脉输液治疗的护理预案管理方法。对50例急性CO轻度中毒成批伤患的首次输液治疗采取一系列应急预案措施，并对这起事件随诊患者3天-5天的后续输液治疗施行“次日输液预约制”的延续预案管理，避开门诊、急诊的输液高峰期，减少输液治疗等待时间。同时针对CO轻度中毒患者展开预见性一体化优质护理服务。通过工作量统计，收集2014年11月（8：00-17：00）到急诊输液室输液的总人次数据，采用月周期分解模型曲线图分析评价预案效果。据工作量统计月周期分解模型曲线图可见，输液室工作的整体周期未出现紊乱，突发事件的高峰被逐渐分流。预案执行期无护理差错和患者投诉发生，收到表扬信2封。50例急性CO轻度中毒患者5天后均康复。急诊输液室执行突发成批输液的预案管理能够有序安排输液患者，促进急性CO轻度中毒患者康复，得到公众满意。To investigate the nursing preparatory plan of venous transfusion treatment in patients with mild poisoning management methods of emergency transfusion room to 50 cases of acute carbon monoxide （CO）. 50 cases of mild acute CO poisoning to injury in the transfusion treatment for the first time took a series of nursing contingency measures. The authors followed the patients for 3 to 5 days of subsequent infusions with the continuation of ＂the next day infusion reservation system＂ plan management, to avoid this infusion peak, reduce the infusion waiting time for treatment. At the same time CO mild poisoning patients received predictive integrated high quality nursing service. Through collecting workload statistics, the authors collected accumulated data of November 2014 （8：00-17：00） to emergency transfusion room infusion. The authors used the graph decomposition model using the lunar cycle effect to analyze and evaluate the plan. According to workload statistics on cycle decomposition model diagram we can see that transfusion room work does not bring about the whole cycle disorder, and the emergency summit was gradually shunt. There are no nursing errors or complaints during the plan execution and the ER received 2 letters of commendatory. 50 patients with mild acute CO poisoning patients recovered after 5 days. Transfusion room to perform batch sudden infusion of emergency plan management can orderly arrange transfusion patients, promote the patients who have mild acute CO poisoning, and win the public satisfaction.

关 键 词：一氧化碳中毒 急诊输液 预案管理 

分 类 号：R197.3[医药卫生—卫生事业管理]