连续肾替代治疗医护团队教学培训在重症监护病房的经验  

Continuous renal replacement therapy medical and nursing team training:expe⁃riences in intensive care unit

作　　者：任为正[1] 孔令雪 李欣欣[1] 何蕾[1] Ren Weizheng;Kong Lingxue;Li Xinxin;He Lei(Faculty of Hepatopancreatobiliary Surgery,Department of Critical Care Medicine,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心肝胆胰外科学部重症医学科,北京100853

出　　处：《中国体外循环杂志》2021年第3期175-178,共4页Chinese Journal of Extracorporeal Circulation

基　　金：北京市自然科学基金项目(7194317)。

摘　　要：目的总结连续肾替代治疗医护团队教学在重症监护病房的经验。方法本中心建立了完整的重症监护病房的连续肾替代治疗培训团队,实施培训并设立分层培训内容,持续改进教学培训计划并定期进行考核评估。结果本中心保持每年2次的初学者集中培训频率,截止2020年10月,已完成初学者集中授课48 h,高级初学者培训720 h。病房现有医护人员73.6%完成高级初学者培训并实施连续肾替代治疗,47.4%可担任连续肾替代治疗组长并参与教学培训工作。结论建立一个完整成熟的连续肾替代治疗团队和完整的培训体系可保障连续肾替代治疗的治疗质量,提高安全性。Objective To summarize the experience of continuous renal replacement therapy(CRRT)team training in the intensive care unit(ICU).Methods We established a complete CRRT training team in the ICU,and continuously improved the training plan.We also set up stratified training content and conducted regular assessments and evaluation.Results Our center maintains a stable training frequency for beginners twice a year.By October 2020,48 hours of intensive training for beginners and 720 hours of training for advanced beginners have been completed.Currently,73.6% of the medical staff in the ward have completed advanced beginner training and could perform CRRT,and 47.4% can serve as the CRRT super users and participate in training.Conclusion Maintaining a dynamic and continuous program for CRRT team requires the trainer to combine theoretical study,simulated operation,bedside study and other models to establish a complete training system,which can guarantee the quality and safety of CRRT.

关 键 词：连续肾替代治疗 重症监护病房 教学 分层培训 考核评估 危重症 急性肾损伤 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]