Hunan: Nurse's manpower of first line is allocated insufficiently
Hunan: Nurse's manpower of first line is allocated insufficiently
News from Changsha last November, saved the department of public health and selected and appointed over 10 experts and made up 5 and supervised and guided the inspection group, supervise and guide the inspection to the high-quality care performance of tertiary hospital of the whole province. Recently, the department of public health of the province notifies the inspection, the ward where 41 tertiary hospitals launch the high-quality care is above 60%. First, nurse's manpower of clinical first line is allocated insufficiently. It is as usual last manpower although according to lasting berthing and up to 1:0 Germany first in city the People's Hospital. 45, but it count according to patient accept for medical treatment actuallying protect bed than 1:0 only.36; The first department of neurosurgery of the People's Hospital in Huaihua accepts 115 patients for medical treatment, divides 2 inpatient areas, 35 nurses; Respiratory medicine of Huaihua city third the People's Hospital accepts 70 patients, 21 nurses for medical treatment, among them there are 12 critically ill patients, 6 seriously ill patients. Second, the mode needs to further improve to divide the work in the way, arrange an order according to class and grade. It is still the overall rationing system of dividing into groups to arrange an order according to class and grade in the People's Hospital, Zhangjiajie, responsibility nurse in charge of condition, scheme of making a diagnosis of patient, attend to main point, recover oneself guidance and the intersection of health and propaganda and education,etc. owe and is familiar with, the nurse on duty of the late night shift is too young, 2 night shifts are nurses in one year; The central hospital of market of Hengyang has not implemented a nurse to divide into the bed and manage patients, has attended to the mode and remained and made attending to or responsibility system to attend to primary stage in the function; Zhuzhou 331 hospital make way of dividing the work for function still, arrange, have flexible class, touring class; A few hospitals and some departments still send the single track class in noon, late night shift, attend to the measure to implement uncompletely. If there is only a nurse on duty in the People's Hospital, cardiovascular night shift of disease hospital, night shift of Zhuzhou Kai Germany in Yueyang, the serious potential safety hazard exists; Obvious unreasonable phenomenon of dividing the work that the nurse exists. A nurse of department of nerve internal medicine of the People's Hospital of western Hunan state is responsible for 12 patients, among them 3 are seriously ill; A nurse practitioner is responsible for 10 patients, among them 2 are critically ill, 3 are seriously ill; But a nurse-in-charge is responsible for 9 patients, there is no critically ill, seriously ill patient. Third, need to further strengthen patient's direct clinical care. Check to find, the People's Hospital, Zhangjiajie relies on relatives to attend to patient and critical patient's basic nursing and implement the phenomenon uncompletely; It is not deep enough that the young nurse of the People's Hospital of Changde city first grasps the knowledge of specialized department, substantially as working for two years the intersection of thoracic surgery and nurse attend to main point, grasp enoughly to angry thoracic clinical manifestation, mechanism, and recover to patient's propaganda and education guidance is owed in place. Some hospital healthy guidance and propaganda and education of recovering are uncomplete, the knowing rate of patient's health education Do not attend to and write and simplify completely. Reporter Liu ShaoLong
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