The hospital of Tongji University initiates the color service mode infusion room of three yuan
In midsummer, the door emergency call infusion patient of the hospital obviously increases. The intersection of infusion and the intersection of room and medical personnel in first line overload, high strength work for a long time, the safe risk of medical treatment is thereupon increasing. How to make mistakes while guaranteeing busily, offer better services to patient as much as possible? The subsidiary door emergency call of hospital of Tongji University of Tongji University attended to the group to take the lead in putting out in the whole city " The color service mode of three yuan " .
Three kinds of patients: Sit in the right seat according to the color
Put 150 pieces of infusion chair in the door transfusion room of hospital of Tongji University, seem a bit crowded. Particularly, there are red, yellow, blue three kinds of infusion chairs here, form three relatively independent " areas " according to the color . Julie of emergency department head nurse duckweed introduce: "This is a condition of we on the basis of the infusion patient and property of using medicine, one point of regional functions adopted is managed. "
" red district " Serve the special, heavy emergency call, need to control the patient dripping the speed and observing tightly strictly; " the Huang 's " Serve the patient of special treatment, such as chemotherapy, quiet patient who drips mannitol and has difficulty getting about; " blue district " Serve general out patient and patient of infusion of next day of emergency call. Hospital set up the intersection of wheelchair and special flat, the intersection of oxygen intake and special flat, the intersection of penicillin and special flat and skin try on the waiting area also, have at the scene " Infusion executive " ,Responsible for shunting patients in time, sit opposite the elderly,etc. that patient and nobody of the wheelchair accompanied look after especially.
"Classify and manage in this way, has guaranteed the key patient nurses especially, can also relieve the contradiction short of hands, the most important thing is to guarantee the infusion security. "
Go to work at the time of the fault: Deal with the infusion peak
The hospital of Tongji University located in channeling of population into area, the annual infusion patient exceeds 200,000 persons, and all infusion is finished by emergency department. When high-temperature season or season changes, the infusion patient is still more more centralized, the person of infusion quantity more than one thousand in Japan. In especially summer, many the elderly are used to catch early, if hold the convention examined according to 8 o'clock, patient waiting time will be relatively long; Let night nurse bear the infusion of patient, make mistakes work overloadingly often easy and busy. So, come every summer high temperature,it break by day emergency ward, in, a late three convention of arranging an ordering according to class and grade of class, go to work and make while implementing by mistake, the elasticity arranges an orders according to class and grade, set up 6 of morning: 30 " early morning shifts " ,And patient's actual conditions, set up " peak class in night " in right time according to going to a doctor ,Make medical personnel accord with, go to a doctor peak even more work hours.
Colored plastic card: It is a patient " Lighten the burden "
As usual, the infusion patient gets " salt water bottle " from the dispensary And should keep by oneself after other medicines, but quite a few of patients need the infusion of 3- 7 day continuously. Let the illness taken on body and weak person " The salt water bottle " Wait a moment the hospital, quite inconvenient. The elderly had bad memory sometimes, brought a medicine fewer, or break the bottle into pieces, add and toss about even more.
For this reason, Tongji University hospital change, let patient " salt water bottle " Old rules and regulations that take home, change, make the intersection of patient and with different colors brand, look on as, to the infusion room next day, only need to show the plastic card, nurses will pass the corresponding infusion articles according to different colors.
The computer warns: Offer the safe dual fail-safe
As kinds of Diseases being more and more, more and more complicated, the update of medicine is more and more fast, the question is more urgent to use medicine safely. In high-temperature season, are having from " reinforcements " which every clinical department transfers constantly Join, " hide " in the transfusion room of the door Use medicine potential safety hazard more and more outstanding.
The management software of information of infusing of door emergency call of independent development of hospital of Tongji University, connect doctor's work station, nurse's work station, cashier and dispensary. Classified and combed all medicines meanwhile, did more than 100 and pointed out the language mark to some easy medicines to appear the safe problem of administration of the infusion safely, such as penicillin " It needs to try covers to make sure to keep in mind " ,Mannitol " Make sure to keep in mind and drip into in half an hour " When. The nurse of infusion room must have seen on the computer of nurse's work station after the security of the medicine is briefed on and confirmed, could enter the next operation sequence.
Since using the emergency call infusion message management software of the door, the safe incident of administration of the infusion is obviously reduced.
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