After the patients' eyesight drops, they mainly rely on hearing to perceive the external environment, so that patients can communicate with successful patients and encourage them to support each other emotionally. So, what is the significance of high-quality eye care?
Significance of high-quality nursing in ophthalmology 1 1 Change service concept and improve service consciousness.
Since March 20 10, the Ministry of Health and the hospital launched the "Demonstration Project of High-quality Nursing Service", the department has organized all nursing staff to seriously study such documents as Notice of the Ministry of Health on Strengthening Hospital Clinical Nursing Work, Basic Nursing Service Project for Inpatients (for Trial Implementation), Basic Nursing Service Standard and General Standard of Clinical Nursing Technical Service, so that nursing staff can attach importance to nursing work ideologically and change their service concept. From the perspective of patients, consider what kind of service they want to get when they come to the hospital and what they should do to meet the needs of patients.
2. Strengthen nursing management
2. 1 Establish and improve rules and regulations
Formulate departmental nursing work system, disease nursing routine and clinical nursing service norms and standards. After the implementation of high-quality nursing service project, the number of clinical front-line nurses has increased, the post responsibilities of responsible nurses have been clarified, and various work standards have been formulated. Implement nurse classification management, take junior nurses as the main force of basic nursing, and focus on completing basic nursing. Take senior nurses as the basic nursing supervisor, undertake the basic nursing guidance and supervise the implementation. The ward of the department is managed by groups, and the nursing staff who are responsible for nursing work, strong in ability and excellent in T are selected as the team leader, carefully monitoring the nursing quality of the department, conducting quality control every week, and reporting the quality control inspection results to the nursing department every month. Establish a performance salary distribution system linked to nurses' performance appraisal, link nurses' clinical nursing quality 1 and inpatients' satisfaction with personal income, and select monthly nursing service stars as the main basis for promotion, promotion and evaluation.
2.2 Strengthen the training of specialized nursing knowledge and skills.
The eye structure is complex, there are many diseases, many kinds of drugs, many ways of administration, and the nursing technology is relatively complicated. The department not only allows attending doctors and senior nurses to give professional lectures, but also makes special ophthalmic treatment methods such as subconjunctival injection, retrobulbar injection and peribulbar injection into teaching films, making the contents of the books easy to understand. Conduct 1 specialist examination and skill training every month to promote the continuous improvement of clinical nursing quality.
2.3 Others
According to the staff and work situation of the department, the nurses should implement reasonable shifts to make them feel that their work is full and not boring. Training professional and technical personnel. Personnel who have worked for 1 for a long time and have certain professional knowledge can obtain certain qualifications through training or further study, and can be competent for special inspection posts, such as fluoroscopy and optical coherence tomography (OCT) operated by nurses.
3. Strengthen clinical nursing service.
3. 1 Implement the responsibility nursing mode
From hospitalization to discharge, the responsible nurse is responsible for the basic nursing, observation, treatment, communication and health guidance of patients, and provides continuous and full-course nursing services for patients in charge. Do a good job of "six ones" for patients, that is, a smiling face, a greeting, a pot of hot water, a comfortable bed, a detailed hospital introduction and a clean rest environment. Sometimes the patient can't see it, so the nurse should patiently tell the patient to be introduced to the hospital, so that the patient can enter the patient role as soon as possible.
3.2 Strengthen basic nursing care
Eye diseases often cause diplopia, decreased vision or blindness, making it difficult for patients to take care of themselves. Give thoughtful life care. Assist patients to do morning and evening care, nurses send boiling water to patients to feed drugs, prevent pressure ulcers for patients who have been in bed for a long time, and wash their hair by the bed; Always ask patients with eye bandages to understand their needs.
3.3 Psychological nursing
Improve the environment and create a good nursing atmosphere. Most patients with eye diseases have poor eyesight. In order to facilitate patients to walk and reduce unnecessary furnishings in the ward, articles are placed in the ward for patients to take and put, and every exit, crowd and elevator entrance are accompanied by a doctor, so that the ward environment is clean and tidy. When the eyes are sick, patients will bear great psychological pressure, so it is very important to do psychological care well. The patient's vision loss or pain can cause tension, fear, anxiety and irritability. Nurses should provide relevant information in time to prepare patients psychologically. The nurse is kind and gentle when asking questions, and the patient will feel very comfortable. Nurses should be considerate of patients, be patient and enthusiastic, not importune, blame or be bored, and give patients sympathy, comfort and encouragement to make them feel safe and warm during hospitalization. Guide family members to comfort patients and help patients get rid of panic and depression. In addition, let patients communicate with successful patients and encourage them to support each other emotionally. After the patient's vision drops, he mainly relies on hearing to perceive the external environment. Therefore, nurses should communicate with patients in words, and also make short films of disease treatment, which are repeatedly played on the TV in the lounge to facilitate patients to understand the information of diseases themselves.
4 abstract
Our department attaches great importance to quality nursing service from top to bottom. Nurses have renewed their ideas, changed their working ideas and improved their work enthusiasm. Patients enjoy thoughtful and safe care, which embodies the spirit of humanistic care, meets the needs of patients to the greatest extent and greatly improves the satisfaction of patients.
Significance of quality nursing in ophthalmology 2 1 Common nursing risks
1. 1 particularity of nursing behavior Any kind of nursing behavior has duality, that is, favorable aspects and harmful aspects. Nurses should foresee the potential risks in the treatment process, such as infusion or taking special drugs, invasive operation, etc. If these behaviors meet the requirements and the methods are correct, it will promote the treatment and rehabilitation of patients. If the patient's constitution is abnormal or the drug itself is allergic, it may cause risks and harm to the patient.
1.2 lack of professional knowledge of junior nurses, lack of clinical experience of junior nurses, untimely observation of illness or inability to judge the results lead to the aggravation of patients' illness; After using special drugs (such as sedatives, sleeping pills, antihypertensive drugs, cardiovascular drugs), accidents occur without telling the precautions of drugs; Accidents occur before using special drugs without asking about past history or allergic history; Unfamiliar with new drugs and new compatibility taboos, leading to accidents; Failing to find the wrong doctor's advice or execute the wrong doctor's advice in time and causing accidents.
1.3 when the nursing technology is not in place to rescue hemorrhagic shock, the puncture can not be successful quickly, and deep vein catheterization is needed, which leads to the delay of rescue; During the emergency rescue, the use of instruments (such as defibrillators and ventilators) was not skilled, which delayed the emergency rescue; Complex diseases don't know how to arrange patients correctly, and accidents occur (for example, patients with cervical and lumbar vertebrae don't know how to lie on a hard bed, cervical braking, etc. ); Unable to arrange rescue steps in time and effectively; During the transportation, life-threatening problems were not foreseen (such as massive hemoptysis without simple aspirator, patients with myocardial infarction forgot to bring emergency medicine defibrillator, etc.).
1.4 Nursing professional ethics nurses should have special moral requirements: to treat patients equally, they should be extremely responsible and meticulous in their work, strive for perfection in technology, not bring any emotions in their work, and unite and cooperate with colleagues.
1.5 If nurses are not responsible enough, if three checks and seven pairs are not strictly carried out, there will be cases of taking the wrong medicine, giving the wrong needle, taking the wrong blood and incompatibility. Due to weak sense of responsibility, careless handover, unverified questions raised by patients or their families, and untimely patrol records, the changes in the condition were not found in time.
1.6 files are not recorded in time, and it is often necessary to race against time in emergency rescue; Many verbal commands need to be executed; It is necessary to closely observe the changes in the condition and record them in detail. Special examination, treatment and medication require the signature of patients or their families. If the documentary records are not timely, untrue, inconsistent with the medical records or omitted, altered at will or illegible, and signed on behalf of the patients, once the patients have poor treatment effect or die, it will be unfavorable to the nursing staff.
2 Preventive measures
2. 1 Strengthening the sense of responsibility and improving professional ethics nursing work is a high-risk special service work. Nurses should strengthen their sense of responsibility, improve their professional ethics, adjust their mentality to make them physically and mentally healthy, be highly alert to their work, serve every patient with a highly responsible attitude and noble professional ethics, eliminate distractions in their work and devote themselves to their work, thus reducing the occurrence of nursing risks.
2.2 Improve the legal concept and self-protection awareness, organize emergency nurses to learn relevant legal knowledge, especially medical accident handling, nurse management methods, laws and regulations closely related to nurses and other legal knowledge, so that nurses can know, understand and abide by the law, consciously abide by the law, and avoid accidents and disputes, thus reducing emergency nursing risks.
2.3 strictly abide by the operating procedures, strictly carry out three checks and seven pairs, and accurately implement the doctor's advice. 12 1 should be repeated twice, and the' empty ampoule' used for first aid should be kept for inspection after rescue. Emergency patients are in critical condition, which is sudden, arduous and unpredictable. Therefore, nurses should strictly implement various technical operation procedures, strengthen the training of first aid skills, pay attention to the study of professional knowledge and theory, constantly enrich and update their knowledge, master the use of various rescue equipment and the rescue process of various common diseases, closely observe the condition and report to the doctor at any time.
2.4 Strengthen nurse-patient communication, respect patients' rights and strengthen nurse-patient communication. The implementation of each examination and treatment plan requires the consent of the patient, and if necessary, the signing formalities should be fulfilled: special drugs should inform the precautions, adverse reactions and possible adverse reactions, and do a good job in education. Patrol should be strengthened for elderly patients and infants. In addition, we should improve service attitude, improve service quality, read widely and improve our own quality and self-cultivation. Establish the service concept of "people-oriented, patient-centered", always put yourself in the other's shoes, strengthen the communication between nurses and patients, and improve patient satisfaction.
2.5 standardize the writing of emergency nursing documents. The records of emergency nursing documents should be timely, accurate, continuous, complete, unalterable, true and consistent with medical records. Nurses should be aware that every nursing document is a legal document, and records should be standardized to provide legal basis for "inversion of burden of proof" at any time.
2.6 Establish a risk monitoring organization composed of department directors, head nurses, doctors and nurses, deal with problems in the work in time, resolve contradictions in the bud, deal with disputes in time, do not ignore trivial matters, analyze, evaluate and predict the potential risks of the department, especially the rescue of critically ill patients, and formulate corresponding prevention and treatment measures to ensure the qualification of emergency nurses for more than 5 years, and prevent and reduce risk events.
3 abstract
Although there are many risks in emergency work, with the continuous improvement of nursing level and the improvement of corresponding laws and regulations, all kinds of risks in nursing work will be reduced. Nurses should aim at improving patients' satisfaction and continue to serve patients better.
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