A few days ago, the reporter walked into the demonstration ward of the Fifth Hospital of the city and saw a long-lost picture of harmonious doctor-patient relationship: nurses no longer just turn around the doctor's advice, but take the patient as the center; Nurses are no longer "in charge of all subjects", and "responsible nurses" replace "functional nurses". Every patient has his own responsible nurse; Patients have gained unprecedented economic and emotional benefits, and their families have also been freed from the heavy life care work.
The nurse fed and scrubbed the patient.
Different from other wards, the corridor of the first orthopedic ward located on the fourth floor of the trauma inpatient building of the Fifth Hospital of the city is particularly quiet. There are almost no patients' families here, and occasionally there are nurses pushing nursing cars in and out of the ward. Walking into the 4 1 1 ward, nurses and Dai nurses are cutting nails for the patient Wujiang. Wu Jiang, a patient, was admitted to the hospital a few days ago because the steel plate was taken out after the operation on the left lateral ankle. On the day of the operation, his family came to the hospital to accompany him. In the following days, the family only greeted Wujiang by phone every day. Wu Jiang told reporters that family members are busy with work and it is difficult to take time out to accompany them in the hospital. Life services are all completed by nurses. Peace of mind, family rest assured.
As one of the key hospitals in the demonstration project of quality nursing service in our city, the Fifth Hospital of our city began to provide quality nursing service in April last year. The hospital took the lead in implementing high-quality nursing services in four wards, namely, orthopedics ward 1, surgery ward 1, burn ward 2 and internal medicine ward 2. In the demonstration ward, the work of nurses has changed greatly. They not only provide patients with services such as carrying out doctor's orders, observing their illness, taking medicine at rest and so on, but also extend their services to life care, providing patients with basic care such as nail cutting, washing their hair and feet, feeding and scrubbing, and forming a system to stick on the wall.
The first hospital of the city is also one of the key contact hospitals of the demonstration project of quality nursing service in our city. The hospital has six demonstration wards, including nephrology, general surgery, extraosseous surgery, extracranial ICU, cadre ward on the fourth floor and gastroenterology, and the nursing work of nurses has also expanded to basic nursing and psychological nursing. The nursing department of the hospital also defined the nursing responsibilities at all levels, formulated detailed working rules, assessment and reward and punishment standards, refined the basic nursing content, stipulated the basic nursing measures of graded nursing, and formulated the daily work priorities and the work priorities of each class.
A nurse is in charge.
Take your temperature, prescribe medicine and be quiet ... In recent years, with the marketization of medical institutions, nurses are becoming more and more professional like doctors. A patient seems to have several nurses at the same time, but in fact there is no nurse in charge. This "all-inclusive" functional professional nursing model is doomed to be difficult to satisfy patients. Since the excellent nursing service was carried out in our city, the "functional specialty nursing mode" which has been followed for decades has been broken and replaced by the "responsibility system general nursing mode", that is, a nurse is fully responsible for all the needs of patients. In the demonstration ward of the Fifth Hospital of the city, nurses are divided into three levels: responsible team leader, responsible nurse and assistant nurse, and each responsible nurse is responsible for 6 to 8 patients. In order to ensure the smooth implementation of this model, the Fifth Hospital of the City simplified the content and quantity of nursing writing, and effectively achieved "returning time to nurses and returning nurses to patients".
The great change brought by the reallocation of nurse resources is the enhancement of nurses' sense of responsibility. In the First Ward of Orthopaedics of the Fifth Hospital of the City, something happened: When Gu Lili, the nurse in charge, gave morning care to an elderly patient on the first day after operation, she found that the temperature of her left and right feet was different. Gu Lili judged that the patient may have postoperative deep vein thrombosis. She immediately reported the situation to the doctor, and the doctor immediately checked the patient with color Doppler ultrasound to confirm that the patient did have deep vein thrombosis. Early detection and timely treatment prevented the occurrence of complications. The fifth hospital of the city conducted a satisfaction survey on all inpatients in the pilot ward, and the patient satisfaction rate reached over 98%.
"Quality nursing service is a systematic project, which is not only a change in service content and service mode, but also a change in nurses' service concept and sense of responsibility. Only in this way can we really do a good job in quality care, "said Li, vice president of the Fifth Hospital of the City.
The tertiary and secondary hospitals will provide high-quality nursing services.
It is understood that the first batch of key hospitals in our city include the First Hospital, the Fifth Hospital, Children's Hospital and Acheng District People's Hospital. At present, these eight hospitals have selected a certain number of wards to carry out quality nursing services. By the end of this year, all tertiary and secondary hospitals in the city will carry out excellent nursing services, requiring 50% tertiary hospitals to reach more than 50% wards, and 50% secondary hospitals to reach more than 20% wards to carry out excellent nursing services. The Fifth Hospital of the City will implement quality nursing service in 24 wards of the whole hospital before the end of this year.
According to Ke Yunnan, director of the Medical Administration Department of the Municipal Health Bureau, the ultimate goal of the high-quality nursing service demonstration project is to free family members from the heavy accompanying work. According to the requirements of the Ministry of Health, the ratio of nurses to patients in hospitals that provide quality nursing services should not be less than 1? 8. Wards with excellent nursing service in our city can reach or even exceed this standard. With the comprehensive development of high-quality nursing service, the shortage of hospital nurses will appear. This year, our city will explore the implementation of unaccompanied nursing mode supported by nursing industrialization, set up nursing companies, implement commercial operation, integrate social resources, and let those college graduates with nursing practice certificates take up the posts of hospital nurses. At the same time, train nursing staff in a unified way, formulate industry service standards, and solve the shortage of nurses.