First, cultivate nurses a high sense of responsibility
Emergency work with the acceptance of the randomness of the task, suddenness, task implementation of the urgency, mobility, personnel work of the collaborative and social characteristics. In view of the characteristics of emergency work, emergency medicine to cultivate nurses' sense of responsibility as the first lesson of training after entering the department.
New nurses should keep in mind four standards after joining the department: (1) What you don't know must be asked. (2) Can not solve the problem to report in time. (3) To give the patient a satisfactory answer. (4) Summarize the experience after each resuscitation.
The senior nurses will unify the teaching, guide the new nurses to work, and immediately give corrections for deficiencies. The training content also includes: the resuscitation process, the writing of intensive care records, the operation of resuscitation instruments. In 2012, the Emergency Department set up a nursing rescue team, with a team leader in charge of several junior nurses, who is responsible for the night nursing quality control work, takes the primary responsibility for each rescue work, and reports to the police to solve the problems that can't be dealt with. At the same time, to strengthen the qualification requirements for triage nurses, triage nurses are senior nurses, and it is stipulated that the triage nurses must know the condition of patients who come to the clinic by heart. Through a year of operation, the responsibility of nurses has been significantly improved. A number of successful rescue shows that a high degree of responsibility is the basic quality of medical workers must have.
Second, strengthen learning, cultivate high-quality team
The Emergency Department to develop a learning system and plan to strengthen the nursing staff's business knowledge, carry out professional training in first aid, selecting and sending the best nurses to the Tiantan Hospital for further training and learning, to receive the new technology, new business. After returning from further training, we introduce our experience to everyone and apply advanced working mode and technology to the work of our department. Learning from the Department of Anesthesiology about tracheal intubation techniques, requiring nurses who have worked for more than one year to be proficient in tracheal intubation techniques. We learned "quality nursing care" from the Respiratory Department, and applied the advanced nursing experience of the Respiratory Department to the nursing care of patients under observation. Tried to carry out a 7-bed "excellent care" observation ward, through a period of exploration and efforts, the care of patients under observation has been greatly improved, and has been recognized by patients and their families. In the course of work, together with doctors, we study new advances in cardiopulmonary resuscitation, emergency treatment of acute coronary syndrome, trauma first aid, and improve the level of emergency first aid and rescue response speed. According to the program formulated at the beginning of the year, the nurses are regularly assessed on theory and rescue technology operation, and each nurse is required to master the use of all the instruments common troubleshooting, as well as common diseases and sudden illnesses rescue care.
Third, update the concept of improving the sense of service
The concept of rapid response is the key content of emergency emergency nursing quality control, but also the main features of the work of the emergency department. Can not respond quickly can not adapt to the nature of the work of the emergency department, can not adapt to the needs of emergency emergency patients, fast response, rapid action, accurate operation, save the success rate is high, which is the concept of rapid response to the four elements.
The concept of pre-hospital emergency care: to have modern pre-hospital emergency care knowledge and skills.
The modern concept of custody: "If you want to do a good job, you have to make good use of it first"! Only fully grasp the critical care technology, emergency medical personnel can be in the process of treatment in an active position, in front of the ever-changing conditions of the crisis, calm, so as to save more lives, and better improve the patient's prognosis.
There is also the modern concept of service, the modern concept of efficiency. The Emergency Department has introduced these latest concepts of emergency nursing and organized nurses to learn from multiple perspectives.
Fourth, standardize the service process, safeguards in place
The development and implementation of the responsible personnel post responsibility system: the implementation of emergency, critical care patients rescue system, the implementation of the work of the work unit work system, emergency shift handover system, emergency medical and nursing disputes and complaints handling system. And there are corresponding records.
Establishment of emergency medical care rescue plan: nurses are required to familiarize themselves with the rescue plan for batches of injured patients, and the plan for dealing with public **** health emergencies, which is regularly practiced. After training, nurses have been able to rescue batches of injured people in an orderly manner, busy but not chaotic.
Develop a system to protect the safety of patients: the implementation of the whole process of care for unaccompanied family members, the implementation of special care for critical patients in the inspection process, and prepare first aid medicines and resuscitation supplies, and closely observe changes in the condition of the patient, and at the same time, require patients to use the flatbed must use the bed gear, effectively preventing the occurrence of accidents.
Fifth, the implementation of risk management, strict quality management
First aid items, equipment is always in a state of reserve, available at any time. Rescue medicines and items are complete and sufficient. Improve the management system, first aid items to do "four fixed a keep". Shift handover, timely replenishment of the class consumption of goods, equipment. Emergency all rescue goods, equipment are set up special management, regular inspection, to effectively ensure the normal operation of the rescue work.