Inpatient Ward (Inpatient Ward) is a place for hospitalized patients to diagnose, treat and live, and is a relatively independent management of the medical, teaching and research workplace belonging to a department. Generally set up 30 to 40 beds. Each ward is admitted to the disease for the clinical response to one or several medical specialties of the disease.
Physical environment to enhance the medical effect, help patients adapt to the role of the patient can not be ignored, the focus of its management are the following aspects:
(a) clean area
Tidy mainly refers to the spatial environment of the hospital area and all kinds of furnishings specifications, layout and neat; all kinds of equipment and supplies set up a reasonable, clean and hygienic. Achieve the purpose of avoiding the accumulation of dirt, preventing bacterial dispersal, and giving patients a fresh, comfortable and beautiful. To maintain a clean environment measures; ① things have positioning, return to the position after use, to develop anytime, anywhere attention to cleaning up the environment, to maintain the habit of cleanliness. ② regular dusting of the walls inside the hospital, the ground and all items with wet cleaning method; ③ timely removal of treatment and care of waste and patient excreta; ④ non-necessary living supplies and non-medical care of patients are not allowed to bring essential supplies into the hospital.
(2) a quiet environment
can reduce the patient's agitation, so that the body and mind of the full rest and sleep, with the same into the patient (especially patients with serious illnesses) recovery, health care workers can focus on the important guarantee of orderly work. (1) According to the international noise standard, the noise in the ward during the daytime does not exceed 38Db. (2) Noise control medical staff should do; walking light, talking light, operating light, closing light. (3) Easy to send out loud chair feet should be nailed rubber pads, wheel axle of the trolley, door and window interlocking chain should be regularly dripping lubricant. (4) Actively carry out education and management to keep the environment quiet.
(C) comfortable environment
Mainly refers to the patient can be in a quiet, suitable temperature and humidity, fresh air, sunny, clean, easy to live in the environment, there is peace, cozy, relaxed feeling.
1. Temperature, humidity room temperature is too high nervous system is easily inhibited, affecting the body heat; room temperature is too low, so that the body muscle tension, the cold air attack leads to patients in the diagnosis and treatment of care when cold. The appropriate temperature of the room is generally 18-22 ℃ in winter, 19-24 ℃ in summer, pediatrics room between 22-24 ℃, relative humidity to 50% -60% is appropriate. Humidity is too high, conducive to bacterial reproduction, and slow body heat dissipation, the patient feels uncomfortable wet; temperature is too low, the air is dry, the body's moisture evaporation fast, heat distribution is easy to lead to the respiratory tract mucosal dryness, dry mouth and sore throat affecting tracheotomy or respiratory tract infections recovery. Therefore, according to the season and the conditions of the local conditions should be used to open windows and ventilation, ground sprinkler, air conditioners and other measures to regulate the indoor temperature and humidity, so that the patient feels happy, safe and sound.
2. Ventilation of the sick room air circulation can regulate the indoor temperature and humidity, increase the oxygen content of the air, reduce carbon dioxide concentration and the density of microorganisms, so that the patient feels comfortable and pleasant, to avoid the production of boredom, lethargy, dizziness, loss of appetite and other symptoms, conducive to the recovery of the disease body. Reasonable practice is: according to the climate change situation regularly open the windows and ventilation, winter ventilation is generally about 30 minutes each time; the sickroom should be smoke-free area (no smoking indoors); timely removal of dirt and bad odors.
3. Sunlight sickroom sunshine, not only can protect the patient's eyesight, increase vitality; and can use the sun's ultraviolet rays, play its bactericidal effect, purify the indoor air; appropriate "sunshine bath" can also enhance the patient's physical fitness, especially in the winter sunshine, so that the patient feels warm and comfortable, stimulate the interest. However, it must be noted: sunlight should not be directed at the eyes, so as not to cause dizziness; nap with curtains to block the sun, not to affect the patient's lunch break; indoor artificial light source, not only to ensure that the evening and night work, life lighting, but also not to affect the patient's sleep.
(D) safety ward
Management efforts should be made to eliminate all obstacles to patient safety, safety and security, the patient's psychological relaxation, can avoid accidents, improve the cure rate, and enhance the social effect of nursing. ①Avoid accidental injury caused by various factors. Such as bathing room floor wet, resulting in patients slipping and falling; coma patients did not add bed gear, protective gear and fall into bed or crash; delirious or agitated patients touching the power supply and burns and so on. ② to eliminate medical damage. Such as carelessness caused by nursing accidents, errors; poor service attitude, resulting in psychological imbalance of the patient. ③Prevent intra-hospital cross-infection (see Chapter V for details). All the above unsafe factors can be avoided through scientific management, and receive satisfactory results. First of all, we should improve the service attitude, put patients' interests in the first place in everything, and continuously improve the service level and quality; strive to improve the safety facilities in the ward, such as toilets, corridors with handrails, to give a sense of security to the patients with dysfunctions; power sockets are far away from the patients with confusion, and at night there are lamps for illumination, which is convenient for the patients; there are strict environmental sweeping, cleaning and disinfecting systems for articles; wards and treatment rooms are provided with The wards and treatment rooms are equipped with running water hand-washing equipment that meets hygienic requirements.
(E) Beauty The beautification of wards includes the contents of environmental beauty and life beauty;
1. Environmental beauty mainly refers to the layout, facilities, supplies, neatness and beauty of color. Generally more light blue, light green and other cold colors, can give a person a quiet, angry feeling; in the ward and the corridor can also be set up green bonsai plants, flowers, murals, etc., to embellish the beautification of the environment, regulating the spiritual life of patients.
2. The beauty of life mainly refers to the patient's recuperative life involves various aspects such as nursing tools, tableware and other household items beautiful and suitable; nurses' hearts, language, behavioral beauty; patients and health care personnel of the dress beauty; medical and nursing care and operation of the art of design beauty and so on. All of these are done according to the laws of aesthetics, can inspire patients to love life, adjust the psychological distance between patients and nurses, to meet the spiritual and psychological needs of patients.
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