Please can anyone know the system related to CCU ward.

Cardiac Care Unit (CCU) is a high-risk and high-tech department. With the modern theory of critical care medicine and treatment concepts updated, new medical equipment and technology continue to emerge. The professional quality of CCU nurses and the requirements of rescue and cooperation techniques are also getting higher and higher. The quality of nurses and nursing quality directly affect the success rate of resuscitation of critically ill patients. Through standardized training, CCU nurses get effective professional training, which improves the overall quality, professional knowledge and technical level of CCU nurses, reduces the occupational risk and improves the quality of care. The experience is as follows.  1 Develop training plan and process Clarify the training objectives, according to the seniority of nurses, respectively, develop training programs, requiring one year of work to obtain nursing qualifications to enter the CCU stage of the target training (1~3 years stage, 4~5 years stage, more than 6 years). According to the training plan to list the flow chart: target - plan - time - assessment - evaluation - to achieve the target.  2 Professional quality training Enhance the sense of professional responsibility, be loyal to the nursing career, fulfill the nurse's duties with dedication, respect the patients, and safeguard the patients' legitimate rights and interests. In the nursing activities, to do the instrument is dignified, behavior is steady, language is civilized, enthusiasm and patience, style is rigorous, hard work on business, to technical excellence. Decisive, prudent, agile, good at controlling their own emotions, to maintain a good state of mind into the work; calm, cool, not panic in case of trouble, have a strong adaptability, increase the patient's sense of trust and sense of security.  3 Institutionalized management training Abide by the duties of nurses and the code of conduct for nursing staff, and service norms. Familiarize with the working system of CCU, principles of emergency treatment of acute and critical illnesses, operation procedures, shift handover system, checking system for the execution of medical orders, management system for the use and maintenance of instruments, and disinfection and isolation system. Learn the nursing safety management system, the relevant first aid plan, and master the nursing document writing and management system.  4 Business quality training 4.1 Theoretical knowledge training combines basic nursing theory learning and specialized theory learning. Master the knowledge of cardiovascular disease nursing, electrocardiogram identification, be able to familiarize with all kinds of abnormal electrocardiograms, constantly learn the knowledge of specialized drugs, collect and formulate drug manuals, and constantly strengthen the learning of knowledge of related diseases, such as diabetes mellitus, cerebrovascular disease knowledge. Learning is multi-form, multi-channel, multi-channel. Such as: regular study, further study, online information query. Magazines and journals to consult, business lectures, nursing checkups, case discussions of rare and typical cases, new business of the specialty director, new knowledge lectures, the latest guidelines.  4.2 Professional skills training to master the operation of specialty instruments and specialty technology, frequent training. Such as monitors, defibrillators, ventilators, temporary cardiac pacemakers, electrocardiographs, esophageal atrial pacemakers, infusion pumps and other operations. Skilled with bedside temporary cardiac pacing, mastery of cardiopulmonary resuscitation, hemodynamic monitoring techniques and oxygen therapy for specialty diseases. Master the nursing of specialized diseases, such as acute myocardial infarction, heart failure, arrhythmia and other serious illnesses, observation and care of cardiac intervention.  5 Nurse-patient communication skills training 5.1 Cultivate good image and temperament CCU nurses should be calm, steady, decisive and keen, so as to make the patients first have a sense of trust and security; they should be gentle, warm-hearted, sincere and diligent, so as to make the patients have a sense of cordiality and dependence. Nursing staff's instrument, dress, posture, action, look demonstrates the temperament of nursing staff, which is the outward appearance of cultivation.  5.2 Combination of verbal and non-verbal communication use comforting language, protective language, explanatory language, and pay attention to the speed and tone of voice. Use empathy skills to feel and understand the patient's feelings from the patient's point of view. Use questioning skills, grasp the principle of centrality, warmth, and focus on the main purpose of the question. Using listening skills, listening patiently and carefully to feel and understand the patient's feelings, so that the patient feels that he or she is important and valued in the caregiver's mind. Use validation techniques to make the patient feel that his or her reactions and concerns about the illness are normal, so that the patient can experience his or her own value and dignity. Appropriate use of the silence technique in conversation and expressing silence in a warm and calm manner will make the patient feel satisfied, give the patient time to consider his thoughts and help the patient to vent his feelings and feel understood by you so that his wishes are respected. Non-verbal communication is important in CCU. The patient's condition is heavy, with many changes and psychological pressure, such as the use of touch, stroking, wiping sweat, body checking, etc. to express care, understanding, consideration, comfort, and psychological support.  5.3 Grasp the timing of communication with CCU patients and their families to establish a good therapeutic relationship with CCU patients and their families. Timely understanding of the patient's psychological problems and requirements, according to the severity and urgency of the disease and condition, grasp the opportunity to communicate, communication, sermon, take measures such as dredging, support, comfort, help, encouragement, etc., to fully reflect the individualization. If the condition is critical at the time of admission, rapid resuscitation is required, while doing a good job of patient psychological care.  5.4 Let the patient and his family have the full right to know such as the use of instruments, the choice of treatment and care means, the use of drugs, the healing of the condition, etc., doctors and nurses should communicate with patients and their families in a timely manner to obtain understanding and cooperation.  6 Health education capacity training CCU for critically ill patients, rapid changes in condition, frequent drug adjustments, the use of instruments and equipment, the patient's emotional instability. Mastering CCU nursing characteristics and patient psychology, assessment, planning, implementation and evaluation. Such as the assessment of patients' knowledge needs, the assessment of disease stage, the assessment of health status, the assessment of living habits, the assessment of psychological status, the development of health education programs, the implementation of timely evaluation of the patient's knowledge of health education, the accuracy of the use of the patient's health education, satisfaction. Enrichment of nurses' own knowledge, strengthening the learning of cardiovascular specialty theories and related disease knowledge, and increasing the content of psychology, interpersonal communication and health education. Nurses should use the knowledge they have learned to try to provide patients with the content and produce educational materials as stipulated in the patient education system. Responsible nurses should not only continuously improve their ability to educate patients, but also familiarize themselves with the ways to obtain educational resources [2]. Familiarize yourself with the methods and contents of health education for CCU patients. Mainly one-on-one education, bedside explanation, distribution of small prescriptions for health education, seeking the participation of patients and their families, divided into small amounts, step by step. The contents include cardiovascular disease knowledge education, dietary health guidance, exercise guidance, and the development of rehabilitation programs. Treatment guidance, such as the safe and effective use of drugs, the use of medical equipment to cooperate. Necessary information, such as preoperative and postoperative guidance for cardiac intervention patients, and why patients with acute myocardial infarction should not cough or defecate with force.  7 Training in clinical cooperation skills Participation in medical rounds. Nurses can understand the patient's current comprehensive situation, treatment plan, nurses for clinicians diagnosis and treatment to provide patient dynamic information. Silent cooperation with doctors, close collaboration between nurses, in the process of resuscitation to distinguish between primary and secondary sequential, coordinating the rescue personnel in their respective roles, organized, thus improving the success rate of patient resuscitation.  8 Nursing safety education Strengthen the study of legal knowledge, comply with the laws and regulations, rules and regulations and operating procedures, standardize behavior, use the law to safeguard the legitimate rights and interests of both the nurse and the patient, respect the patient's right to informed consent, fully informed, and to establish the concept of medical disputes focusing on prevention. Standardize the writing of nursing documents, fully understand the importance of nursing records and the legal responsibility to be borne, and record objectively, truthfully, accurately, timely and completely. Strictly implement the scope of use of verbal medical advice, and supervise the doctor to make up the medical advice in time after the execution of verbal medical advice in the case of emergency.  9 Training on standardized management of CCU instruments Use the "Five Constant Methods" to do a good job of standardized management of CCU instruments. Frequent organization: rational arrangement, effective use; Frequent reorganization: reorganize the environment, shift handover, to ensure good operation of the instruments; Frequent cleaning: dedicated management, everyone participates in, and is responsible for the shift; Frequent standardization: strict implementation of the CCU instrument use and management system and maintenance system; Frequent self-discipline: to establish a spirit of ownership, strengthen the sense of responsibility, and consciously abide by the various management norms.  10 Stage training objectives and assessment 10.1 Stage training 10.1.1 1~3 years stage from novice nurses to gradually adapt to the CCU nursing work, complete the work independently and master the monitoring technology. Have the basic condition observation ability and critical patient resuscitation cooperation skills, good communication with CCU patients and families.  10.1.2 4~5 years stage fully adapted to be familiar with the CCU environment, have strong monitoring skills, have foresight on the changes of the condition, be able to analyze, think, and solve the more complex nursing problems, be able to cooperate well with doctors and improve the success rate of rescue. Take the initiative to learn new knowledge and progress in the specialty, have certain ability to teach, master communication skills with patients and families, solve patients' difficulties and avoid conflicts.  10.1.3 More than 6 years of clinical experience, accurate judgment, strong hands-on ability, take the initiative to collect clinical information, review the literature, analysis of the case, to solve difficult nursing problems, and actively carry out scientific research, organization of business lectures, guidance for junior nurses, to assist the head of the nurses to do a good job of management, to ensure good quality. Cooperate well with doctors, calm and steady, have strong awareness of nursing safety, take the initiative to communicate with patients and families in a timely manner, and be able to cope with the pressure generated by themselves at work.  10.2 The assessment of the stage of attaining the standard includes work attitude, adaptability, clinical practice ability, emergency response ability, clinical cooperation ability, communication skills as well as the presence of errors, complaints, and patient's satisfaction. Methods: quantitative indicators, regular theoretical and technical assessment, unscheduled questioning and sampling assessment; combination of self-assessment, mutual assessment, teacher evaluation and patient evaluation, reflecting comprehensive ability.  11 Appreciation Through standardized and staged training, CCU nurses have improved their learning motivation, turned pressure into motivation, and passivity into initiative. With good psychological quality, keep stable emotion, good state of mind, composure, calmness, so that patients have a sense of security and self-confidence. Exercised keen observation, accurate judgment and adaptive response ability, so that patients are effectively monitored and timely treatment, improving the success rate of resuscitation and reducing occupational risks. The active communication ability and health education ability were cultivated, so that the patients could quickly adapt to the CCU environment, eliminate the nervousness and fear, and get the knowledge of their own disease prevention and rehabilitation.