Nursing Safety Essay Review Sample

Nursing safety is related to the safety of patients, medical quality and the reputation of hospitals, and is an important part of nursing management. The following is a nursing safety paper I have organized for you for your reference.

Abstract: The purpose is to analyze the many hidden factors and management countermeasures of nursing safety in the Emergency Department, to improve the quality of emergency care, to reduce the risk of emergency care, and to provide patients with a safe, fast, high-quality, multilevel service. Methods Reasonable deployment of human resources, strengthen safety awareness, strengthen nursing safety education and personnel quality management, preparation of nursing safety management files, standardize workflow, strengthen standardized training, pay attention to nursing records, set up emergency nursing safety group, strengthen emergency supplies and pre-hospital emergency management, strictly control the quality of nursing care, and effectively control the occurrence of nursing risks. The results safeguarded nursing safety, nursing safety events decreased in frequency, nursing disputes, nursing complaints significantly reduced year by year, emergency patients' satisfaction with the nursing work service increased significantly. Conclusion The effective implementation of nursing insecurity management measures to maximize the elimination of nursing insecurity, the prevention of nursing disputes, nursing work safety hazards play an extremely important role.

Keywords: emergency nursing; safety management nursing;

Safety management is a link that nursing workers in any hospital attach great importance to. *** The People's Hospital of the Autonomous Region is a set of medical care, teaching, scientific research, first aid, prevention, health care as one of the three A-class comprehensive hospital, located in the roof of the world *** *** city. At present, with the same domestic many cities of the third-class hospitals, the emergency department in charge of the hospital first aid at the same time also bear the pre-hospital emergencies and first aid tasks, heavy workload, difficult, naturally, also become the existence of the most safety hazards of the department. Now the common nursing safety hazards in my department are analyzed as follows:

1 common nursing safety hazards in the emergency department

1.1 Staffing factors emergency nursing personnel serious shortage, beds and nursing staff ratio is not coordinated, and the echelon structure is not reasonable. Our nursing staff are mostly new graduates of low seniority nurses, due to the lack of comprehensive ability and clinical experience, when encountering emergencies, it is easy to produce a "fluke" mentality, according to the habit of rashly doing things by impression, but not strictly according to the operating procedures for operation, "three checks and ten pairs" implementation is not in place. The implementation of "three checks and ten pairs" is not in place, which is prone to clinical care loopholes, causing serious hidden dangers of insecurity. Fewer staff on duty at night, two on-duty nurses are multi-tasking including general emergency, stay on watch, resuscitation, outpatient, delineation and charging, escorting critically ill patients for checkups and hospitalization, etc., resulting in nursing manpower tension, resuscitation care is not enough, and a critically ill patient resuscitation, at least one nurse is needed at the bedside. In case of patient concentration, increased workload or ***, the nurse on duty lacks the ability to cope with the short time more health care personnel and difficult to get in place in a timely manner, inevitably causing a decline in the quality of nursing services, resulting in the existence of many nursing safety loopholes, resulting in a great nursing safety hazards.

1.2 Nursing staff technical factors emergency patients with complex and changing conditions, receiving patients involved in multiple disciplines of disease, the nurse's clinical work experience, relevant professional knowledge, nursing first aid skills and other overall quality has put forward higher requirements. Individual nursing staff lack of knowledge, can not well combine theory and practice, resulting in emergency care can not be effectively improved, thus affecting the safety of emergency care.

1.3 Potential legal factors with the development of society as a whole, people's legal awareness of the continuous improvement of our individual health care workers and patients and patients' families with poor communication, legal awareness and self-protection awareness of weak, medical and nursing instruments, pre-hospital emergency medical records are not standardized, the record of the time and the actual time difference is very much in the occurrence of medical disputes in the emergency can not provide effective information, and thus their own passive position. The first step is to make sure that you have a good understanding of the situation, and that you have a good idea of what you are doing.

1.4 pre-hospital emergency factors

1.4.1 scheduling staff did not undergo professional training, first aid awareness is weak, answering the call for help call is not detailed; did not ask the patient's condition in detail, residential address, resulting in the preparation of rescue items are not complete, the ambulance empty run; do not have professional knowledge of the first aid, the patient's condition can not be given in time to give effective guidance on the phone in case of emergency; or due to the driver to the traveling route is not familiar with or the ambulance has a burst tire between travels. Familiar with the route or ambulance travel flat tires and other faults, resulting in the expected time until the call for help at the scene or the patient delayed in transit, delayed rescue time.

1.4.2 The physician staff is not fixed, most of them are non-general practitioners, their knowledge is not comprehensive enough, and their experience in pre-hospital emergency care, emergency care skills and adaptability are insufficient, so they are not timely, and their physical examination is not serious after arriving at the scene, which results in an inaccurate assessment of the condition. If the visiting nurses are also inexperienced and cannot take effective first aid measures in a timely manner in case of sudden change of condition during the visit and transportation, it is very easy to cause adverse consequences. The empty ampoule was not left after the medication was administered on the verbal instructions of the doctor during the out-of-hospital resuscitation, and was discarded at random. Due to the method and technology is not in place, in the process of handling patients fall and other intention.

1.4.3 ambulance first aid items, instrumentation device is not perfect, or the nurse is not familiar with the placement of its location, or due to vehicle bumps caused by damage to the instrument delayed resuscitation; transfer on the way to fix the patient fall injury; road bumps, infusion bottles or instrumentation loose smashed patients caused disputes.

1.4.4 Before the transfer of patients did not fulfill the obligation to inform in advance, did not explain to the patient or his family in a timely manner to the transfer of the relevant precautions and possible changes in the condition and potential risks, such as shock, asphyxiation, drop in blood pressure, respiratory arrest and other conditions, did not sign the consent to transfer, the transfer process of the medical staff is not strong sense of responsibility, did not observe the changes in patient's condition, did not ask the patient in a timely manner the existence of discomfort, the patient's condition, the patient's condition, the patient's condition, the patient's conditions, the patient's conditions, and the patient's conditions. To do timely inquiry about the patient's discomfort, so that the patient's fluid extravasation caused limb swelling, catheter distortion, fall off, and even some patients do not know when the respiratory heartbeat stops, so that the patient loses the opportunity to resuscitate.

2 Countermeasures for nursing safety management

2.1 Strengthen safety awareness, strengthen nursing safety education to nursing staff to strengthen nursing safety education and risk prevention awareness education, strengthen the safety awareness and sense of responsibility, the establishment of the emergency department of the health care safety system and emergency plan, the organization of the whole department of nursing staff to seriously carry out the various rules and regulations, the study of emergency plans, discussion and continuous improvement. The organization of all nursing staff to seriously study, discuss and continuously improve the rules and regulations, emergency plans, to achieve full proficiency, to avoid unnecessary medical disputes.

2.2 Ensure a reasonable manpower allocation to ensure nursing safety nursing manpower resources allocation is directly related to the quality and efficiency of nursing work, at the same time related to the level of health of the entire population [3], hospitals and personnel departments should gradually consider supplementing the nurse staffing, so that it can achieve a reasonable ratio of medical care, while the hospital nursing department should be based on the actual situation of patients and departments, reasonable, mobile Regulation of personnel, to ensure the orderly operation of clinical first-line nursing work, to ensure nursing safety. In the nursing management of the emergency department, it is necessary to appropriately configure the part of non-nursing personnel to reduce the waste of nursing human resources in the emergency department [4]. In conjunction with the relevant departments of the hospital, rational allocation of nursing personnel, strengthening the construction of nursing personnel echelon in the department, reasonable and flexible scheduling. According to the special characteristics of emergency work, from the knowledge, ability, specialty, age and other aspects of consideration, the night shift to implement a double shift work system, scheduling attention to the old and new, strong and weak collocation, Tibetan and Chinese collocation, to achieve the best combination of duty personnel, in the enhancement of low seniority nurses' skills and abilities at the same time, but also avoided the communication barriers between the nurses and patients due to language barriers, greatly reducing the occurrence of nursing risks. In the time period of the peak of emergency patient visits, rationalize shift arrangements and increase nursing staff at the right time.

2.3 Strengthen business learning and training to ensure the quality and safety of nursing care to develop a nursing staff hierarchical training program and learning objectives, different levels of different technical levels of nurses to classify the education of specialists responsible for the implementation of the regular organization of the Department of Nursing staff to carry out business learning, focusing on the strengthening of the position of the low seniority of nurses to strengthen the training and assessment, and to strengthen the cardiopulmonary resuscitation, endotracheal intubation nursing care cooperation and the common Nursing routine operation of acute and critical illnesses, in order to reduce the occurrence of technical nursing risks. Regularly ask doctors to introduce the new developments and new progress of knowledge related to emergency medicine, update professional knowledge in a timely manner, and improve their own quality to meet the ever-increasing work needs. At the same time, we actively build a learning platform for nursing staff, encourage and support nursing staff to utilize their spare time to learn professional knowledge and participate in various academic education, so as to improve the overall quality of all nurses and enhance the comprehensive strength of emergency nursing. And constantly send nursing staff to major hospitals in the Mainland for further study and participate in a variety of classes and academic exchanges, in order to broaden their horizons, expand their knowledge, improve the quality of development, and strengthen the development of strength.

2.4 Strengthen the management of first aid items, instruments and devices according to the requirements of the hospital, to do a good job of emergency items, instruments and devices management, to ensure the safety of the emergency process to implement the work of the emergency department system to ensure that the rescue room and ambulance all the first aid equipment, medicines are complete and intact, the effectiveness of the good, every shift counting the handover, to prevent damage and loss, and to effectively achieve the "four fixed". "The system is to ensure that all first aid equipment and medicines in the resuscitation room and ambulance are well equipped and effective, and that they are counted and handed over every shift to prevent damage or loss. "Specialized management. All kinds of instruments are attached with clear operation program so that they can be operated according to the program. Rescue items are generally not loaned to ensure emergency use.

2.5 standardize the writing of nursing instruments, strengthen nurse-patient communication to strengthen the training of nursing instrument writing ability, require the writing of nursing records in a timely manner, consecutive and conscientious, the content of the real, rigorous and specific wording, medical and nursing consistency, and accurately record the arrival of the patient from the patient after all the resuscitation measures, the implementation of the doctor's orders, the adoption of nursing measures and the detailed evolution of the disease process, the patient or his family in the event of a special circumstance must have a signature. In special cases, there must be the signature of the patient or family, and it is illegal to add, delete or modify the original records after a dispute arises. Enhance the nursing staff's awareness of evidence, respect for the patient's right to informed consent, and conscientiously fulfill the obligation to inform and bear the risk of possible problems. At the same time to strengthen the publicity of first aid work, to obtain the understanding and support of the community, to obtain the understanding and cooperation of patients and their families, to strengthen the communication and exchange with patients and their families, to explain the risk of first aid work.

2.6 Set up a safety management team to ensure the implementation of safety management choose a high level of thinking, strong business ability, solid theory of nurses and the head nurse of the nursing safety quality control management team, monthly according to the provisions of the strict and formal supervision and inspection, the use of the morning shift, nursing checkups, business learning and other opportunities for nursing defects, errors to discuss, analyze, summarize, find out the reasons, and to be continuously Improvement. In particular, holidays, night shift and other error-prone time periods, give full play to the role of the backbone of the management team, strict quality.

2.7Strengthening the management of pre-hospital emergency careEstablishing a sound pre-hospital emergency care system, developing pre-hospital emergency care plans, improving the transfer process, and reasonably allocating pre-hospital emergency care personnel. Regular training and assessment of first aid knowledge and first aid skills for medical and nursing staff, training of schedulers and drivers in related knowledge and work system, enhancement of first aid awareness and first aid ability, improve the ability of schedulers to guide the patient in emergencies on the phone, require drivers to carry out regular or timely maintenance of the vehicle, timely replacement of tires, to improve the level of judgement or trouble-shooting, and organization of pre-hospital first aid personnel Simulated drills. Spot-checking the equipment of emergency vehicles with instruments and devices, items and medicines to ensure that they are in a state of perfect reserve. Improve the handover records for the transfer of emergency and critical patients. Before the transfer, carefully assess the vital signs of the patients and the possible changes in their conditions on the way, make corresponding emergency preparations, and reasonably allocate medical and nursing personnel, and at the same time, require that medical and nursing personnel must sit in the medical cabin to accompany the patients throughout the transfer, which can help to reduce the occurrence of unsafe medical and nursing care incidents on the way. At the same time strictly fulfill the obligation to inform the patient and family members to understand to accept medical services, we must accept the risk of possible damage, so that the family has the ideological preparation for the establishment of doctor-patient interaction, risk **** bear a new type of doctor-patient relationship, reduce medical care disputes.

3 Summary

In summary, the emergency department is faced with life-threatening patients and complex and changing diseases, but also to face a variety of emergencies, is the first line of life-saving. Disease changes intertwined with a variety of factors, heavy workload, work difficulty, determines the emergency care is a high-risk work. Nursing safety is an important content of nursing quality management, is the foundation of good nursing work, is the premise of nursing quality service, is an important indicator of evaluation of nursing work, can bring good social benefits and patient satisfaction. As an emergency care manager, only by strengthening nursing safety management and taking active measures to avoid the occurrence of various nursing risks, can we effectively control the occurrence of nursing insecurity, fundamentally improve the quality of nursing services and ensure nursing safety.

References

[1] Wang Fang, Ye Zhihong, Ge Xuedi. Nursing safety management research and progress [J]. Chinese Journal of Nursing, 2008, 4311: 1053-1055.

[2] Hailin Zhang. Practice and experience of introducing evidence-based thinking in nursing safety management[J]. Journal of Nursing Management, 2008, 811:50-51.

[3] Liu Xiaorong. Research on the application of linear planning model in clinical nursing staffing[J]. *** Journal of Nursing, 2003, 206: 69-70.

[4] Li Jinna. A study of nursing staffing in the emergency department[J]. Journal of Nursing, 2003, 188:576-577.

[5] Miao Chunqin. Problems and countermeasures of nursing risk management in the emergency department[J]. Nursing Research, 2007, 211C: 264-265.

Abstract: Through the study of 60 cases of gynecology perioperative patients' data, this paper found that the experimental group's values in the rate of infection and the rate of nursing deficiencies were lower than those of the control groupP<0.05 It shows that the nursing safety management studied in this paper is effective in reducing the infection rate and defect rate, which improves the success rate of treatment to a certain extent.

Keywords: gynecological patients; perioperative period; nursing safety management

Gynecological diseases are diverse and complex, which makes nursing difficult. And during the perioperative period, any nursing work will have an impact on the efficacy, and the nursing dispute events in this period are also prone to be more frequent [1]. Therefore, how to do a good job of nursing safety management in the perioperative period of gynecological patients is a topic that medical workers have been studying. In recent years, after the introduction of nursing safety management mode in our hospital, the clinical infection rate and nursing defect rate have been reduced, and the clinical data of 60 patients are now analyzed and summarized and reported as follows.

1 Data and Methods

1.1 General Data

60 cases of gynecological perioperative patients admitted to our hospital from February 2014 to January 2015 were selected as the research objects. In accordance with the order of admission, they were divided into the control group and experimental group, 30 cases each. The general data at the time of admission showed that in the control group, the age was 21-49 years old, the average age was 34±1.2 years old, and the surgical conditions were: 15 cases of hysterectomy, 12 cases of myomectomy, and 3 cases of total uterine excision; in the experimental group, the age was 22-52 years old, the average age was 35±1.1 years old, and the surgical conditions were: 14 cases of hysterectomy, 14 cases of myomectomy, and 2 cases of total uterine excision. Comparison of the general information of the two groups of patients, the difference is not statistically significant P>0.05.

1.2 Methods

The control group was unified to receive general nursing care, while the experimental group implemented nursing safety management, as follows.

1.2.1 Analyze the problems in nursing

1 Nursing disputes: the lack of positive communication between nursing staff and patients and family members, unable to channel the negative emotions of the patients, and family members can not fully understand the work of the nursing staff, it is easy to have nursing disputes.

2 Problems of nursing staff: lack of sense of responsibility, weak legal awareness, can not strictly abide by the hospital system, failed to follow the doctor's orders of the nursing staff, in the actual work of the sloppy attitude is prone to occur, but also prone to nursing disputes.

3 The problem of the hospital's own system: the nursing management system is not good enough to reduce the implementation of medical staff, which in turn led to a series of nursing disputes.

1.2.2 Implementation of nursing safety management

1 Introduction of humanized care: the introduction of humanized care into nursing safety management promotes communication between healthcare workers and patients and families, and helps healthcare workers to establish the concept of starting from the patient's perspective.

2 Regular training: in order to meet the needs of medical technology and the development of the nursing model, our hospital will regularly organize training for nursing staff, such as training for the head nurse every Monday afternoon and training for nurses every Wednesday.

3 Improve the hospital nursing management system: improve the hospital nursing management system in the lack of parts, can introduce nursing staff work responsibility system and incentive system, to ensure that nursing events can be implemented to the responsibility of each person.

4Improve the quality of medical and nursing personnel: regular moral education and nursing safety education for medical and nursing personnel at all levels, and strict compliance with safety matters in the operating room.

1.3 Statistical methods applied

SPSS13.0 statistical softwares were analyzed, and the counting data were tested by x2 test, and the difference was statistically significant at P<0.05.

2Results

The experimental group in the rate of infection, defects are less than the control group P<0.05, in terms of nursing defects, the control group *** there are 9 cases, of which the family complained of 3 cases, 4 cases of pressure ulcers, and 2 cases of loss of important information; the experimental group has only 2 cases, of which 1 case of pressure ulcers, and 1 case of loss of important information.

3 Discussion

This paper, through the study of 60 cases of gynecological perioperative patients' data, found that the experimental group in the rate of infection, nursing defects in the rate of values are lower than the control group P<0.05, which indicates that the nursing safety management studied in this paper is effective in reducing the rate of infection and defects, and to a certain extent improves the success rate of treatment. This result is basically consistent with the literature report of Huang Xiaohong. Gynecology is a concentration of surgery, and nursing plays a role in its perioperative period to ensure smooth surgery and promote postoperative recovery, etc. However, nursing disputes can reduce the success rate of treatment and affect the doctor-patient relationship. In this paper, we analyze the problems in nursing and implement nursing safety management, and the implementation effect is also more satisfactory, to a certain extent, to improve the image of the hospital in the community, so we suggest that nursing safety management be applied to gynecological perioperative patients. In summary, adding nursing safety management to gynecological perioperative patients can ensure the safety of treatment to a greater extent and reduce nursing disputes.

References

1, Nursing safety management strategy discussion in the new era Wang Qun; China Hospital 2006-02-01

2, Nursing safety management Yang Shunqiu Southern Nursing Journal 2004-07-30