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麻醉恢復室的護理安全隱患與防范分析

熱度0票  瀏覽44次 時間:2019年3月26日 15:54
  摘要: 目的 研究和分析麻醉恢復室的護理安全隱患與防范對策。方法 對麻醉恢復室易于出現護理安全隱患的內容進行觀察和評估,并結合具體的問題以及護理安全隱患,提出相應的防范和解決對策。結果 麻醉恢復室的護理安全隱患和防范對策分析能夠有效降低麻醉恢復室的護理安全問題,更好的開展臨床治療工作,對于患者的治療和康復具有積極的影響。結論 有效的護理安全隱患分析以及防范對策研究是護理管理的重要組成部分之一,有利于提升護理的綜合質量,值得在臨床護理中廣泛推廣和應用。
  關鍵詞: 麻醉恢復室;安全隱患;護理質量
  麻醉恢復室中護理人員的綜合素質、專業水平,麻醉恢復室中的管理制度以及環境,麻醉恢復室中病人的自身自身等等方面的問題都是麻醉恢復室中的護理安全隱患,在臨床護理的過程當中,護理人員需要加強對這些護理安全隱患的細致觀察和分析,并結合臨床治療的實際情況,制定完善的管理制度和防范對策,才能夠為患者提供一個優質的休息和康復環境,為患者的康復以及和諧護患關系的構建奠定良好的基礎。本篇文章主要結合麻醉恢復室的實際管理情況,對麻醉恢復室的護理安全隱患與防范對策進行分析,希望能夠對麻醉恢復室的管理和患者的康復產生一定的積極影響,以下為本次臨床護理研究的具體內容。
  1 麻醉恢復室的護理安全隱患及原因
  麻醉恢復室又稱為麻醉后監測治療室(postancsthcsiacareunit, PACU),是對麻醉后病人進行嚴密觀察和監測、繼續治療的場所,現代醫療技術水平的不斷提升為麻醉恢復室的管理提出了更多的要求。當前麻醉恢復室護理安全隱患主要存在潛在的交叉感染、病人躁動問題、缺乏全面的監護管理等等,以下為對這些護理安全隱患和原因的分析。
  1.1 潛在的交叉感染
  麻醉恢復室多為急癥或者危重癥的患者,病人的自身抵抗力較差,如果麻醉恢復室的消毒和清潔、隔離工作存在不嚴格或者疏忽等問題,那么就十分容易造成患者之間的病毒交叉感染,為患者的臨床治療帶來了更大的難度[1]。
  1.2 病人躁動問題
  一些自控能力較差或者情緒較為浮動的患者易于出現突發性的躁動情況,進而會造成墜床或者自行拔除氣管導管、引流管或者尿管等導管,這對于患者疾病的緩解是十分不利的。如果沒有得到及時、有效的管理和疏導,那么將會使患者產生一些嚴重的并發癥狀或者造成病人死亡[2]。
  1.3 缺乏全面的監護管理
  護理人員需要密切關注患者的臨床體征,對患者手術的標本、患者的衣物以及各類檢測報告留心保存,及時交到病房,避免出現病理診斷單遺失等問題。一旦患者出現任何不良反應,要及時通知醫生。但是現在很多醫院中沒有全面而嚴格的監護管理體制,這對于麻醉恢復室的臨床護理工作也帶來了一定的危險因素[3]。
  2 麻醉恢復室的護理安全隱患防范對策
  針對上述問題,麻醉恢復室可以通過預防交叉感染,防止病人躁動,建立全面的管理機制等方式,開展護理安全隱患防范,最大限度的減少護理安全問題的發生,構建和諧的護患關系,為麻醉恢復室患者疾病的緩解和康復創建良好的條件。
  2.1 預防交叉感染
  每天早晚 2 次對麻醉恢復室進行空氣紫外線的照射消毒,每天堅持采用含氯消毒液對地面、臺面進行擦拭 2 次,患者所接觸的物品均為一人一換或者使用一次性的耗材,避免交叉感染問題的出現。護理人員要注意嚴格實施無菌操作,保證麻醉恢復室中的清潔度[4]。
  2.2 防止病人躁動
  采用約束工具對出現躁動或者易于出現躁動的患者進行適當約束,通常借助約束帶約束患者腕部和膝關節上方位置 10 厘米的位置,采用四頭帶固定好患者的胸部和腹部位置,約束的過程當中要注意松弛有度,切不可過于緊而阻擋患者血液的正常流動,也不可過于松而無法產生約束的效果。
  護理人員要注意密切觀察患者的臨床癥狀以及引流液的流通情況,一旦發生意外情況或者異常現象要及時通知醫生[5]。
  2.3 建立全面的管理機制
  麻醉恢復室可以建立嚴格的監督和管理機制,成立安全管理小組,對麻醉恢復室中可能會出現的護理安全隱患進行日常的監督和觀察,每天在檢查后進行記錄并反饋,每周開展麻醉恢復室的護理質量匯報,對于出現的問題進行回顧和改進,對于沒有出現的問題加以注意和防范,提升每一位麻醉恢復室護理人員的綜合素質以及對護理的重視程度。同時,可以通過適當開展教育課程等方式,提升麻醉恢復室護理人員的相關法律知識了解程度,提升護理人員的護患溝通能力,從而最大限度的減少護患之間沒有必要的爭吵以及醫療糾紛問題,營造舒適而和諧的麻醉恢復室康復氛圍。
  3 小結
  對麻醉恢復室易于出現護理安全隱患的內容進行觀察和評估,并結合具體的問題以及護理安全隱患,提出相應的防范和解決對策,能夠有效降低麻醉恢復室的護理安全問題,更好的開展臨床治療工作,對于患者的治療和康復具有積極的影響。當前麻醉恢復室護理安全隱患主要存在潛在的交叉感染、病人躁動問題、缺乏全面的監護管理等等,結合這些問題, 麻醉恢復室可以通過預防交叉感染,防止病人躁動,建立全面的管理機制等方式,開展護理安全隱患防范,最大限度的減少護理安全問題的發生,構建和諧的護患關系,為麻醉恢復室患者疾病的緩解和康復創建良好的條件。有效的護理安全隱患分析以及防范對策研究是護理管理的重要組成部分之一,有利于提升護理的綜合質量,值得在臨床護理中廣泛推廣和應用。
  參考文獻
  [1]白麗麗.老年肺心病患者常見的護理安全隱患與防范對策[J].基層醫學論壇,2015,19(06): 810-811.
  [2]張平,劉敏,李福宣,白曉霞.應用品管圈活動提高麻醉恢復 室 交 班 完 整 性 的 效 果 觀 察 [J]. 實 用 醫 院 臨 床 雜志,2014,11(06): 176-178.
  [3]許菊霞,周春蓮,陳春玲.持續質量改進在麻醉恢復室感染控制中的應用[J].醫院管理論壇,2012,29(11): 15-17.
  [4]王艷蕓,殷麗,武佳麗.神經內科老年癡呆患者常見的護理安全隱患與防范措施[J].現代養生,2014,(06): 186.
  [5]丁紅,肖倫華,姜玉梅,何利君.基于圓形統計分析的麻醉恢復室護士梭形排班法的創建及應用 [J]. 護理管理雜志,2014,14(02):151-152.



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