www.heavensgatel2.fora.pl

[px919557]

Technical improvement of venipuncture


Easy to trace, one day shift eye to enhance the sense of responsibility. Strict implementation of rules and regulations, such as checking system, disinfection and isolation system, shift relief system and so prevent the error accidents. Especially in patients with multiple, surgery and more busy work but also to pay attention to eye, crystal, check and check off items and found that the problem solved in time, even if there is an error, but also to maximize the recovery of the loss, to reduce patient harm. 2.6 focus on physical and mental health nursing staff: nurse charged with the Therefore, managers should apply the scientific method, rational allocation of nursing human resources, work and rest, to avoid human waste and fatigue. Sense of ownership of nurses, nurses working characteristics of each organization of work, to mobilize the enthusiasm of nurses to enable nurses to develop their potential, and bold innovation, and education, studies give the opportunity to give care in their daily lives, in meritorious alumni to give a certain tilt of active service in order to raise awareness of nursing staff to stimulate their enthusiasm to work hard, improve care quality. 2.7 strengthen the quality control department: identification of nursing in the possible risks, analyze the causes, development of risk prevention Branch indoor emergency care measures and plans. Strengthen supervision and management,[link widoczny dla zalogowanych], grasp the key points, regular meetings of potential risks Nursing Forum, find new problems, timely resolution, the better the quality department. 2.8 in patients with medication management and to strengthen equipment management: the establishment of department manuals commonly used drugs, organized nursing staff on a regular basis to learn, understand drug effects, adverse reactions, and incompatibility. Strengthen the management of atropine and other special drugs, marks a clear, if necessary, locked. Regular testing and maintenance of equipment, identify problems and timely reporting. Attention to the quality of medical documents written in 2.9: Organizational learning nursing care documentation standards of writing, attach great importance to the proper medical documentation to write and record. On preoperative and postoperative visual acuity, the results of various examination and treatment of data records to be timely, accurate, complete, and can not be altered. Check the file written every day care situation, identify problems and timely rectification. Ward 3 to discuss eye care is a high risk job, the risk runs through the examination, treatment, care and other segments. Sometimes even the simplest operations can occur unexpectedly. As ophthalmic nurses in addition to master the professional theory and skills, but also to firmly establish the risk awareness, the proper and timely risk prediction, control risk contingency plans to ensure eye health safety. [Received date :2009-03-21 Editing: Hou Xiaoling] the improvement of venous puncture Tanya Ping, Lin Hong (The Fifth Affiliated Hospital of Sun Yat-sen out-patient department, Guangzhou 519000) [Key words] vein; improvement in nursing textbooks often emphasize vein puncture the patient will want to be injected - N by the hand, upper extremity superficial venous filling it to the puncture. However, in actual clinical work, I realize the above method is only suitable for relatively coarse and good elasticity, filling the vessel, and for the special part of blood vessels and thin, elderly, bedridden patients, this approach often leads to puncture failure or punctured blood vessels, causing harm to patients, but also to nursing inconvenience. In order to improve the success rate of vein puncture, the author of attention in the years of work to explore and adopt a better method, and its high success rate, now a brief report of this method is as follows. Intravenous infusion to patients, the first puncture site should be selected and the appropriate blood vessels, with a disinfectant like iodine Yasuji twice the puncture site until the iodine dry, above the puncture site (proximal end) of about 6cm at the bar to stop bleeding zone, below the puncture site will be pushed up a few skin care technology to make blood vessels more filling, patients do not make a fist, especially elderly and frail patients, individual patients do not have to tighten the skin, and nurses need to select the appropriate scalp vein needle, the injection needle with the skin surface into the l5. Angle direct puncture blood vessels. Gently press the blood back to see after the needles fixed to adhesive plaster. If puncture gone back to the blood, often a variety of reasons, sometimes with a touch of nurses to determine the success of the puncture. If the needle valve attached to the vein or blood vessel wall, the needle instincts to subside somewhat after the nurses just a little or adjust the needle position; the case of poor peripheral circulation of patients, nurses syringe needle or infusion tube tied to a remote Withdrawing. I used this method to 120 patients underwent venipuncture were puncture success. Not only reduces the suffering of patients, but also improve work efficiency and harmony of the nurse-patient relationship, patients and nurses get the recognition and praise. Should be widely used. [Received date :2009-03-21 Editing: Meng Lingling Zheng Yingshan]