安全的患者处理和压力伤害预防对于延迟关闭的患者
Jason Stokes1, Jessica Seabrooks2, Yeu-Li Yeung3
1Jason Stokes is an assistant nurse manager in the cardiothoracic intensive care unit (CTICU), Duke University Hospital, Durham, North Carolina.
Critical care nurse
|July 31, 2023
概括
为了安全地移动有延迟胸关闭的患者,新的协议减少了患者的压力伤害,并防止了工作人员的伤害. 这种创新方法可确保对高风险心脏手术患者进行彻底的皮肤评估和护理.
科学领域:
- 心血管外科心血管外科
- 患者安全 患者安全
- 伤口护理 伤口护理
背景情况:
- 心脏手术后的延迟胸关闭增加了由于有限的运动和评估而造成压力损伤的风险.
- 对这些患者的安全处理带来了挑战,可能会对患者和工作人员造成伤害.
研究的目的:
- 开发和实施一个安全的患者流动性协议,用于延迟胸关闭的个体.
- 为了减轻这种脆弱的患者群体中压力损伤和工作人员伤害的风险.
主要方法:
- 一个跨专业团队创建了一个协议,涉及患者悬浮,以进行全面的皮肤评估和护理.
- 一个多式联运教育策略向工作人员传播了该协议.
- 收集的数据包括手术类型,悬浮结果,评估完成,干预和工作人员受伤情况.
主要成果:
- 在50名患者身上进行了84次悬浮,没有报告人员受伤.
- 在98%的患者中实现了全面的皮肤评估和护理.
- 五名患者患有压力损伤,并及时接受干预.
结论:
- 使用可用设备的标准化流动性协议成功降低了患者和工作人员受伤风险.
- 该协议促进了基本的皮肤评估和护理,降低了压力损伤的发生率.
- 这种创新方法提高了患者的护理和提高了员工的安全.
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