在COVID-19大流行期间优化重症监护病房的护理工作量:规划易受定位
Guglielmo Imbriaco1,2, Alessandro Monesi2,3, Carlo Alberto Mazzoli4
1Centrale Operativa 118 Emilia Est, Prehospital Emergency, Helicopter Emergency Medical Service, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy.
在重症监护病房 (ICU) 的卧床位置要求很高. 在增加护理人员的班次中安排这些程序可以优化患者的护理,并符合持续时间的临床建议.
科学领域:
- 关键护理医学 关键护理医学
- 护理管理 护理管理
- 患者安全 患者安全
背景情况:
- 卧床是一个复杂的程序,需要大量的重症监护室 (ICU) 工作人员.
- 在COVID-19大流行期间,工作量增加和人员减少增加了ICU护士的负担,可能会影响患者的安全.
- 需要有效的策略来管理容易定位期间的护理工作量.
研究的目的:
- 分析俯卧和仰卧定位程序的每小时分布.
- 评估护理人员水平对程序时间的影响.
- 为优化在倾斜定位期间护理工作负载的策略提供信息.
主要方法:
- 机械呼吸,危急病患者的回顾性图表审查.
- 在COVID-19第一波和第二波 (2020年3月至2021年5月) 期间分析和置程序.
- 检查与护理人员可用性相关的程序时间.
主要成果:
- 分析了303个程序.
- 49.3%的pronations和55.8%的supinations发生在增加护理人员 (早上和下午) 的轮班期间.
- pronation机动需要至少五名医疗保健提供者,并记录了六次设备位移.
结论:
- 复杂任务的战略规划,如容易定位,对于优化ICU护理工作量至关重要.
- 有组织的调度促进了至少16小时的倾向性定位周期,与临床指南保持一致.
- 优化的工作流改善了患者的护理和遵守治疗方案.
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