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创建Perianesthesia紧急护士资源角色以防止救援失败:一个质量改进项目
Hollie L Thornton1, Jacque A Crosson2, JoAnn L Anderson3
1Perianesthesia Nursing, Main PACU, Mayo Clinic, Phoenix, AZ.
概括
周围麻醉急诊护士 (PEN) 的角色减少了麻醉后护理单位 (PACU) 的快速响应呼叫. 这位专业护士改善了患者安全和工作人员支持,减少了救援失败事件.
科学领域:
- 护理 护理 护理
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 麻醉后护理单位 (PACU) 面临的挑战是患者经历血液动力学不稳定.
- 在PACU中可能发生救援失败事件,需要迅速干预.
- 一个专门的护理角色可以提高关键设置中的患者护理和安全.
研究的目的:
- 在PACU中实施和评估Perianesthesia紧急护士 (PEN) 的角色.
- 为了减少在PACU中失败救援事件的发生率.
- 为PACU工作人员提供实时支持和教育.
主要方法:
- 一个质量改进项目使用计划-做-研究-行动方法进行.
- 该PEN角色需要具备特定的资格,包括重症监护经验和PACU任职.
- 提供了关于管理低氧和低血压等医疗事件的专业教育.
主要成果:
- 实施PEN角色导致快速响应电话的数量大幅下降 (4.8%对11.1%).
- 工作人员压倒性地支持PEN的作用,100%的人认为它是有益的.
- 该PEN计划确定了实践差距,并促进了与麻醉的合作,以改善患者护理.
结论:
- 周围麻醉急救护士角色成功试点并集成到PACU人员中.
- PEN的作用有效地减少了周围麻醉失败救援事件,并加强了工作人员的支持.
- 在PACU中PEN的评估减少了患者转移到病房后的随后快速响应电话.
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