Search

地西他滨联合信迪利单抗治疗难治性蕈样肉芽肿一例

Investigation on Emergency specialized nurses’ core competencies and the influencing factors

Objective To investigate the core competencies of emergency specialized nurses and the influencing factors in Sichuan Province so as to provide a basis for improving the training systems. Methods The trainees who received specialized training in West China Hospital every March and September between 2012 and 2014 were investigated with questionnaire survey. Results A total of 270 questionnaires were given out, and 246 valid questionnaires were retrieved. The scores of emergency specialized nurses’ core competencies ranged from 165 to 258, with an average of 214.55±22.56. According to the scores, 4.88% of the emergency specialized nurses’ core competencies were at a low level, 67.07% were at a middle level and 28.5% were at a high level. The influencing factors of core competencies included education, professional title, position, level of hospitals and years of working experience in the emergency department. Conclusion Core competencies of emergency specialized nurses need to be further improved and the training systems need to be improved consistently.

病房开展“静脉输液安全周”活动的效果与体会

目的总结消化内科病房开展“静脉输液安全周”活动的效果。 方法2014年3月开展以提高静脉输液水平与质量为主题的“静脉输液安全周”活动，通过学习、演练、考核等方式对护理人员进行培训，并各选择行静脉输液治疗的90例患者就开展安全周活动前后输液方式构成差异、针刺伤发生率、静脉输液并发症发生率（包括静脉炎、药液外渗/渗出）、留置针非计划拔管率等情况进行比较。 结果“静脉输液安全周”活动前后其患者输液方式构成差异有统计学意义（P＜0.05）；活动开展后患者静脉炎发生率、留置针非计划拔管情况均明显下降，与活动开展前比较，差异有统计学意义（P＜0.05）。 结论病房开展“静脉输液安全周”活动有利于提高护理人员提高静脉输液质量，降低患者静脉输液并发症，确保静脉输液安全。

交接卡在内镜治疗交接流程中的应用及效果

目的　总结内镜治疗患者交接流程中交接卡的应用及效果。 方法　2011年4月－9月选取接受内镜治疗患者328例，按入院先后时间分为A组（139例）和B组（189例），Ａ、Ｂ两组分别采用传统交接方式和在传统交接基础上改进的交接卡交接方式，比较两组患者内镜治疗后首次用药等待时间、满意度、错误用药等指标。 结果　B组患者术后回病房首次用药等待时间较A组明显缩短，患者满意度提高，两组比较差异有统计学意义（P＜0.05）。 结论　交接卡交接方式用于内镜治疗患者，有利于提高护理服务质量和工作效率，减少安全隐患，提升科室管理品质。