护理学报
護理學報
호이학보
JOURNAL OF NURSING
2014年
5期
57-60
,共4页
申叶林%昌艳军%黄蝶卿%孙跃玉%邝惠冰%王晓钰
申葉林%昌豔軍%黃蝶卿%孫躍玉%鄺惠冰%王曉鈺
신협림%창염군%황접경%손약옥%광혜빙%왕효옥
传染病%院间转运%危重症%患儿
傳染病%院間轉運%危重癥%患兒
전염병%원간전운%위중증%환인
infectious disease%interhospital transport%critically ill%pediatric patient
总结接收83例院际转运危重症传染病患儿的护理。做好充分的转运设备准备和合适人员的配备;到达当地医院后护士先与家属沟通,签订转运知情同意书,详细评估患儿的病情,配合医生维持患儿病情的稳定,采取合理的隔离措施,做好患儿家属的健康宣教,对途中可能出现的病情变化做好充分的评估和准备;转运途中妥善安置患儿,加强病情的观察和处理,做好家属和患儿的安抚。患儿均安全入住儿童重症监护室进行隔离治疗,83例患儿中治愈78例,好转签字出院2例,死亡3例;转运人员、接触的工作人员及病房其他患儿未出现1例相关疾病的传染。
總結接收83例院際轉運危重癥傳染病患兒的護理。做好充分的轉運設備準備和閤適人員的配備;到達噹地醫院後護士先與傢屬溝通,籤訂轉運知情同意書,詳細評估患兒的病情,配閤醫生維持患兒病情的穩定,採取閤理的隔離措施,做好患兒傢屬的健康宣教,對途中可能齣現的病情變化做好充分的評估和準備;轉運途中妥善安置患兒,加彊病情的觀察和處理,做好傢屬和患兒的安撫。患兒均安全入住兒童重癥鑑護室進行隔離治療,83例患兒中治愈78例,好轉籤字齣院2例,死亡3例;轉運人員、接觸的工作人員及病房其他患兒未齣現1例相關疾病的傳染。
총결접수83례원제전운위중증전염병환인적호리。주호충분적전운설비준비화합괄인원적배비;도체당지의원후호사선여가속구통,첨정전운지정동의서,상세평고환인적병정,배합의생유지환인병정적은정,채취합리적격리조시,주호환인가속적건강선교,대도중가능출현적병정변화주호충분적평고화준비;전운도중타선안치환인,가강병정적관찰화처리,주호가속화환인적안무。환인균안전입주인동중증감호실진행격리치료,83례환인중치유78례,호전첨자출원2례,사망3례;전운인원、접촉적공작인원급병방기타환인미출현1례상관질병적전염。
To summarize the nursing of 83 critically ill children with infectious disease during interhospital transport.Before the transport, it was important to prepare sufficient transport materials and appropriate personnel. After reaching the local hospital, the nurses in the transport should make full assessment and preparation for potential illness changes during the transport, keep the patient in stable condition with the doctor, take reasonable isolation measures and make health education for patients ’ family; on the way back to the destination hospital, the nurses should properly settle the patient, closely observe patient ’s condition and make patients get timely treatment and pacify patients and their parents.None of the patients died during the transport and all of them were hospitalized in the pediatric intensive care unit (PICU)to get isolation and treatment. Of the total,seventy-eight patients recovered and two of them gave up treatment while three of them died.No infection by infectious diseases occurred among medical staff and patients.