Callaghan S
Accident and Emergency Department, University Hospital, Aintree, Liverpool, UK.
Accid Emerg Nurs. 1999 Jan;7(1):42-6. doi: 10.1016/s0965-2302(99)80101-5.
The aim of this paper is to demonstrate how the Acute Chest Triage Rapid Intervention Team (ACTRITE), of North Mersey Community (NHS) Trust, (NMCT) was developed and how it functions. Also demonstrated is a retrospective audit of 50 patients cared for by the team. The ACTRITE Service is a development between NMCT and Aintree Chest Centre. This service integrates primary and secondary care for patients with acute exacerbations of chronic obstructive pulmonary disease (COPD). The ACTRITE team is based in the Accident and Emergency (A&E) Department of Fazakerley Hospital, UK. It is a team of nurses specializing in patients with COPD, supported by senior respiratory physicians. Patients who attend A&E with an exacerbation of their chest condition will be assessed by the team to determine if, with suitable medication, nursing and social support they might safely and preferably be cared for at home. The assessment will consider all aspects of the patient problem and the aim is to care for the patient holistically. If home care is deemed appropriate, ACTRITE will provide full support for the patient at home. This includes regular visits from the ACTRITE nurses, supported in the evening and overnight by the district nursing team.
本文旨在展示北默西社区（国民健康服务）信托基金的急性胸痛分诊快速干预团队（ACTRITE）是如何组建的以及如何运作的。同时还展示了对该团队护理的50名患者的回顾性审计。ACTRITE服务是北默西社区信托基金与安特里胸部中心共同开展的项目。该服务为慢性阻塞性肺疾病（COPD）急性加重患者整合了初级和二级护理。ACTRITE团队设在英国法扎克利医院的急诊科。这是一个由专门护理COPD患者的护士组成的团队，并由资深呼吸内科医生提供支持。因胸部疾病加重前往急诊科就诊的患者将由该团队进行评估，以确定在给予适当药物、护理和社会支持的情况下，他们是否可以安全且更适宜在家中接受护理。评估将考虑患者问题的各个方面，目标是对患者进行全面护理。如果认为居家护理合适，ACTRITE将为患者在家中提供全面支持。这包括ACTRITE护士定期探访，晚上和夜间由地区护理团队提供支持。
