Nielsen-Tietsort J, Poole B, Creagh C E, Repsher L E
Respir Care. 1981 May;26(5):430-6.
The difficulty of delivering respiratory therapy according to currently accepted standards is an important problem in many hospitals. As a result of this problem in our hospital, we developed a new therapy delivery system--the Respiratory Care Protocol. In response to an order for Respiratory Care Protocol from an attending physician, a senior respiratory therapist evaluates the patient, prescribes specific respiratory therapy according to a protocol, and then daily re-evaluates the patient and makes appropriate therapeutic changes, including discontinuing respiratory therapy when appropriate. The Respiratory Care Protocol has been well-accepted by patients, physicians, and respiratory therapists, and by Joint Commission on Accreditation of Hospitals evaluation teams. We believe that our use of the Respiratory Care Protocol has led to improved quality and to the reduced cost of our in-hospital respiratory care.
按照目前公认的标准提供呼吸治疗存在困难,这在许多医院都是一个重要问题。由于我院存在这个问题,我们开发了一种新的治疗输送系统——呼吸护理方案。根据主治医生发出的呼吸护理方案医嘱,资深呼吸治疗师对患者进行评估,按照方案开出特定的呼吸治疗方法,然后每天对患者进行重新评估并做出适当的治疗调整,包括在适当的时候停止呼吸治疗。呼吸护理方案已得到患者、医生、呼吸治疗师以及医院评审联合委员会评估团队的认可。我们认为,使用呼吸护理方案提高了我院住院呼吸护理的质量并降低了成本。