夜间值班

Night watch.

作者信息

Carlson Kathy

机构信息

Surgical Services, PACU and Preoperative Care, Abbott-Northwestern Hospital, Minneapolis, MN 55149, USA.

出版信息

J Perianesth Nurs. 2005 Dec;20(6):399-403. doi: 10.1016/j.jopan.2005.09.005.

DOI:10.1016/j.jopan.2005.09.005

PMID:16387271

Abstract

In many hospitals, the postanesthesia care unit (PACU) functions 24 hours per day. Nurses "on-call" often cover nights, weekends, and holidays. It has been a struggle for some facilities to meet the American Society of PeriAnesthesia Nurses (ASPAN) standard of care that recommends 2 nurses be present whenever an anesthetized patient recovers in Phase I PACU. Recent practice issues of "holding" patients for inpatient beds, not transferring ICU patients, and admission of patients from the ER to the PACU has complicated staff coverage for the overnight hours in PACU. ASPAN has crafted position statements in response to these issues to guide nurses. This author chronicles one hospital's use of a night nurse to provide staffing stability and care for PACU patients after hours.

摘要

在许多医院，麻醉后护理单元（PACU）每天24小时运作。“随叫随到”的护士经常负责夜间、周末和节假日的工作。对于一些机构来说，要达到美国围麻醉护理学会（ASPAN）的护理标准一直是一项挑战，该标准建议在麻醉患者于PACU第一阶段恢复时，应有两名护士在场。最近出现的一些实际问题，如“留住”患者以等待住院床位、不转运重症监护病房（ICU）患者以及将急诊室患者收治到PACU，使得PACU夜间的人员配备变得复杂。ASPAN针对这些问题制定了立场声明以指导护士工作。本文作者记录了一家医院如何利用夜班护士来确保人员配备稳定并在下班后为PACU患者提供护理。