Kelly Linda J, Buchan Esther, Brown Ann, Tehrani Yvonne, Cowan Debbie
Vascular Access Service, Gartnaval General Hospital, Glasgow.
Nurs Times. 2009;105(24):16-8.
The management and care of patients in Greater Glasgow and Clyde needing long-term vascular access has changed markedly over the past six years. A nurse-led vascular access service has been introduced to reduce waiting times for patients requiring long-term venous access for treatments such as chemotherapy, long-term antibiotics, renal dialysis and feeding. Nurses in the service now insert tunnelled central venous catheters (TCVCs) and also educate and train other healthcare professionals. This service has led to a reduction in complications and provided a source of expert advice for both patients and healthcare professionals.
在过去六年里,大格拉斯哥和克莱德地区需要长期血管通路的患者的管理与护理发生了显著变化。现已引入一项由护士主导的血管通路服务,以减少需要长期静脉通路进行化疗、长期使用抗生素、肾透析和喂食等治疗的患者的等待时间。该服务中的护士现在可插入隧道式中心静脉导管(TCVCs),并对其他医疗专业人员进行教育和培训。这项服务减少了并发症的发生,并为患者和医疗专业人员提供了专家建议来源。