DeWitt Lori
Post Anesthesia Care Unit, Nursing and Surgery Institutes, Cleveland Clinic, Cleveland, OH 44195, USA.
J Perianesth Nurs. 2009 Dec;24(6):356-61. doi: 10.1016/j.jopan.2009.10.004.
Recommended staffing standards were developed by ASPAN to guide decisions for optimal outcomes and efficiency in a PACU. In the midst of a nursing shortage, providing optimal staffing can be challenging. Licensed practical nurses can be educated to meet evidence-based standards for optimal patient recovery. Determining critical skills and competencies and performing a thorough interview assists in selecting suitable licensed practical nurse candidates. Supplying a high-quality orientation contributes to team success. High-performing teams promote greater efficiency in patient care and consequently improve quality of care and staff morale. This article provides details of a model of care that includes licensed practical nurses in the nurse staff mix. Suitability qualities, orientation program, and scope of practice of licensed practical nurses will be discussed. Improved patient experience and efficiency can be successfully achieved with mixed registered and licensed practical nurse PACU staffing.
美国麻醉护士协会制定了推荐人员配备标准,以指导决策,实现麻醉后护理单元(PACU)的最佳效果和效率。在护理人员短缺的情况下,提供最佳人员配备可能具有挑战性。执业护士可以接受培训,以达到基于证据的标准,实现患者的最佳康复。确定关键技能和能力,并进行全面面试,有助于挑选合适的执业护士候选人。提供高质量的入职培训有助于团队取得成功。高效的团队能提高患者护理效率,进而提升护理质量和员工士气。本文详细介绍了一种护理模式,该模式在护士人员配置中纳入了执业护士。将讨论执业护士的适宜素质、入职培训计划和执业范围。麻醉后护理单元采用注册护士和执业护士混合的人员配置,能够成功改善患者体验并提高效率。