Hoke Nicole, Falk Scott
Perioperative Nursing, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Anesthesiol Clin. 2012 Sep;30(3):427-31. doi: 10.1016/j.anclin.2012.07.008. Epub 2012 Aug 14.
Patients in the perioperative and postanesthesia care unit (PACU) experience several transitions in patient care at the same time that the majority of major morbidities will arise. The transitions for these patients are at the critical juncture between surgery and a steady sustained recovery. Historically these important medical problems have been addressed as a nonformalized process. The authors have introduced a formalized process, based on interdisciplinary rounding strategies used in intensive care units, to attend patients and address problems.
围手术期和麻醉后护理单元(PACU)的患者在护理过程中会经历多次转变,与此同时,大多数严重疾病也会在这个阶段出现。这些患者的转变处于手术和持续稳定康复的关键节点。从历史上看,这些重要的医疗问题一直通过非规范化的流程来解决。作者引入了一种基于重症监护病房使用的跨学科查房策略的规范化流程,以护理患者并解决问题。