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使用血管通路装置时的患者安全护理。

Safe patient care when using vascular access devices.

作者信息

Moureau Nancy

机构信息

PICC Excellence, Hartwell, GA, USA.

出版信息

Br J Nurs. 2013;22(2):S14, S16, S18 passim. doi: 10.12968/bjon.2013.22.Sup1.S14.

Abstract

Any health professional providing care and treatment should first do no harm. With many serious infections affecting hospitals, patient scan be fearful. Education and competency processes specific to vascular access devices (VADs) ensure staff have knowledge of the pathophysiology of infection, basic aseptic techniques for cannulation,device management, methods of flushing, assessing device functions,and dressing and securement techniques (Coopersmith et al, 2002;Centers for Disease Control and Prevention (CDC), 2011; Infusion Nurses Society (INS), 2011; Pratt et al, 2007). However, knowledge in these areas is often taken for granted and it is assumed that health professionals are applying such knowledge in practice. Staff education is effective in reducing infection and complications (Coopersmith et al, 2002). Through teaching the Clean, Assess and Clear model, which applies to intravenous access, patient assessment and flushing catheters until clear, the basics of safe intravenous care can be consistently understood and applied, and competency assessed (Moureau, 2012).Education on the principles of aseptic technique. is a necessary for all nurses and doctors to establish a culture of safety in all healthcare settings. Establishing consistent, simple and clear health professional education on the care and maintenance of intravenous devices, in compliance with guidelines and recommendations, is necessary to achieve the best outcomes.

摘要

任何提供护理和治疗的医疗专业人员都应首先做到不伤害患者。由于医院存在许多严重感染情况,患者可能会感到恐惧。针对血管通路装置(VADs)的教育和能力培训流程可确保工作人员了解感染的病理生理学、插管的基本无菌技术、装置管理、冲洗方法、评估装置功能以及敷料和固定技术(库珀史密斯等人,2002年;疾病控制与预防中心(CDC),2011年;输液护理学会(INS),2011年;普拉特等人,2007年)。然而,这些领域的知识常常被视为理所当然,人们认为医疗专业人员在实践中会运用这些知识。工作人员教育在减少感染和并发症方面是有效的(库珀史密斯等人,2002年)。通过教授适用于静脉通路、患者评估和冲洗导管直至通畅的“清洁、评估和通畅”模式,可以始终如一地理解和应用安全静脉护理的基础知识,并对能力进行评估(穆罗,2012年)。无菌技术原则的教育对于所有护士和医生在所有医疗环境中建立安全文化是必要的。按照指南和建议,对静脉装置的护理和维护进行一致、简单且清晰的医疗专业人员教育,对于实现最佳效果是必要的。

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