Berg Brandy, Arnone Chantel, Cannon-Davis Janine, Foley Andi
Emergency Department, FHS St. Francis Hospital, Federal Way, WA, USA.
J Emerg Nurs. 2013 Jul;39(4):409-11. doi: 10.1016/j.jen.2013.03.017. Epub 2013 May 6.
Obtaining an actual weight is critical to accurate medication dosing. Knowledge of length/height is critical to equipment sizing. Rapid and accurate measurement of both upon arrival at the emergency department increases patient safety and staff comfort in the case of a decompensating child requiring resuscitation. Having a process in place that works with the layout, medical record, and budget of the department increases safety for the patient and may improve outcomes, and if the process is led by staff champions, acceptance of the process may be faster. Regardless of the actual method, patient safety and staff satisfaction can be improved with a simple process that prepares for an emergency in pediatric care.
获取实际体重对于准确给药至关重要。了解身长/身高对于设备尺寸确定至关重要。对于需要复苏的失代偿儿童，在抵达急诊科后快速准确地测量这两者可提高患者安全性并让工作人员更安心。制定一个与科室布局、病历和预算相适应的流程可提高患者安全性并可能改善治疗结果，而且如果该流程由工作人员倡导者牵头，流程的接受度可能会更快。无论实际采用何种方法，通过一个为儿科护理紧急情况做好准备的简单流程都可以提高患者安全性和工作人员满意度。
