Huffling Katie, Schenk Elizabeth
Alliance of Nurses for Healthy Environments, Mount Rainer, Maryland (Ms Huffling); St Patrick Hospital, Missoula, Montana (Dr Schenk); and Washington State University College of Nursing, Spokane (Dr Schenk).
Crit Care Nurs Q. 2014 Jul-Sep;37(3):235-50. doi: 10.1097/CNQ.0000000000000028.
In acute care practice sites, the intensive care unit (ICU) is one of the most resource-intense environments. Replete with energy-intensive equipment, significant waste production, and multiple toxic chemicals, ICUs contribute to environmental harm and may inadvertently have a negative impact on the health of patients, staff, and visitors. This article evaluates the ICU on four areas of environmental sustainability: energy, waste, toxic chemicals, and healing environment and provides concrete actions ICU nurses can take to decrease environmental health risks in the ICU. Case studies of nurses making changes within their hospital practice are also highlighted, as well as resources for nurses starting to make changes at their health care institutions.
在急症护理实践场所中，重症监护病房（ICU）是资源消耗最为密集的环境之一。ICU配备了能源密集型设备，产生大量废物，并含有多种有毒化学物质，对环境造成危害，还可能无意中对患者、医护人员和访客的健康产生负面影响。本文从能源、废物、有毒化学物质和康复环境这四个环境可持续性领域对ICU进行评估，并提供了ICU护士可以采取的具体行动，以降低ICU中的环境健康风险。文中还重点介绍了护士在医院实践中进行变革的案例研究，以及为开始在其医疗机构进行变革的护士提供的资源。
