Tamminen-Peter Leena, Nygren Kimmo
Ergosolutions BC, Turku, Finland.
Satakunta Hospital District, Pori, Finland.
Work. 2019;64(3):661-667. doi: 10.3233/WOR-193002.
Perioperative nurses have several high-risk tasks. Musculoskeletal disorders (MSDs) are severe problems, while preventive measures are mostly insufficient. The 'Ergonomic patient handling card®' education scheme was introduced in Finland in 2009 aimed at improving both nurses' and patients' safety. Experiences of this multicomponent program from the care units and home care are good; the physical workload and sickness absences due to MSDs are decreasing. As the perioperative nurses' work in operating rooms (OR) varies considerably from the work in care units, a special education scheme needed to be developed.
The aim was to plan the 'Ergonomic patient handling card®' perioperative care education scheme [later pCard] and to define competencies, skills, and knowledge levels required to perform perioperative work safely, complying with legislative requirements, OR-safety and care quality.
Using a focus group and risk assessments in the acute care hospital the most stressful tasks in ORs in Finland were defined. The planning of the pCard content was based on the risk analysis aimed at defining competencies to mitigate the physical risks and on the evaluation of two pilot courses.
The requested, approved corrections were incorporated into the new pCard scheme. Practical training emphazises working with safe methods and the safe usage of appropriate equipment.
围手术期护士承担着多项高风险任务。肌肉骨骼疾病（MSDs）是严重问题，而预防措施大多不足。2009年芬兰引入了“人体工程学患者搬运卡®”教育计划，旨在提高护士和患者的安全。来自护理单元和家庭护理的这个多组分项目的经验良好；因MSDs导致的体力工作量和病假正在减少。由于围手术期护士在手术室（OR）的工作与护理单元的工作有很大不同，因此需要制定一项特殊的教育计划。
目的是规划“人体工程学患者搬运卡®”围手术期护理教育计划[后称pCard]，并确定安全开展围手术期工作、符合立法要求、手术室安全和护理质量所需的能力、技能和知识水平。
通过在急症医院使用焦点小组和风险评估，确定了芬兰手术室中压力最大的任务。pCard内容的规划基于旨在确定减轻身体风险能力的风险分析以及对两门试点课程的评估。
所要求的、已批准的修改内容已纳入新的pCard计划。实践培训强调使用安全方法和安全使用适当设备。
Zotero 插件