社区健康中心的急诊服务。

Emergency-room services for a community health center.

作者信息

Carmichael J M, Hak S H, Edgman S M, Caiola S M

出版信息

Am J Hosp Pharm. 1981 Jan;38(1):79-83.

Abstract

The development and maintenance of an organized system of emergency care in isolated ambulatory health-care centers are described. A system of three community health centers, staffed chiefly by midlevel practitioners (i.e., physician's associates and nurse practitioners), had a need to provide occasional emergency care to patients. Emergency care needed to be provided (for up to one hour) until an ambulance arrived to transport the patient to a hospital. A system of emergency care, consisting of treatment protocols, a drug manual, equipment and medications, and a program for periodic inservice education was developed by physicians, midlevel practitioners, and pharmacists. Weekly checks of the supplies and medications are conducted. Lists of supplies and medications stocked, and a sample drug monograph, are included in the paper. The program has resulted in more efficient emergency care, including less confusion in executing and documenting treatment.

摘要

本文描述了在偏远门诊医疗中心建立和维护有组织的急救系统的情况。一个由三个社区医疗中心组成的系统，主要由中级从业者（即医师助理和执业护士）提供人员配备，有必要为患者提供偶尔的急救服务。在救护车到达将患者送往医院之前，需要提供（长达一小时）急救服务。医师、中级从业者和药剂师共同制定了一个急救系统，该系统包括治疗方案、药品手册、设备和药品以及定期在职教育计划。每周都会对物资和药品进行检查。本文还列出了所储备物资和药品的清单以及一份药品样本专论。该计划提高了急救效率，包括在执行和记录治疗过程中减少了混乱。