我院《手术室护士预防用抗生素执行流程》的实施情况分析

Analysis of the Implementation of Prophylactic Antibiotic Administration Process for Operation Room Nurses in Our Hospital

目的:探讨我院《手术室护士预防用抗生素执行流程》的实施情况,促进抗生素合理应用。方法:结合我院手术室用药特点及相关指南,设计《手术室护士预防性应用抗生素流程》(简称《流程》),培训护士按《流程》用药;比较《流程》实施前、后护士的用药情况(切皮前30min内、手术时间>3h及失血>1500mL时),对相关数据及护士对《流程》的反馈信息进行分析。结果:《流程》实施前、后护士预防用抗生素的情况比较有明显差异(P<0.01),实施前用药合格率仅为25%,实施后上升至87%。结论:合理的流程可以让护士工作更具条理性和计划性,能有效促进护士的专业自主性和领导力,有利于促进《外科手术部位感染预防与控制技术指南(试行)》的实施。

OBJECTIVE:To explore the implementation of Prophylactic Antibiotic Administration Process for Operation Room Nurse in our hospital,and to promote the rational use of antibiotics.METHODS:Prophylactic Antibiotic Administration Process for Operation Room Nurse(called Process for short) was designed according to the characteristics of operation room and relative guidance.Administration before and after implementation of Process(30 min before incision of skin,operation >3 h and blood lose >1 500 mL)were co...