168例危重患者在安全转运中的观察及护理干预

The viewing and nursing intervention on 168 severe cases during a safe conveying

目的确保患者在转运中的安全,赢得及时的抢救时间。方法分析168例重症患者院内转运途中存在的问题,因人而异,制定相应的安全转运措施。结果有22例(13.0%)患者发生了不同程度的并发症。气管插管移位2例,引流管脱出、输液穿刺针头滑出或造成局部肿胀影响输液畅通18例(10.7%),其余发生心率、血压、呼吸的改变;出现呕吐、烦躁、抽搐等。结论严格执行重症患者的转运措施及制度,转运前权衡与评估,及时与接收科室联系。转运前医护人员的准备、仪器与药物的准备、转运工具的准备、患者的准备、转运过程的监测及病情的观察和记录等对确保患者在转运中的安全有现实意义。

Objective To ensure a safe conveying of patients,and gain the valuable rescue time. Methods A detailed analysis was performed on the existing prombles during the safe conveying of 168 severe cases, and then a series of safety measures were formulated aiming at the conveying of patients. Results Twenty-two patients （13.0%） suffered from different degree of complications, in which 2 cases displayed trachea cannula shifting, 18 cases （10.7 % ） displayed drainage tube extrusion, or transfusion blockage resulting from infusion needle sliding off-caused local swelling. The other complications included changes of beart rate, blood pressure,;espiratory rate; vomiting , restless- ness,byperspasmia,and so on. Conclusion We must pay more attention to strict implementation of safety measures and rules in the conveying process, weighing and assessing before conveying, timely contact with the receiving department, sufficient preparation of the medical staff, patients, equipments, drugs, conveying tools ~ minitoring during conveying; observation and record of pathogenetic condition,which has practical importance to ensure the safety of patients during conveying.