护理标识在RhD阴性患者安全输血中的应用

Application of nursing sign in blood transfusion of RhD negative patients

目的探讨护理标识在RhD（-）患者安全输血中的作用。方法2010年5月至2011年9月对RhD（-）患者应用护理标识，输血科将RhD（-）血型检验报告单及RhD（-）标识牌一同发放给护士，经双人核对无误后悬挂于患者床头；如患者转科、手术时，标识牌一同转交相应科室，直至出院将其返还输血科。采用问卷调查护理人员对RhD（-）患者输血安全知识的掌握情况并进行培训。结果应用RhD（-）标识牌后，RhD（-）患者输血76例次，无输血差错或纠纷发生。培训后护士对相关知识知晓率达100％。结论RhD（-）标识牌的使用即尊重了患者的知情同意权，又能够警示医务人员和患者，防止出现输血差错，保证了输血安全。

Objective To discuss the function of nursing sign in blood transfusion of RhD negative patients. Methods From May 2010 to September 2011, nursing signs were used in RhD negative patients. The blood transfusion department distributed the report of blood type test and an ＂RhD（-） ＂ sign to the nurse. After double check, the sign was hang on the patient＇ s bed. In the event of transfer or operation, the sign was delivered to the next department. When the patient was discharged, the sign was returned to the blood transfusion department. A questionnaire survey was conducted to investigate blood transfusion safety knowledge of RhD negative patient of the nurses and corresponding training was carried out. Results After the use of ＂RhD （-）＂ sign, 76 RhD negative blood patients received blood transfusion and no blood transfusion dispute or mistake was reported. Awareness of relative knowledge of the nurses was 100% after the training. Conclusions The use of ＂RhD （-）＂ sign protects the patients＇ right of informed consent and can caution medical personnel and patients, prevent blood transfusion mistakes and ensure the transfusion safety.