浅析对心血管内科病房的护理风险识别及控制体会

Experience of cardiovascular department of internal medicine ward nursing risk identification and control

目的对心血管内科病房存在及各种护理风险进行分析,找出其根本原因,有针对性地对各种现存或潜在的风险进行识别,及时采取措施加以控制,以确保护理人员执业安全及患者安全。方法用个案追踪法采取随机抽样的方式对我院今年上半年心血管内科病房收治30例患者及6名不同层级的护理人员进行现场访谈的方式进行调查并分析。结果心血管内科病人病情变化快,影响患者康复的原因很多,病情复杂多变且心血管疾病患者病情变化的症状不易早期识别等特点与我院心血管内科护理人员专业知识薄弱,未及时观察并采取护理措施对所分管的患者实施早期干预护理措施。结论通过对护理人员进行专科知识的规范化培训及各种风险预警的学习,导致疾病变化了未能及时发现,患者出现了一些的症状或体征未能及时识别并加以控制,导致护理风险或护理不良事件。

Objective Analysis of nursing risk of cardiovascular department of internal medicine ward and various, find out the root cause, targeted to identify existing or potential risk, to take timely measures to control, in order to ensure the safety of nursing staff and patient safety practice. Methods The investigation was carried out by random sampling and analysis with case tracing method of on-site interviews in our hospital in the first half of this year the cardiovascular department of internal medicine ward in 30 patients and 6 different levels of nursing mode. Results The cardiovascular department of internal medicine patients condition changes fast, many factors affecting the rehabilitation of patients, the condition is complex and changeable and cardiovascular disease symptoms change difficult early recognition and our Hospital Cardiovascular Department of internal medicine nursing professional knowledge is weak, not timely observation and nursing measures were taken in charge of the implementation of early intervention measures. Conclusion Through the special knowledge of nurses standardized training and various risk early-warning study, cause the disease changes have not discovered in time, with the timely identification and control some symptoms or signs not, result in the nursing risk or nursing adverse events.