院前急救存在的护理风险原因分析与对策

The causes of nursing risk analysis and Countermeasures of pre hospital emergency exists

目的：分析院前急救存在的护理风险，并提出相应的对策。方法：通过回顾性总结我院2012年1月～12月院前出诊2518倒次患者急救时护理风险存在原因。结果：存在护理风险表现在院前急救特殊的工作性质，人员因素，护惠沟通与知情同意告知。护理记录，患者因素，仪器设备物品不完善，车辆及车栽因素，社会因素。结论：针对院前急救中存在的护理风险原因，采取相应的防范措施，能进一步提高院前急救的质量，最大限度地提高院前急救患者抢救成功率，从而保证患者的生命安全，减少医患纠纷。

Objective：To analyze risk of pro--hospital emergency care, and put forward corresponding countermeasures. Methods： Through a retrospec- tive summary of pre--hospital visits in January 2012 -- December 2518 cases patients with emergency nursing risks exist. Results： In pro--hospital emergen- cy nursing risks in the special nature of work and personnel factors,communication and informed consent inform nurse and nursing records,patient factors,im- perfect instruments and equipment items, vehicle and vehicle factors, social factors. Conclusion： Aiming at the existence of pre--hospital first aid nursing risk, put forward to strengthen pro--hospital emergency special nature of the work of propaganda, strengthen risk management consciousness, cultivate nurse pro-- hospital first aid skills, communication skills, attention to standardize the nursing records, to strengthen the management of instruments and equipment, popu- larize first-aid knowledge and skills of the people,is to improve the pre--hospital emergency patients rescue success rate, reduce nursing disputes and ensure the safety of pro-hospital emergency care.