静脉留置针在儿科应用中存在的不安全因素及护理对策

Unsafe factors and nursing countermeasure of venous indwelling needle application existed in the pediatric department

目的:观察静脉留置针在儿科应用中存在的不安全因素,分析原因提出对策以提高其安全性。方法:前瞻性调查600例患儿应用静脉留置针的情况,分析留置过程中存在的不安全因素。结果:发现其不安全因素主要有用留置针穿刺留取血标本时易形成血栓、输液滴注不畅、留置时间短或意外脱落、输液外渗不易察觉、拔针不当、针眼机械摩擦后形成疤痕、封管液肝素剂量难把握等。结论:加强留置针留置期间风险管理,做好患儿家属的健康宣教可提高患儿在静脉留置针使用中的安全性。

Objective To observe the unsafe factors of venous indwelling needle existed in the pediatric department, and to analyze the causes and put forward the countermeasures to improve the security. Method We prospectively studied 600 cases of babies applying the ve- nous indwelling needle and analyzed the unsafe factors existed in the process. Results We found that the unsafe facetor included the follow- ing：It was easy to form the thrombus when used indwelling needle puncture to get blood specimens, solusion infusion was impeded, ~ndwell- ing time was short or accidently fell off,infusion exosmosis was not easy to realize,remove the needles wrongly,it was easy to form the scar after needle eye had mechanical friction,sealing fluid heparin dosage was difficult to assure, etc. Conclusion We should enhance the risk management of indwelling needle, complete the healthy propaganda of baby family member to improve the baby＇s security in using the in- dwelling needle.