驻地医院联合整建制驰援医疗队救治新型冠状病毒肺炎的护理管理实践

Nursing management practice in whole-system-takeover model in which national medical aid teams joined local area hospital to combat corona virus disease 2019(COVID-19)

目的探索驻地医院联合整建制驰援医疗队救治新型冠状病毒肺炎患者的护理管理实践效果。方法驻地医院护理部联合来自全国多支驰援医疗队,通过早期动员、搭建组织架构、畅通沟通渠道、整合人力资源、建立统一的护理工作流程和质量标准、进行同质化培训和考核、加强过程控制等多措并举,共同践行同质化护理。结果截至2020年3月12日,累计收治新型冠状病毒肺炎重症、危重症患者3080例,出院患者1524例,进行各类护理会诊300余例次。联合护理部各项护理管理工作运行有序高效,未发生医疗护理安全事件;医护人员未发生新型冠状病毒感染。结论驻地医院联合整建制驰援医疗队进行科学全面的同质化护理管理,有利于提高管理效能,提升患者救治效果,降低医院感染发生率。

Objective To explore effective nursing management measures for the treatment of critically ill coronavirus disease 2019(COVID-19)cases in a designated area hospital where national medical aid teams served in the manner of whole-system-takeover model.Methods Nursing department staffers from the area hospital worked in partnership with multiple medical aid teams from other parts of China to achieve homogeneous nursing practice through a slew of measures,including early mobilization,establishing organizational structure,smoothing communication channels,integrating human resources,establishing unanimous nursing work protocols and quality,giving homogeneous training and assessment,ramping up process control,etc.Results As of March 12,2020,the designated area hospital admitted 3080 critically ill COVID-19 patients,and discharged 1524 ones.The nurses had over 300 appointments for consultation service with the patients.All nursing management tasks were performed orderly and efficiently by the coalition nursing department.None of the medical workers contracted the infection.Conclusion Scientific and comprehensive measures to carry out homogeneous nursing management with medical aid teams is of great significance to improve the management efficiency,treatment efficacy of patients,and reduce the incidence rate of nosocomial infection.