依托国家重大公共卫生事件医学中心的突发事件应急管理实践

Nursing management practice for emergency events with backing from the National Medical Center for Major Public Health Events

目的探讨依托国家重大公共卫生事件医学中心构建应对突发事件的护理管理策略及实践效果。方法依托国家重大公共卫生事件医学中心组织健全护理应急管理机制,通过应急响应、多点触发、网格分组、定岗定责、开通绿色通道、医护高效协作、成立专护小组、患者身心保障等系列举措,构建突发公共卫生事件应急管理策略,并应用于风灾应急救援实践。结果接到救援任务后,在30 min内集结护理人员50人,在1 h内完成缓冲病区筹备;在3 h内共接诊6批次伤员22例,收治住院伤员11例;平均急诊处置时间8.18 min,平均急诊停留时间10.91 min;所有伤员住院期间均无护理并发症、不良事件及创伤后应急障碍。结论依托国家重大公共卫生事件医学中心创建全面保障的护理管理机制,有利于突发灾害事件的积极应对和有效处置。

Objective To explore nursing management strategies for emergency events with backing from the National Medical Center for Major Public Health Events,and to explore the effect of such practice.Methods Backed by the National Medical Center for Major Public Health Events,we refined the nursing emergency management mechanism,built up a set of nursing management strategies for emergency events,with measures including forging emergency response,setting up multi-point triggering,working with a grid based approach,setting up fixed positions and responsibilities,opening green channel,boosting efficient collaboration of medical personnel,building specialized nursing teams,and guarding physical and mental health of patients,etc.Then the management strategies were put into emergency rescue practice for a windstorm disaster.Results Upon receiving the windstorm disaster rescue mission,50 nurses were assembled within 30 minutes,and the buffer ward was ready within 1 hour.Six waves of wounded persons,totaling 22 persons,received treatment within 3 hours,among whom,11 were admitted to hospital.The average emergency treatment time and average emergency stay time was 8.18 minutes and 10.91 minutes respectively.During hospitalization,there were no nursing related complications,adverse events or post-traumatic stress disorder reported.Conclusion The comprehensive nursing management mechanism built with backing from the National Medical Center for Major Public Health Events,is conducive to active and efficient response to emergency events.