The Management Pattern Carried Out in a Cataract Surgery Day Ward

Purpose: To evaluate the management practice and process of a cataract surgery day ward. Methods:From January to December in 2012,a portion of the cataract patients were evaluated for the pattern of day ward management.Methods were as follows:1).Establish the cataract day ward. 2) Enroll the patients who met the following criteria: voluntary, local residents or outsiders who stayed in a hotel near the hospital, accompanied by family, and who had simple senile cataract without any systemic major diseases. 3) Establish the hospitalization process. 4) Analyze the nursing process. After cataract day surgery, the patients were followed for 2 hours and completed a questionnaire about their needs and sentiments. Results: A total of 3971 cases were observed in this study; 49 cases were switched to a normal pattern of hospitalization because of operative complications, 1 case had a strong desire to switch to a normal pattern of hospitalization because of ocular discomfort,8 cases went back to the hospital for treatment because of ocular pain,and 52 cases called on the phone to seek help. Overall, 3820 cases (96.2%) returned on time the next day to visit the doctor.No patients showed severe postoperative complications and 98% expressed great satisfaction with the day ward process.Only 200 cases expressed great concern about not knowing how to deal with postoperative pain,the changes in condition outside the hospital, the therapeutic effects,and the problem of expense reimbursement. Conclusion: Day ward cataract surgery is an efficient and safe mode, and has the potential to relieve the demand for inpatient beds and to ensure timely treatment of the patients. In addition,it helps the patients enjoy health care at public expense,reserving reimbursement for those who need to be hospitalized.Nurses should pay more attention to systemic evaluation of the patients, health education, and psychological guidance,and keep in close communication with doctors, which is the key to ensure the safety of day ward practice.

Infection Control after Surgical Management of Complex Retinal Detachment by Vitrectomy

Purpose:To investigate the risk factors and infection control after vitrectomy.Methods:.By analyzing the risk factors of surgical infection following vitrectomy,.a sound surgical cooperation workflow was established..A system of equipment cleaning,.disinfection, and quarantine was set up. The use of sterile implants and disposable consumables was subject to strict management and the system of operation room environment and sterile technique were strengthened.Results: Infection control during perioperative period was improved and the nursing staff's perceptions of preventing surgical infection were enhanced,.which guaranteed the safety of vitrectomy and controlled the infection rate to levels as low as0.035%.Conclusion: Proper management of vitrectomy plays a pivotal role in the prevention of post-vitrectomy surgical infection.