摘要
目的探讨急性重度中毒患者安全顺利接机转运救护过程中的安全管理方法。方法针对6例急性重度中毒患者接机转运的任务,迅速启动中毒救治接机转运应急救援方案预案,成立接机转运应急救援队、备齐急救药品器材、做好中毒救治中心监护室急救准备、做细后勤保障与环境安全等接机转运前安全管理工作;并做好病情判断对症救治、统一协调安全转运、患者情况的详细交接等接机转运过程中的安全管理工作。结果 6例急性重度中毒患者全部成功安全顺利接机转运,未发生紧急和意外情况,平均住院55.5 d;2例患者治疗效果好,安全出院;2例患者因病情危重,家属强烈要求停止一切抢救放弃治疗出院;2例患者因病情危重抢救无效死亡。结论 6例急性重度中毒患者的成功接机转运,得益于领导的高度重视、统一协调的指挥、完善的接机转运方案预案和流程的实施、各部门的通力合作、各项准备工作与患者交接工作的认真细致的落实及备齐备强一支中毒救治专业能力强的医务人员应急转运救援队员至关重要。
Objective To explore the safety management of pickup and transportation of acute severe poisoning patients(ASP)by medical rescue helicopters.Methods For the task of pickup and transportation of six ASPs,we quickly started an emergency rescue plans including establishing a rescue team,preparing for first-aid medicine and equipment,preparing for intensive care unit in Poisoning Treatment Center,completing safety management carefully before and during the pickup and transportation such as logistic service,environmental safety,timely diagnosis,cooperation in different departments and handover of patients’information.Results Six ASPs were picked up and transported smoothly without any accidents.The average length of stay was 55.5 days.Two patients were discharged with good outcome but two patients with critical condition were discharged without any rescue or treatment under the will of family members and two died.Conclusion A detailed plan plays an important role in the safety management of pickup and transportation of ASPs.Great importance attached by leaders of the hospital,coordination and cooperation of different departments and a well-trained,professional rescue team for emergency transport and poisoning treatment contribute to the success of pickup and transportation.
作者
周染云
王宏
张敏
郭营瑾
杨亚婷
韩丽梅
ZHOU Ran-Yun;WANG Hong;ZHANG Min;GUO Ying-jin;YANG Ya-ting;HAN Li-mei(Dept.of Nursing,Affiliated Hospital of PLA Academy of Military Medical Science,Beijing 100071,China;Poisoning Treatment Section,Affiliated Hospital of PLA Academy of Military Medical Science,Beijing 100071,China;First Unit of Neurosurgery,Affiliated Hospital of PLA Academy of Military Medical Science,Beijing 100071,China;Intensive Care Unit of Poisoning Treatment Section,Affiliated Hospital of PLA Academy of Military Medical Science,Beijing 100071,China)
出处
《护理学报》
2018年第8期9-12,共4页
Journal of Nursing（China）
关键词
急性重度中毒
危重患者
空中救援
接机转运护理安全
护理管理
acute severe poisoning
critical patients
air rescue
safety of pickup and transportation
nursing management
