专职协诊护士在急诊联合诊室的设置与成效分析-中国护理管理.PDFVIP

人力资源 Human Resource 专职协诊护士在急诊联合诊室的设置与成效分析 付逸超 黄萍 [ 摘 要] 目的：设置急诊联合诊室专职协诊护士，并对其实施效果进行评价。方法：确定急诊联合诊室专职协诊护士的人 员设置及岗位职责，比较实施前后各一年的急诊候诊时间、不良事件发生例数、病人满意度、诊室床位占用率。结果：Ⅲ级病 人的平均候诊时间由（8.59±2.03）min 缩短至（4.38±1.13）min，诊室的不良事件减少了36 例，病人满意度由90.67% 提高 至 97.00%，诊室床位占用率由1.13%下降至0.92%，差异均具有统计学意义（P0.05）。结论：急诊专职协诊护士的设置能优 化急诊就诊秩序，便于动态观察急诊病人，及时发现病情变化，保障病人安全。 [ 关键词 ] 急诊；联合诊室；协诊护士 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.04.022 Post setting and effects of full time clinical assistant nurse in emergency joint clinic / FU Yichao, HUANG Ping // Emergency Department, the Affiliated Drum Tower Hospital, Nanjing University Medical School, Nanjing, 210008 China /// Chinese Nursing Management-2015,15(4): 462-464 [ ] Abstract Objective: To set up and evaluate the effectiveness of full time clinical assistant nurse in emergency joint clinic. Methods: We constructed the personnel allocation and responsibility of full time clinical assistant nurse in emergency joint clinic, and compared the average waiting time, adverse events rates, patient satisfaction, and clinic bed occupancy rate in ER in one year before and after implement. Results: The waiting time of grade III patients was shortened from 8.59±2.03 to 4.38±1.13 minutes, the adverse events rates was reduced by 36 cases, patient satisfaction was increased from 90.67% to 97.00%, clinic bed occupancy rate was fell from 1.13% to 0.92%, the differences were all statistically significant (P0.05). Conclusion: The implement of full time clinical assistant nurse can optimize emergency medical order, facilitate dynamic observation of emergency patients, find condition change in time and ensure the safety of patients. [ ] Keywords emergency; joint clinic; clinical assistant nurse 作为大型综合性三级甲等医院的急