First has not " accompanied and attended to the ward" Appear in Chongqing
First has not " accompanied and attended to the ward" Appear in Chongqing
On August 26, the reporter sees in the ward of dept. of orthopedics of the People's Hospital of the district of Banan, accompanies and attends to people enclosing many one differently with each sick bed of other wards, can hardly see that accompanies the patient's relative here. Only see a nurse is busy among each sick bed, help the patient who has an intravenous drip to go to toilet sometimes, help patients to stand up sometimes, by dinner time, nurse's food carrier carries the meal before the sick bed The speciality is attended to " Drive away " Accompany and attend to others and live in Xu Rong of town of a product in Banan district, move in the ward of dept. of orthopedics of the People's Hospital of Banan district in because left foot fracture. In hospital for last 7 days, Xu Rong's family are only come to visit twice. "It is not the family that do not care about me, it is I that do not allow them to come. The wife looks after the old man at home, the son works as a temporary labourer outside again. This has nurses, anything of them manage. " Xu Rong says. Speak room, the intersection of nurse and Min Li come over, underlay pillow of honour Xu. Rong Xu tell reporter whether old man oneself act as accompany and attend to people too in hospital, at wife give birth to child in the past, that flavour does not feel better. "Tired in the evening, there is not place that sleep; The family is far from the hospital, can't have a bath and change the clothes in more than one week. Though look after patients and can not do a lot of work either, hang the bottle staring at everyday, pay the fees and take medicines, even more than to plant heart that the crops hold. " "Several time institute been lived to me,relative in shifts, please partial to by worker as ' for ward ' fine. " Mother-in-law of Liu BenZhen of the same ward, has listened to Xu Rong to agree. Liu BenZhen is 74 years old, because replace hip joint for more than one month in hospital, it is dept. of orthopedics that " has the oldest qualification" Patient. Mother-in-law Liu has calculated accounts for the reporter, she has not been " accompanying and attending to the ward" at present ,The berth fee charged every day is 30 yuan. 3 patients of a ward, in shifts, professional nurse looks after the daily life in 24 hours, responsible for doing rehabilitation to her. If relatives accompany and attend to, relatives must ask for leave or delay the business, not merely delay earning money, work with one's mind or brains labour still; If employ and is partial to workers, must cost 40 yuan every day calculated by market price. "As to the expenses of 30 yuan, certainly ' not accompany and attend to the ward ' it is more worthwhile. " In addition, mother-in-law Liu also expresses that though invites relatives, is partial to the life that workers can look after the patient, but the person without professional knowledge after all, " certainly the nurse is best to look after patients. " " accompany completely " Nurse light in patient's and relative's view knowledge have, live in " accompany and attend to the ward " Saving worry saves effort again. For nurse, it is a big test. "In the daytime I just see what demands everybody has in the ward; Evening every half an hour, come over to make an inspection tour once again. " Guo YongQiong whose front hung head nurse's chest card, is the hospital in order to open " not accompanying and attending to the ward " Backbone that transferred from other departments specially. Talk about and act as " Have not accompanied and attended to the ward " Nurse,say frankly Guo YongQiong " this is getting more difficult than at general duty nurse. " Guo YongQiong thinks, acts as " not accompanying and attending to the ward " Nurse,careful when taking most. To the patient not taking care of oneself, offer and feed food, assistance defecation and urination, wash gargling, rubs one's body with a towel, bubble foot, these the whole link care of trimming the nails, to different people's flavor, will help to get food. "Must let the patient feel, we are his relatives. Though is very trifling, must attend to everything personally. " "Also connect and urinate for patients, it must be different that family and nurse accompany and attend to the result. " Head nurse Guo says, whether the patient's urine color is normal, the amount of urine quantity, can all explain the patient's health, it is not the specialized nursing staff that can not find out these questions. So, 24 nursing staff of dept. of orthopedics all defend the students that the school attended to major now regularly. The reporter knows, has not " accompanied and attended to the ward" in 5 months before the ward of dept. of orthopedics Pilot project,24 person nurse every day according to medical attendance, last attending to, night shift several number of runs division of labour such as being on duty, not only can look after patients in the whole journey, can also carry on the personalized service to the patient, find the slight changes of the condition, psychology in time, reflect to the doctor or dredge in time. "Except know specialized nursing knowledge, make good preparations for psychology that the work load strengthens, also study the psychology and gain knowledge, study the communicative skill with the patient. " A nurse says frankly, have not " accompanied and attended to the ward " Frankly speaking just let the nurse take on" Accompany completely " Role,can on the basis of the patient situation sampling different measure, reach the best nursing result. The patient treats the fee without basically increasing after Banan district Price Bureau is put on record, Banan district the People's Hospital popularizes and has not accompanied the nursing standard of the inpatient area to attend to 80 yuan per day, the second and attend to 50 yuan per day, tertiary and attend to 30 yuan per day for first grade formally on August 1. Generally speaking, attend to first grade in the first three days after the operation, attend to second in back two days, one is tertiary nursing to recover. The nursing expenses heightened, are used mainly for paying the assistant nurse's salary remuneration and relevant insurance premium. "Seem not to accompany the inpatient area to charge and attend to the fee every day, but the therapeutic all-inclusive cost of the patient has not basically increased. " Head of the department Li ZhengYun introduces, implements " not accompanying and attending to the ward " the bone Ago, most patients are or partial to the worker to care for by family, because relatively lack medical knowledge, the proportion which initiates the medical incident is relatively high. "There are 10 examples in the safe appeal of medical treatment that the department received last year, the majority was to get married or be married off and partial to what workers caused carelessly outside, and after implementing a nurse ' accompanied completely ', there is only an example in the safe appeal of medical treatment received in more than half a year this year. " Director Li still lists one group of such data, the department used medicine the rate has already been reduced 33% of last year to 16%! Originally, prevent postoperative complication of patient from in the past, control by the medicine basically; There is nursing of the professional nurse now, they can find the bad reaction in time, some antiinflammatory agents can be deducted or replaced with the slightly cheap medicine, or can leave hospital and recover ahead of time, "in this way the therapeutic all-inclusive cost of the patient, has not basically increased. " Talking with patient, the reporter finds, it is expensive and many that there is no nursing fee which is accompanied the inpatient area though than ordinary inpatient areas, but there is not many 60 sick bed ones left, most patients say that can accept. It is reported, in order to let patients accept " not accompanying and attending to " with all one's heart ,The hospital stipulates that accompanying and attending to the work must be accomplished to patients satisfiedly, if the patient queries to the nurse's work to some extent some day, after verifying through investigation, the patient can avoid paying the same day to attend to the fee. Edition document of this / staff reporter Zhou WenJie
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