Slapping forcefully is definitely wrong. Is the statement "slapping the child with hands to keep the child awake" reasonable from a nursing perspective? A Beijing News reporter interviewed Dr. Zhang from the ICU department of a tertiary hospital in Beijing yesterday. Dr. Zhang said: "Even if it is to wake up the patient, you should not fan the patient with your hands. It does not comply with nursing standards." According to Dr. Zhang, in order to ensure that To prevent patients undergoing general anesthesia surgery from falling into drowsiness and suffocation, some external stimulation is indeed required for the patient. Under normal circumstances, the patient's consciousness is checked every half hour or one hour after surgery. The standard method is to gently press the patient's eye socket or pat the shoulder. "It's definitely wrong to slap someone hard." According to the Guiyang Evening News, what happened on May 8 was disclosed by the media, causing quite a shock within the Guizhou Provincial Hospital and triggering a big discussion. A tertiary hospital in Guizhou Province organized medical staff to watch the video and then asked them whether such behavior was appropriate. Everyone who watched thought: "It's really inappropriate to be so 'awakened'."
Then the Guizhou Provincial Department of Health conducted an investigation and determined that this was a serious violation of nursing standards and a loss of professional ethics for medical staff. The hospital was ordered to suspend the head of the intensive care unit, remove the head nurse, and fire the nurse on duty. After the incident, the Guizhou Provincial Department of Health sent two working groups to the Guizhou Provincial People's Hospital to investigate and understand the relevant situation. At the same time, it organized experts to watch relevant surveillance videos and evaluate the nurse's behavior. It was clearly believed that the nurse on duty slapped the child's face. This is not a wake-up behavior after routine sedation and analgesia in intensive care. It is determined that this is a serious violation of nursing standards and a loss of professional ethics for medical staff. The Guizhou Provincial People's Hospital has been ordered to suspend the person in charge of the intensive care unit where the incident occurred and the head nurse. Remove from duty and fire the nurse on duty. The Guizhou Provincial Department of Health stated that although this incident occurred at the Provincial People's Hospital, the Provincial Department of Health, as the superior department, also has unshirkable management responsibilities and will further reflect deeply and effectively strengthen the business management and standardization of medical and health institutions at all levels. The hospital's clinical nursing work, and this incident serves as a lesson, notifies the province's health system with warnings, strengthens industry style rectification and professional ethics education, urges medical and health institutions at all levels to strictly implement nursing standards and related systems, and effectively safeguard the health of the people.
It is also understood that on May 31, Guizhou Provincial People's Hospital issued a "Letter of Apology" to the public regarding this incident, which seriously violated hospital regulations and professional ethics and caused great harm to the families of the children. I would like to apologize to the families of the children and all walks of life for the psychological harm caused. In addition, Guizhou Provincial People's Hospital and the patient's family reached an agreement on May 30 to resolve this medical dispute.
Case analysis:
Nurses’ concepts have not been updated enough. For a long time, nursing work has been accustomed to disease-centered care, with the implementation of doctor’s orders and standardized technical operations as the fundamental goal. Nurses are mechanically involved every day. Engaging in nursing work boringly, lacking work enthusiasm, unwillingness to make progress, and no dedication to work;
The cultural hierarchy of nurses is low. With the changes in the medical model, the overall understanding of patients has been strengthened, and nursing The focus of work has changed from simple disease care to all-round care of patients' psychology and society, which has changed the working methods and roles of nurses. The work of nurses is no longer passive, simply carrying out doctor's orders and various nursing technical operations. It is about proactively understanding and helping patients comprehensively and systematically.
Hospital leaders do not pay enough attention to nursing work. Hospital leaders have been accustomed to the traditional nursing model for decades. It is generally believed that in addition to taking care of patients' daily life, nurses' work is mainly to cooperate with doctors to complete various treatment tasks. Because nursing work is not fully recognized and understood, nurses are in a passive state at work and do not seek development or progress. This results in low quality of nursing services, patients do not get the care they deserve, and patients suffer. And it's very dangerous.
Response plan:
Build a "three modernization" nursing team
Work standardization - the basis of nursing work
Work standardization mainly refers to Formulate standards, organize the implementation of standards and supervise and inspect the implementation of standards. For hospital nursing work, there must be standards for every link from admission care, morning care... to discharge care. There are not only technical standards, but also management standards, work standards, etc., that is, a complete system must be established. Standardization work. Doing a good job in standardizing hospital care can play an important role in shaping a good image of the hospital and building a hospital brand.
Service star-level-the sublimation of nursing work
Service star-level mainly refers to the level of nursing services. The nursing services in many hospitals cannot be called service at all, let alone star-rated services. The reason for this is naturally the low service awareness of individual nursing staff. After a closer look, it is not difficult to see that it is related to the lack or in-depth training of the hospital's service requirements and service skills for nursing staff. Nowadays, most hospitals have realized that only by winning patients can they win the world, so they have started to play the service card. But what is the level of service? It remains to be seen. The China Hospital Training Network has combined a number of hospital experts and scholars to carry out in-depth and targeted systematic training from all aspects of nursing services, so as to raise the level of nursing services and truly achieve star-level services.
The art of communication - the guarantee of nursing work
The meaning of communication is not only the transmission of information, but also needs to be understood. Different understandings of communication create communication difficulties and obstacles, which ultimately lead to communication failure. In our actual work process, the inability to communicate effectively is indeed a big obstacle and a very important reason for low work efficiency. Communicating by mastering the necessary art of communication is like a machine being coated with a layer of high-grade lubricant. Making good use of the art of communication can make people enjoy their work, enable the hospital or individuals to avoid danger in critical moments, and promote the harmonious development of the hospital.