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1、手术室优质护理服务总结优质护理开展以来，我科室积极响应此项活动，在系统化整体护理的基础上，改变了以往只忙于手术而忽略了患者心理、生理、社会等各方面的因素，使围手术期患者享受到了人性化、系统化、规范化的优质护理服务。自活动启动以来，我科室积极行动，稳步开展工作，取得了显著成效，现总结如下：1、优化工作程序提高工作效率：1）护理人员提前准备。为确保手台手术准时开台，手术室护理人员 7:30 到岗，开始接病人入手术室，器械护士在交班前把手术间器械、液体、床准备好，首台开台率达到了90%。2）缩短连台手术室间隔时间，巡回护士根据当台手术进展情况，适时将接台手术电话通知病房提前做好准备，减少接手术病人时
2、在病房浪费的时间。目前，由于二孩政策的落实，产科病房病人多，护理人员少，接病人时时间仍然较长，未达到预期效果，平均接一个患者到手术室的时间为15 分钟（时间一般均浪费在找病历、拿抗生素、听胎心、打临时医嘱、患者上厕所、等电梯），送一个患者的时间大概为 25 分钟（时间消耗在电梯、病房挪床、铺床、等待护士床头交接病情上），建议医院尽快建立后勤保障系统，把接送病人交给后勤保障人员，一天手术量在20 台的情况下，接送病人最少就要占用2个护士的时间，有了后勤保障系统的支持，会节省了2 个临床护士，不仅减少医院开支，并且会大大提高护理质量，保障护理安全。2、创新服务内容，注重护理细节：1）根据手术医生习
3、惯及操作特点制作“手术医生喜好卡”张贴在交班板上，以提醒护理人员根据医生习惯备齐器械、物品，提高手术配合的质量，全员大夫在副主任以上医师范围内普及率为100%。2）手术室专科化。实行专科管理，采用专科手术组人员固定及轮转制度，成立以手术科室为单位的专业组，设立专业组长和专科组员，提高专科手术配合质量。3、转变工作模式，使服务更加贴近患者1）护士长根据混着病情、手术难度、技术要求等要素对护士进行合理分工，合理排班，建立二线和三线值班，由于东院区地段偏远，在东院设置总住院，增加高峰工作段、薄弱时间段、夜班的护士人力。2）简化护理表格，在 2016年下半年全面实施电子表格，缩短护士书写护理文书的时间
4、，做到“把时间还给护士，把护士还给患者”，为手术患者提高高校、便捷、人性化服务。4、加强手术管理1）手术前一日，巡回护士负责术前访视。根据患者的心理状态、接受能力，做好术前心理护理，简单介绍麻醉方式及手术过程，做好术前健康宣教，妇科择期三级以上手术，术前访视率达到 100%。2）术中患者进入手术间后，巡回护士用通俗易懂的语言介绍手术室环境，麻醉时，指导患者如何与医护人员进行主动配合，告知患者麻醉时的感觉以及麻醉产生的效果，使患者做到心中文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4
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10、A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7
11、A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8有数，消除恐惧心理，手术过程中不谈论与手术无关的话题，不高盛喧哗、谈笑，体现人性化的关爱，术中，为病人输注的液体以及冲洗腹腔的冲洗液均为加温液体，降低病人低体温发生率，目前，温液体使用率达到80%，原因：因手术量加大，护理人员没有时间及时补充，到中午温箱内的液体几乎用尽，所以未达到100%。改进措施：制定专人在某时间段对温箱内液体进行补充。3）术后第一天对患者进行访视。询问患者术后的一般情况及手术并发症等。同时对患者现存
12、的不适给予适当的处理、安慰和解释。了解患者及手术科室对手术室护理的满意程度，每月调查总手术量的 10%，医患满意度达到100%。4）加强围手术期管理，严格执行三方核查制度，严防手术患者和术式错误，在实施过程中，紧扣关键环节，即交接环节、核对环节、转运环节，规定交接患者的具体责任人，保证手术患者安全。通过优质护理服务在手术室的开展，提高了手术室护理人员的服务水平和能力，激发了护理人员的学习意识，在为患者及家属说话时我们总结为：嘴甜一点，心细一点，爱多一点，温柔一点，礼貌一点。做工作时做到行动快一点，动作轻一点，脑筋活一点，理由少一点，效率高一点。凡事以患者为中心。大大提高了工作质量，减少了医疗缺
13、陷和差错，创建了一个和睦融洽的护患关系，得到患者和家属的一致好评。文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M3A9H10O7 ZL2O7A3Y4L8文档编码:CB7Y4V4L1R2 HQ6M
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