Isu tinoshandisa makuki kuwedzera ruzivo rwako.Nekuramba uchitsvaga webhusaiti ino, unobvuma kushandisa kwedu makuki.Mamwe mashoko.
Iko kusanganiswa kweganda rakakuvara, nyanzvi yekurapa, uye kuenderera mberi kwekutarisa zvinodiwa nevanorwara zvakanyanya vanopisa zvinogona kuita kuti alarm manejimendi dambudziko guru rezvikamu zvekupisa.
Sechikamu chechirongwa chekambani chekudzikisa chenjedzo dzakawandisa uye kuderedza njodzi yekunzwa kuneta, Burns Intensive Care Unit (BICU) yekuNorth Carolina yakabudirira kugadzirisa nyaya dzayo dzakanangana neyuniti.
Kuedza uku kwakaguma nekuderera kunoramba kuripo kwemaaramu asingashande uye yakagadziridzwa nzira dzekutarisira alarm ye21-bed BICU paJaycee Burn Center muNorth Carolina paChapel Hill Medical Center paYunivhesiti yeNorth Carolina.Mune imwe neimwe yezvikamu zvishanu zvekuunganidza data pamusoro pemakore maviri emakore, nhamba yealarms pazuva remurwere yakaramba iri pasi pekutanga kwekutanga.
Iyo "Evidence-Yakavakirwa Chirongwa Chekudzikisa Kuneta Kwealarm muKupisa Inonyanya Kuchengeta Ma Units" inodonongodza hurongwa hwekuvandudza kuchengetedzwa kwearamu, kusanganisira shanduko mumaitiro ekugadzirira ganda uye nzira dzekudzidzisa dzevashandi.Tsvagiridzo iyi yakaburitswa muna Nyamavhuvhu chinyorwa cheCritical Care Nurses (CCN).
Co-munyori Rayna Gorisek, MSN, RN, CCRN, CNL, anonyanya kuita basa redzidzo yevanamukoti vese veBICU, vabatsiri vevakoti uye varapi vekufema.Panguva yekudzidza, aive mukoti wekiriniki IV munzvimbo yekutsva.Parizvino ndiye mukoti mukuru wekiriniki muICU yekuvhiya yeVA Medical Center muDurham, North Carolina.
Tinogona kuvakira pasangano redu-pase kuedza kuita shanduko kuvandudza kutarisa kwevarwere uye kunyevera manejimendi nzira dzakanangana nenharaunda yeBICU.Kunyange muBICU yakanyanyisa, kuburikidza nekushandiswa kwezvino uchapupu-based practice mazano, chinangwa chekuderedza kukuvadzwa kune chokuita nekliniki yekucherechedza zvirongwa zvinogoneka uye zvinogara.”
Nzvimbo yezvokurapa yakagadzira boka rekushanda rakasiyana-siyana rekuchengetedza kuchengetedza mu2015 kuti rizadzise zvinangwa zvekuchengetedzwa kwevarwere munyika yose, izvo zvinoda kuti zvipatara zvigadzirise kuchenjerera kwekuchengetedza kwekutanga kwekuchengetedzwa kwevarwere uye kushandisa nzira dzakajeka kuziva nekugadzirisa zvakakosha Alert.Boka rinoshanda rakaita chirongwa chekuvandudza chinoenderera, chakayedza shanduko diki mumayuniti ega, uye yakashandisa ruzivo rwakadzidzwa kune yakawanda yakawanda yebvunzo.
BICU inobatsira kubva mukudzidza uku kwakaungana, asi inosangana nematambudziko akasiyana ane chekuita nekutarisa varwere vanorwara zvakanyanya vane ganda rakakuvadzwa.
Munguva ye4-vhiki yekutanga yekuunganidza data muna Ndira 2016, avhareji ye110 alarms yakaitika pamubhedha pazuva.Iyo yakawanda maalarm anoenderana netsanangudzo yealarm alarm, zvichiratidza kuti parameter iri kufamba yakananga kuchikumbaridzo chinoda mhinduro yekukurumidza kana alarm yakakosha.
Mukuwedzera, kuongorora kunoratidza kuti anenge ese maaramu asina kukodzera anokonzerwa nekubviswa kwe electrocardiogram (ECG) yekutarisa inotungamira kana kurasikirwa kwekusangana nemurwere.
Ongororo yemabhuku yakaratidza kushaikwa kweakanakisa maitiro ekuvandudza ECG kutungamira kutevedza nekutsva kwetishu munzvimbo yeICU, uye yakatungamira BICU kugadzira nzira nyowani yekugadzirira ganda kunyanya kutsva kwechipfuva, kudikitira, kana Stevens-Johnson syndrome / Varwere vane chepfu epidermal. necrolysis.
Vashandi vakabatanidza hurongwa hwavo hwekuchenjerera uye dzidzo neAmerican Association of Intensive Care Nurses (AACN) chenjedzo yekudzidzira "Kutarisira zviyeuchidzo zvekuchengetedza zvakanyanya mukati mehupenyu hwose: ECG uye pulse oximetry".IAACN Practice Alert murairo wakavakirwa pauchapupu hwakadhindwa uye nhungamiro yekutungamira tsika yehumbowo-hwakavakirwa mukoti munzvimbo ine hutano yebasa.
Mushure mekupindira kwekutanga kwedzidzo, nhamba yezviyeuchidzo panzvimbo yekuunganidza yakaderera nepamusoro pe50% mumavhiki ekutanga e4 mushure mekupindira kwekutanga kwedzidzo, asi yakasimuka panzvimbo yechipiri yekuunganidza.Kusimbiswa zvakare kwedzidzo mumisangano yevashandi, misangano yekuchengetedza, nzvimbo itsva yavanamukoti, uye dzimwe shanduko zvakakonzera kuderera kwenhamba yechenjedzo panzvimbo inotevera yekuunganidza.
Mapoka ekushanda mukati mesangano akakurudzirawo kushandura zvigadziriso zvearamu zvakasara kuti zvideredze mararamiro emagetsi ekuderedza maaramu asingashande achiri kuchengetedza kuchengetedzwa kwevarwere.Ese maICU anosanganisira BICU aita hutsva hutsva hwearamu, izvo zvinogona kubatsira kuwedzera huwandu hwemaalarm muBICU.
"Kuchinja kwehuwandu hwekuzivisa munguva yemakore maviri kunosimbisa kukosha kwekunzwisisa zvimwe zvinhu zvinogona kukanganisa vashandi, kusanganisira unit-level tsika, kushandiswa kwebasa, uye kuchinja kwehutungamiri," akadaro Gorisek.
SeAACN's bimonthly Clinic practice Journal for emergency and intensive care nurses, CCN inzvimbo yakavimbika yeruzivo rwakabatana nekuchengetwa kwepamubhedha kune vanorwara zvakanyanya uye vanorwara zvakanyanya.
Tags: kutsva, kutarisirwa kwakanyanya, dzidzo, kuneta, hutano, kutarisirwa kwakanyanya, mukoti, kufema, ganda, kushushikana, chirwere
Mubvunzurudzo iyi, Muzvinafundo John Rossen akataura nezve chizvarwa chinotevera kutevedzana uye kukanganisa kwayo pakuongororwa kwechirwere.
Mubvunzurudzo iyi, News-Medical yakataura naProfessor Dana Crawford nezvebasa rake rekutsvagisa panguva yeCOVID-19 denda.
Mubvunzurudzo iyi, News-Medical yakataura naDr. Neeraj Narula pamusoro pezvekudya zvakagadziriswa uye kuti izvi zvinogona sei kuwedzera njodzi yako yekuzvimba bowel chirwere (IBD).
News-Medical.Net inopa iyi ruzivo rwezvekurapa sevhisi zvinoenderana nemirairo nemamiriro aya.Ndokumbira utarise kuti ruzivo rwezvekurapa pawebhusaiti ino rwakaitirwa kutsigira pane kutsiva hukama pakati pevarwere nanachiremba/vanachiremba uye zano rekurapa ravanogona kupa.
Nguva yekutumira: Aug-30-2021