Sisebenzisa iikuki ukuphucula amava akho.Ngokuqhubeka nokukhangela le webhusayithi, uyavumelana nokusetyenziswa kwethu kweekuki.Iinkcukacha ezithe xaxe.
Ukudityaniswa kwesikhumba esonzakeleyo, ukhathalelo lwezonyango lobuchwephesha, kunye nokubeka iliso ngokuqhubekayo kwiimfuno zezigulane ezitshisa kakhulu zingenza ulawulo lwe-alamu lube ngumngeni omkhulu kwiiyunithi zokutshisa.
Njengenxalenye yesicwangciso sequmrhu lokunciphisa izilumkiso ezigqithisileyo kunye nokunciphisa umngcipheko wokukhathala okuqaphele, i-Burns Intensive Care Unit (BICU) yaseNorth Carolina yayisombulula ngempumelelo imiba yayo yeyunithi.
Ezi nzame ziye zaphumela ekuhlahleni okuqhubekayo kwee-alamu ezingasebenziyo kunye nezicwangciso eziphuculweyo zokulawula i-alamu kwi-BICU ye-21-bed kwi-Jaycee Burn Centre eNorth Carolina kwi-Chapel Hill Medical Centre kwiYunivesithi yaseNorth Carolina.Kwixesha ngalinye ezintlanu zokuqokelela idatha kwixesha leminyaka emibini, inani eliqhelekileyo lee-alamu ngosuku lwesigulane lihlala lingaphantsi kwesiseko sokuqala.
"Iprogram esekelwe kubungqina bokunciphisa i-Alarm Fatigue kwi-Burn Intensive Care Units" ichaza isicwangciso sokuphucula ukhuseleko lwe-alamu, kubandakanywa utshintsho kwiinkqubo zokulungiselela ulusu kunye nezicwangciso zemfundo zabasebenzi abongikazi.Uphando lupapashwe kwi-Agasti ye-Critical Care Nurses (CCN).
Umbhali-mbhali uRayna Gorisek, i-MSN, iRN, i-CCRN, i-CNL, ijongene nemfundo yabo bonke abahlengikazi be-BICU, abancedisi babongikazi kunye neengcali zokuphefumula.Ngexesha lokufunda, wayengumongikazi wekliniki we-IV kwiziko lokutshisa.Ngoku ungumongikazi oyintloko weklinikhi kwi-ICU yotyando lweZiko lezoNyango le-VA eDurham, eNorth Carolina.
Sinokwakha kwiinzame zethu zombutho ngokubanzi ukwenza utshintsho lokuphucula ukubeka iliso kwesigulane kunye nezicwangciso zokulawula izilumkiso ezikhethekileyo kwimeko ye-BICU.Nangona kwi-BICU ekhethekileyo kakhulu, ngokusetyenziswa kweengcebiso ezisekelwe kubungqina obukhoyo ngoku, injongo yokunciphisa ukulimala okunxulumene neenkqubo zokulumkisa zeklinikhi iyafezekiswa kwaye izinzileyo.”
Iziko lezonyango liseke iqela elisebenzayo lokhuseleko lwe-alert multidisciplinary alert kwi-2015 ukufezekisa iinjongo zekomiti edibeneyo yokhuseleko lwesigulane kazwelonke, ezifuna ukuba izibhedlele zenze ulawulo olulumkileyo lube yinto ephambili yokhuseleko lwesigulane kunye nokusebenzisa iinkqubo ezicacileyo zokuchonga nokulawula eyona nto ibalulekileyo I-Alert.Iqela elisebenzayo lenze inkqubo yokuphucula eqhubekayo, livavanye utshintsho oluncinci kwiiyunithi zomntu ngamnye, kwaye lusebenzisa ulwazi olufundiweyo kuluhlu olubanzi lweemvavanyo.
I-BICU ixhamla koku kufunda ngokudibeneyo, kodwa ijongene nemingeni ekhethekileyo ehambelana nokubeka iliso kwizigulana ezigula kakhulu ezinolusu olonakeleyo.
Ngexesha le-4-iveki yesiseko sokuqokelela idatha ngoJanuwari 2016, umyinge wee-alamu ze-110 zenzeke ngebhedi ngosuku.Uninzi lwee-alamu zihambelana nenkcazo ye-alamu ye-alamu, ebonisa ukuba iparameter ihambela kwinqanaba elifuna impendulo ngokukhawuleza okanye i-alamu ebalulekileyo.
Ukongezelela, uhlalutyo lubonisa ukuba phantse zonke ii-alamu ezingasebenziyo zibangelwa ukususwa kwe-electrocardiogram (ECG) yokubeka iliso kukhokelela okanye ukulahlekelwa koqhagamshelwano nesigulane.
Uphononongo loncwadi lubonise ukungabikho kweendlela ezilungileyo zokuphucula ukuthotyelwa kwe-ECG ehamba phambili kunye nezicubu ezivuthayo kwindawo ye-ICU, kwaye yakhokelela i-BICU ukuphuhlisa inkqubo entsha yokulungiselela ulusu ngokukodwa ukutshisa isifuba, ukubila, okanye iStevens-Johnson syndrome / izigulane ezine-epidermal enetyhefu. i-necrolysis.
Abasebenzi balungelelanisa isicwangciso sabo solawulo lwe-alert kunye nemfundo kunye ne-American Association of Intensive Care Nurses (AACN) isilumkiso sokuziqhelanisa "Ukulawula izilumkiso zokunyamekela ngokukhawuleza kumjikelezo wobomi: i-ECG kunye ne-pulse oximetry".I-AACN Practice Alert ngumyalelo osekelwe kubungqina obupapashiweyo kunye nezikhokelo zokukhokela umkhuba wobunesi obusekelwe kubungqina kwindawo yokusebenza enempilo.
Emva kokungenelela kokuqala kwezemfundo, inani lezilumkiso kwindawo yokuqokelela lehla ngaphezu kwe-50% kwiiveki ezi-4 zokuqala emva kokungenelela kwemfundo yokuqala, kodwa yenyuka kwinqanaba lesibini lokuqokelela.Ukugxininiswa kwakhona kwemfundo kwiintlanganiso zabasebenzi, iintlanganiso zokhuseleko, ukubekwa kwabongikazi okutsha, kunye nolunye utshintsho kukhokelele ekwehleni kwenani lezilumkiso kwindawo elandelayo yokuqokelela.
Amaqela asebenzayo kulo lonke umbutho aphinde acebise ukutshintsha izicwangciso ze-alarm ezingagqibekanga ukuze unciphise uluhlu lweeparamitha ze-alamu ukunciphisa ii-alamu ezingasebenziyo ngelixa uqinisekisa ukhuseleko lwesigulane.Zonke ii-ICU eziquka i-BICU ziphumeze amaxabiso amatsha e-alamu angagqibekanga, anokunceda ukuqhubela phambili ukuphucula inani lee-alamu kwi-BICU.
"Ukuguquguquka kwenani lezilumkiso ngexesha leminyaka emibini kugxininisa ukubaluleka kokuqonda ezinye izinto ezinokuchaphazela abasebenzi, kubandakanywa nenkcubeko yeyunithi, uxinzelelo lomsebenzi, kunye neenguqu zobunkokeli," kusho uGorisek.
Njengoko ijenali ye-AACN ye-bimonthly yeklinikhi yonyango yongxamiseko kunye nabongikazi bokhathalelo olunzulu, i-CCN ngumthombo othembekileyo wolwazi olunxulumene nokhathalelo olusecaleni kwebhedi kwizigulana ezigula kakhulu nezigula kakhulu.
Tags: ukutshisa, ukhathalelo olunzulu, imfundo, ukudinwa, ukhathalelo lwempilo, ukhathalelo olunzulu, ukonga, ukuphefumla, ulusu, uxinzelelo, syndrome
Kolu dliwano-ndlebe, uNjingalwazi uJohn Rossen wathetha ngokulandelelana kwesizukulwana esilandelayo kunye nefuthe laso ekuxilongeni isifo.
Kolu dliwano-ndlebe, i-News-Medical ithethe noNjingalwazi uDana Crawford malunga nomsebenzi wakhe wophando ngexesha lobhubhani we-COVID-19.
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Ixesha lokuposa: Aug-30-2021