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北京移动护士站大医院上岗 医嘱实时传到病床边--亲稳网络舆情监测室
2012-12-26
“16床一会儿要做一次血常规检查和一次B超,还要请泌尿科来会诊。”昨天上午9时,北医三院护士吴晓静用一台手机大小的PDA(掌上电脑)扫了一下患者孙女士腕带上的二维码,主管医生2分钟前刚开的最新医嘱立刻显示在屏幕上。这种移动护士站已在本市四五家医院开始试点推行,小小的掌上电脑正在取代以前的手写护理记录单和纸质医嘱。
"And the bed for a while to do a routine blood test and a B to exceed,Also please urology department to consultation."Yesterday morning at 9,BeiYi twenty WuXiaoJing nurses with a mobile phone the size of the PDA(Palmtop computer)The patients and the sun on the wrist of two-dimension code,The competent doctor 2 minutes ago just open the latest medical advice immediately displayed on the screen.This mobile nurse station has four or five hospitals in the city began to pilot implementation,Small PDA is replacing the previous handwritten nursing sheet and paper medical advice.
“这种PDA在我们医院刚刚试用一个月。”吴晓静是北医三院普外科病房的一名护士,这个病区有41张床位,共配备了4台手推车式的移动护士站和8台PDA,病区白班护士10名左右,基本能满足整个病区需求。吴晓静用PDA对准患者手上的腕带,按下按钮,一束红光照亮了腕带上的二维码,这名患者的资料立刻读取出来,该用什么药,该进行哪些检查和治疗,一目了然。
"This kind of PDA in our hospital just try a month."WuXiaoJing is BeiYi twenty general surgery ward of a nurse,This area), 41 beds,With a total of four table trolley type mobile nurse station and eight PDA units,The nurse) ten or so,Basic can satisfy the demand).WuXiaoJing patients with PDA at the hands of wrist strap,Press the button,A beam of red light lit up the wrist wear of two-dimension code,This patient data read out immediately,What medicine,What the examination and therapy,Be clear at a glance.
看完医嘱,小吴开始给患者量体温、测血压,并且在PDA上轻点几下,把这些检查结果直接输入,这些结果就直接记录到全院的护理信息系统中,医生也可以实时看到。记者看到,PDA页面上有体温、脉搏、血压、呼吸、大便情况、排尿量、胃管等指标。
Read the doctor's advice,Xiao wu began to give patients temperature/Measuring blood pressure,And in the PDA dub a few times,The results of these tests are direct input,These results will direct recording to the partial nursing information system,The doctor also can see in real time.The reporter sees,PDA page on the body temperature/pulse/Blood pressure/breathing/Shit situation/Urine output/Stomach tube indices such as.
病区护士长周玉洁介绍:“过去我们都是先到护士站看医生的医嘱是什么,然后跑到病房给病人做检查或治疗,现在是在床旁直接读取医嘱,减少了差错率;另外,过去护理记录是手工纸张填写,手写容易出错,现在通过电子记录,差错也少了。”除手持PDA外,病区还有4台手推车式移动护士站,每台车配一台电脑,能够无线接入院内护理信息系统。护士采集患者各种护理信息时还可自动生成生命体征观察单,如血压的变化等,会在电脑中形成这几天的变化曲线,比过去一张张对比纸质记录单要直观得多。
The head nurse ZhouYuJie) is introduced:"In the past we are go to nurse station see a doctor the doctor's advice is what,And then ran to the ward patient check or treatment,It is beside the bed directly read the doctor's advice,Reduces the error rate;In addition,The past nursing records are handmade paper to fill in,Handwritten easy to make a mistake,Now through the electronic record,Error is less."In addition to the handheld PDA,Area), and (4) trolley type mobile nurse station,Every car with a computer,To wireless access hospital nursing information system.The nurse acquisition patients all kinds of nursing information can automatically generate vital signs to observe single,Such as blood pressure change, etc,In the computer form this several days change curve,One of the contrast than in the past paper sheet to much more intuitive.
对于吴晓静她们来说,这台小小的PDA把护士从繁琐的记录病案中解放出来,腾出时间和精力,可以更多地关注病人的其他需求,多做心理疏导、健康宣教和医患沟通。护士也不用守在护士站,而是将更多时间放在巡视病房上。
For WuXiaoJing for them,This one small PDA to nurse from tedious medical record liberate,Make time and energy,More attention to the patient's other needs,Do more psychological counseling/Health mission and doctor-patient communication.The nurse also need not keep in nurse station,But will be more time on tour in the ward.
目前,北医三院绝大部分病房都已配备了这种移动护士站。另据了解,北京协和医院、北京大学人民医院、解放军309医院等也已经陆续使用这种先进的护理设备。
At present,BeiYi twenty most ward have been equipped with this kind of mobile nurse station.Additional as we have learned,Beijing union medical college hospital/The people's hospital of Beijing university/The people's liberation army 309 hospital also has begun to use this advanced care equipment.
不过,也有患者担心,所有记录都采用了电子版,取消了纸质,一旦将来出现医疗纠纷,医院删改记录会不会很方便?对此,院方表示,护士要用自己的名字才能登录到信息系统中,指标修改需要经护士长甚至医院管理层的同意。更为重要的是,每次修改都会在数据库中有不同颜色字体显示,修改痕迹无法消除。(记者 方芳)
but,Also have patients worry,All records are using the electronic version,Cancel the paper,Once appear medical disputes in the future,Hospital deletion record it will be very convenient?this,The hospital said,The nurse to use his name to login to information system,Index change by the head nurse even need the consent of the hospital management.More important is,Every change will be in the database have different color font display,Corrections can not be removed.(Reporter FangFang)
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