兒科加護病房病人放置葉克膜護理流程完整性之改善方案

• Published in: 護理雜誌 Vol. 59; no. 6; pp. 65 - 72
• Main Authors: 吳金玲(Chin-Ling Wu), 林怡秀(I-Hsiu Lin), 黃小萍(Hsiao-Ping Huang), 徐玲蕙(Ling-Hui Shu), 徐旭香(Hsu-Hsian Shu)
• Format: Journal Article
• Language: Chinese
• Published: 台灣 台灣護理學會 01.12.2012; 社團法人臺灣護理學會
• Subjects: checklist; extracorporeal membrane oxygenation (ECMO); MEDLINE; pediatric intensive care unit; Scopus; trainee system; TSCI; 兒科加護病房; 檢視表; 葉克膜; 見習制度; 葉克膜; 檢視表; 見習制度; pediatric intensive care unit; trainee system; checklist; extracorporeal membrane oxygenation (ECMO); 兒科加護病房
• ISSN: 0047-262X
• DOI: 10.6224/JN.59.6.65

Background: Medical technology advances have led to the increasingly frequent use of extracorporeal membrane oxygenation (ECMO) in intensive care unit applications. Four of the 26 patients treated using ECMO in 2009 at our hospital were under 18 years of age. Limited nurse experience with ECMO and resultant nursing staff nervousness / pressure when using this technique encouraged us to establish an ad hoc group to explore ECMO care and related issues.Purpose: Improvement measures were implemented to (1) raise the pre- ECMO placement integrity of order sheets to 98%; (2) reduce materials preparation time to below 60 minutes; and (3) enhance nursing care ECMO cognitive accuracyto 99%.Resolution: We implemented the following intervention measures: (1) A dedicated ECMO vehicle was deployed to enhance clinical work convenience and safety; (2) a ECMO technique preparation checklist was developed to improve tubing placement and reduce preparation time; (3) an ECMO care in-service education program was developed to e