Sisebenzisa amakhukhi ukuthuthukisa ulwazi lwakho.Ngokuqhubeka nokuphequlula le webhusayithi, uyavumelana nokusebenzisa kwethu amakhukhi.Ulwazi olwengeziwe.
Inhlanganisela yesikhumba esilimele, ukunakekelwa kwezokwelapha okuchwepheshile, kanye nokuqapha okuqhubekayo kwezidingo zeziguli ezishile kakhulu kungenza ukuphathwa kwe-alamu kube inselele enkulu kumayunithi okusha.
Njengengxenye yohlelo lwebhizinisi lokunciphisa izexwayiso ezidlulele kanye nokunciphisa ingcuphe yokukhathala ophapheme, i-Burns Intensive Care Unit (BICU) yaseNyakatho Carolina ixazulule ngempumelelo izinkinga zayo eziqondene neyunithi ethile.
Le mizamo ibangele ukwehla okuqhubekayo kwama-alamu angasebenzi kanye namasu okuphatha ama-alamu athuthukisiwe we-BICU enemibhede engu-21 e-Jaycee Burn Center eNyakatho Carolina e-Chapel Hill Medical Center eNyuvesi yaseNorth Carolina.Esikhathini ngasinye kweziyisihlanu zokuqoqwa kwedatha esikhathini seminyaka emibili, inani elimaphakathi lama-alamu ngosuku lwesiguli lihlala lingaphansi kwesisekelo sokuqala.
"Uhlelo Olusekelwe Ebufakazini Lokunciphisa Ukukhathala Kwe-alamu Ezingxenyeni Zokunakekelwa Kakhulu" lichaza uhlelo lokuthuthukisa ukuphepha kwe-alamu, okuhlanganisa izinguquko ezinkambisweni zokulungiselela isikhumba namasu okufundisa abasebenzi abahlengikazi.Ucwaningo lushicilelwe kumagazini ka-Agasti wabahlengikazi abanakekela abahlengikazi (CCN).
Umbhali-mbhali uRayna Gorisek, MSN, RN, CCRN, CNL, unomthwalo wemfanelo wokufundisa bonke abahlengikazi be-BICU, abahlengikazi abasizayo kanye nabelaphi bokuphefumula.Ngesikhathi socwaningo, wayengumhlengikazi we-clinical IV esikhungweni sokusha.Njengamanje ungumhlengikazi oyinhloko emtholampilo e-ICU yokuhlinzwa ye-VA Medical Center e-Durham, North Carolina.
Singakhela phezu kwemizamo yethu yenhlangano yonke yokwenza izinguquko ukuze sithuthukise ukuqapha kwesiguli namasu okuphatha okuxwayisa aqondene nendawo ye-BICU.Ngisho naku-BICU ekhetheke kakhulu, ngokusebenzisa izincomo zamanje zokuzijwayeza ezisekelwe ebufakazini, umgomo wokunciphisa ukulimala okuhlobene nezinhlelo zokuxwayisa emitholampilo iyafezeka futhi iyasimama.”
Isikhungo sezokwelapha sisungule ithimba elisebenza ngezixwayiso ezihlukene ngo-2015 ukuze kuzuzwe imigomo yekomidi likazwelonke lokuphepha kwesiguli, okudinga ukuthi izibhedlela zenze ukuphathwa kwezixwayiso kube yinto ehamba phambili yokuphepha kwesiguli futhi zisebenzise izinqubo ezicacile zokukhomba nokuphatha I-Alert ebaluleke kakhulu.Iqembu elisebenzayo lenze inqubo yokuthuthukisa eqhubekayo, lahlola izinguquko ezincane kumayunithi ngamanye, futhi lasebenzisa ulwazi olufundiwe ohlotsheni olubanzi lokuhlola.
I-BICU iyazuza kulokhu kufunda okuhlangene, kodwa ibhekene nezinselele eziyingqayizivele ezihlobene nokuqapha iziguli ezigula kakhulu ezinesikhumba esilimele.
Ngesikhathi sokuqoqwa kwedatha eyisisekelo samaviki angu-4 ngoJanuwari 2016, isilinganiso sama-alamu angu-110 enzeka ngombhede ngamunye ngosuku.Iningi lama-alamu lilingana nencazelo ye-alamu, okubonisa ukuthi ipharamitha iya ngasemngceleni odinga impendulo esheshayo noma i-alamu ebalulekile.
Ngaphezu kwalokho, ukuhlaziya kubonisa ukuthi cishe wonke ama-alamu angavumelekile abangelwa ukususwa kwemikhondo yokuqapha i-electrocardiogram (ECG) noma ukulahlekelwa ukuxhumana nesiguli.
Ukubuyekezwa kwezincwadi kubonise ukuntuleka kwezindlela ezingcono kakhulu zokuthuthukisa ukuhambisana nokuhola kwe-ECG ngezicubu ezishile endaweni ye-ICU, futhi kwaholela i-BICU ukuba ithuthukise inqubo entsha yokulungiselela isikhumba ikakhulukazi ngokushisa kwesifuba, ukujuluka, noma i-Stevens-Johnson syndrome / Iziguli ezine-epidermal enobuthi. i-necrolysis.
Abasebenzi baqondanise isu labo lokuphatha ukuqapha kanye nemfundo nesexwayiso sokuzijwayeza se-American Association of Intensive Care Nurses (AACN) “Ukuphatha izexwayiso zokunakekela okubukhali kuwo wonke umjikelezo wokuphila: ECG kanye ne-pulse oximetry”.I-AACN Practice Alert iwumyalo osuselwe ebufakazini obushicilelwe neziqondiso zokuqondisa umkhuba wobuhlengikazi obusekelwe ebufakazini endaweni yokusebenza enempilo.
Ngemuva kokungenelela kokuqala kwezemfundo, inani lezexwayiso endaweni yokuqoqa lehle ngamaphesenti angaphezu kwama-50 emasontweni ama-4 okuqala ngemva kokungenelela kokuqala kwezemfundo, kodwa likhuphuke endaweni yesibili yokuqoqa.Ukugcizelelwa kabusha kwemfundo emihlanganweni yabasebenzi, imihlangano yezokuphepha, isikhundla esisha sabahlengikazi, nezinye izinguquko kuholele ekwehleni kwenani lezaziso endaweni yokuqoqa elandelayo.
Amaqembu asebenzayo kuyo yonke inhlangano aphinde ancoma ukushintsha izilungiselelo ze-alamu ezizenzakalelayo ukuze unciphise ububanzi bemingcele ye-alamu ukuze kuncishiswe ama-alamu angasebenzi kuyilapho kuqinisekiswa ukuphepha kwesiguli.Wonke ama-ICU afaka i-BICU asebenzise amanani e-alamu amasha azenzakalelayo, angasiza ekuthuthukiseni inani lama-alamu ku-BICU.
“Ukushintshashintsha kwenani lezaziso phakathi neminyaka emibili kugcizelela ukubaluleka kokuqonda ezinye izici ezingase zithinte abasebenzi, okuhlanganisa isiko lezinga leyunithi, ingcindezi yomsebenzi, nezinguquko zobuholi,” kusho uGorisek.
Njengephephabhuku le-AACN lokuzilolonga eliphuma kabili ngenyanga labahlengikazi abaphuthumayo nabagula kakhulu, i-CCN iwumthombo othembekile wolwazi oluhlobene nokunakekelwa oseceleni kombhede weziguli ezigula kakhulu nezigula kakhulu.
Tags: ukusha, ukunakekelwa okukhulu, imfundo, ukukhathala, ukunakekelwa kwezempilo, ukunakekelwa okukhulu, ubuhlengikazi, ukuphefumula, isikhumba, ingcindezi, isifo
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Isikhathi sokuthumela: Aug-30-2021