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目的:对ICU护士使用急救仪器的情况进行调查,分析现状,探讨提高ICU护士安全使用急救仪器的措施。方法:2014年,采用自制ICU护士急救仪器使用安全管理调查问卷,对浙江省绍兴市6所三级以上医院的综合及专科ICU护士共计156人进行调查。结果:有22人曾发生过急救仪器使用不良事件,45人曾发生急救仪器使用无伤害性事故。急救仪器报警处理掌握合格的98人,急救仪器故障排除掌握合格的101人,急救仪器工作原理掌握合格的89人,急救仪器的维护与管理知识掌握合格的105人。调查结果显示,选择“工作任务重”的132人,是最重要的影响因素,其次是“护士自身重视程度不足”和“科室考核机制欠缺”。结论:ICU护士安全使用急救仪器的情况不尽如人意。影响因素是多方面的,主要与ICU护士工作量大、重视程度不够、ICU科室的管理制度缺乏有关,各ICU科室和ICU护士应重视急救仪器的安全使用,提高急救仪器安全使用水平,提高急救效果。
OBJECTIVE: To investigate the situation of ICU nurses using emergency instruments and to analyze the status quo and explore ways to improve the safe use of first aid instruments by ICU nurses. Methods: In 2014, a total of 156 comprehensive and specialist ICU nurses from 6 hospitals above the third level in Shaoxing City, Zhejiang Province, were surveyed using the safety management questionnaire prepared by home-made ICU nurse emergency equipment. RESULTS: Twenty-two people had had first-aid equipment adverse events and 45 had first-aid equipment non-destructive accidents. First aid equipment alarm handling Master qualified 98, emergency equipment troubleshooting Master the qualified 101 people, first aid equipment mastering the work of 89 qualified, first aid equipment maintenance and management knowledge of qualified 105 people. The survey results show that 132 people who choose “heavy task ” are the most important factors, followed by “lack of emphasis on nurses ” and “lack of departmental evaluation mechanism ”. Conclusions: The safety of first-aid instruments for ICU nurses is not satisfactory. The influencing factors are many, mainly with the large workload of ICU nurses, the degree of emphasis is not enough ICU department management system is lacking, the ICU departments and ICU nurses should pay attention to the safe use of first aid equipment to improve the safe use of first aid equipment and improve the emergency effect.