[Nursing human resource management in the early phase of treatment of severe mass burn patients involved in August 2nd Kunshan factory aluminum dust explosion accident].
医学
严重烧伤
急诊医学
重症监护医学
外科
作者
F. Wang,Yingwei Ren,Hua Ji,Qinfang Yuan,Lihong Zhu,Guozhong Lyu
In August 2nd Kunshan factory aluminum dust explosion accident 2014, 35 severe mass burn patients were admitted to our hospital, including 18 men and 17 women, aged 21 to 50 (38±9) years. Their severe injuries caused much difficulty to the treatment. In the early period of treatment, a series of measures of nursing human resource management were implemented, such as carrying out training program for non-burn speciality nurses of different levels and origin, grouping and task-dividing, organizing work schedule and assigning in a unified way, and establishing monitoring team of speciality quality. Except for 2 cases of deaths in the early period, the other 33 patients were treated and nursed timely and effectively in the early period. The rescue rate arrived at 94.3% (33/35) on the 17th day post burn. In this period, no such nursing adverse event and complication occurred as bed-dropping, unplanned extubation, coagulation in veins of lower limb, catheter-related infection, or cross infection.在2014年"八二"昆山工厂铝粉尘爆炸事故中,笔者科室收治群体重度烧伤患者35例,其中男18例、女17例,年龄21~50(38±9)岁。患者伤情严重使救治难度很高。在救治早期,实行了对不同层次和来源的非本烧伤专科护士进行培训、分组分工、统一排班和调配、组建专科质量监控组等系列护理人力资源管理措施。除2例早期死亡患者外,其余33例患者早期均得到及时有效的治疗及护理,至伤后17 d,抢救成功率达94.3%(33/35)。其间未发生一例坠床、非计划性拔管、下肢静脉血栓、导管相关性感染及交叉感染等护理不良事件和并发症。.