护理技术考核长效机制的应用与体会

强化护理技术训练是整个医院护理系统建设的基础性工程[1-3],我院护理部结合护理队伍特点,以提高护理技术水平为突破口,通过建立护理技术训练长效机制,并将其纳入护理绩效常态化管理,持续规范护理技术操作,提高了临床护理技术操作的人性化、标准化水平,收到较好的效果.现报道如下.     

急诊科年轻护士的规范化培训体会

目的 探讨急诊科年轻护士规范化培训的方法.方法 成立培训小组,采用集中理论授课、单项操作训练和整体合作训练的方法进行培训,并通过理论考核、单项操作考核及整体合作能力考核检验年轻护士培训的效果.结果 17名年轻护士理论考核、单项操作考核及整体合作能力考核的合格率,分别由培训前的70%、76%、47%提高到100%、100%、88%,病人满意度由培训前的89%提高到95%,医生对急救护士抢救配合满意度由培训前的74%提高到92%.结论 急诊科年轻护士的规范化培训是保证急诊护理工作正常进行的关键,是急诊护理工作中不可缺少的重要环节.     

护理人员继续教育量化考核情况分析

为提高护理人员的医学理论、医学基础、专业技能的素质,加强护理队伍建设,在护理继续教育学分制实施多年的基础上,我们每年对全院护理人员进行考核,内容包括１０项指标,并规定考核结果与个人奖励挂钩,几年来取得了良好的效果。笔者对其中与临床技能相关的教学能力、专业技术、技术操作、理论考核及考核总分情况进行分析与研究,并将近三年考核验收情况作如下分析。１　资料与方法１．１　参加考核对象为全院临床科的护理人员,１９９５年３２４人,１９９６年３２２人,１９９７年２９５人,三年共计９４１人次,其中护士２７９人,护…     

改革操作考核方式 强化查对意识

年终操作考核是我院护理教学训练计划中不可缺少的一项内容,也是检查护士日常护理工作的重要手段.1994年年终,我们结合本院因查对不严出现的两起严重差错及日常工作存在的薄弱环节,改变了以往操作考核只重考操作流程的方式,把重点放在考核护士执行查对制度、执行医嘱情况及护士的应变能力上.对全院114名护士、护师进行了肌注、给氧两项操作考核.总结此次考核情况,供同道借鉴.     

招聘文职人员护士技术考核中存在问题及对策

护理技术操作考核是护士考评中一项重要内容,也是临床工作中赢得病人信任与尊重的首要条件,笔者对首次招聘军队文职人员护士护理技术考核中存在的问题进行分析,并提出对策,现报告如下。     

"中长跑运动员机能评定及恢复指导系统"计算机软件的研制

本软件系统采用Visual BASIC 6.0程序设计语言和Microsoft Access 2000数据库,设计了各种与中长跑运动员身体机能监控与评定、营养和物理恢复指导、伤病防治和训练相关的信息管理等功能,并建立相关数据库,开发出可在Microsoft Windows 98SE/NT/Me/2000/XP操作系统下使用的中长跑运动员机能评定及恢复指导系统,通过动态分析运动员生理生化指标监控和客观评定运动员机能状态,针对潜在或存在的问题制定个性化的营养恢复与补充处方、物理恢复措施处方.本软件将运动员机能评定与恢复指导相结合,同时为教练员提供制定日常训练计划、统计训练负荷的工具,对运动员机能状态评定、恢复指导方案设计、训练计划制定等实现了计算机化管理,大大提高了工作效率,有较高的实用性.     

PBL教学法在康复护理临床见习课中的应用

目的 探讨PBL教学法在康复护理临床见习课中的可行性.方法 2006级护理高职128名学生分别以PBL教学法和传统教学法进行康复护理临床见习教学,比较两种教学法的效果.结果 PBL教学组学生理论考核和问卷调查各项指标均高于传统组教学法.结论 PBL教学法提高了康复护理临床见习教学质量,教学效果优于传统LBL教学法,有推广的可行性.     

模拟野战环境下微光静脉输液操作训练方法与体会

静脉输液是临床救治中常用护理技术操作之一,即使战时其应用率也占救护技术的50%左右[1]。我们设计了战时静脉输液穿刺情景,组织护士模拟演练输液技术,应用黑纱布眼罩进行静脉输液训练考核,以提高护士在微光条件下为患者静脉输液的操作能力,报道如下。1一般资料对我院基础静脉输液考核成绩优秀的人员进行筛选,选拔出10名护士进行训练,参加人员均为经过军队护理大专毕业,从事临床护理工作,女性,年龄25-29岁。     

实施临床护理技能综合考核的组织和方法

<正>随着现代医学科学的飞跃发展,医学护理知识不断更新,继续护理教育,培养合格的临床应用型护理人才,已成为当务之急.临床技能的培训是继续护理教育的重要内容.而建立严格的考核制度是保证临床技能教育质量的重要途径.近几年来我院护理部围绕这一课题,在实践中摸索,建立了临床护理技能综合考核体系,对规范护理操作技术,检测临床护理质量,促进护理人员素质不断提高起到了积极的作用.现将我院1990年以来,临床护理技能综合考核情况报告如下.     

提高护理技能 精心为官兵服务——总政开展护理岗位技术练兵系列活动

3月份以来，总政所属各医疗单位认真学习贯彻总政首长关于卫生工作的指示，进行护理工作经验交流，请军内外护理专家辅导讲课，结合总政护理工作的实际需求，以静脉输液、药物过敏试验、心电图操作与识图、心肺复苏术等10项基层医疗单位常用护理技术及急诊抢救技术为重点，开展了学习、训练、考核、比武活动。     

Construction of DICOM-WWW gateway by open source, and application to PDAs using the high-speed mobile communications network

The author constructed a medical image network system using open source software that took security into consideration. This system was enabled for search and browse with a WWW browser, and images were stored in a DICOM server. In order to realize this function, software was developed to fill in the gap between the DICOM protocol and HTTP using PHP language. The transmission speed was evaluated by the difference in protocols between DICOM and HTTP. Furthermore, an attempt was made to evaluate the convenience of medical image access with a personal information terminal via the Internet through the high-speed mobile communication terminal. Results suggested the feasibility of remote diagnosis and application to emergency care.     

护理本科生临床实习需求调查与分析

目的：了解护理本科生的临床实习需求,提高实习质量,完善护理教学。方法：采用问卷调查法对2010-10～2011-04哈尔滨某医科大学护理系2006级100名参加临床实习的本科生进行调查。结果：护理本科生在临床实习过程中对基础理论、护理技能、护患沟通方面的需求较高,而对护理科研、护理管理方面的需求不足。结论：根据护理本科生的特点,临床实习应注意调动学生实习的积极性,满足实习需求,对需求未满足的部分要加强指导,使学生最终受益。     

Examination and patient management in x-ray diagnosis using a computerized hospital communication system

Concept, realization and our 2-year experiences in the routine use of a computerized data-processing communications system supporting the central radiology department in a 1,625-bed, municipal hospital are discussed. Via the hospital ward-linked terminal network, routine X-ray examination is so ordered that individual medical case information is provided, which certifies qualified clinical and diagnostic procedure along with good patient preparation and transportation. Complete information and documentation are also ensured. It was shown that good motivation among involved radiologists and their close working-association with other departments are mandatory from the start to maintain exact time schedules and satisfactory completion of ordered X-ray procedures. Subsequently, the assistence of computerized data processing is accepted for routine use, as time goes by, insofar as it is appropriate by used.     

支气管镜智能导航金标植入技术虚拟仿真教学实验软件的研发应用

目的探讨支气管镜智能导航金标植入技术的虚拟仿真教学软件在放射治疗领域临床应用的必要性和可行性。方法使用Unity3D引擎开发3D虚拟操作及交互系统,运用3Dmax、Maya等工具,以SQL作为数据库支持,场景采用现在主流的次时代制作流程,针对金标植入中的重难点系统分为12个步骤,10个知识点进行仿真展示演练,采用内部测试与远程评价测试,通过获取每位测试者的测试情况,根据测试结果进行系统应用价值的分析。结果截至2022年5月1日,系统访问量高达2 409,参与实验测试人数425人次,实验完成率为100%,实验通过率为96.5%,获得167位实验者评价,涵盖福建医科大学多级医学影像技术系、医学影像学等相关专业学生及放疗相关工作人员,获得一致好评。结论支气管镜智能导航金标植入技术的虚拟仿真教学实验软件在学生的教学和相关专业人员的培训中具有应用价值。     

Infrastructure design of a picture archiving and communication system.

A picture archiving and communication system (PACS) infrastructure is the necessary framework to integrate distributed and heterogeneous imaging systems, provide intelligent data-base management of all radiology-related information, arrange an efficient means of viewing, analyzing, and documenting study results, and furnish a mechanism for effectively communicating study results to the referring physician. The PACS infrastructure consists of a basic skeleton of hardware components integrated by standardized, flexible software subsystems. This review describes these concepts and basic building blocks drawn from our original investigation, past experience, and the current clinical system in our radiology department.     

Automated management of screening and diagnostic mammography

We designed an automated system for managing large-scale screening and diagnostic mammography. The system collects coded mammographic findings from the radiologist and records a history directly from the patient. This information is stored in an integrated clinical data base to which the results of subsequent examinations or surgery are added. In addition, the system generates letters to the patient and her physician that describe mammographic findings and letters reminding them of routine screening visits. For patients who have positive results on examinations, it checks for records of biopsy or repeat mammography and generates follow-up letters if appropriate intervention is not found. While this system is part of a comprehensive computerized hospital information system, mammography management tools with most of the features described can be designed for relatively inexpensive microcomputers.     

MR-guided vacuum-assisted breast biopsy with a handheld biopsy system: clinical experience and results in postinterventional MR mammography after 24 h

This prospective study evaluates the feasibility of the magnetic resonance (MR)-guided vacuum-assisted breast biopsy with a handheld vacuum-biopsy system and documents the biopsy results with MR mammography 24 h after the procedure. MR-guided biopsy was undertaken in 33 patients with 34 lesions on dynamic MR mammography. The interventions were performed with the handheld 10-gauge Vacora vacuum-biopsy system. In all cases, dynamic MR mammography was performed 24 h after the procedure to determine the extent of the lesion removal and to identify the lesions that were missed. In 5/34 (14.7%) lesions, biopsy was not performed because no suspicious lesion was identified on the day of biopsy. In 25/29 (86.2%) lesions, the biopsy was successfully performed with a complete removal in 4/29 (13.8%) and a partial removal of 21/29 (72.4%) lesions. In 4/29 (13.8%) interventions the lesion was missed with the biopsy. In one case, histopathology after surgical excision revealed ductal carcinoma in situ. Histopathology revealed 9/29 (31%) malignant and 20/29 (68.9%) benign lesions. MR-guided vacuum-assisted breast biopsy with the handheld Vacora vacuum-biopsy system is technically feasible in most cases. MR mammography 24 h after the biopsy should be performed in those cases in which the biopsy success is unclear immediately after the procedure.     

Automated diagnosis--new possibilities through user-specific software

After four years of development and testing, we have devised a software system especially adapted to the recording, storage and monitoring of radiological findings. After full implementation of this system, sufficient practical experience has been collected for effecting a comprehensive assessment. The qualitative and quantitative aspects of a discipline-specific software are described in detail and can be used for comparison with other EDP systems. The two essential criteria for the practicability and acceptance of a system for automatized collection and recording of findings are a short interaction time at the input terminal and a high degree of logical and reference flexibility enabling individual formulation and patient-related specificity of the textual formulation of findings comparable with conventional sound dictation. By means of interlinking of information with other processing programmes it becomes possible to continue data processing for each case in both administrative and research aspects after a single input operation of patient and examination data.     

PACS系统的构建及临床应用

目的:通过构建PACS(picture arhiving and communication system,PACS)系统,探讨其临床应用价值。方法:采用上海汇硕智能科技有限公司开发的VISUN3.1软件,使影像信息数据服务器与各影像设备、诊断报告工作站、登记工作站、科室管理工作站、激光相机和医院影像站点,通过交换机连接成网络。结果:PACS系统实现了影像诊断设备的网络化、影像信息的数字化、医院管理的规范化,实现了影像信息的共享,使医学影像的采集、存储、传输、及图像处理变为现实。结论:PACS系统为医学影像的存储、传输、处理提供了便利,提高了影像科的工作效率,方便了工作、教学、科研和会诊,为建设数字化医院,打下了良好的基础。