Application of step-down thinking mode in safe transportation of patients after general anesthesia operation

Abstract

Objective To explore the application of descending step-down mode in safe transportation of patients after general anesthesia operation. Methods A total of 25 nurses in the Operation Room of the First People's Hospital of Ji'ning in Shandong Province were trained from January 2017 to June 2017. The nursing ability of nurses in operation room before and after training and the incidence of adverse events were compared. Results After the training, the score of the operation room nurse's theory examination, the emergency test score and the patient's transshipment ability were (85.26±4.96) , (86.77±4.77) and (88.98±5.02) , which were all higher than those before training (62.33±3.56) , (61.58±4.12) and (62.44±4.78) (P<0.05) . The transportation time after training was (9.52±1.85) min, which was shorter than that before training (15.21±3.40) min (P<0.05) . The incidences of adverse events such as the dropping or blocking of the infusion tube, the interruption of oxygen supply, the equipment failure and the fluctuation of the blood pressure of the patients after the training were 2.50%, 2.50%, 3.75% and 1.25%, which were all lower than before training (8.75%, 7.50%, 12.50%, 10.00%) (P<0.05) . The patient satisfaction after training (95.00%) was higher than that before training (80.00%) (P<0.05) . Conclusions The reduced step thinking mode can effectively improve the nursing skills of nurses in operation room and the safe transport ability of patients after general anesthesia, and reduce the occurrence of adverse events in the course of patients'transshipment after general anesthesia and improve the patient satisfaction. Key words: Operation room; General anesthesia operation; Safe transportation; Step-down thinking mode