Effects of emergency treatment nursing pathway on residence time of the green channel in patients with severe trauma

Abstract

Objective To explore the effects of emergency treatment nursing pathway on residence time of green channel in patients with severe trauma. Methods The emergency treatment nursing pathway was implemented in 2014. A total of 58 patients with severe trauma in Yuyao People's Hospital of Zhejiang Province were selected before implementation (from January 2012 to December 2013) . A total of 61 patients with severe trauma were selected after implementation (from January 2014 to December 2015) . The residence time of the green channel, time of accessory examination, standard-reaching rate, incidence of complication and early mortality were compared before and after implementation. Results Compared with these before implementing pathway treatment and cure, the residence time in emergency room, time of drawing blood and related inspection, arrival time of staff in related departments, time of consultation of doctors and rescue in patients with unstable illness, time of preoperative preparation, residence time of the green channel after implementing emergency treatment nursing pathway all significantly shortened with significant differences (t=10.965, 5.632, 4.965, 8.562, 7.251, 5.146; P<0.01) . After implementing emergency treatment nursing pathway, all standard-reaching rates improved with significant differences (χ2=4.023, 4.388, 4.621, 4.128, 4.547, 4.714; P<0.05) . There were 11 patients (18.97%) with complications, 7 patients with early death (four patients with severe head injury, three patients with severe hemorrhagic shock) before emergency treatment nursing pathway. After implementing emergency treatment nursing pathway, there were three patients (4.92%) with complications, 1 patient with early death (severe head injury) . There were statistically significant differences in incidence of complication and early mortality before and after implementation (χ2=4.465, 4.507; P<0.05) . Conclusions The implementation of emergency treatment nursing pathway treatment and cure can obviously shorten the residence time of the green channel, provide treatment and cure for patients in the shortest time, decrease the incidence of complication and early mortality with a positive meaning for rescue of patients with severe trauma. Key words: Emergency treatment nursing pathway; Severe trauma; Green channel; Residence time