Transfusion Room Research Articles

Effect of Health Education on Children in Transfusion Room of Pediatric Outpatient Department

Effect of Health Education on Children in Transfusion Room of Pediatric Outpatient Department

Study on the transmission route of virus aerosol particles and control technology of air conditioning in the enclosed space.

The patient’s breathing and air conditioning system in the enclosed space are the main factors that cause indoor cross-infection. However, the research on the influence and the control mechanism of different air conditioning systems on the transmission path of virus aerosol particles exhaled by patients is still limited. To evaluate the effects of different air conditioning systems on the spread of human exhaled pollutants, computational fluid dynamics (CFD) was used to study the movement and diffusion of exhaled air from two rows of 12 sitting adults in a hospital's closed transfusion room. In this paper, three different air conditioning systems are considered: Ceil-supply and Down-return (Ceil-to-Down), Up-supply and Down-return (Up-to-Down), Down-supply and Up-return (Down-to-Up). The distribution of exhaled air velocity, temperature, and virus particle concentration were studied, and it is found that the horizontal diffusion distance of exhaled pollutants is about 0.75 –1.1 m. When up to down systems are used, the air conditioning system shall be closed in time in case of respiratory infectious diseases, so as to avoid cross-infection in the enclosed space. A relatively clean air area with a height of about 1.1 m will be formed, which can inhibit the transmission of the virus to a certain extent when using the down-to-up system. But for those who are exposed to the enclosed space for a long time, the down-to-up system is not the most suitable air conditioning system.

Association of Cerclage with Composite Adverse Outcomes among Women Delivered at 36 Weeks or Later.

This study aimed to compare the maternal and neonatal adverse outcomes among singletons delivered at 36 weeks or later with cerclage during index pregnancy versus those without cerclage. This retrospective cohort study utilized the U.S. vital statistics datasets from 2011 to 2013. Inclusion criteria were women with nonanomalous singletons, with and without cerclage placement, without diabetes or hypertensive disorders, and delivered at 36 to 41 weeks. The coprimary outcomes were composite maternal and neonatal adverse outcomes. Composite maternal adverse outcome included admission to intensive care unit, maternal transfusion, ruptured uterus, unplanned hysterectomy, or unplanned operating room procedure. Composite neonatal adverse outcome included Apgar score less than 5 at 5 minutes, assisted ventilation for more than 6 hours, neonatal seizure, birth injury, or neonatal death. Secondary outcomes were chorioamnionitis and cesarean delivery. Multivariable Poisson's regression models with error variance were used while adjusting for confounders. Adjusted relative risk (aRR) with 95% confidence intervals (CIs) were calculated. Of the 8,508,228 women who met inclusion criteria, 0.2% had a cerclage and reached 36 weeks. Composite maternal (aRR: 2.04; 95% CI: 1.76-2.36) and neonatal (aRR: 1.28; 95% CI: 1.11-1.47) adverse outcomes were significantly higher among those with cerclage than those without cerclage. Chorioamnionitis (aRR: 1.47; 95% CI: 1.30-1.67) and cesarean delivery (aRR: 1.10; 95% CI: 1.08-1.12) were also significantly higher in women with cerclage than those without cerclage. There is an association between increased composite maternal and neonatal adverse outcomes among women with cerclage who delivered at 36 to 41 weeks as compared with those without cerclage. · Cerclage is associated with increased composite maternal adverse outcome in women at 36-41 weeks.. · Cerclage is associated with increased composite neonatal adverse outcome in women at 36-41 weeks.. · Increased chorioamnionitis and cesarean delivery rates are associated with cerclage in women at 36-41 weeks..

Effect analysis of setting up full-time visiting nurses in emergency transfusion room

Objective To explore the effects analysis of setting up full-time visiting nurses in emergency transfusion room. Methods The transfusion adverse events, patient satisfaction and quality control score of patients before and after setting up full-time visiting nurses were analyzed through setting up the post of full-time visiting nurses in emergency transfusion room. Results Compared with the posts without full-time visiting nurses, the adverse events of infusion decreased from 0.61% (200/32 728) to 0.18% (48/26 470), χ2=63.762, P<0.05, and the patient satisfaction score increased from 91.33 ± 1.21 to 95.67 ± 1.37, t=10.277, P<0.05, and the quality control score was increased from 91.00 ± 1.55 to 96.50 ± 1.38, t=12.845, P<0.05. Conclusions Setting up full-time visiting nurses can strengthen the management of transfusion and satisfy the needs of patients' life and treatment. It is an important guarantee to reduce the risk of transfusion, ensure the safety of infusion and improve the satisfaction of patients. Key words: Emergency service, hospital; Infusion, intra-arteria; Nursing care

Research on the allocation of nursing staffs based on Queuing Theory in the transfusion room of pediatrics clinic

Objective To calculate the service efficiency of injection room in outpatient department of pediatrics by queuing theory and method. Methods The quantity of children patients and service time of care workers of morning and afternoon from Monday to Sunday of pediatric outpatient injection room was recorded.The queuing network model was established.The Queuing Toolpark 4.0 software was used to analyze the workflow and service efficiency, so as to optimize human resource allocation scheme. Results The number of children patients of the outpatient department of pediatrics reached the Poisson distribution, the injection service time was subject to the negative exponential distribution, and the queuing theory model was applied to the working process of the injection room in the outpatient department of pediatrics.Through the analysis of the working process and the service efficiency of the injection room of the outpatient department of Pediatrics, 3 nurses should be allocated in the morning and afternoon from Monday to Sunday. Conclusions The process efficiency of pediatric outpatient injection room is analyzed and the reasonableness of the allocation of the pediatric nurses in outpatient injection room is judged by the method of queuing theory, so as to provide references for putting forward the re-making of process and the optimization of resources. Key words: Queuing theory; Outpatient department of pediatrics; Personnel allocation

The effect of whole course health education in the outpatient transfusion room

目的 探讨在门诊输液患者中开展全程护理管理及健康教育的临床效果。 方法 收集门诊输液患者1 280例的临床资料，采用数字表法随机分为两组，对照组640例患者，给予常规护理模式干预，观察组640例患者，给予全程护理模式干预，比较两组健康教育知识掌握程度及护理满意度。 结果 观察组疾病背景知识掌握率96.88%、用药知识掌握率95.31%、健康生活习惯等知识掌握率96.88%，均优于对照组的70.31%、71.88%、75.00%，差异均有统计学意义(χ2＝25.739、20.015、19.810，均P<0.01)，观察组护理满意度96.87%，显著高于对照组的79.69%，差异有统计学意义(χ2＝14.263，P<0.01)。 结论 对门诊输液患者开展全程护理管理及健康教育的效果较好，促进患者对健康疾病知识的掌握，同时提高了护理质量，值得推荐。

优化急诊输液间管理模式，提高急诊护理质量

目的：探讨优化急诊输液间管理模式，以提高急诊护理质量。方法：收集笔者所在三甲医院急诊输液间的输液患者140例，其中随机抽取70名输液患者为对照组，采取传统的输液管理模式，随机选取70名患者为实验组，采用优化的输液管理模式，其中内容主要包括：输液间的合理布局和先进的设施、现代信息化的输液系统、优化的输液流程、人性化温馨服务理念和严格的护理质量监督与管理等。结果：通过对急诊输液间管理模式的改进，不仅缩短了急诊输液患者的等候时间、提高了患者治疗效率、同时患者护理服务满意度和健康教育覆盖率也有明显的提高。结论：通过对急诊输液间的管理模式进行优化改进，能更好的为患者提供安全、优质、高效、便捷、规范的护理服务，缩短了急诊输液患者的等候时间、提高了患者治疗效率、提升了急诊患者护理服务满意度和健康教育覆盖率，同时减轻护士工作压力，有效降低输液潜在风险、提高输液安全性，具有临床实践意义，值得推广与借鉴。 Objective: To explore the optimized management mode of emergency infusion in order to improve the quality of emergency nursing. Methods: The 140 patients were collected from the emergency infusion room of the third grade hospital. 70 infusion patients were randomly selected as the control group which adopted the traditional infusion management mode. 70 patients were randomly selected as the experimental group which adopted the optimized infusion management mode. The main contents include: rational distribution of the transfusion room, advanced facilities, modern information infusion system, optimized infusion process, the concept of human services, and strict quality supervision and management of nursing. Results: The improvement of emergency infusion management mode not only shortens waiting time of the emergency transfusion of patient, improves the efficiency of treatment of patients, but also obviously improves patients’ satisfaction about nursing service and the coverage rate of health education. Conclusion: The optimization and improvement of management mode of emergency transfusion room can provide safe, high quality, efficient, convenient and standardized nursing services for patients. It can shorten the waiting time of patients in emergency infusion, improve treatment efficiency, improve patients’ satisfaction about nursing service and the coverage of emergency health education, and reduce the work pressure, reduce the potential risk of transfusion and improve transfusion safety. It has clinical practice significance, and it is worth to popularize and use for reference.

Empirical analysis on expectations of family members of children in transfusion room

Objective To investigate the current demand of expectations of family members of children in transfusion room. Methods By means of a self-designed questionnaire, the survey researched the demands of family members of children from 5 dimensions,the waiting time, transfusion environment, the quality of nursing,humanistic care and health education, and drug and safekeeping of security.The total 401 valid data were analyzed with descriptive statistics, chi square test, single factor variance analysis. Results No significant difference was found on their perception for the waiting time (χ2=1.051,P>0.05) and appropriate waiting time (χ2=0.883,P >0.05). But there were significant differences between medical guarantee types and environmental needs (F=2.972,P <0.05), as well as between monthly income and the humanistic care and health education demand(F=2.566,P<0.05). Conclusion The expectation of respondents are diverse, changeable, showing high consistency for basic expectation,differences between different groups, discontinuity in different phase. Key words: Ambulatory care; Intravenous infusion; Expectation

Evaluation of the effect of modified method of fixation and withdrawal of needles in intravenous infusion

Objective To evaluate the effects of modified method of fixation and withdrawal of needles in intravenous infusion. Methods The modified method of two-step fixation and withdrawal of needles was adopted in emergency transfusion room of our hospital from September 2013. In January 2015, during every day's low peak period 12:00-14:00, 246 emergency transfusion patients were chosen and divided into the traditional group (122 cases, using three-step fixation and withdrawal of needles) and the modified group (124 cases, using two-step fixation and withdrawal of needles) according to transfusion order. The pain degree caused by withdrawal of needles using Numeric Rating Scale (NRS), time consumption of fixation and withdrawal of needles and rate of adhesive pastes abscission was assessed by nurses and compared between two groups. Results The incidence of pain in the modified group was lower than that of the traditional group [48.39% (60/124) vs. 81.97% (100/122)],χ2=30.49,P<0.05. The time consumption of fixation and withdrawal of needles in the modified group was shorter than that of the control group [(7.55±2.01) seconds vs. (10.88±2.72) seconds; (2.44±0.84) seconds vs. (11.55±4.62) seconds],Z=8.70, 13.55,P<0.05. The rate of adhesive pastes abscission in the modified group was lower than that of the control group [4.0% (5/124) vs. 18.9% (23/122)], χ2 = 13.39,P<0.05. All the difference between two groups was statistically significant. Conclusions The modified method of fixation and withdrawal of needles can relieve the pain caused by withdrawal of needles. Nurses can operate easily, adhesive pastes is fixed sturdily, which is popular among nurses and patients. Key words: Venous transfusion; Modified; Effect evaluation

Application of scene analysis method on reducing the potential risk of nursing safety in Outpatient Transfusion Room

Objective To investigate the effect of scene analysis method on reducing the hidden nursing dangers of Outpatient at Transfusion Room. Methods A total of 2 000 patients at Transfusion Room were randomly divided into control group and experimental group on average according to the sequence of recruitment. The nurses of control group used conventional nursing, while the nurses of experimental group analyzed hidden nursing risks by scene analysis method and formulate the corresponding nursing measures, then put it into effect. Results The incidence of nursing errors, infusion reaction, complication and medical conflict in the experimental group were reduced to 0, 1.2% and 0.5% and 0.3%, significantly lower than 0.6%, 2.8%, 2.5%, 1.6% in the control group (χ2=4.179, 6.531, 13.536, 8.980; P<0.05). The patients′ satisfaction in the experimental group was 96.6%, higher than 86.4% of the control group. The differences is statistically significant (χ2=66.885, P<0.05). Conclusions The scene analysis method can promote nursing quality of the outpatient transfusion room, reduce the incidence of hidden nursing risks, and improve the patients′ satisfaction. Key words: Scene analysis method; Outpatient Transfusion Room; Hidden nursing risks

Application of model based on clinical training base in transfusion room in training of rotary new nurses

Objective To investigate the application of mode based on clinical training base of infusion room in training of rotary new nurses, so as to find more effective, standardized, and practical training methods for the future. Methods Established a training assessment team, developed theory, hands-on training andsimulation scenario training program, conducted training in stages, implemented the assessment of related theory, operational skills and overall quality, and satisfaction on rotary new nurse was evaluated by nurses and patients monthly. Results All of the new nurses in the infusion room can timely completed the training program, and the difference was statistically significant in the assessment of theory [ （91.4 ± 6.3） vs （85.5 ± 5.7） ], operation[ （93.1 ± 5.4） vs （87.6 ± 6.7） ], first aid [ （90.7 ± 5.6） vs （ 84.7 ± 5.2） ], and the overall quality of evaluation [ （94.8 ± 4.2） vs （90.1 ± 3.9） ] between those new nurses and rotary new nurse in 2011 （ t = 5.00, 4. 60, 4. 14, 5.91 ; P 〈 0. 01 ）. After the training, nurses and patients＇ satisfaction rate respectively was 98.1% and 99. 1%, while that in 2011 respectively was 85.5% and 86.9%, and the differences were statistically significant （ t = 4. 379,8. 791 ; P 〈 0. 05 ）. Conclusions Rotary new nurses can comprehensively improve their overall quality through the clinical training base mode of infusion room, and that can establish a good nursing personnel reserve for the clinical specialist nursing posts. Key words: Transfusion room; Rotary new nurse; Clinical training base model

Study on relationship between working pressure and mental health for nurses of transfusion room in paediatric department

Objective To learn the relationship between working pressure and mental health for nurse of transfusion room in pediatric department.Methods 120 nurses of transfusion room whose working years above half a year were investigated by questionnaire from January 2010 to December 2011.Results The maximal score of working pressure was working environment and resource (3.27±0.47),while the minimum was interpersonal relationship (1.80±0.68).The score of SCL-90 of the research group was higher than domestic model.More working pressures of transfusion room in pediatric department were positive correlated with SCL-90.Conclnsions In order to keep nurse sound in body and mind,the working pressure should be desolved in many ways. Key words: Paediatrics; Transfusion room; Nurse; Working pressure; Mental health

Research in application of timing-work schedule mode in human resource management in the outpatiet department of island hospital

Objective To evaluate the effectiveness of application of timing- work schedule mode in hu-man resource management according to the characteristc and work load of the outpatient department in island hospital. Methods General quality of care, nurses and patients' satisfaction degree were compared before and 12 months after the application of timing- work schedule. Results Total quality of care and nurses and pa- tients' satisfaction degree with nursing had statistical significance before and after the application of timing-work schedule mode. Conclusions To adoption of timing-work schedule mode in outpatient department in island hospital is feasible, it not only saves the nursing human resource, but also can guarantee the nursing quality and improve patients' satisfaction degree. So it is worthy of clinical application. Key words: Timing-work schedule; Transfusion room of outpatient department; Nurse; Quality of care

Observing the effect of using humane nursing among out- patients in transfusion room

目的 探讨门诊输液室实施人性化护理服务的效果.方法选择4 500例成年静脉输液患者作为实验组;4 000例成年静脉输液患者作为对照组.实验组实施人性化护理服务;对照组实施传统护理服务,2组采用问卷调查并比较患者的满意度.结果实验组与对照组患者对护理的满意度分别为99.4%、83.3%;患者对健康教育覆盖率分别为100%、93.7%,知晓率分别为81.8%、72.3%;2组各项比较,差异均有显著性(P＜0.01).结论门诊输液室实施人性化护理服务可有效提高护理服务质量和患者的满意度,杜绝护理纠纷。