摘要
目的调查临床护士对多参数监护仪临床警报管理实践的现状,为规范临床监护仪警报管理提供参考。方法采用自制护士多参数监护仪临床警报管理实践问卷,便利抽取555名临床护士进行调查。结果35.68%护士知晓成人生理监测报警的阈值范围和优先级并熟练运用,7.75%护士48 h更换电极片;27.03%科室使用移动设备及时识别重要或危急警报;38.20%护士所在科室采取相应措施减少错误警报;49.73%护士红色警报在5 s内处理,黄色和白色警报在20 s内处理。结论多参数监护仪临床警报管理实践情况总体不理想,监护仪警报产生、传送、识别和应答4个环节均有待完善,应加强多参数监护仪临床警报的管理与培训。
Objective To determine clinical nurses′practices toward multi-parameter patient monitor alarms,and to provide reference for standardizing monitor alarm management.Methods A convenient sample of 555 clinical nurses was surveyed in terms of their practices toward monitor alarms.Results Only one third nurses(35.68%)knew alarm thresholds and priorities for physiological monitoring of adults and could skillfully usethen.Less than ten percent(7.75%)of nurses claimed that they removed and replaced the electrodes every 48 hours.Nearly twenty-seven percent(27.03%)of nurses stated that their departments used mobile devices to identify important or critical alarms in time,and conducted measures to reduce false alarm(38.20%).About half of nurses(49.73%)agreed that they handled red alarms within 5 s,yellow alarms and white alarms within 20 s.Conclusion The practice of multi-parameter monitor alarms is not satisfactory.Four procedures of alarm generation,transmission,identification and response need to be improved.Monitor alarm management training should be strengthened.
作者
何春雷
徐小群
王祥娜
戴政杰
林施施
He Chunlei;Xu Xiaoqun;Wang Xiangna;Dai Zhengjie;Lin Shishi(Emergency Department of the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第12期60-62,71,共4页
Journal of Nursing Science
基金
温州市科技局基础性科研项目(Y2020678)。
关键词
护理人员
多参数监护仪
警报
临床警报生命周期
安全管理
nursing staff
multi-parameter monitor
alarms
the life cycle of clinical alert
patient safety management
