这一事件凸显了紧急妇科病房(EGU)通道的重要性,它是为那些有被收治风险的病人创建的,当可用的床位短缺和日间诊所关闭:目前我的单位缺少一些东西。如前所述,在我们的单位里,这种情况是没有出路的。我对路径在其他单位使用的研究表明,在巴兹健康信托、皇家伦敦和威普斯交叉医院都有egu。在这些信赖型肌萎缩性侧索硬化症中,途径似乎是相同的,即一旦病人需要进入EGU,注册护士会通知病床经理有关这些病人的情况。如果诊所关闭时没有床位,注册护士会通知床位经理,然后将病人送往事故和急症(A&E)部。我们的单位隶属于纽汉大学与皇家伦敦和威普斯交叉医院,都是巴兹健康信托的一部分;因此,我认为信托基金应该对其所有医院实施同样的途径。目前,注册护士必须陪伴病人直到有床位。有时病人直到晚上8点才有床位,即使诊所下午5点就关门了。对于任何病人来说,把他们自己留在诊所是不安全的,特别是那些有异位妊娠或在运输过程中流产的病人,因为病房里没有复苏车可用。这样的情况可以通过创建一个路径来避免,该路径详细说明了当诊所关闭时患者应该如何转移到一个指定的急症室。我们将创建一个日志来记录这些病人的细节,以确保通道被持续监控,并且成员知道病人的运动。每个月都要对通路进行审核,确保通路的执行。当将病人从EGU转到病房或转到急诊科的过程中有30分钟或以上的延迟时,应完成DATIX报告。

澳洲护理学作业代写 紧急妇科病房(EGU)通道

The episode highlights how important it is that an Emergency Gynaecology Unit (EGU) pathway for is created for those patients at risk of being admitted to the ward, when available beds are in short supply and the day clinic is closed: something currently missing from my unit. As stated previously, there is no pathway in place for this situation in our unit.My research into the use of pathways in other units showed that there are EGUs under Barts Health Trust, Royal London and Whipps Cross Hospitals. The pathways in these trust als appears to be the same, which is once the patient needs to be admitted on the EGU, the registered nurse informs the bed manager about these patients. If there are no beds available when the clinic is closed, the registered nurse informs the bed manager and the patients are sent to the Accident and Emergency (A&E) department. Our unit is under Newham University which with Royal London and Whipps Cross Hospitals, are all part of Barts Health Trust; I therefore feel that the trust should implement the same pathway for all their Hospitals. Currently a registered nurse must stay with the patient until a bed becomes available. Sometimes the patient does not get a bed until 8pm, even though the clinic closes at 5pm. It is not safe for any patient to be left in the clinic on their own particularly patients presenting with an ectopic pregnancy, or miscarriage in transit, as there is no resuscitation trolley available on the unit. Such a situation could be avoided with the creation of a pathway, that detailed how patients should be transferred to a named A&E department when the clinic is closed. A diary will be created for recording the details of such patient, making sure the pathway is monitored constantly and members are aware of patient’s movements. The pathway should be audited every month, safeguarding that the pathway is being followed. A DATIX report should be completed when there is a delay of thirty or more minutes in transferring the patient from the EGU to the ward, or to the A&E department.

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