某綜合科病房護理人員醫衛財管理之改善方案

A Project to Improve the Management by Nursing Staff of Unit Equipment and Supplies on a Ward with Patients

本專案目的在提升某綜合科病房護理人員對醫衛財管理的滿意度，執行動機係因該病房護理人員針對交接班醫衛財點交時間過長，對工作流程滿意度低，經會談與問卷調查分析，主要原因為追帳的時間過長，追帳的原因包括未即時記帳、物品用完未歸位、記帳習慣欠佳先拿物品下班前再記帳等。改善方法先分析病房衛材耗用月報表與具體消耗衛材狀況，修訂點班內容項目與數量、重新整理醫衛財位置、更新標籤，並多次與護理人員溝通，建立醫衛財管理的技巧與共識，實施後分析結果點班時間與追回遺漏醫衛財時間每班約節省20分鐘，護理人員醫衛財管理問卷結果滿意度由56%提升至74%。本專案之實施過程可提供其它病房單位有效管理醫衛材管理之參考。

The purpose of this nursing project was to elevate the nursing staff’s satisfaction level with regard to the management of unit equipment and supplies on a ward with patients. Nursing staff believed that they spent too much time handling paperwork associated with unit equipment and supplies between shifts and as a result the staff had a low level of satisfaction with this work. After a brainstorming session and a questionnaire survey, charge-record tracking was found to take up the most time and this was due to events not being recorded immediately and items not being returned to the right place, etc. The project first modified the items involved and the amount of work involved in the handover between shifts. This was followed by the relabeling of items linked to the development of communication between the nursing staff to establish common skills and the creation of an agreement on procedure for the ward. The pre-survey and post-survey measured the average time spent on the equipment handover over four shifts. The instituted changes resulted in an average time saved tracking lost supplies of about 20 minutes. The mean satisfaction level with respect to unit equipment and supply management in general was elevated from 56% to 74%. These findings suggest that a similar improvement to the handover process to that developed by this project may be applicable to other wards with patients.