提昇中心靜脈導管留置護理程序之完成率

Increasing the Executive Rate of Standard Central Venous Catheter Care

本專案的目的在提昇中心靜脈導管留置護理程序之完成率，經現況分析與實地觀察，瞭解本單位中心靜脈導管留置護理程序的平均完成率僅58.5%。其中導致總平均完成率未達100%之因素有：（一）本單位未設立中心靜脈導管留置護理程序，及詳細的無菌操作步驟與解說；（二）人員因工作忙碌，簡化了中心靜脈導管留置護理程序；（三）護理人員不熟悉中心靜脈導管留置護理程序。經由文獻查證並與感染控制小組討論後，擬定製作正確且詳細的中心靜脈導管留置護理程序單張，經在職教可宣導後，後測中心靜脈導管留置護理程序品管指標可達總平均完成率100%，達到提昇護理照顧品質之最終目的。

The purpose of this project was to increase the executive rate of standard nursing care of central venous catheters. The average rating of the procedure used by our nurses in caring for central venous catheters in our unit was 58.5%. Reasons why our rating failed to reach 100% included: (1) there was no clear, detailed explanation of the aseptic technique of standard nursing care of central venous catheters; (2) nurses were too busy to complete the detailed steps necessary to the procedure; (3) nurses were unfamiliar with standard nursing care of central venous catheters. Observation, analysis, literature review and discussions with the Infection Control Team were the measures we adopted to improve the standard nursing care of central venous catheters in our unit. Through the application of what we learned we increased our average rating of standard nursing care of central venous catheters to 100%.