提升護理人員點班之時效性

Measures to Improve Effective Management of Medical Supplies

點班是護理活動的既定前置作業，統計每日護理人員點班需15人，每人平均耗時高達16.7分鐘，主因為規範未明確、醫衛材位置項目多且繁雜、需協助其他團隊的醫療儀器點班、取用醫衛材未落實登記及歸還，本專案運用PDCA品管手法找出護理人員點班耗時的原因，並制訂改善措施：制修訂護理人員點班規範、修訂點班內容項目與數量、規劃醫衛材位置、製作儀器使用登記板及提示海報、重新分配醫衛材管理。專案改善後：1.護理人員點班時間由16.7分鐘縮短為5分鐘；2.護理人員點班項目減少67.5%；3.護理人員點班滿意度達85%，因而提升護理人員點班之時效性，精實非護理專業工作時間，回歸於護理專業工作，落實於臨床病人照護。

Medical supplies routine count is the existing pre-process of nursing activities. Fifteen nurses were needed to do the nurse-to-nurse handover daily, each spending at least 16.7 minutes on average. That is mainly because of unclear protocols, multiple storage areas for medical supplies and counting becoming very complicated. Also, staff is required to assist performing routine count on multidisciplinary team’s medical equipment or it is not documented properly when medical supplies are taken away and has not been returned. The project applied PDCA quality control method to investigate why counting medical supplies is so time consuming and then establish appropriate implementations as follows: setting up revised medical supplies routine count protocols, modifying the content and quantity that needs to be included, planning for placing the medical supplies, preparing a sign-in, sign-out board to record when the medical equipment is to be used and making a reminding poster as well as rearranging the management of medical supplies. After the project intervened, it has achieved as follows. 1. Time required for the medical supplies routine count decreased to 5 minutes from 16.7 minutes. 2. Items that were to be counted reduced 67.5%. 3. Satisfaction rate on the routine count reached 85%. It has improved the effectiveness of performing medical supplies routine count and has shortened the non-nursing activity time consumption so that clinical patient care can be reinforced with more time spent on professional nursing field.