英文摘要 |
Purposes This study aimed to reduce the slippage rate of temporary hemodialysis catheters. From January to March 2018, the slippage rate in our institution was as high as 0.12%. Successive abnormal tubing events not only cause patients pain caused by catheter re-implantation, they make family members and the medical team question nursing professionalism. Methods Through a retrospective data analysis, an on-site inspection, and personnel interviews about abnormal events, the following problems were identified: (1) Personnel: insufficient sensitivity about tubing safety, incorrect binding, and inadequate health education; (2) Devices: tubing inadequately fixed and insufficient binding tools; and (3) System: lack of an auditing system and nursing inspection guidelines. The improvement measures included: (1) adding tubing reminder picture cards; (2) organizing on-the-job education; (3) creating tubing fixation molds and fixation instruction audiovisual files; (4) changing dressings to reinforce the fixation; (5) providing guidelines for nursing inspection; and (6) performing audits and creating reward and punishment feedback mechanisms. Results The slippage rate of temporary hemodialysis catheters decreased from 0.12% to 0%. The temporary hemodialysis catheter success rate was 100%, and its effect was very satisfactory. Conclusions Patients' tubing safety can be improved through the establishment of temporary hemodialysis catheter care standards as well as the implementation of temporary hemodialysis catheter evaluations and indwelling care protocols. (Cheng Ching Medical Journal 2021; 17(3): 77-86) |