提升骨科護理人員急救技能完整性

Improving the Integrity of First Aid Skills for Orthopedic Nurses

骨科病人平均住院天數短，且單位急救事件發生率低，因此當發生急救時，人員對於急救流程及準備用物不熟悉，影響急救照護品質，引發小組成立動機。於2019 年1 月10 日至2019 年4月30 日進行現況調查分析後，確立專案問題為骨科護理人員執行急救技能完整率僅達61.8% 及急救技能認知正確率僅60.9%。專案解決辦法包括規劃急救團隊分工機制、運用骨科病房急救技能多媒體教案、舉辦高擬真急救情境教學與競賽、設計緊急救援轉轉盤、救命金字塔- 緊急插管備物圖卡與急救車物料設置指引等。專案改善結果提升骨科護理人員急救技能完整率至96.5% 以及急救技能認知正確率至95.5%，追蹤執行10 個月急救時有效降低用物準備延遲事件為0 件。因此建議臨床可定時舉辦急救擬真教育訓練及競賽，增加人員急救熟練度及降低用物準備時間，提升急救作業時效與品質。

"The average hospitalization days of orthopedic patients are short, and resuscitation rates are low. These factors result in the delay of equipment preparation for resuscitation and affect on the quality of care during resuscitation in the orthopedic ward. It is our motivation of setting a team for the project. In order to understand the current situation, the project team conducted a survey between January 10 and April 30 2019. The survey results demonstrated that only 61.8% of orthopedic nurses were capable of completing resuscitation, and 60.9% equipped with the knowledge of performing effective and accurate resuscitation. The solution of the project included the assignment of roles in a case of resuscitation, implementation of educational media, establishing a resuscitation simulation, designing resuscitation Kardex with several methods that may provide improvements. Results revealed that the completion rate of resuscitation amongst orthopedic nurses increased to 96.5% and the accuracy of resuscitation raised to 95.5%. After 10 months follow-up, the delay of equipment preparation for resuscitation reduced to zero cases. It is recommended that clinical simulation workshop related to the resuscitation scenario should be held regularly. This may increase the resuscitated proficiency for orthopedic nurses and reduce the preparation time of equipment, and improve the quality of care for the resuscitation of orthopedic patients."