提升護理人員於高危險性新生兒待命流程之完整率

Improving the Standby Process Completion Rate Among Nurses for High-Risk Neonates

背景：待命準備流程與高危險性新生兒安全息息相關，更需要受過專業訓練的醫護團隊即刻處置。根據現況分析，單位護理人員在執行高危險性新生兒待命流程的完整率低。原因為無高危險性新生兒待命標準作業流程及無稽核制度、缺乏教育訓練、待命包醫療用品多、缺少待命包清單、待命包未定時清點。
目的：提升護理人員執行高危險性新生兒待命流程之完整率。
解決方案經專案成員討論並採行六項方案：(1)制定高危險性新生兒待命標準流程及錄製待命標準化流程影片。(2)建立稽核制度。(3)定期舉辦情境模擬教育訓練。(4)整理待命包之醫療用品。(5)設計待命包之點班清單。(6)明訂待命包之醫療用品點班及使用規範。
結果：護理人員執行高危險性新生兒完整率提升至100%；護理人員執行高危險性新生兒待命流程之滿意度由59.5%提升至96.5%。
結論：透過遵循正確的標準作業流程和進行教育訓練，才能夠在關鍵時刻確保有效且高品質的照護。

Background & Problems: Readiness process effectiveness significantly impacts the safety of high-risk neonates and requires an immediately responsive and well-trained healthcare team. Analysis of our unit found the high-risk neonatal standby process completion rate among nursing staff to be very low. Reasons for this poor level of performance included absence of standardized procedures for high-risk neonatal standby, lack of an auditing system, inadequate education and training, multiple medical supplies in the standby kits, absence of a checklist for the kits, and failure to regularly inventory the contents of these kits.
Purpose: This study was designed to improve the high-risk neonatal standby process completion rate among nursing staff.
Resolution: We developed standardized procedures and videos for high-risk neonatal standby situations, established an auditing system, conducted regular scenario-based training, organized medical supplies in the standby kits, designed a checklist, and defined procedures for stocking and using the supplies.
Result: The high-risk neonatal care completion rate among nursing staff increased to 100%, and the satisfaction rate with the standby procedure for high-risk neonates rose from 59.5% to 96.5%.
Conclusion: Following proper standardized procedures and conducting education and training can ensure effective and high-quality care in critical healthcare situations.