| 英文摘要 |
Donation of bone and ligament is rare in the operating room. The recognition rate of the donation and transplant operation performed by nursing group is only 85%. The transplant operation time is 14.5 hours, and the positive rate of bacterial culture obtained from bone and ligament are 7.1% and 4.1%, respectively. In order to improve these performances, we need to find out what causes nursing group members unfamiliar with the donation operation. The possible causes include: the lack of in-service education and monitoring mechanism, undefined standard operation processes and regulations, and poor arrangement of operational instruments. Therefore, our program aims to improve these conditions by organizing education and training, writing a standard operating manual, producing preparation item lists, amending the donations lists, and regulating the auditing mechanism. After executing the program, the transplant operation time reduced to 12 hours from 14.5 hours, the recognition rate increased from 81.5% to 100%, and the bacterial infection rate of bone and ligaments both reduced to zero. In conclusion, our education program provides high success rate of bone and ligament donation, good cooperation of team work, and efficient work performance. The most important part is to complete donors’ wishes and ensure the recipients’ safety. |
