建立靜脈輸液護理技術標準以降低按鈴次數之專案

A Project of Establishing Intravenous Injection Nursing Standard to Decrease Call Bell

本專案目的在建立靜脈輸液護理技術標準及製訂靜脈輸液病患衛教單張以降低按鈴次數。臨床上常見病人或家屬按鈴呼叫護理人員次數頻繁，干擾護理作業，影響病患休息，促使筆者欲了解原因並改善按鈴問題。故進行為期30天按鈴相關因素分析，結果發現以靜脈輸液問題按鈴頻率最高534次（佔80.92%）。針對此問題進一步討論；並對護理人員進行靜脈輸液流速與輸液相關問題認知程度測試不佳，因而建立靜脈輸液護理技術標準，製訂病患靜脈輸液衛教單張，安排在職教育之改善措施。實施二個月後再評值，得知護理人員認知程度由51.34%提昇至91.69%，靜脈輸液問題按鈴次數由534次（佔靜脈輸液按鈴發生率之66.50%），降至205次（佔靜脈輸液按鈴發生率之23.89%），達到降低按鈴次數之目的。藉由本專案而建立靜脈輸液護理技術標準，列入在職教育課程，以提供護理人員執行靜脈輸液護理技術標準之依循，得以提昇靜脈輸液護理服務品質。

It's common in the hospital to see patients or familyfrequently by ringing the bell to call nurses, thus distracting the nurses, work and disturbing the rest of other patients. In order to understand the reasons and rectify the problem of bell ringing, we analyze the causes of bell ringing for a period of 30 days. The result showed that majority of bell ringings were related to intravenous injection with a frequency of 534 times (80.92%). A further discussion of this problem revealed that the nurses, knowledge of intravenous injection rate and injection related problems was poor. Hence, a standard for nursing skill in intravenous injection was established, an intravenous injection instruction for patients was deviced, and a teaching of corrective measures was arranged. After an implementation of 2 months, the level of nursing knowledge increased from 51.34% to 91.69%, and the rate of bell ringing related to intravenous injection problems dropped from 534 times ( 66.50% of bell ringings for intravenous injection ) to 205 times (23.89% of bell ringing for intravenous injection ) achieving the goal of decreasing the rate of bell ringing. with this report. A standard for nursing skill in intravenous injection has been established, and incorporated into teaching lesson, to provide the nursing personnel a guideline on the standard of nursing skill in intravenous injection, thus raising the quality of nursing service in intravenous injection.