Dragon and Tiger News (reporter Zhang Ling) In the blooming May, we ushered in a special and noble festival - International Nurses Day. "Nurse white" is the warmest color in the world. "Lantern bearer" always brings hope to the world. In Nanjing, a city with a long history, there are such a group of angels in white. They work hard in ordinary posts, offer silently, care for life with life, and protect the health of patients with their own expertise and love; Practice Nightingale's spirit with "love, patience, carefulness and responsibility"; Use your own practical actions to interpret the professionalism of "respecting and protecting life, saving the dying and healing the wounded, being willing to contribute, and loving the boundless".
"I will always be loyal to the cause of nursing! I will try my best to provide the best service for patients.
Rush to deal with diseases on the way, like a blessing for life for ten years
"I didn't feel it when I saved people, but I couldn't stand it when I came back. It hurt! I have been lying in bed for three or four weeks." Shan Hong, an orthopedic nurse at Nanjing Children's Hospital, said with a wry smile, who was on crutches.
It originated from an incident that a single red hip joint patient was brave to save people regardless of his own situation in the recovery period after surgery. At about 18:00 on the evening of March 25, Dan Hong arrived in Shanghai for re examination and was about to return to Nanjing, when she found that the middle-aged man in the same train suddenly fell to the ground after getting off the train at Shanghai Hongqiao Railway Station. Single Red immediately went forward to check, and found that the man had respiratory arrest, carotid pulse disappeared, and so on. It was initially judged as cardiac arrest, and cardiopulmonary resuscitation was needed immediately. Ignoring her own condition, Danhong immediately knelt down to press her heart, and instructed the man's companion and the railway staff who came immediately to carry out CPR on the man in turn until 120 emergency vehicles arrived.
It is understood that the patient is out of danger because of timely treatment. Dan Hong said that the first 4-6 minutes were the golden rescue time in case of respiratory and cardiac arrest. In such an emergency, due to the duty and instinctive response of medical staff, they had no time to care that they were still a patient and needed to rest. "Later, I was a little afraid. This situation is very dangerous. What should I do if I can't get it back? But on second thought, if I didn't try, I would regret for life."
Zhang Jiajia, a nurse in the cardiac catheterization room of Nanjing Drum Tower Hospital, sticks to her job day after day, creates extraordinary things with ordinary, and protects the life and health of patients.
As a nurse in the catheter room of cardiovascular internal medicine, Zhang Jiajia has her own set of "24 hours on call" rules for acute myocardial infarction patients who "time is life and time is heart". When she receives a call, she can always rush to the hospital at the fastest speed at the first time, ready to open a green channel for patients at any time. Over the past ten years, she has participated in saving the lives of hundreds of critical patients.
Won the May 1st Labor Medal of Jiangsu Province in 2024, won the first prize of individual, the title of "Jiangsu May 1st Innovation Expert" and the first prize of the group in the clinical nursing skills competition of Jiangsu Province in 2023; He won the third prize of individual, the title of "Nanjing May Day Innovation Expert" and the first prize of his group in the Nanjing Clinical Nursing Skills Competition, and was repeatedly rated as "excellent nursing staff" and "nursing service pacesetter". When referring to the "secret", Zhang Jiajia laughingly said that it was "careful and sincere". When the patient has difficulty urinating but refuses catheterization, she will communicate patiently, and successfully help the patient urinate by massage, listening to the sound of running water and other methods; When facing the elderly patients who cannot cooperate with the operation due to the pain after waist surgery, she will wear lead clothes to guard beside the patients, knead their backs, listen to their demands patiently, and bring strength and hope to the patients with warm words... There are many warm moments like this, and in Zhang Jiajia's view, these are the job of protecting life. The past ten years have been like a day. In the future, we will stick to our original intention as always.
Improve excellent nursing service team and gather strength
On April 29, at the Nanjing Maternal and Child Health Care Hospital, a training on family care for hearing impaired children attracted many families who went to see the doctor and return to see the doctor that day. Xu Jing, a nurse from the ear, nose and throat department of the children's health care department of the hospital, was the keynote speaker of the day. By assessing the parenting pressure of hearing impaired children's parents, their understanding of hearing related knowledge and learning needs, she deeply analyzes the psychological feelings and coping styles of hearing impaired children and their parents, provides knowledge about hearing impaired children's diseases, and transmits the importance of early intervention and intervention methods.
In order to improve nursing services, optimize the screening process for hearing impairment in children's health care clinics, and improve parents' satisfaction, since January 2023, Nanjing Maternal and Child Health Hospital has established a MDT (multi science cooperation) team based on empowerment management concept to establish health services for hearing impaired children, whose members span the Perinatal Medicine Department, Children's Health Department The daily activities of the parent workshop are undertaken by nursing staff in the Logistics Department and other departments.
Adhering to the concept of "Let children hear, hear clearly, understand!", Qian Jun, head nurse and chief nurse of the Child Health Department of Nanjing Maternal and Child Health Hospital, said that the team was unwilling to give up every deaf child. What impressed Qian Jun was that the hospital once diagnosed a little boy from other places with moderate hearing impairment. When giving one-on-one guidance to parents, he learned that the boy and his 14-year-old sister also had moderate hearing impairment, but they did not intervene. In the communication with the little boy and sister, the team found that the sister spoke with "big tongue" very clearly, and many words were unclear. But the parents said that it was OK to understand. Team members repeatedly transmitted to parents "not only understand, but also hear clearly". Finally, with the unremitting efforts of the team, parents wore hearing aids to their daughter. "Because they are from other places and are far away, we set up a group with parents. Later, through the group, we gave parents the online course of" The Importance of Hearing Management ", and followed up the intervention of the two children. The parents said that the intervention effect was very good." Qian Jun said cheerfully.
In Nanjing First Hospital, the professional nursing team of graded sports rehabilitation is also actively giving play to team strength, actively building a safe and standardized graded rehabilitation program, and exploring a scientific and effective scientific quality control management model.
Last year, a 72 year old patient who underwent coronary artery bypass surgery+valve replacement surgery had weakened cardiopulmonary function, decreased living ability and activity ability after surgery. The multidisciplinary graded exercise rehabilitation team led by nurses in Nanjing First Hospital took graded nursing assessment technology every day after surgery to determine the patient's rehabilitation level in combination with the patient's condition, activity adaptability and rehabilitation needs, In combination with the graded exercise rehabilitation program, a personalized exercise rehabilitation prescription was formulated and implemented for patients, mainly including respiratory training nursing technology, posture training nursing technology, limb activity training nursing technology, aerobic resistance training nursing technology, etc., and the exercise prescription was adjusted according to the patient's condition. In the process of sports rehabilitation, we also implemented three-level quality control led by full-time nurses, namely, responsible nurses in wards, nursing team leaders and full-time nurses. During the period of exercise rehabilitation, the patient did not have adverse events such as arrhythmia, unplanned disconnection, fall, etc., safely completed various exercise rehabilitation contents, and successfully recovered and discharged from hospital after surgery.
This is just one example of Nanjing First Hospital in building a safe and standardized graded rehabilitation program. On January 1, 2023, Nanjing First Hospital officially established a full-time team of 12 graded sports rehabilitation nurses. Effectiveness is the fundamental criterion for testing all work. Since the establishment of the team, it has not only reduced the incidence of postoperative pulmonary complications in patients undergoing cardiac surgery, improved their mobility, improved their quality of life, but also shortened their hospital stay and reduced their hospital costs; In addition, the correct rate of sports rehabilitation grade assessment, the awareness rate of graded sports rehabilitation knowledge and the standardized implementation rate of graded sports rehabilitation were improved. It is worth mentioning that since its establishment, the team has successfully guided more than 1600 patients to implement graded exercise rehabilitation, and has been widely promoted to other hospitals.
Intensive training of specialized nurses Internet expansion service
In August 2023, the Medical Affairs Office of Nanjing Municipal Health Commission launched the training and enrollment of municipal specialized nurses in 2023. Nanjing Hospital of Traditional Chinese Medicine, as the training base for municipal specialized nurses of traditional Chinese medicine, was assessed and enrolled in the training class in the form of "theory+interview". A total of 41 students from inside and outside the city were enrolled, including those from Xinjiang Uygur Medical Hospital Nanjing Hospital of Traditional Chinese Medicine (Yining Branch) Maynur Baheti. Maynur Baheti and the students, through "following famous teachers", "guiding cases", "observing culture", "hands-on practice" and other ways, integrated the classics of traditional Chinese medicine and technical training, through a month of comprehensive multi-dimensional systematic training of traditional Chinese medicine theory, traditional Chinese medicine technology, dialectical nursing, nursing research and cultural inheritance of traditional Chinese medicine, and two months of clinical pathway based specialized teaching, It has improved clinical TCM nursing thinking and dialectical nursing ability, and mastered TCM characteristic nursing techniques such as moxibustion, cupping, scraping, ear point diagnosis and treatment. On December 10, 2023, she passed the defense and successfully completed the course, and won the third prize of excellent TCM nursing cases in the base. After Ma Yinur Baheti returned to his post, he actively improved the hospital's TCM nursing service ability and promoted the construction of traditional therapy featured nursing outpatient service. From December 19 to 21, 2023, Nanjing Hospital of Traditional Chinese Medicine once again sent two TCM nursing experts from the base to provide counterpart support to the characteristic nursing clinic of traditional therapy of Uygur Medical Hospital, help local nursing staff to consolidate the theory of TCM nursing, standardize the appropriate technology of TCM, and improve the ability of TCM dialectical nursing, with remarkable results.
Nanjing Hospital of Traditional Chinese Medicine "Nursing" inherits the "Jinling Medical School" and Nanjing University of Traditional Chinese Medicine "Jiangsu Province Nursing Advantage Discipline" construction unit. The nursing team of the hospital has always adhered to the training goal of building a high-level TCM nursing team, taking talents as the first resource to promote the development of TCM nursing in the region.
In recent years, the base has trained 179 municipal TCM nursing specialist nurses, radiated more than 30 secondary and tertiary TCM, integrated traditional Chinese and western medicine and comprehensive medical institutions, community health service centers in Nanjing, and promoted more than 20 appropriate technologies of TCM nursing. In addition, after training, the specialized nurses in the base are actively engaged in the construction of the hospital's TCM nursing specialty, driving the establishment of 13 new TCM featured nursing clinics, expanding the TCM nursing technology to intervene in more than 60 kinds of dominant disease indications, participating in more than 10 TCM nursing health science popularization and free clinic consultation activities every year, and participating in TCM nursing training and teaching at the hospital level and municipal level or above as teachers, More TCM nursing talents will be incubated from point to area.
In Nanjing, Qixia District is a typical representative when it comes to "Internet+nursing services".
"This is very convenient! Xiao Wang, I really bother you. My family lives on the sixth floor. It used to be a big problem to go to the hospital every time. Since you came to the hospital for home service, there is no need to go back and forth!" Grandpa Han expressed his sincere gratitude to the medical staff of Qixia District Hospital who came home for rehabilitation and nursing. In the winter of 2023, Grandpa Han, who lives in Yaohua Street, was admitted to hospital for surgery because of his ankle fracture caused by careless slippery road in rainy days. "Can the postoperative sports rehabilitation be completed at home?" Grandpa Han asked the doctors and nurses to recover at home when he left hospital. In view of Grandpa Han's condition and service needs, the hospital suggested that he use "Internet+nursing services" to carry out home rehabilitation, and assign skilled nurses and rehabilitation therapists to the patient's home for rehabilitation guidance.
In order to adapt to the growing health needs of the people and the new requirements of economic and social development on the development of nursing, in July 2019, Qixia District applied to become a pilot unit of "Internet+Nursing Service" in Nanjing. It was the first to take Jiangsu Provincial People's Hospital as the guiding unit, Nanjing Qixia District Hospital as the regional leader, 10 community health service centers One nursing station has a new regional "Internet+nursing service" model, which uses the technical resources of specialized nurses in Qixia District Hospital in Nanjing to drive communities and nursing stations to improve the ability of primary nursing services. It is reported that relying on Internet and other information technologies, Qixia District mainly adopts the mode of "online application and offline service" to provide nursing services for discharged patients or special groups with mobility difficulties, and address the needs of home care for the elderly with "disability, semi disability and dementia". In the past four years, Qixia mode "Internet+nursing service" has carried out 10379 offline services.
