Guizhou Provincial People’s Hospital: Specialization of nurses to write a new chapter of high-quality nursing

“Come, Auntie, follow me, inhale, blow…”

In the RICU ward of the Department of Respiratory Medicine, Guizhou Provincial People’s Hospital, patient Zhang Xiulan (pseudonym) performed abdominal surgery under the guidance of a nurse Respiratory rehabilitation training.

Guide patients for lower extremity functional training.

In January this year, 72-year-old Zhang Xiulan suffered from heart and respiratory diseases caused by hot springs. When she was sent to the hospital, she was already confused. Her heart rate was only 40 beats per minute, and her SPO2 and BP could not be measured. After being rescued and treated by the medical staff, although he was out of danger, he lost his basic ability to live and was unable to move in bed. Both physically and psychologically, they were severely traumatized.

Do handicrafts with elderly patients.

In order to improve the patient’s self-care ability, the medical staff formulated a complete rehabilitation plan and nursing measures for Zhang Xiulan, but she was not very cooperative at first. “I often see her staring blankly at the roof alone.” Wu Ruiming, head nurse in Neisan District, said that in order to help Zhang Xiulan regain her confidence in life, a specialist nurse from the Department of Respiratory Medicine gave her a long period of psychological counseling. “We stay by her side for 3 hours a day, communicate with her, talk about life, family, children, and the future, and explain to her the importance of rehabilitation measures and some cases of rehabilitation.”

Nurses help patients with rehabilitation.

Gradually, Zhang Xiulan began to be willing to cooperate with rehabilitation therapy, and would follow the instructions to perform simple abdominal breathing, word pronunciation, swallowing training, diaphragm therapy, and joint function training. After about 30 days of rehabilitation and drug treatment, Zhang Xiulan’s condition has improved significantly. From lying in bed at the beginning, she can’t move, to slowly swallowing food, sitting by herself, and raising her hands above her head. basically returned to normal.

As her body recovered day by day, Zhang Xiulan also regained her confidence in life. “I will persevere well and live up to the concerns of doctors and nurses and the expectations of my family.”

The nurse cuts the patient’s hair.

“Three points of treatment, seven points of care”. Nursing plays a vital role in medical work. Zhang Xiulan’s recovery has benefited from the training of specialist nurses in Guizhou Provincial People’s Hospital in recent years.

A specialist nurse refers to an expert clinical nurse with high level and expertise in a special or specialized nursing field. As people’s demand for professional nursing increases, the medical industry also puts forward new requirements for nurses. In recent years, Guizhou Provincial People’s Hospital has continuously improved the professionalism and nursing quality of nurses, and a group of professional nurses have emerged. They are active in the clinical front line and rely on their professional knowledge in corresponding sub-fields to provide high-quality nurses to patients. medical care.

Specialized nurses not only have professional technical and nursing knowledge, but also have many hidden “skills”. In the geriatric general ward of Guizhou Provincial People’s Hospital, more than half of the patients are over 85 years old. In order to shorten the distance with patients and add fun to their hospital life, haircuts, targeted handicraft, paper-cutting and other activities for patients, personalized rehabilitation guidance has become an important part of the work of specialist nurses.

“In the geriatric general ward, specialist nurses take care of patients like ‘dolls’, and give them family-like care.” said Li Ling, head nurse of the second area of ​​internal medicine, “We integrate into our daily work. Some special activities to promote the health of patients and improve their quality of life.”

Nowadays, in Guizhou Provincial People’s Hospital, specialist nurses take on more responsibilities for nursing and treatment, but also from ” Behind the scenes” went to the “front stage”.

Wound dressing, stoma care, intravenous therapy… Postoperative treatments that used to require the help of nurses can now be done in outpatient clinics, bringing full professional care to patients.

After the patients are discharged from the hospital or some patients who do not need to be hospitalized, they will have some service needs, such as wound stoma care, pipeline maintenance, functional assessment, etc. In the past, such specialized nurses were scattered in various departments, and patients could only go to the ward to find them “point-to-point”. The establishment of nursing specialist clinics fills the gap in this area and breaks the tradition that only inpatient departments can provide nursing services in the past. Now, whether it is outpatient or inpatient, there are professional teams and experts focused on providing professional and high-quality nursing services to patients.

At present, Guizhou Provincial People’s Hospital has opened specialized nursing clinics such as wound specialist clinic (lymphedema), stoma specialist clinic, PICC clinic, respiratory medicine chronic disease management clinic, and diabetes health consultation specialist clinic. generally accepted by society.

Up to now, the hospital’s ostomy clinic has completed 245 in-hospital ostomy consultations, and 574 telephone follow-up visits for discharged stoma patients; the orthopedic wound center has received 56 out-of-hospital consultations and more than 100 community visits. The total number of dressing changes reached 176. The treatment room completed 54,750 treatments.

The extension of nurses’ responsibilities and the promotion of medical-nursing integration allow patients to enjoy more professional nursing services. In Guizhou Provincial People’s Hospital, specialist nurses no longer just provide traditional injections, infusions, and dispensing “the old three”, but also rely on professional nursing skills to become experts who help patients relieve pain and facilitate rapid recovery. (Text/Photo provided by Lin Xiao, Guizhou Provincial People’s Hospital)