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Oxygen pipe fixing card >
Oxygen inhalation has become one of the most common treatment measures in clinical practice. In clinical practice, patients often involve excessive oxygen tube due to restlessness, excessive turning over or other reasons. , it may cause the oxygen flow meter and the humidification bottle to be tilted together. When the tilt angle is too large, the sterilized water will flow back into the oxygen tube, and then quickly pour into the patient’s nasal cavity with the help of oxygen in the tube, causing severe coughing. Mild cases may cause patient discomfort and panic, while severe cases may cause aspiration pneumonia or even death by suffocation.
In order to avoid such incidents, the department has made the following improvements: Fixed with an oxygen suction tube The purpose of fixing the oxygen inhalation tube is that no matter how you pull the oxygen inhalation tube, it will not tilt the flow meter and the humidification bottle device, causing the sterile water to flow back into the respiratory tract and cause choking.
before improvement
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improved
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The specific usage and precautions are as follows:
1. Embed this card between the oxygen outlet and the flow meter on the device, and fix the flow meter;
2. Fix the oxygen suction tube under the fixing card, pay attention to Try to leave enough length at the connection with the flow meter to avoid the outlet of the pipeline being discounted and affecting the effect of oxygen inhalation;
3. Adjust the aerobic flow and wear the oxygen tube correctly for the patient , do a good job of health education.
Benefits:
1. Low cost, can be recycled after cleaning;
2. Simple operation, convenient disassembly and assembly, saving time and effort;
3. Add another safety guarantee for the patient’s “safe oxygen inhalation”.
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New negative pressure drainage alarm device
< p>With the process of social modernization, the incidence of trauma is increasing day by day, and some severely polluted wounds and infected wounds are a major challenge for surgical wound treatment. For patients with large-area skin defects caused by trauma, degloving injuries, large-area pressure ulcers or ulcers, the clinical treatment methods are wound debridement, irrigation, closed negative pressure drainage, and after the wound is free of infection and the granulation tissue grows well, the Skin grafting treatment.
The key step before skin grafting is to prevent wound infection. After debridement, the doctor will use a negative pressure wound care material, that is, vsd to cover the wound. The wound is closed at the skin defect to isolate it from the outside world to prevent contamination and cross-infection. Then, the wound is continuously washed with normal saline, and the wound is sucked by continuous negative pressure.Exudate and irrigation fluid are sucked away immediately, effectively keeping the wound clean and inhibiting bacterial growth. However, in the process of flushing and sealing negative pressure drainage, some problems will be encountered. If the drainage is not dumped in time, the negative pressure will fail. If the flushing solution is not closed in time, it will cause drainage and accumulation at the wound and extravasation, leading to wound infection. Seriously Patients need to undergo reoperation for wound debridement and replacement of negative pressure wound care materials, which increases pain and economic burden on patients. Therefore, timely closing of flushing, dumping and drainage has become one of the key points of care.
Most of the flushing solutions we use clinically are 3000ml of normal saline. One or more channels of flushing are performed, and the volume of the drainage bucket is only 1000ml. Therefore, frequent inspections and dumping and drainage are required in daily care. Patients and their families are always worried about the overflow of drainage and cause anxiety. When half of the rinsing solution is used, the nurse is urged to pour it out, which can easily lead to conflicts between nurses and patients if it is not in time. In order to avoid a series of consequences caused by untimely drainage and dumping, Shengjing Hospital Hand, Foot and Ankle Microsurgery designed a device with an alarm and automatic shut-off irrigation function to ensure continuous and effective wound healing. Negative pressure suction. Its advantages are: it can avoid the delay in the treatment effect due to the dumping and drainage of nurses, ensure medical safety, reduce the anxiety of patients and their families, improve the satisfaction of patients during hospitalization, and reduce the burden of nursing care. workload.
It consists of a closed negative pressure drainage device, a non-contact liquid detection sensor (liquid level sensor), an integrated control alarm, an alarm volume regulator and an electric clip. When the liquid in the drainage bucket reaches 800ml (we call it the safety line), the liquid level sensor sends a signal, and the sound and light alarm on the integrated control alarm automatically alarms, prompting the nursing staff to dump the drainage liquid (the volume of the alarm can be adjusted according to the environment At the same time, the electric clamp is activated to clamp the irrigation pipeline to prevent the irrigation fluid from continuing to flow to the wound and then being sucked into the drainage bucket. This double protection of alarm and clamping ensures irrigation and negative pressure drainage. It is safe and reduces the risk of affecting the treatment effect due to untimely drainage and dumping. Since February 2018, after the use of the new negative pressure drainage alarm device in our department, there has been no case of untimely drainage and dumping, which has reduced the mental burden of patients and their families, reduced the occurrence of conflicts between nurses and patients, and effectively reduced nursing care The workload of the staff ensures the safety of nursing and improves the satisfaction of patients with medical care and nursing. The liquid level sensor can adjust the position of the alarm according to the needs. The alarm volume can be adjusted according to the needs, and the time of the delay relay to activate the clip can be adjusted according to the flushing speed, which is well received by patients and medical staff!
Portable Enteral Feeding Pump Unit
Enteral nutrition is the gastrointestinal administration of oral or nasogastric feeding to meet metabolic needs nutrients and various other nutrients in the form of nutritional support. It is the most common treatment method in thoracic surgery. Patients after esophagus surgery in thoracic surgery should not be able to take water orally in the early stage, especially those with anastomotic leakage after esophagectomy need to fast for 1-2 months. Such patients require enteral nutrition. Usually a nasogastric pump is used.
The traditional method: hang the nutrient solution upside down on the infusion pole, fix the nasal feeding pump on the infusion pole, and hold the infusion when the patient gets out of bed. The nutrient solution bottle is easy to shake and break easily; the nutrient solution and the nasogastric feeding pump are attached to the infusion stand at the same time, the whole infusion stand will be heavy, inconvenient to take and place, and not easy to move; and the infusion pipeline is long, easy to drag, It is easy to be discounted and blocked, and it is inconvenient to carry a nasal feeding pump, which increases the risk of getting out of bed. As a result, patients refuse to get out of bed, which is easy to induce gastric acid reflux, gastrointestinal disorders, pressure ulcers and other postoperative complications.
Second Thoracic Surgery Nurse So Myung Hwan in his spare time A small innovation was made in the way of feeding the nasogastric pump into enteral nutrition. A portable enteral nutrition pump device was invented.
Method for a portable enteral nutrition pump device: the portable enteral nutrition pump device includes a bag body and a carrying strap, and the back side of the bag body is on both sides Two straps are symmetrically arranged. The bag body and the strap are connected by a lock. There are adjustment buttons on the strap, which can adjust the length of the strap according to the patient’s height and shoulder width. There is a carrying strap on the top of the bag body. The front of the package body is provided with a first volume bag and a second volume bag. The first volume bag is used to place a bagged or bottled nutrient solution liquid storage container, and the center of the volume bag is hollowed out to observe the drop height of the liquid. A nasal feeding pump is placed in the second volume bag, and there is a transparent area on the right side of the volume bag, so that the data on the instrument display can be observed.
p>Advantages: The device is light and easy to use, and is suitable for enteral nutrition therapy using a nasal feeding pump after surgery. Device use comfort and satisfaction.
What do the patients need, how do they feel, Nurses know best. This seemingly simple little invention and innovation did not cost a lot of money, but it incorporated a lot of “careful thinking”. The nursing team of the second thoracic surgery ward flexibly applied this little invention to the nursing work of the ward, which not only improved the efficiency and quality of nursing work, but also made patients feel the real high-quality service.
Source: Compiled by Zhengyi Nursing, Medical University Shengjing Nursing
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