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Why do you have to spend 380 yuan to hire a nurse after paying the nursing fee? Many patients strongly recommend canceling the nurse.
Recently, the two roles of nurse and paramedic have aroused attention and discussion. This starts with a breakdown of the cost of hospitalization.
On March 23, a netizen wondered on the Internet: "In the list of surgical expenses of a tertiary hospital in Guangzhou, the nursing fee is 38.38 yuan. Nurses are specially used to pit the common people, the fees are very high, and they are not responsible, and it is strongly recommended that the nurses be abolished! Their responsible attitude makes people suspicious, and I suggest that the nurses be abolished, and the nurses should return to the basics of life and nursing, and be fully responsible for the care of patients, including assisting patients to excrete and scrub their bodies. At the same time, wouldn't it be better if the nursing fee could be appropriately raised, from 38.38 yuan to 120 yuan a day?"
On April 2, a family member of a patient in Hubei Province also criticized the profession of nurse on the Internet. It is understood that Ms. Zhang's 85-year-old grandfather was hospitalized for surgery and needed 24-hour escort, and her parents took turns to accompany her. As a result, Ms. Zhang hired a professional nurse to care for patients 24 hours a day at a cost of 380 yuan per day. However, a few days later, she discovers that things are not as she thought they would be, and the family regrets it.
The nurse is a woman in her 50s who behaves very enthusiastically, she claims to have been working as a nurse in the hospital for several years and is very familiar with the situation in the hospital. As a result, Ms. Zhang was relieved to let the caregiver take care of her grandfather, and her parents were able to rest for a few days.
Ms. Zhang said: "Three days later, my parents and I went to the hospital to deliver nutritious soup to my grandfather. My grandfather, who was temporarily unable to speak after the operation, gestured to me and shook his head. I later asked the patient in the next bed, and he said that after we left, the attitude of the nurse changed, and he couldn't change my grandfather's diaper in time, and often couldn't find her in the ward, and even in the ward, he was always swiping his mobile phone and making video calls. We give the nurse an extra 200 yuan a day to buy a nutritious package of three meals in the hospital canteen, which originally did not include the nurse's meal, but she bought two servings of each meal, and my grandfather ate very little, I don't know if she was an ordinary box lunch for her grandfather, a nutritious package for herself. ”
"I originally instructed the nurse to scrub my grandfather twice a day, but I found that my grandfather's hospital gown and socks had not been changed, and my grandfather also said that he was not feeling well. When I asked her these questions, the nurse not only did not admit it, but also blamed us for not being filial as children. My parents immediately asked the nurses not to come again, or they took turns to take care of my grandfather, so that who would dare to use the nurses who would only speak obediently but unprofessionally and irresponsible? There are too many unreliable nurses, the fees are high and irresponsible, it is better to cancel the nurses, if the nurses can take on the life and care of patients, I would rather give the nurses a high nursing fee!"
It is not uncommon for patients to ask for the cancellation of nurses, and previously, a patient's family member reported to the "Legal Daily" reporter: "In the past three months, my father has been hospitalized in several hospitals for about 70 days, and after medical insurance reimbursement, he paid more than 10,000 yuan for medical expenses, but the nurse's fee is higher than the medical fee, paying more than 17,000 yuan, which is a big burden for our family. ”
Where is the $38.38 per day nursing fee?
Why can't nurses take care of a patient's urine and bowel movements?
Recently, the reputation of caregivers has been very poor, and many people hope that the relevant state departments will immediately ban this profession.
Some patients have responded that the high cost of nursing staff is one thing, and secondly, the cost performance is too low, and the professionalism is worrying. In the hospital, it is not difficult to see nurses sleeping in bed during the day, playing with mobile phones, and even eating fruits and nutritional products prepared by family members for patients.
What's more, nurses will intimidate, threaten, beat, scold, and abuse patients, without showing any emotion. The reason for these irregularities is that the threshold of the nursing industry is low, and most of the so-called training is just a formality. A nurse publicly said in an interview: "Yesterday people were still working on the construction site, and today they will change careers to be nurses, and we are also medical personnel in the blink of an eye." ”
Therefore, some people asked: What do nurses do? In terms of professional level, nurses are not as good as nurses, and nurses are enough, so why do they still have the profession of nurses? Why do hospital nurses not do life care, but ask patients to spend extra money to find nurses? What is the use of the nursing fees handed over to the hospital every day?
Good guys, a series of questions, please allow me to answer them one by one.
First of all, don't blame nurses for not doing life care for patients, because life care is not a nurse's job. The main tasks of nurses include but are not limited to clinical nursing such as basic nursing, specialist nursing, routine nursing and technical operations.
Nurses need to assist doctors in counseling, receiving and treating patients, and at the same time, they are also responsible for the psychological care of patients, including giving patients necessary psychological support and encouragement to help patients actively cooperate with treatment.
Nurses are required to perform oral medications, injections and other drug administrations, collect test samples, and make regular rounds of patients, especially critically ill patients, to closely observe changes in patients' conditions and report any abnormalities to the doctor in a timely manner.
Nurses are also responsible for blood collection, blood collection, surgical assistance, handling of critically ill patients, as well as health education and guidance, including disease prevention and control knowledge, lifestyle.
The responsibilities of a nursing staff include not only keeping the work environment clean and aesthetically pleasing, but also being responsible for the management of medical documents and items, and providing timely feedback to patients on their feedback and needs for medical services.
In addition, nursing staff are also required to participate in nursing education and scientific research activities to improve nursing skills, and perform various therapeutic operations under the guidance of doctors, such as changing medications, removing stitches, and handling bandages, to ensure that patients' wounds and wounds are effectively treated and cared for.
Therefore, the nursing expenses of 38.38 yuan per day when hospitalized are actually used for various services such as clinical care, which is not a deduction for no reason or no reason.
Caregivers have a lot of work to do, and it is a waste of their professional skills to ask them to do daily care such as assisting with excretion and body washing. Moreover, the number of nursing staff on the mainland is seriously insufficient.
By the end of 2022, the total number of registered nurses in mainland China exceeded 5.2 million, and the number of registered nurses per 1,000 population was about 3.7. However, according to normal medical indicators, the shortage of professional nursing staff in mainland medical institutions still reaches more than 3.5 million.
In the face of such a huge gap, the workload of caregivers has reached its limit, and we can no longer ask them to take on more caregiving. Therefore, it is unrealistic to ask nursing staff to take care of the patient's excretion and washing, no matter how much the cost of care increases.
A nursing staff once said: "After the shift in the morning, a busy work begins, giving injections, changing potions, dispensing medicines, receiving new patients, carrying out doctor's orders, carrying out treatments, dealing with emergencies, and making patient rounds...... The corridors of the ward are full of us busy, and I wish I could have three heads and six arms! Without the help of the nurses, the department would have needed to add a few more nursing staff to cope. ”
Since nursing staff cannot do life nursing, but some patients do not have family members and cannot do without life nursing, what should we do?
The caregivers are unprofessional and the caregivers don't have time
Who can provide patients with professional, responsible life care?
For nurses, the national health authorities have clear regulations: nurses are not health technicians. Nurses are medical and nursing assistants, and their role in the hospital is to assist family members in the care of patients under the guidance of doctors and nurses.
Their appearance is mainly to meet the actual needs of the public, to share the care pressure of patients' families, and to a certain extent, to alleviate the contradiction between the shortage of nursing staff and the care needs of patients, which is of positive significance.
At present, the nursing staff of most hospitals mainly comes from third-party outsourcing housekeeping companies. The cultural level of caregivers is generally low, the professional quality is not high, the nursing professional knowledge is lacking, some of them lack a sense of responsibility and love, and even the phenomenon of caregivers abusing the elderly.
The nursing staff are too busy and the nursing staff lack professional quality, which has given birth to a new profession - medical care workers!
Medical nurses are one of the medical auxiliary service personnel, according to the "People's Republic of China Occupational Classification Dictionary (2015 Edition)", mainly engaged in auxiliary nursing and other work, medical nurses compared with the training of nurses, more professional, systematic, help to optimize the personnel structure, and medical nurses are younger, professional, most of the practitioners are between 18-45 years old, can help medical staff in a real way.
In fact, the state has long taken notice of this emerging profession and encouraged hospitals to bring in medical care workers.
However, there have been some problems in the implementation of the medical care worker system.
For example, if there is no clear separation between clinical care and life care, it will be difficult to clearly divide the responsibilities of nursing staff and medical care workers.
Second, after the medical care staff is included in the hospital management system, if it needs to be included in the scope of medical insurance expenditure, the corresponding medical insurance expenditure will also increase, and according to the current medical insurance situation, it is difficult to fully support the cost of clinical care and life care.
Third, if the nursing staff are included in the unified management of the hospital, how can the nature of the work of the nursing staff be clarified, whether they are employed by the society or belong to the hospital staffing establishment? Has the state established corresponding rules and regulations?
Despite these problems, in the long run, with the deepening of the aging population, the emerging profession of medical care worker will definitely be vigorously developed in medical institutions in the future, and it is very likely that it will replace nursing workers and become a "sweet and sweet"!