"It's normal for the wound to be a little red, when you change your pouch, press and hold the skin, tear it slowly from top to bottom, don't worry, if you have any questions, you can @ me in the group......"
On April 8, in the wound ostomy specialist nursing clinic of Jurong People's Hospital, Chen Lili, the nurse in charge of the consultation, patiently carried out nursing common sense science popularization and psychological comfort after dealing with a patient's enterostomy infection. At 9 o'clock in the morning, Chen Lili has completed the nursing and diagnosis of 7 ostomy patients.
"If you do a good job in the early stage of education, there will be less consultation in the future," Chen Lili said, they have built a WeChat group for wound ostomy patients, giving targeted treatment and psychological counseling for various complications after ostomy surgery, and also shooting teaching videos to guide the correct way to replace the ostomy bag and how to deal with the various inconveniences caused by the stoma, which effectively alleviates the anxiety of patients, improves self-care ability, and enables patients to return to society better and earlier.
Yang Zhaodi, deputy chief nurse of the diabetes nursing clinic, is preaching
In the diabetes nursing clinic, Yang Zhaodi, deputy chief nurse, will patiently carry out diet education and exercise education in the face of patients with high or low blood sugar, and answer and solve various problems of patients. Before such patients leave, she has to repeatedly instruct: "Before eating, you should think about whether you can eat, how much to eat, and remember that it is enough to be full!"
Lao Fang (pseudonym) has a history of diabetes for many years, and this time he had to ride a half-hour electric car from the town, saying that the needles were not out of medicine.
Yang Zhaodi, who has nearly 20 years of experience in diabetes nursing, after carefully observing the injectable insulin pen handed over by the old party, she found that the needle in the inner core had been bent, which was the reason why the insulin could not be pushed out. "Nowadays, needles are disposable, but many patients are reluctant to use them once and throw them away, reuse them, and some are not strictly sterilized or even have injection site infections." After finding out the crux of the problem, Yang Zhaodi replaced the needle with a new needle for adjustment, and a pill of insulin stopped steadily on the tip of the needle. Seeing the solution of the problem that had plagued him for many days, the old man smiled. "The needle can't be used twice, the gain of causing infection outweighs the loss!" Yang Zhaodi was not at ease and confessed.
According to reports, the diabetes nursing clinic conducts follow-up management of diabetic patients, and at present, the SDTM system files and manages more than 1,700 diabetic patients. After joining the National Center for Metabolic Disease Management (MMC) in September 2023, it currently manages 89 diabetic patients online, and carries out complication screening programs such as glycosylated hemoglobin, urine microalbumin, arteriosclerosis detection, visceral fat detection, diabetic retinopathy screening, etc., "one-stop" service, which is convenient for patients to seek medical treatment and improve the efficiency of diagnosis and treatment.
Many patients will also face many home care problems, such as the maintenance of infusion sets PICC or infusion ports for cancer patients, maternal care, and newborn breastfeeding, which are all tests of professional knowledge and practical ability. For patients, it is very inconvenient to return to the hospital to consult with the nurses of the inpatient department, and it is "not right" to go to the hospital to hang up the specialist outpatient clinic, and the emergence of the specialized nursing clinic undoubtedly responds to the most urgent needs of patients.
Yang Hui, director of the nursing department, said that for some patients, such as wound stoma and puerperal care, continuous nursing services and health services are required. The doctor's outpatient clinic is biased towards medical treatment, while the nursing outpatient clinic is the whole process management of patients, using nursing professional knowledge to evaluate, monitor, treat, and care for patients, and at the same time carry out health education. "The opening of nursing clinics can not only meet the diverse nursing needs of the people, but also help reflect the professional value of nurses. Yang Hui said that all nurses who go out of the outpatient clinic have qualification requirements in the hospital, and in addition, the emergence of specialist nurses has also provided new solutions to some incurable nursing diseases.
"Like doctors, we specialist nurses can now discuss and study with nursing experts from provincial medical alliance units to find the best care plan for patients. Chen Lili said that such a model not only allows them to get in touch with more cases, increase their knowledge and improve their skills, but also provides high-level technical guidance on difficult problems, which also saves patients and their families from the pain of travel, which is welcomed by patients.
According to reports, since the first opening of the specialized nursing clinic in 2015, there have been six specialized nursing service outpatient clinics, including diabetes nursing clinic, wound ostomy care clinic, PICC maintenance clinic, breastfeeding consultation clinic, pelvic floor rehabilitation nursing clinic, and peritoneal dialysis nursing clinic. In 2023 alone, the specialist nursing clinic has solved the problem for more than 8,500 patients.
Next, the hospital will also arrange backbone nurses to participate in the training of specialist nurses and carry out in-hospital training according to the development needs of the department, continue to increase the training of specialist nurses, improve the professional level, and provide more nursing outpatient clinics for the masses according to actual needs, and at the same time accelerate the promotion and improvement of nursing online consultation and home care door-to-door services, form a closed-loop model of nursing services from the hospital to the family, and further solve the nursing problems of the masses.
Nursing Specialist Clinics extend quality services
01 Wound stoma care outpatient sitting expert
Luo Yunxia is a specialist nurse for wound ostomy incontinence in Jiangsu Province and an international ostomy therapist
Chen Lili is a Chinese wound ostomy incontinence specialist nurse
Yan Wang, Youma International Wound Therapist
Carry out the project
1. Treatment of stoma complications, use of ostomy bags, etc.;
2. Care for all kinds of acute and chronic and refractory wounds.
Opening time and location
Monday and Thursday, 08:00-11:30 a.m
On the second floor of the outpatient clinic, opposite the east dermatology clinic
02Intravenous infusion nursing outpatient sitting specialist
He Chenghong is a specialist nurse in Jiangsu Province
Xie Jing is a specialist nurse in Zhenjiang City
Jia Xu is a specialist nurse in Zhenjiang City
Carry out the project
1.Pick、输液港维护;
2. Prevention and treatment of catheter-related complications. Opening time and location
Monday, Tuesday, Thursday and Friday, 08:00-11:30 a.m
On the second floor of the outpatient clinic, opposite the east dermatology clinic
03Diabetes care outpatient sitting specialist
Wang Lijuan is a diabetes specialist nurse in Jiangsu Province
Yang Zhaodi is a senior nurse in the Department of Endocrinology
Chen Min is a diabetes specialist nurse in Jiangsu Province
Wang Wenjun is a diabetes specialist nurse in Zhenjiang City
Carry out the project
1. Diabetes risk and complication screening;
2. Documentation and health education for diabetic patients;
3. Detection of microblood glucose, glycosylated hemoglobin, urine microalbumin, etc. Opening time and location
Monday to Friday 08:00-11:30, 14:00-17:30
Saturday 08:00-11:30 a.m
East otolaryngology area on the second floor of the outpatient clinic
04Breastfeeding consultation nursing clinic sitting specialist
Jiang Yulan is a maternal and child specialist nurse in Jiangsu Province
Ren Tian Jiangsu Province maternal and child specialist nurse to carry out the project
1. Perinatal health education;
2. Breastfeeding breast care and breastfeeding guidance.
Opening time and location
Tuesday afternoon, 14:00-17:30
West obstetrics outpatient area on the third floor of the outpatient clinic
05 Pelvic floor rehabilitation nursing outpatient sitting expert
Liu Shixiang is the chief physician of the Department of Obstetrics and Gynecology
Xia Qin is the director of the obstetrics department
Jiang Yulan is the head nurse of the obstetrics department and the mother and child specialist nurse of Jiangsu Province
Shi Ping, a senior nurse in obstetrics, carried out the project
1. Postpartum counseling and one-on-one education;
2. Postpartum rehabilitation and pelvic floor rehabilitation.
Opening time and location
Monday to Friday 08:00-11:30, 14:00-17:30
Saturday 08:00-11:30 a.m
West gynecology outpatient area on the third floor of the outpatient clinic
06Peritoneal dialysis nursing outpatient visiting specialist
Cao Yongxiu is a full-time peritoneal dialysis nurse
Carry out the project
1. Replacement and maintenance of peritoneal dialysis external short tubes;
2. Publicity and education of peritoneal dialysis related knowledge
Opening time and location
Every first Wednesday morning of the month
Endocrinology and Nephrology Abdominal Dialysis Room on the East 5th Floor of the Inpatient Department
If there is any change to the above, please refer to the actual arrangement on the day.
Editor: Zhang Mengmeng
Source: Jurong People's Hospital
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