The sunlight that came in through the screen window covered only two meters from the window. As for the rest of the room, it depends on the constant brightness provided by incandescent lamps. Lao Zhang (not his real name) lies on the most window-facing bed in the room, one of the few beds here where you can intuitively feel the passage of "natural time".
This is the intensive care medicine department of Jinan Hospital. Lao Zhang (pseudonym) relies on advanced modern medical technology to prolong his life - his breathing is maintained by a ventilator, his food is fed by a nasogastric tube, his phlegm is coughed up with the help of a suction device, and his urine is urinated by a urine bag...... He remains in a "still" state, and the rare "exercise habits" are turning over and patting his back every two hours, or with the help of nurses and nurses.
Three points of treatment, seven points of care. As the "best partners" of doctors, they wear white clothes, walk in every corner of the hospital, pay close attention to the changes of every data on the life monitor, infusion, turnover, and medicine delivery for patients, and provide patients with family-like companionship and care...... This is a snapshot of the daily work of the nurses in the intensive care department of Jinan Hospital, who ignite hope in the hearts of patients with meticulous care and warm smiles.
Responsibility: Do your best to protect the safety of patients
"In the Department of Intensive Care Medicine, we are the only support for patients, and a careful gesture, a warm greeting, and a handshake exchange may become a magic weapon for them to overcome the disease." Li Zhixiang said this and did the same. In her 20-year nursing career, she has kept her strictness to herself and her selflessness and love to her patients.
Li Zhixiang is the head nurse and nurse in charge of the intensive care department of Jinan Hospital. With a height of 1.60 meters and a weight of 90 pounds, he is slender and beautiful. It's hard to imagine how her small body can take care of and care for critically ill patients in the intensive care unit (ICU) ward.
"Most of the patients in the department are older, and their organs are declining, and it is difficult for them to be completely cured and discharged from the hospital, and it is difficult for them to return to normal life with weaning and breathing. The family trusts them to us in the hope of prolonging their lives as long as possible. Some people have also said that the door of the ICU is always closed, and people outside cannot see what is happening inside, and no one knows whether we are dedicated or slack, but I know very well that when you choose nursing work, you must be worthy of your conscience and worthy of this white coat and swallow-tailed hat. Li Zhixiang said.
Be a caring person for patients wholeheartedly
In the ICU, medical instruments "tick and tick". Unlike ordinary wards, relatives of critically ill patients cannot accompany them in the ICU, and the time for visiting relatives is strictly limited according to regulations, and nurses need to participate in the basic care and daily care of patients. Intensive care index record once every 1 hour, assisted turning over once every 2 hours, and whole body examination of the patient once every 4 hours......
ICU nursing is much more than physically challenging. "For a very small number of patients who are still conscious, it is also important to give adequate psychological care." Zhao Haifeng said, "To take the simplest example, the lights in the ICU are always on 24 hours a day, and patients are prone to delirium because they can't distinguish between day and night. In order to help such conscious patients distinguish the time, we will arrange a special bed near the window so that they can see the sun. ”
Li Yuanrong, the only 99-year-old sunshine boy in the nursing team, "When I first entered the department, I couldn't help but think about the meaning of life when I faced these patients. Our ICU nurses use modern medical technology to help patients maintain this 'breath', but the patients are always unconscious and incapacitated, how valuable is this kind of nursing work?" The answers to these questions come to Li Yuanrong's mind in his daily interactions with patients. "Even if they are incapacitated, they have a strong willingness to be treated, and in the process of nursing, I understand that this 'breath' is the sustenance of love for the family, which may be the meaning of life," Li Yuanrong said.
"Aunt Wang! Aunt Wang! Can you hear it? Your daughter has come to see you!" At half past two in the afternoon, Xu Xinzhi stood in front of the hospital bed, leaning down to try to wake up the patient. Behind her, two family members in isolation gowns stood by the bedside. In the ICU ward, there is a half-hour family visit every day. During this period, Xu Xinzhi needed to stay at the bedside of the patient in charge that day and explain the patient's physical condition and diagnosis and treatment to the family.
There are many more touching stories that have taken place in the ward, and these touching stories have reconstructed the understanding of medical care, life and love for the entire intensive care care team.
In order to improve the level of nursing business, the nursing team insists on monthly business learning, focusing on strengthening the "three bases and three stricts" training, strengthening the training of basic nursing operation skills such as oxygen inhalation, sputum suction, establishing intravenous access, arterial blood gas collection, etc., and strengthening the operation and use training of monitors, defibrillators, ventilators and other instruments. Carry out nursing teaching and nursing rounds for one disease per month, and carry out small lectures and learning every week. At the same time, the department has actively carried out high-quality nursing services and quality improvement projects such as "medical and nursing integration" ward rounds, standardized bedside shift handover, and "reducing the incidence of cross-infection in hospitals".
Carefully build and build a warm ICU ward
The department takes the 6S building as an opportunity to condense the department culture and empower brand building. "Emphasis on morality, fine medicine, reverence for life" is the motto of the Department of Intensive Care Medicine, they actively transform the ward environment, keep the ward clean and tidy, staff reduce the dialogue at the bedside, and achieve four light; Keep the ward quiet when family members visit, reduce the noise generated during treatment work, create a clean working environment, locate and manage all instrument storage, and paste landmark locations and unified logos to eliminate environmental safety hazards in the department. Through multiple measures, the ICU, a cold place, has been injected with temperature and has been recognized by patients, and the department has received 6 pennants from patients in the past year.
The "Didi" sound of the monitor is like the pulse of time, strong and powerful. The hiss of the ventilator, like the call of life, was sharp and rapid. The patient's painful ordeal, like a struggle in the dark, is painful and dull. The medical staff who are in a hurry are like soldiers on the battlefield, charging forward, decisive and determined.
This is the closest place to danger and death, where the fragility and impermanence of life are ruthlessly revealed, and every patient may become the next object to be summoned by death. However, it is also the closest place to rebirth and hope, and with the efforts of medical staff, life is continued and hope is reborn. All the nursing staff of the Department of Intensive Care Medicine of Jinan Hospital use their professionalism and dedication to protect every dying patient and create miracles of life again and again. They interpret the duties and missions of angels with their actions, and interpret the ordinary into countless wonderful! (Aijinan reporter: Zhang Yue Correspondent: Yan Zhen)