On May 12, under the guidance of the Guangdong Provincial Association for Science and Technology and the Guangdong Provincial Health Commission, sponsored by the Guangdong Nursing Association and the Guangdong Lingnan Nightingale Nursing Research Institute, and undertaken by Renchuchu Magazine and Guangdong Health Online, the "Lingnan Famous Nursing Lecture Hall" was officially launched.
The first live broadcast event was led by Cheng Shouzhen, winner of the 48th Nightingale Medal, leader of the nursing discipline of the First Affiliated Hospital of Sun Yat-sen University, and chairman of the Guangdong Nursing Association, Chen Lifen, chairman of the Intravenous Therapy Professional Committee of the Provincial Nursing Association, Wang Haiying, head nurse of the Department of Liver Surgery of the First Affiliated Hospital of Sun Yat-sen University, Qu Yingying of the intravenous catheter clinic of Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Li Jia, deputy director of the Nursing Department of the Cancer Prevention and Treatment Center of Sun Yat-sen University, and Wei Jianning, head nurse of the Department of Thoracic Surgery of the First People's Hospital of Guangzhou. The event was presided over by Wu Jiayi, deputy secretary of the Youth League Committee (presiding over the work) of the Hospital of Integrated Traditional Chinese and Western Medicine of Southern Medical University.
The nurses got rid of the "class flavor", put on beautiful clothes and went on the live broadcast, and became the "anchor" to talk about popular science, and the professional content was both popular and easy to understand, attracting 45,000 people to check in to the live broadcast room of the "Guangdong Health Online Video Account" and call them crazy.
What's even more touching is that it was International Nurses Day, and after the live broadcast, fans thanked the nurses for their efforts, refused to transfer, and kept swiping the screen in the live broadcast room to wish: Angels, happy holidays!
As the saying goes: three points of treatment, seven points of care. Nursing work serves the whole life cycle and the whole process of health, and is an important part of health care. With the rapid development of medical science, the knowledge and technology of nursing are also changing with each passing day, and a large number of excellent nursing experts have also emerged.
Cheng Shouzhen said that she hopes to spread cutting-edge nursing work and professional knowledge to the public and enhance the society's understanding of nursing work by creating a series of nursing science lectures "Lingnan Famous Nursing Lecture Hall". This is the first of its kind in the 95-year history of the Provincial Nursing Society.
This year's "Lingnan Famous Nursing Lecture Hall" live broadcast event has a total of 5 sessions, which will focus on the care of intravenous therapy, geriatric, wound, tumor, diabetes care to carry out popular science, the "anchors" are from Guangdong nursing industry leaders, backbone experts, they for the first time through the live interactive way, to explain professional nursing clearly.
The first live stream focused on:
Those things about "injections".
Jointly popularized by experts in intravenous therapy nursing in Guangdong Province
What dry goods did they share
Review together
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Intravenous therapy specialist nurses have a high gold content
In many people's minds, nurses only have a simple and quick three-step operation. In fact, before and after intravenous therapy, nurses need to have solid professional knowledge and conduct a series of assessments.
Chen Lifen, chairman of the Intravenous Therapy Professional Committee of the Provincial Nursing Association, said that before performing intravenous therapy, nurses should understand the patient's diagnosis, assess the condition, understand the use of drugs and contraindications, and evaluate the blood vessel to choose infusion tools. During the process, the infusion speed should be adjusted according to the situation, and the patient should be observed for allergies, fever, redness, swelling, heat and pain.
In addition, not all those who can give injections can be called intravenous nurses. Specialist nurses in intravenous therapy must go through strict theoretical knowledge of human anatomy, physiology, pathology, imaging, pharmacology, etc., and then strengthen training to master the skills of catheterization technology, maintenance technology and judgment and treatment of complications, etc., and then pass the audit before they can hold the certificate.
Intravenous therapy nurses are quite golden. The Provincial Nursing Society has established a specialist nurse training system as early as 19 years ago, and has trained more than 500 specialist nurses in static therapy, covering all levels of medical units in the province.
Bruising occurs after the needle is removed
It has to do with this little action
With the continuous improvement of medical devices, the tools of intravenous treatment are also more user-friendly. Wang Haiying, head nurse of the Department of Liver Surgery of the First Affiliated Hospital of Sun Yat-sen University, said that the tools used for intravenous infusion have also been continuously improved, and the disposable scalp steel needles that are easy to puncture blood vessels are less and less used in infusions.
Although infrared puncture and ultrasound-guided catheterization are available, there are some special conditions that may cause the injection to be inadministered, such as pain, tension or post-traumatic vasoconstriction and volume depletion.
Regarding the bruising of the skin after the needle is removed, Wang Haiying explained that the bruising is related to the wrong pressing method after the needle is removed and the pressure time is insufficient, resulting in blood seeping under the skin and bruising. "The compression method is to use three fingers to align the fingertips of the middle finger with the eye of the needle in the skin when pulling out the needle, and then press the index finger and ring finger above the blood vessel at the same time, and continue to press for 3~5 minutes, keeping do not rub and do not bend the elbow."
Li Jia, deputy director of the Nursing Department of the Sun Yat-sen University Cancer Center, explained that there are three reasons for the pain at the needle site: first, the stinging sensation when the puncture is just punctured, which is transient and there is no need to worry; The second is the irritation of the blood vessels caused by the drug, in which case the drip rate needs to be slowed down or a central venous catheter should be used; Third, if the needle is displaced or prolapsed, the nurse must be notified immediately.
Li Jia emphasized that when the needle pain is persistent and unrelieved, it needs to be professionally handled by nurses.
You can't be in a hurry
Self-regulation of the infusion speed
In clinical work, there are often patients who want to speed up the drip rate.
"Adjust the infusion speed yourself, it's not advisable!" Qu Yingying, an intravenous catheter clinic at Sun Yat-sen Memorial Hospital of Sun Yat-sen University, said that the speed of rehydration is related to the condition, drug and age......
No matter how urgent the matter, health should be put first, and the infusion speed should be regulated by professional medical care.
Patient care at home is not something to be taken lightly
The infusion port is an infusion device for long-term treatment of patients, Li Jia introduced that the daily care of patients should pay attention to keeping the needle from moving and avoiding the problem of blood return. At the same time, it is necessary to learn to observe whether the infusion port exposes the position around the infusion tube, whether there is redness and swelling around it, whether there is pain in pressing and pressing, and whether there is any immobility disorder in the arm.
"Without the above problems, the daily activities of the patients in the port will not be affected, such as sweeping the floor and playing mahjong." Li Jia reminded that it is necessary to pay attention to avoid hitting and grasping the infusion port in daily life, do not lift heavy objects, and do not do pull-ups, lifting dumbbells and other large-scale activities.
She particularly emphasized that if you find red and swollen skin around the infusion port, you should not be careless, and you must treat it immediately in the hospital, and it is not recommended to apply ointment by yourself, so as not to delay the condition.
PICC is the lifeline of chemotherapy for cancer patients. Qu Yingying suggested that patients should do "three elements and five prohibitions" in their daily life. ”
- "Three lines": one line means that you can take care of yourself in daily life, and simple housework can be carried out; The second line refers to the fact that low-intensity physical activity can be carried out; The three lines refer to the method of using the shower for personal hygiene.
- "Five prohibitions": It is not allowed to soak the indwelling position, it is not allowed to exercise vigorously, it is not allowed to lift heavy objects of more than 5 kilograms, it is not allowed to be compressed for a long time, and it is not allowed to pull the catheter.
How to prevent blood clots in this type of patients, Wei Jianning, head nurse of the Department of Thoracic Surgery of Guangzhou First People's Hospital, said that in addition to simple and easy daily activities, it can also be prevented by doing a grip ball. "Hold the ball for 3-5 seconds each time and then let it go, try to do it in stages 200 times a day, which can promote blood circulation around the catheter and reduce the occurrence of blood clots."
Reporter | Chen Le
Edit | Ren Junfei is in charge of the editor| Zhang Xiuli
Produced by the Guangdong Health Online all-media team