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1.2.5 Be good at using communication skills to optimize the relationship between nurses and patients. Warm and thoughtful is the basic point of communication between nurses and patients. Treating people with sincerity is the basis for gaining trust. Mastering skills is the result of effective contact with patients. Nursing staff are in patients. Should establish a solemn and amiable image, in the process of implementing nursing, you should not bother to ask about the condition of the disease to answer relevant questions, such as asking about sleep conditions, checking the patient's puncture point after radiofrequency intervention, etc., assisting in taking a comfortable position, etc., and asking for a diet Check the degree of satisfaction in the treatment of medical care quality service attitudes, and find out the signs of the dispute, promptly and actively resolve, and eliminate it in the bud. 1.2.6 Strengthening the Emotional Quotient of Emotional Intelligence refers to the quotient of emotions, which is mainly controlled by the self-consciousness of emotions. Self-motivation can be the ability to deal with nine interpersonal relationships and the ability to understand other people's emotions 2! In the implementation of nursing leadership work, the head nurse is a manifestation of comprehensive quality, given the cumbersome task of the ward. The contact area is wide, so the head nurse is required to have higher self-control emotional intelligence and coordination ability, and face the unwarranted accusation and even unreasonable trouble at any time. This is an invisible test and pressure for the nursing staff, especially the head nurse, and often becomes a bad medical result. For those who are angered, such as patients with malignant tumors or their families, it is an effective and effective measure to use static braking. In addition, strengthening ward management is bound to offend people, but also needs to focus on the big picture. Small places to start, because of the situation, such as the patient's family ward smoking and cooking food, the principle is the hospital management norms, the small reason is to affect others called Tianbi neighbor 1 bamboo edge easy bow fire, such as this is better than simple spoon teaching, patient family It is relatively easy to accept, at least not to become a dispute. 1.2.7 Regulation of charging behavior in the hospital economic accounting into the market economy, medical charges have increased significantly compared to the planned economy era, but also because of economic income and medical personnel The interest is linked, so it is inevitable that the dispute between the hospital and the patient due to the charge will be caused by the nursing staff in the original billing of some hospitals. This will become the focus of disputes other than medical reasons. Establish a patient-centered concept, standardize the charging behavior, patiently explain the misunderstanding, and appropriately reduce or exempt some of the expenses for the poor without hurting the cost, which can effectively avoid the resulting corrections. Grasp the hidden dangers of the Miaotou to jointly guard against the rumors of getting rich in the society in the previous period, looking for accidents, and the recent period The rise of the dispute rate should focus on self-construction. The head nurse needs to grasp the hidden dangers from time to time, and not to arbitrarily arbitrarily give orders to a small number of bad motives. In addition to the big meaning, it is also necessary to cooperate with other departments of the hospital. , formulate response measures, will not be temporarily trapped in a passive situation 2 results in the year of no nursing medical disputes.
3 Conclusions With the gradual formation of the legal society and the introduction of new medical accident treatment regulations, people are increasingly seeking their own protection awareness through legal channels. Patients are paying more attention to the medical care process involving their own interests. Under the new situation, nursing staff The legal concept and medical ethics education should be upgraded simultaneously through strict scientific management and their own emotional intelligence training, and good at using communication skills to optimize the relationship between nurses and patients, and all kinds of anger. tension. Negative emotions such as anxiety have a high degree of self-control ability; keep a clear head in the complicated medical care dispute situation, calmly respond with a good state of mind, and find out in time the practical work to eliminate potential hidden dangers, and effectively prevent The occurrence of nursing disputes 1 Cai Keli. Psychological care of mental health defects in family beds. Chinese misdiagnosis magazine, 2 Song Lixin. How to strengthen the training of nurses' emotional intelligence in nursing management. Modern nursing, 72 cases of variability deceleration in stress-free trials. Clinical analysis of gynecological sputum in Wenzhou City People's Hospital, Zhejiang Province, China.
1 Materials and methods 1.1 General data collection From August 2001 to July 2003, 3,614 pregnant women who were prenatally examined and delivered in our hospital were more than 36 weeks pregnant, aged 22 40 years old, routine, monitored 7869 times, found 1 In the 1 1 change 1 岫, 72 cases, accounting for 0.9. The results of the operation record I am responsible for the 1.2 method of pregnant women emptying the bladder, taking the semi-recumbent position using the United States HP 1 book 1 Ding 10 training series fetal monitor external test, The wall is monitored by the fetal heart rate and the elbow and contractions. Paper speed 3, monitoring time 20, abnormal monitoring time extended or 24 hours review 5, 1.30 shape feature 0 disappeared and there is no fixed relationship between contractions, fetal heart rate curve decreased and rebound is relatively fast, 1.40 based on The Japanese Maternal Science Society will divide the weight into two light and heavy two S1 light type for the fetal heart rate curve to fall for 60 seconds, the amplitude drop level is not lower than 601! 2 heavy for the fetal heart rate drop for 60 seconds, vibration and clinical data are analyzed, The results were statistically treated with the relationship between various factors and variability of ash. Caesarean section umbilical cord factors amniotic fluid fetus intrauterine æ° 1 flat 47 cases 17 cases of embarrassment 21 cases 3 points 8 points or more mild severe 2 results 2.1 There were 47 cases of childbirth in the delivery mode, of which mild, accounting for 29.6 pairs; 39 cases of severe cases accounted for 86.6 诙, 25 cases of natural delivery, of which 21 cases were mild and 77.7 cases; 4 cases of severe cases accounted for 8.8; compared with households with significant difference, 52.2 The umbilical cord factor was 17 è““ mild and 3 cases were all around the neck. Severe 14 cases around the neck. 9 cases around the body, 1 case of torsion, 2 cases of shortness, the true width of the prolapse needs to be thrown 2 with the tube, 6, the word 31笮15 wrong Menghong know 3, Tao, Mingqi. Net 2.3 amniotic fluid is less than 18 cases. Mild in 3 cases. Severe 15 cases accounted for 33.3 pairs; compared with the obvious difference of corpse 0.05 2.4 fetal intrauterine distress 2 cases mild 4 cases accounted for 14.8, severe 17 cases accounted for 37.7 powder; compared with significant difference corpse 0.052.5 A score after birth Those who scored 10 points in 1 minute were mildly absent, and 3 cases severely accounted for 6.6 pairs. The scores of 8 points or more are mild and severe, respectively, 92.5 娲 25 3, which is more common in various decelerations. The occurrence of wood in the universe. For 91. Japanese æ°• 1 玲 Ling and other reports 1. The incidence of rabbit 1 committed! The slowing down of the variability in pregnancy, some scholars believe that often occur in the case of tangled tangles, excessive curling and short rupture of the membrane and more cases of oligohydramnios! Based on the fact that the umbilical cord is compressed by the vagus nerve, and the umbilical cord is under pressure, the impact on the fetus is also quite low. If it is mild continuous compression, it may cause mild respiratory acid in the accumulation of 02. However, if the fetal body is turned down and rotated, the umbilical cord will be automatically relieved and the fetus will breathe. On the contrary, if strong continuous compression will occur progressive hypoxemia and metabolic acidosis, which will seriously threaten fetal health in 72 cases, 17 cases of umbilical cord factors, accounting for 23.6 poles; severe cases accounted for 14 cases, accounting for 82.35; amniotic fluid There were 18 cases less, accounting for 2è´½; and 15 cases were severe, which was 83.3 cats. In severe cases, fetal intrauterine distress accounts for 4. Therefore, when it is recognized that it is particularly severe, it raises the risk of the fetus, and it should be highly valued clinically. In the 31 monitoring, attention should be paid to the transformation of the shape. When it appears, the 0 shape is first checked. Whether the fetal probe deviates from the fetal position 1 In order to avoid the mother supine hypotension syndrome or uterine compression of the large blood vessels affecting the maternal blood pressure, the strain position, find a suitable lying position, in anticipation of a good shape 31 extended monitoring time, to understand its deceleration waveform Whether there are repeated occurrences, pay attention to the presence or absence of contractions, and then judge whether it is mild or severe according to the diagnostic criteria, as a basis for clinical treatment. Mild people continue to observe, 嘱 pregnant women every day in the morning and evening to measure fetal movement for 1 hour, pay close attention to fetal heart rate changes, review within 24 hours 131 if abnormal or severe, timely report to the physician, give hospitalization, including 8 super comprehensive prenatal Guardianship, at the same time do prenatal care, guide pregnant women to take the left lateral position, give intermittent oxygen, 2 times a day, 30 minutes each time, in order to improve maternal blood oxygen content, improve fetal blood oxygen supply, pregnant women regularly test fetal movement, press The doctor gave 1 off 0810, 28ivG, if necessary, enter the hall table to stimulate the test, the contraction stimulation test 1 Ding, 31 monitoring, the positive person ended as soon as possible 1 Xu Ling. The clinical significance of the deceleration waveform during the prenatal stress-free test. Practical obstetrics and gynecology, i., 1988, 413536.
2 Cheng Zhihou. Fetal electronic monitoring. First Edition. Beijing People's Medical Publishing House, 21.76 3 Luo Yuezhen, Jie Shujie. The clinical significance of spontaneous deceleration in the no-load test. How to strengthen the quality management of nursing in the new era of women in the new era With the implementation of China's health legal system and the implementation of medical accident management regulations, the quality management of medical institutions has become the core of medical management, and nursing quality management has become a nursing The core of management. The quality of nursing can not only reflect the scientific management level of the hospital, but also measure whether the hospital establishes a patient-centered service concept in the new era, whether it will respect patients, care for patients, care for patients, facilitate patients, improve patient safety, and guarantee medical care. The quality of care is placed at the top of the work. Therefore, it is particularly important to strengthen the quality management of nursing. Some of the practices in our hospital are described below.
1 Establishing a quality assurance system for nursing and strengthening the quality management of nursing care Quality management is an important part of nursing management. To strengthen the quality management of nursing, we must have a sound organization to ensure that our hospital has established a nursing quality control committee since 1989. The main task is to To manage and supervise the quality of in-hospital care; analyze the quality information of in-hospital care; transfer and develop nursing quality management measures; timely discover the problems in the nursing service process, analyze the reasons, clarify the responsibilities, propose improvements, and solve them in time. 2 Starting from a strict system, comprehensively improving the quality of nursing care Quality is an important indicator to measure the level of nursing professional technology and management level. The rules and regulations are the standard for hospital cutting activities, the basis for management work, and the guarantee of quality of care. For this reason, our hospital has established three quality control groups for nursing quality nursing safety nursing research through investigation and research, combined with the actual situation of the hospital. Three group members meet regularly to revise and improve various nursing Lin Juan, and Hui Yuxuan has set up basic nursing care books. Inflammation of the ward tube. health education. Six quality control teams, such as health management, work together to carry out comprehensive quality management and supervision of care 2.1 Strengthen the management of the quality of nursing documents and write the regulations on medical records in the Medical Accident Treatment Regulations. Care assignments. Admitted to the hospital. Inpatient assessment of patient discharge assessment nursing diagnosis. Nursing measures are the main content of the inspection scoring standards for the self-examination and writing quality control group inspection of the ward 2.2 Quality management of the enhanced level of care Our hospital has developed a level of care according to the level of care standards and the characteristics of cancer patients. The bed unit is hygienic. Patient hygiene.
Catheter care. The disease, prevention. The effect of the gully between the nurse and the patient. The status of the nursing staff's duties is the inspection score standard of the main content, for the self-inspection of the ward and the quality control group inspection of the grade. 2.3 Strengthening the quality management of hospital infection According to the assessment criteria of infection management in Fujian Province, the relevant rules and regulations for controlling the infection in the hospital are formulated. The basic knowledge of infection, the standard of the treatment room examination room and the standard of ward hygiene, as well as the various evaluation indicators for the examination content of the scan content, for the self-examination of the ward and the quality control group inspection.
2.4 Strengthening the quality control of ward management According to the ward management standards in the quality of nursing work in Fujian Province, the development of the rules and regulations in the management of wards and the requirements for the integrity of first-aid items and the management of drugs as the main content of the examination and scoring standards for disease District self-examination and ward management quality control team to check the work, the police alone! Lin!
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