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目的探讨在急诊科危重症患者外出检查过程中的护理安全隐患及防范对策。方法对300例危重症患者院内外出检查出现的安全隐患问题进行回顾性分析,查找原因并总结防范对策。结果 300例患者中有10例在转运过程中出现了轻度至中度的意外;2例因患者躁动而导致留置针脱出;3例出现血氧饱和度的改变;2例出现心率改变;1例出现呼吸心跳骤停;3例因评估不足导致检查途中液体中断。结论急诊科护理人员针对危重症患者院内外出检查的安全隐患因素采取有效的防范措施,可提高转运的成功率。
Objective To explore the hidden dangers of nursing care and the preventive measures in the emergency department out-patient check-out. Methods A retrospective analysis was conducted on the potential safety problems of 300 critically ill patients in and out of the hospital to find out the reasons and summarize the precautionary measures. Results Of the 300 patients, 10 had mild to moderate accidental transit; 2 had prolapse of the needle due to agitation; 3 had altered blood oxygen saturation; 2 had heart rate changes; 1 Cases of respiratory arrest occurred; 3 cases due to lack of assessment lead to liquid on the way to check interruption. Conclusion Emergency department nurses take effective precautionary measures against safety risk factors of out-patient check-in in critically ill patients, which can improve the success rate of trans-shipment.