Through training, senior nurses should master:
1. Application of multifunctional physiological monitor, analysis of alarm causes and troubleshooting, and identification of abnormal electrocardiogram.
(Bedside ECG Monitoring Lecture and Operation)
2. The application of artificial respiration machine, parameter debugging, pipeline connection, alarm cause analysis and treatment, respiratory tract management of patients with mechanical ventilation.
(Airway Management Lecture+Ventilator Lecture and Connection Operation Demonstration+Sputum Aspiration Operation)
3. Invasive blood pressure monitoring methods, pipeline connection and pipeline nursing, clinical significance and matters needing attention.
(Operation and bedside instructions for placement and measurement of CVP and ABP)
4. The correct use of micro-pump and infusion pump and the handling of alarm.
(Explaining at the bedside)
5. Nursing care of various drainage tubes and wound care.
(Nursing and replacement of drainage tube+wound nursing lecture+dressing change practice+tracheotomy nursing operation)
6. Observation and nursing of critically ill patients, rescue cooperation of critically ill patients, cardiopulmonary resuscitation and monitoring after cardiopulmonary cerebral resuscitation.
(Observation of critically ill patients and bedside explanation+cardiopulmonary resuscitation+electric defibrillation+balloon assisted breathing+mild hypothermia therapeutic instrument)
7. Observation and nursing of sedation and analgesia in critically ill patients.
(lecture)
8. Nutritional support nursing for critically ill patients.
(Nasal feeding operation+nutrition support lecture)
9.ICU hospital infection control.
(lecture)
Familiar with:
1.ICU environment and ICU rules and regulations.
2.2. Maintenance methods and storage points of various instruments. ICU and the storage point of all kinds of rescue materials.
3.ICU disinfection and nursing management.
4. Use of air cushion bed, blood glucose meter and precision urine meter.
Understand:
1. Cooperation of bedside emergency operation.
2. Nursing cooperation of tracheal intubation and tracheotomy.
3.Picco nursing
Second, the training method
Special lecture:
1. Airway management
2. Monitoring and nursing of Wu's invasive stress.
3.3. Control hospital infection. Intensive care unit
4. Basic monitoring of critically ill patients
5. Setting of ventilator parameters and handling of common alarms.
6. Progress of cardiopulmonary resuscitation and use of defibrillators.
7. Observation and nursing of sedation and analgesia in critically ill patients
8. Nutritional support for critically ill patients in Liao Yan.
9. Introduction of wound care in Shi Xiaoli.
Small lecture:
1.ICU system (discipline, succession, visiting, disinfection and isolation system, etc. )
2. Matters needing attention in writing observation records of critically ill patients.
3. Patient's safety and comfort (turning over, handling, restraint and predictive nursing)
Operational demonstration project:
1. sputum aspiration (open sputum aspiration and closed sputum aspiration)
2. Connection and parameter setting of ventilator pipeline
3. The use of micro-pump and positive displacement pump
Measuring CVP
5. Nursing care of tracheotomy
6. Oral care of tracheal intubation
7. Use of ECG monitor
8. Nursing care of deep vein catheterization
Rounds and reading reports and lectures;
1. Make rounds according to the difficult diseases admitted to the ward. Such as neonatal care, severe pancreatitis care, pulmonary heart disease care and some special diseases care.
2. Ways and differences between rounds and reading reports and small lectures.
Third, specific arrangements.
Requirements: 1. Conduct operation assessment when entering school. Conduct specialist operation and theoretical knowledge assessment when leaving the company. Mid-term summary and final summary once each.
2. Each person completes a reading report or a rounds.
The first month: complete the weekly nursing theory study. The specific arrangements are as follows:
Day 1 week: 1. Understand the development history, environment and rules and regulations of ICU.
2. Understand the standard placement of various materials.
3, understand the observation records and other ICU standard writing.
4. Understand and gradually become familiar with the specialized operation in ICU, and strengthen the basic nursing operation standard. (Professional operation demonstration)
The second week: 1. Strengthen various specialized nursing operations in ICU (such as gas cutting nursing and various pipeline nursing).
2, understand the observation, treatment and nursing of critically ill patients.
3. Take turns to study with the group, and gradually complete the business rounds under the guidance of the group leader and the instructor.
4. Master the processing methods of words and various materials.
5. Be familiar with the application and alarm handling of monitors, micropumps and volumetric pumps.
6, understand the ventilator parameter adjustment, pipe connection and post-processing.
7. Enter the operation skill assessment course.
The third week: 1. Take turns to study with the group, and gradually complete the business rounds under the guidance of the group leader and the instructor.
2, gradually familiar with the use and observation of monitors, ventilators and micropumps.
3, strengthen the observation, treatment and nursing of critically ill patients.
Week four: 1. Continue to rotate with the group and master various basic nursing operations and specialist operations.
2, to participate in lectures, nursing theory learning and group business rounds.
3. Communicate with family members during visiting hours and improve service attitude.
4. Be familiar with the care of critically ill patients, master the use and observation of monitors and micropumps, and gradually master the use of ventilators.
Second month: 1. Continue to rotate with the group and master various basic nursing operations and specialist operations.
2, to participate in lectures, nursing theory learning and group business rounds.
3. Communicate with family members during visiting hours and improve service attitude.
4, gradually master the nursing of critically ill patients, master the use and observation of monitors and micropumps, and the use of ventilators.
Third month: 1. Continue the unfinished nursing theory study and conduct business rounds from time to time. take advice
2, master the care of critically ill patients, the rescue of critically ill patients, can identify abnormal electrocardiogram and deal with ventilator alarm.
3. Collect opinions and suggestions, improve teaching methods and summarize.
The fourth month: 1, mastering the nursing of critically ill patients, the rescue cooperation of critically ill patients, identifying abnormal electrocardiogram and handling ventilator alarm.
2, everyone in the group to complete a management or business rounds and read a report.
May: Continue to complete the study plan, read the report and exchange learning experiences with each other.
June: Inspection, summary and evaluation.
Fourth, evaluation
The assessment generally adopts the usual assessment results and off-campus assessment results.
The usual assessment includes: daily work ability and completion (20%)+ study work discipline and attitude (10%).
Test scores: divided into written test (50%) and operation test (20%)