Objective To explore the method of simulated first-aid drill to improve the first-aid ability of nurses in emergency department. Methods Emergency nurses were trained in emergency plan learning and simulated first aid drills, that is, determining contents, making plans, drawing up drills, assigning roles and simulating first aid on the spot. After the drill, the results were analyzed and summarized. Results After four trainings, the scores of basic skills and comprehensive ability in 20xx years were significantly higher than those in 20xx years (P

Key words nurse; On-the-job training first aid

In order to improve the first-aid ability and overall coordination ability of emergency nurses, the emergency department of our hospital organized four simulated emergency plan drills from August 20xx to June 20xx 10. After training and drills, the first-aid ability and comprehensive quality of nurses have been obviously improved. The report reads as follows:

1 objects and methods

1. 1 22 emergency nurses, all female, age (25.68 3. 12), including 65438 undergraduates, 7 junior college students, 4 technical secondary schools 14 head nurses, 6 nurses and nurses/kloc-. From August, 20xx to June, 20xx, 10, organized four simulated first aid drills for public emergencies and acute food poisoning. Every time, general nurses participate in first aid drills. The contents of the drill and the number of wounded were: a large number of firecrackers injured (15), serious multiple injuries caused by bus accidents (30) and acute food poisoning (organophosphorus pesticide poisoning). Event types: respiratory cardiac arrest, severe craniocerebral injury with closed chest injury, closed abdominal injury with shock, severe neck and limb injuries, sudden death and coma during hospital escort examination.

1.2 method

1.2. 1 set up an emergency plan drill group, with the director of the emergency department and the head nurse as the chief and deputy team leader, and the team members are composed of emergency nurses and surgeons. According to the characteristics of emergencies, the director of the department and the head nurse draw up the content and plan of the drill, draw up the specific plan of simulated first aid and the distribution of personnel roles, and finally organize the implementation by the medical department and the nursing department.

1.2.2 implementation steps of the first stage of emergency plan drill: study and discussion. After the first aid plan is determined, organize all nurses to learn the theoretical knowledge and basic skills related to emergencies. The second stage: the exercise process. The director of the department and the head nurse presided over the drill, and the whole drill process, project, content and real scene were consistent with clinical rescue. The staff plays the patient's family, the model plays the patient or the doctor and nurse plays the patient.

Methods ①: After receiving the distress signal, the emergency nurse quickly implemented the emergency procedure. Usually, two nurses and 1 doctor are a group, and they quickly arrive at the scene with the ambulance for on-site rescue. Nurse a is responsible for maintaining airway patency, quickly establishing effective venous access and drug treatment; Nurse B measures blood pressure and blood pressure, and assists doctors in chest compressions, ECG monitoring, defibrillation, drug preparation and recording. Doctors carry out first aid treatment according to ABCD rule [1].

Method ②: After receiving the call for help, the first-aid nurse A informed the doctor and nurse B to quickly prepare the first-aid materials, such as the first-aid instruments and equipment of various departments, and put them by the bed to wait for the patients. After the patient was admitted to the hospital, the first aid was quickly implemented according to the personnel positioning method 1, and the rescue was carried out according to the plan under the command of the first aid team leader. The whole rescue process lasts 30 ~ 40 minutes. In the emergency plan drill, all nurses who did not participate in the rescue participated in the on-site observation, increased clinical experience and found existing problems. The third stage: analysis and summary. After the drill, the whole staff will discuss and analyze, affirm the achievements and find out the problems. Finally, the director of the medical department and the director of the nursing department summarized the medical nursing simulation exercise. The fourth stage: rehearsal. On the basis of summary and analysis, nurses and doctors rehearsed again, emphasizing the completeness of procedures and the coordination of positioning, showing a comprehensive, complete and standardized emergency plan rehearsal process.

1.2.3 Evaluation method Statistics the scores of basic operation skills, operation proficiency and comprehensive ability of nurses who participated in first aid drills from 20xx~20xx. The contents include:

How to implement emergency plan drills to improve nurses' first aid ability

① Common basic operations: five common basic operations such as airway opening, ECG monitoring, venipuncture, electric shock defibrillation and hands-free cardiopulmonary resuscitation. Check the correct procedures and operation time during the first aid drill, and evaluate the proficiency of personal operation: according to the following four grades: 10 (excellent), 8 (good), 6 (qualified) and 4 (unqualified).

② Comprehensive ability: score five comprehensive abilities: clear division of labor, reasonable positioning, quick action, accurate degree and no repetitive action. 5 points for each project, out of 25 points. The higher the score, the stronger the comprehensive ability.

1.2.4 statistical methods SPSS 1 1.0 statistical software package was used for data processing, and t test was used for data measurement.

Two results

2. 1 two-year comparison of nurses' basic skills in first aid drills; The operation time and basic skills proficiency of emergency nurses who participated in first aid drills in 20xx years were significantly improved compared with those in 20xx years, as shown in Table 1. Table 1 Two-year Comparison of Nurses' Basic Skills in First Aid Drill

2.2 Comparison of comprehensive ability scores of nurses in two-year first-aid drills The comprehensive ability scores of emergency nurses who participated in first-aid drills in 20xx years were significantly higher than those in 20xx years, as shown in Table 2. Table 2 Comparison of comprehensive ability scores of nurses in two-year first aid drills

3 discussion

3. 1 The important role of emergency plan drill is to simulate emergency plan drill, that is, to think carefully about the rescue process, respond decisively, cooperate and coordinate tacitly, and rely on various roles and technologies to integrate into a behavior model [1], so as to reproduce the complicated and changeable clinical situation, thus improving the clinical first aid level and ability of nurses.

3.2 Emergency plan drills have improved nurses' first aid skills, overall coordination ability and comprehensive ability. Emergency nurses are faced with acute, dangerous and complicated patients every day, with high work pressure and high risk, while there are relatively few opportunities for systematic study and training [2]. Therefore, emergency plan drills enable emergency nurses to systematically and completely experience and master basic theoretical knowledge and practical operation skills, which fully reflects the intuition, practicality, effectiveness and controllability of the drills [3] and comprehensively improves the comprehensive quality and overall coordination ability of emergency nurses. The results show that with the increase of the number of drills, the basic technical operation time of nurses participating in simulated first aid drills is shortened year by year, and the operation proficiency and comprehensive ability assessment scores are improved year by year. As an effective training method, simulated first aid has been widely used in China [4].

How to implement emergency plan drills to improve nurses' first aid ability (2)

3.3 Emergency plan drills to improve the success rate of rescue. Emergency plan drills enable emergency nurses to learn emergency plans systematically and comprehensively and simulate the whole process of first aid practice. Through repeated operation, master all kinds of first aid skills skillfully and improve the overall coordination ability. Nurses apply the skills gained in simulation training to clinical work, thus improving the success rate of rescue.

3.4 Emergency plan drills and first aid skills training are interdependent and complementary. The nursing department and our department train emergency nurses in first-aid skills and knowledge of first-aid drugs three times a year. Compared with emergency plan drills, first-aid skill training focuses on mastering first-aid skills, which is the basis of first-aid work, while emergency plan drills focus on the overall coordination of first-aid processes and the mutual cooperation of medical staff, which is the integration of various first-aid technologies. Therefore, the organic combination of first aid skill training and emergency plan drills is two interdependent and complementary aspects to improve the quality of first aid. After two years of emergency plan drills, emergency nurses have good basic theory, basic skills and overall comprehensive ability in clinical rescue work. Therefore, the implementation of emergency plan drills is an effective training method.

refer to

[1] Nie Zhenming, Meng Zhaoquan. Practical emergency care and first aid [M]. Shanghai: Second Military Medical University Press, 2005:59-60.

[2] Deng Qiuying. The status quo of psychological quality of nurses in emergency department and its countermeasures [J]. Journal of Nursing Science, 2005,20 (11): 73-75.

[3], Hu Ningna, Ran Li. Practice and effect analysis of using scenario simulation training to improve nurses' communication ability [J]. Journal of Nursing Management, June 2006 (1): 43-46.

[4] Liu Yu and Zhang Liming. The role of emergency rescue plan in rescuing the wounded [J]. Journal of nursing administration, 2005, May (2): 46-48.

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