1, the difference in the position of rescue vehicles. There are great differences in the placement of drugs, articles and instruments in the rescue vehicles of various subjects; The placement position of defibrillator is unreasonable; Nurse management fee is time-consuming and laborious (each shift needs to count the number of drugs, articles and equipment and check the quality).

There are many kinds of first-aid drugs. There are various first-aid drugs on the rescue vehicle: anti-shock drugs, vasoactive drugs, respiratory stimulants, cardiotonic drugs, hemostatic drugs, antipyretic and analgesic drugs, hormones, diuretics, solvents, antidotes and so on. Up to 29 drugs.

There are many kinds of first aid articles. There are all kinds of first-aid articles on the rescue vehicle: ventilation articles (such as ventilator, simple artificial respiration bag, tongue retractor, mouth opener, tongue depressor, oropharyngeal snorkel, oxygen pillow, etc.). ); All kinds of aseptic packages (such as gas cutting package, static cutting package, urethral catheterization package, etc.). ); Various injection materials (such as syringes, rescue needles, infusion/transfusion pressurizer, etc.). ); Other professional supplies (such as three-cavity two-bag tubes, emergency lights, gloves, ice caps, wiring boards, etc.). ). Moreover, the types of first-aid items in various departments are also very different, with the largest number of departments reaching 40.

In addition, some departments are very random about the storage of relief items, and even use rescue vehicles as storage vehicles.

Improvement measures:

Standardize the allocation of rescue vehicles in the hospital.

Unify the models of rescue vehicles. The clinical medical engineering department, the medical department and the nursing department investigate the model of the rescue vehicle, fully discuss it, introduce high-quality rescue vehicles and biphasic defibrillators, replace the rescue vehicles in various wards of the hospital, and unify the configuration of the rescue vehicles in the whole hospital.

Uniformly allocate medicines and articles for rescue vehicles.

(1) Relevant functional departments are responsible for soliciting the clinical departments' acceptance and treatment of diseases, as well as the most frequently used rescue drugs and articles during rescue, and the rescue vehicle standard preparation team will discuss and determine 10 new rescue drugs.

(2) Drawing a schematic diagram: The nursing department draws a schematic diagram of the placement of first-aid drugs and articles according to the structure of the rescue vehicle, and hangs it on the rescue vehicle to facilitate the inventory of drugs and articles. Each nursing unit should place emergency medicines and articles in strict accordance with the schematic diagram designed, printed and distributed by the nursing department.

③ Unified identification system: strictly standardize the drug base, and indicate the drug name and dosage according to hospital regulations. In high-risk drugs, according to the hospital drug management system, the labels of high-risk medicine bottles were attached to ampoules to remind nurses at the first time when using them. At the same time, the table of "Dosage and Conversion Reference of Children's Rescue Drugs" was added, which is convenient for medical staff to convert the drugs used during rescue.

④ Unified dispensing order: The whole hospital requires the ampoules of each drug to be sorted from right to left according to the failure time, so as to cultivate the thinking mode of nurses and avoid delaying the rescue opportunity because they are not familiar with the situation when using drugs.

⑤ A new type of disposable numbered plastic lock was introduced to replace the original paper seal in the ward, which improved the aesthetics and facilitated the management of the rescue vehicle.

Fixed-point placement of rescue vehicles: they are all placed in a conspicuous fixed position in the center of the ward, such as the ward nursing station.

Unified and clear appearance identification of rescue vehicle: design a unified appearance identification for everyone to see at a glance.

Standardized handling of goods.

Rescue vehicle management system:

1. The whole hospital is equipped with a rescue vehicle, and the articles and medicines in the rescue vehicle are managed by "five fixed", managed by special personnel, placed at fixed points, fixed variety quantity, regularly inspected and maintained, and disinfected regularly. Full-time recruitment is responsible for teaching vehicle management and real-time seal management system.

2. The nurses in each shift should check the seal of the gun rescue vehicle when handing over, and the seal should be signed by both parties in succession. If the seal of the rescue vehicle is opened or there is an error, all medicines, articles and equipment in the rescue vehicle should be inspected and counted in detail. After confirmation by both parties, it shall be stamped again and signed by both parties.

3. Regularly check the performance of the first aid equipment of the coach car every month. (Sphygmomanometer, stethoscope, latch plate, flashlight, mouth opener, simple respirator, negative pressure aspirator) keep in standby state: thoroughly clean and disinfect after use, check its performance, and indicate the name and date of the person in charge as required.

4, grasp the teaching car to keep clean and tidy, drugs at a glance. Reasonable placement and convenient use.

5, drugs and equipment shortage or unqualified should be timely maintenance and replacement, timely complement.

6 relief goods register must correspond to the real thing, and there must be no missing items or multiple items.

7. Wipe the shell with clean water once a day and clean it thoroughly once a month: clean it thoroughly after each use.

8. If there is any doubt in the process of robbing the teacher, you should keep the empty bottle after taking the medicine in order to provide an objective basis for the rescue.

9, the head nurse regularly spot-check the preparation of the items in the rescue car, and solve the problems in time when found.

10, rescue drugs and materials, after consumption due to rescue patients, should be replenished in time, has been in a standby state.

1 1. In principle, drugs and equipment on the rescue vehicle shall not be misappropriated.