Caused by intravenous infusion of medical malpractice Analysis and Management Strategies


While the fine blood vessels, blood flow less stimulation than the larger input retarder; (3) no observation of the patient's drug response in a timely manner, not to adjust the infusion rate or disabled. 2.7 preoperative preventive use of antibiotics, the doctor's orders not to use the execution time because (1) nurses busy, not in time, implementation of living wills; (2) were not familiar with the dynamic, failure to perform a clinical Jihuan; ( 3) lack of awareness that antibiotics in the preoperative and postoperative use does not matter. 3 Select the appropriate vein measures 3.1, improve the success rate. cording to the patients, the use of drugs and drug irritation of blood vessels required to input the speed, there are plans to use reasonable vein, such as patients with short duration, can be used straight thick veins. If the course of a long, long time to be asked infusion therapy, there must be plans to choose from far and near blood vessels. Drugs on vascular irritation if large, thick,oakley france, straight veins must choose in order to reduce vascular irritation. Try to avoid moving parts, including the joint puncture. Enhancing basic skills, improve success rate of puncture, and strive sharply, after the success of the puncture needle to be properly fixed. 3.2 good missionary, explain, or accompany the patient, not to arbitrarily adjust the infusion rate, the puncture site to minimize the physical activities. Simple explanation to the patient the pharmacological effects of drugs used, the input speed requirements, which may be adverse reactions, and to guide patients or their families for self-observation. If injection site pain, swelling, and timely report to the nursing staff. 3.3 to strengthen accountability, the infusion process more visits, particularly elderly and critically ill infants and seriously ill, visits to sites to observe the infusion, infusion rate,abercrombie and fitch ireland, Murphy's dropper of liquid, the liquid infusion bottle the patient's condition is 4l abnormal changes, visits to pay attention to communication with patients. Abnormal condition or changes in timely and effective treatment, try to control the adverse events occur or expand. 3.4 reasonable arrangements for nursing manpower. Most of the hospital's nurses are overworked, because fewer nurses, less infusion time of inspection, unable to detect the problem, leading to medical malpractice, accidents. the medical staff took over the workload, resulting in great mental and physical stress, sense of decline, decline in self-control, impatience, negligence and other phenomena occur, prevent full individual skills, but also more difficult to regulate medical ethics should seriously address the excess staff workload and improve the quality of care and the level of conflict between medical ethics. 3.5 using a variety of methods for drug knowledge training. Requires nurses to master each dose of drug used, concentration, infusion rate, pharmacological effects, adverse reactions. In the clinical treatment process can be observed with drug reactions, proper handling of adverse reactions, medication, accidents and so capacity. 3.6 in time occurred during the infusion of unforeseen circumstances. Found that liquid leakage, immediately switch off the infusion, needle,abercrombie et fitch, replace the infusion sets, Alternative puncture site for infusion of the leak of the skin for effective treatment. Such as 5% sodium bicarbonate leak, immediately under the leakage range for subcutaneous injection given vitamin c, to dilute sodium bicarbonate, 25% mannitol leakage when injected with saline, thereby reducing drugs on tissue damage. Chemical phlebitis occurs, immediately stop the infusion for heat. Prevention should be the slow infusion rate, dilution liquid,nike free run, regular replacement of the puncture site. Extravasation of liquid on the tissue irritation,mbt shoes, easy to absorb, such as common solution, liquid adjuvant therapy, 50% of magnesium sulfate can be used wet, swelling will soon subside. 3.7 strengthening the hospital system, standardize care and strengthen the implementation of various systems, especially the checking system, to perform a clinical system, the grading system of care must be carefully implemented. Implement an accountability system, improve self-discipline from the police. Strengthen the legal knowledge, training to improve nurses legally enforceable, according to the importance of knowledge management, learning and information on the legal knowledge, training and jobs to meet the requirements of professional and technical skills, to enhance professional ethics education to improve nursing self-discipline, and enhance responsible and law-abiding consciousness. 4 Summary of clinical intravenous infusion is the treatment of diseases, rescue one of the important measures in critically ill patients. Timely infusion can be safely and effectively relieve pain for patients, so patient recovery. Intravenous infusion to ensure the quality of patient care to ensure safety from the perspective of the system to improve care systems management standardization and standardization work to start in clinical care and technical operations, medication safety, infection control, equipment and safety equipment environmental safety aspects of the establishment of effective monitoring and prevention mechanism, there may be insecurity, the implementation of quality defects prevention, timely remedial supplement to reduce or eliminate medical accidents. [Received Date 2007.09.20]