Wednesday, July 11, 2012

The pilot project of 18 hospitals in Jiangsu has not been accompanied and attended to in hospital The expenses standard is guided and paid close attention to

The pilot project of 18 hospitals in Jiangsu has not been accompanied and attended to in hospital The expenses standard is guided and paid close attention to
The pilot project of 18 hospitals in Jiangsu has not been accompanied and attended to in hospital The expenses standard is guided and paid close attention to
" a person is given much trouble in the whole family in hospital " ,These are a lot of people's personal feeling. However, in some inpatient areas of the People's Hospital of Jiangsu Province, the patient is from admitted to hospital, the operationing to leave hospital, have not needed relatives to accompany at all nowadays. Try not to have one of the medical organizations accompanied and attended to in the first batch as our province and the whole country, province the People's Hospital becomes the focus that the society pays close attention to. What has been accompanied and attended to bringing on earth? Could it pursue in all hospitals? Relatives have become in the ward " The idler " "Auntie, washing water of foot should scalded and ordered, or the warm one? " "Want the one a bit warmer. " In the afternoon of February 10, in the joint subject ward of bone of province the People's Hospital, nurse Hu JuanJuan is helping Li Gen's sister-in-law to wash the foot. 61 years old, auntie of sister-in-law of Li Gen from Yancheng this year, just made the operation of head of femur last week. Li GenDi has a son, the job is very busy, close to the Spring Festival, the unit can not ask for leave at all. "Come into the gate of the hospital, I am extremely anxious, the leg can't be moved, eat and drink and draw and spread depending on others, what is to be done? " Having finished the operation, sister-in-law of Li Gen lying on the sick bed rests assured completely: "The ward is clean every day, the chopsticks are all tidied up neatly and cleanly. Former nurse helps me to wipe hands to have a meal, help to wash the foot in the evening, wash hair once every three days; No matter how it is late in the evening, the dung end urine of end, ring a nurse will arrive at once, needless children will worry about thoroughly. " Li GenDi's spouse smiles and says breathing out aside: "The nurse is even more careful and more thoughtful than I, the spouse just finished the operation a few days ago, the meals were all fed by a mouth of nurse. I am here anything don't be done either, nothing can be done. If not worry the spouse, I needn't come at all, have become idlers. " At present, the intersection of province and the People's Hospital own the intersection of dept. of orthopedics and the intersection of joint and inpatient area, the intersection of gallbladder and the intersection of pancreas and surgery, the intersection of intestines and stomach and surgery, the intersection of mammary gland and surgery in common, digest department and the intersection of reproduction and centre, try not to accompany and attend to, involve 235 sick beds. Different from ordinary inpatient area, has not been accompanying and attending to the ward, except that the regular treatment of having an injection, changing dressings etc. is in the charge of nurse, checking, recovering has professional nurses to accompany and attend to to train, and patient comb one's hair, shave, feed meal, wash hair, wash foot, trim the nails and the intersection of defecation and urination and the intersection of person who punish and these attend to by life that relative undertake in the past, now are all undertaken by the nurse of inpatient area. The nurse, leaves come out to tell reporters, a whole set of quantity is required in the hospital in good China, getting therapeutic to nursing, basic nursing, live, attend to and psychology attend to etc. collect to an organic whole. For example, instructed patients how to carry on on the postoperative bed in the past defecation and urination was trainedded, only stayed and told in the mouth, it is that the nurse demonstrates again and again for the patient by the bed now; Get patient to do, recover, tell him take sport just too in the past, quantize nurse to as the intersection of disease and 123 number now, the ones that it's time to move ten times can not be reduced to for nine times. "We can say,patient from admitted to hospitalling, checking, operation until leaving hospital, need to attend to accompanying one of relatives at all. " What the patient cared about most is charging " it is certainly good thing not to accompany and attend to, it is unnecessary the relative worries about ", specialized nurses take care of all, the more important thing is whether the expenses are expensive? " Mr. Xu that another large hospital is in hospital is saying, after oneself is in hospital, having added very big difficulty to family, the spouse is not healthy, son and daughter-in-law work are busy, have to ask one to be partial to workers and help, the expenses of one day are 50 yuan. Too your patient of the expenses can not use if getting up, everything is not talked about. The reporter knows, has not accompanied and attended to the ward in province the People's Hospital at present, it is 90 yuan per day that first grade attends to the charge, second attends to 60 yuan per day, it is 30 yuan per day to attend to the fee ordinarily. "It is very expensive to look the expenses, in fact calculate, can afford to bear. " Auntie Wu, retired ex-employee of Nanjing has not been accompanying and attending to the ward to live for one week, she calculated an account to the reporter: Calculate, supreme first grade just attends to fee more than 600 yuan according to one week on average in hospital, and only attend to more than 200 yuan ordinarily and tertiarily. "If please partial to workers, is also wanting fifty or sixty every day, exclude the expenses that they had a meal. Both sides are similar. " The reporter knows, does not have several inpatient areas accompanied and attended to at present, only a few patients put forward the objection to the expenses. If certain financial difficulties, the hospital can adjust to other wards. The head of the nursing department has taken care of beautifully and calculated another ordinary person's invisible account: "Not having the inpatient area accompanied and attended to, became quiet, clean, crossed the infection rate has dropped by 2% tooed, patient's satisfaction is more than 98%. The more important thing is, the patient is average in hospital the sun has shortened 1.4 days, thus saved the expenses in hospital for the patient, the school improved the utilization ratio of medical resources at the same time. We can say, have realized win-win. " Pursue and can't act with undue haste and has not accompanied and attended to much-anticipatedly in hospital in an all-round way. Ministry of Health introduce, at present besides province the People's Hospital, northern Jiangsu the People's Hospital, Xu the intersection of Yi and the intersection of county and institute of traditional Chinese medicine,etc. other 17 hospital launch, have, accompany and attend to the intersection of ward and pilot project too inside the province. Will not have accompanied and attended to serving 100 hospitals, 600 inpatient areas the whole country. But reporter know, pursue and has not accompanied and attended to, if act with undue haste in interview, also may run counter to desire. An important reason, the speciality is attended to undermannedly. The head of the nursing department of the People's Hospital of province takes care of beautifully and states frankly: "Not accompanying and attending to the inpatient area, the nurse's quotas are all quite high, digesting 70 sick beds of department mixes more than 40 nurses, the highest bed is protected than Damien 1: 0.75,The lowest one has 1 too: 0.48,And the average level of the whole province is just 1: 0.38. As the biggest general hospital of the whole province, 6 units have not been accompanied and attended to only at present in more than 60 ward units. President of nurses association of Nanjing, Chen XiangYu of head of the nursing department of hospital of Nanjing drum-tower say for example, there are 5000 sick beds in the state hospital of Florida of U.S.A., but there are more than 10,000 nurses, 500 volunteers serve hospital day and night. They can accomplish the one-to-one service to the patient, but in our country, most hospital nurses are in the state in short supply. If the nurse has uncomplete matching, should not pursue and has not accompanied and attended to hurriedly. The dispute of doctors and patients taking place repeatedly lets a lot of hospitals have a lingering fear too. "Present a very large number of contradictions of doctors and patients, in case the patient has presented some questions in hospital, there is no relative nearby, how does the hospital clearly speak? " A person in charge of children's hospital of Nanjing says, unless the department of higher level demands to do so, otherwise the hospital will accompanied and attended to voluntarily. The expert of management college of public health of medical university in Nanjing proposes, the economic strength of different patients is different, the engineering level, hardware facility and patient of different hospitals have different trust, can't do to accompany and attend to " Make it rigidly uniform " . (the intersection of reporter and the intersection of Zheng Yan and second high duckweed frequently Yang, cub reporter of mountain,)


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