降低暫時性雙腔靜脈導管滑脫率

本專案旨在探討暫時性雙腔靜脈導管滑脫之相關因素，以降低其滑脫率及提升護理師臨床技能。統計單位2013年第一季暫時性雙腔靜脈導管滑脫率3.82%，不僅超出閾值且為全院最高，經分析發現護理師參與暫時性雙腔靜脈導管照護之單位在職教育僅37.0%；單位內缺乏「暫時性雙腔靜脈導管照護」之評估紀錄表及提示標示；護理師未能確實交班；缺乏稽核制度。透過「暫時性雙腔靜脈導管照護之評估紀錄表及提示標示」的製作及執行；舉辦暫時性雙腔靜脈導管在職教育；建立稽核制度。本專案實施後，滑脫率降低至0.6%；護理師交班完整性提升至98.8%、參與在職教育達成率為100%及導管照護認知增加至96.3%。不僅護理照護品質獲得改善，亦提升護理師對於導管照護知能。

關鍵字

暫時性雙腔靜脈導管；滑脫率；護理專案；血液透析；病人安全；交班

並列摘要

This study investigated factors, preventive measures and staff competency related to the accidental dislodge of temporary double-lumen catheters. The dislodge rate of the temporary double-lumen catheters was 3.82% in the first quarter of 2013, which exceeded the threshold value and was the highest among all units in the hospital. Survey indicated that only 37.0% of nurses in the unit received training on care of temporary double-lumen catheter. Other deficits included lack of a double-lumen catheter care evaluation table and appropriate labels, nurses failed to complete handoff during shift change, and no auditing process. The unit established a temporary double-lumen catheter care evaluation table with relevant labels, provided staff training on temporary double-lumen catheterization care, and implemented an auditing process. 100% of nurses completed the required training, the level of catheter care awareness increased to 93.6%, the complete nurse handoff rate increased to 98.8%, and the catheter dislodge rate decreased to 0.6%.

並列關鍵字

temporary double-lumen catheter ； hemodialysis ； slippage rate ； nursing project ； patient safety ； handover

被引用紀錄

呂詩敏、紀淑真、謝佩真（2018）。降低某內科病房膽道引流管滑脫率之專案。彰化護理，25(2)，21-34。https://doi.org/10.6647/CN.201806_25(2).0005

林榆絜、傅惠君、李宜真、吳麗敏、王佳慧（2020）。降低血液透析管路異常事件發生率。臺灣腎臟護理學會雜誌，19(1)，34-49。https://doi.org/10.3966/172674042020061901003

國際替代計量

降低暫時性雙腔靜脈導管滑脫率

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