Re: [閒聊] 關於和信醫院(護理人員的觀點)
※ 引述《librainsky (Libra in the sky)》之銘言:
: ※ 引述《kevio (成仔)》之銘言:
: : 如果病人預期會遭遇CPR 那該主治醫師就該負責和病人說明病況
: : 解釋後續治療
: : 如果來不及sign DNR 病人就sudden death
: : 之後會有M&M 討論為何會不預期發生CPR的原因
: : 另外 當地的CR 也相當認真及alert
: : 針對病況不穩的病人也會再三注意
: 嗯啊 是啊 非常alert及注意 就可以減少到兩年發生CPR的次數小於5...!?
: 老實說 原本預期患者的變化本來就不該發生CPR
: 醫師非常alert也可減少 這都不意外
: 問題是 預期外的狀況其他醫院有這麼少嗎?
: 我們醫院怎麼一兩個月就會發生幾次連自咳能力都不好的病人
: sputum impaction就sudden apnea
: 吃東西就chocking要急on endo
: ....我也好想知道該怎麼預防這些狀況發生...
: 請問這位intern學弟能不能教我?
我現在已經CV training完畢 謝謝....
你沒辦法handle病人 我也沒辦法教你
cancer病人air way 不好 就應該及早談DNR
是因為病人已經談好DNR 才不至於得急救......
是因為和信醫院床數相當少 類似的狀況不常發生
在我現在呆的醫院 總值跑CPCR還是常有的事......
我有自信待在和信總值時 不至於出太多亂子
因為床數少 我可以看完所有的病人
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