臨牀透析 Vol.20 No.8(2-9)


特集名 透析室の環境整備 -- 院内感染を含めて
題名 [各論]ナースステーション,透析記録等の保管場所
発刊年月 2004年 07月
著者 江崎 真知子 金山クリニック看護部・看護師
【 要旨 】 透析患者は身体の重症化と高齢化が進み,提供するケアは複雑多岐にわたる.
多忙な透析室業務のなかで,安全に安楽に透析治療が実施されるために,患者の情報の管理や,チーム医療を実践していく場として中心となるのが,透析室におけるナースステーションである.透析室のナースステーションの定義は明確になってはいないが,医療スタッフは,透析中の患者の管理と併行して医師の指示受け,看護記録の記載,管理業務,注射や抗凝固薬の準備などを実施していることが多い.したがって,ナースステーションは,患者とスタッフが物理的に離れないように,絶えず患者の状況観察・異変への対応,透析機器の監視ができるような場所・構造・設備が必要と考える.
Theme Environmental Arrangements of Hemodialysis Room -- including In-hospital Infection
Title Dialysis ward environment including infections spread within hospitals
Author Machiko Ezaki Department of Nursing, Kanayama Clinic
[ Summary ] Care of ill or elderly dialysis patients becomes increasingly difficult as the illness progresses or the age advances. The number of duties in a dialysis ward is great and the nursing station in each serves as the center for management of patient information and team based treatment, in order to provide dialysis patients with safe and comfortable medical treatment. There is no clear definition of nursing stations in dialysis wards but the medical staff typically manages patients during dialysis while also, operating under doctor's instructions, keeping a nursing report, carrying out supervisory duties, and preparing injections and anticoagulants for administration to the dialysis patient. Therefore, the nursing station needs to be constructed, located, and equipped so that the nursing staff can continually observe the condition of patients and dialysis equipment, as well as handle emergencies with nurses and patients being in close proximity.
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