以质量求发展，以服务铸品牌

Journal of Nursing ›› 2020, Vol. 27 ›› Issue (5): 55-59.doi: 10.16460/j.issn1008-9969.2020.05.055

Previous Articles     Next Articles

Establishment of Management System for COVID-19 Prevention in Intensive Care Unit and Its Effect

MING Yao-hui, MI Yuan-yuan, NIE Tao, XIANG Cheng-lin, HUANG Hai-yan, YUAN Shi-ying   

  1. Dept. of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2020-02-12 Published:2020-07-14

PDF (PC)

208

Like

Abstract: Objective To investigate the effect of management system for COVID-19 prevention in intensive care unit (ICU). Methods After literature review and current situation analysis of the department, we set up a management group for COVID-19 prevention in ICU, and established a prevention system for COVID-19 infection in ICU, including prevention and management measures, human resource allocation, pre-post protection training, establishment of frontline team, and humanistic care. We also improved the system according to expert opinions and updated knowledge, as well as the effect feedback. Results After the establishment of the management system, 16 online trainings were conducted, 6 batches of a total of 60 doctors and nurses were sent out and a psychological counseling team was set up, which completed consultation for 10 persons. No infection was found in ICU medical staff and no cross-infection between patients before February 12. Conclusion Management system for COVID-19 prevention in ICU is effective for the treatment and nursing of severe patients, and the physical and mental health of ICU medical staff, and makes it possible to establish a high quality medical team for the fight.

Key words: COVID-19, prevention and control infection, intensive care unit, nursing management

CLC Number: 

  • R473.51
[1] Poon LL,Chan KH,Kei WO,et al.Detection of SARS Coronavirus in Patients with Severe Acute Respiratory Syndrome by Conventional and Real-time Quantitative Reverse Transcription-PCR Assays[J]. Clinic Chem, 2020,50(1):1-10.DOI:10.1373/clinchem.2003.023663.
[2] Huang C, Huang C, Wang Y, et al.Clinical Features of Patients Infected with 2019 Novel Coronavirus in Wuhan, China[J]. Lancet, 2020,395(10223):1-10. DOI:10.1016/S0140-6736(20)30183-5.
[3] Chan JF, Kok K, Zhu Z,et al.Genomic Characterization of the 2019 Novel Human-pathogenic Coronavirus Isolated from a Patient with Atypical Pneumonia after Visiting Wuhan[J]. Emerg Microbes Infect,2020,9(1):221-236.DOI:10.1080/22221751.2020.1719902.
[4] Li Q, Guan X,Wu P,et al. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus Infected Pneumonia[EB/OL]. (2020-01-29)[2020-02-07].https://www.nejm.org/doi/full/10.1056/NEJMoa2001316.DOI:10.1056/NEJMoa2001316.
[5] World Health Organization. Clinical Management of Severe Acute Respiratory Infection When Novel Coronavirus (2019-nCoV) Infection is Suspected[EB/OL].(2020-01-28)[2020-02-04].https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected.
[6] 国家卫生健康委办公厅. 医疗机构内新型冠状病毒感染预防与控制技术指南(第一版)[EB/OL].(2020-01-23)[2020-02-14].http://www.nhc.gov.cn/yzygj/s7659/202001/b91fdab7c304431eb082d67847d27e14.shtml.
[7] Centers for Disease Control and Prevention.2019 Novel Coronavirus Infection Control[EB/OL]. (2020-02-07) [2020-02-10].https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Finfection-control.html.
[8] 米元元,朱丽群,张淑梅,等. ICU新型冠状病毒感染防护及管理的最新文献评价及汇总[J]. 护士进修杂志, 2020,35(6):525-533.DOI:10.16821/j.cnki.hsjx.2020.06.010.
[9] 国家卫生健康委办公厅. 关于加强新型冠状病毒感染的肺炎重症病例医疗救治工作的通知[EB/OL].(2020-01-22) [2020-02-07]. http://www.nhc.gov.cn/yzygj/s7653p/202001/9fbefc9a5fe747e98ea5baeedfb68158.shtml.
[10] 国家卫生健康委办公厅.关于印发新型冠状病毒感染的肺炎诊疗方案(试行第五版)的通知[EB/OL].(2020-02-05)[2020-02-07].http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b894ac9b4204a79db5b8912d4440.shtml.
[11] 中华人民共和国国家卫生和计划生育委员会.WS/T 509-2016,重症监护病房医院感染预防与控制规范[S]. 北京:中华人民共和国卫生行业标准, 2016.
[12] 中华人民共和国卫生部. WS/T 311-2009,医院隔离技术规范[S].北京:中华人民共和国卫生行业标准,2009.
[13] 中华人民共和国卫生部. WS/T 313-2009,医务人员手卫生规范[S]. 北京:中华人民共和国卫生行业标准,2009.
[14] 中华人民共和国国家卫生健康委员会. WS/T 655-2019,呼吸机安全管理[S]. 北京:中华人民共和国卫生行业标准, 2019.
[15] 国家卫生健康委办公厅. 关于印发新型冠状病毒感染的肺炎防控中常见医用防护用品使用范围指引(试行)的通知[EB/OL]. (2020-01-26)[2020-02-07].http://www.nhc.gov.cn/yzygj/s7659/202001/e71c5de925a64eafbe1ce790debab5c6.shtml.
[16] 中华医学会急诊分会院前急救学组.新型冠状病毒感染病例院前急救转运方案[J/OL].中华急诊医学杂志,2020,29(2020-02-02).http://rs.yiigle.com/yufabiao/1179573.htm. DOI:10.3760/cma.j.issn.1671-0282.2020.0003.
[17] 国家卫生健康委疾控局. 关于印发新型冠状病毒感染的肺炎疫情紧急心理危机干预指导原则的通知[EB/OL].(2020-01-28)[2020-02-07]. http://www.nhc.gov.cn/jkj/s3577/202001/6adc08b966594253b2b791be5c3b9467.shtml.
[18] 马衣努尔·托合提,闫雪梅,李萍. 新疆732名基层护士突发公共卫生事件应急能力的现况调查[J].护理学报, 2017,24(24): 35-38.DOI:10.16460/j.issn1008-9969.2017.24.035.
[19] 张俊红,付春华,王芳英,等. 甲型H1N1流感流行期间非现役文职护士心理状况及应对方式分析[J]. 护理学报,2010,17(8):74-76.DOI:10.3969/j.issn.1008-9969.2010.08.031.
[20] 徐明川,张悦. 首批抗击新型冠状病毒感染肺炎的临床一线支援护士的心理状况调査[J]. 护理研究,2020, 34(3): 1-3.DOI:10. 12102/j.issn.1009-6493.2020.03.001.
[1] CHEN Meng-yun, LIN Dan-zhu, XU Jin-wei, XIE Man. Triage and Epidemic Prevention of COVID-19 at Fever Clinic [J]. Journal of Nursing, 2020, 27(6): 39-43.
[2] BAO Yan-qiao, ZHANG Wen-li, BIAN Xiao-lu, LIU Fang-mei. Effect of Narrative Nursing on Mental Health of Nurses Fighting against COVID-19 [J]. Journal of Nursing, 2020, 27(6): 44-48.
[3] LI Ying-chun, DUAN Yan, YANG Li, TANG Shu-rong, LIAO Lei, LONG Xiao-qiu, HE Yue, LIU Qian-ran, ZHU Ping. Status Quo of Psychological Coherence of 258 Clinical Nurses Fighting Against COVID-19 and Its Influence Factors [J]. Journal of Nursing, 2020, 27(5): 47-51.
[4] LIANG Rui-chen, ZHENG Si-lin, ZENG Liang-nan, LI Qian-qian, MING Xia, YANG Chang-mei. Application of Home-based Training Model Based on Intelligent Cloud Platform in Training of Reserve Nurses for COVID-19 [J]. Journal of Nursing, 2020, 27(5): 52-54.
[5] ZHANG Pu, LI Jin, LI Zhao-yang, CHEN Chen, TIAN Chao, JIA Ben-tao. Nursing Experience of Most Critically Ill COVID-19 Patients with Extracorporeal Membrane Oxygenation: A 9-case Study [J]. Journal of Nursing, 2020, 27(5): 60-63.
[6] DING Hong, CHEN Xu-su, XU Li-qian, LIU Huan-yi, JIANG Yu-mei, CHEN Xin-zhi, WU Lan, TANG Na, HUANG Li, YE Li, YANG Jie, HE Min, WANG Xue-lian, CHEN Jing-zhi, MAO Xiao-yan, FENG Hui-dong, JIANG Li-ping, XIE Zhu-bin, LU Chun-li, ZHOU Shu, LIAO Chang-jian, WANG Jia, WEN Ji-jin, HE Jing, LI Xiao-yan. Expert Consensus on Prevention and Control Measures in Anesthesia Care for COVID-19 Patients [J]. Journal of Nursing, 2020, 27(5): 64-67.
[7] REN Wei-hong, SHEN Li-han, ZHAO Miao-ling, ZHOU Huan, CHEN Jun-hua. Nursing Challenge of Most Critically Ill COVID-19 Patients and Its Strategies: A 12-case Study [J]. Journal of Nursing, 2020, 27(5): 68-71.
[8] TIAN Fan-li, LI Hui-ling, DU Mei-lan, JIANG Fang-qin, ZHANG Xin-mei, YIN Xue-qun. Qualitative Study on Emotional Experience of Male Nurses Supporting Wuhan for Fighting COVID-19 [J]. Journal of Nursing, 2020, 27(12): 46-49.
[9] WANG Ya-ting, PENG Xiao-hong, DONG Zheng-hui. Influence Factors of Stress Injury of Adult Patients after Cardiac Surgery in ICU [J]. Journal of Nursing, 2019, 26(3): 1-4.
[10] HE Jing, SHE Xi, HUANG Ping, DONG Lei, CHU Ling-ling. Effect of After-action Review on Meeting Organization in Nursing Administration Department [J]. Journal of Nursing, 2019, 26(3): 12-14.
[11] HE Yue-yue, Huang Xiu-mei, YIN An-chun, LIU Si-yu. Attitudes Toward Hospice Care of ICU Nurses and Its Influence Factors [J]. Journal of Nursing, 2019, 26(11): 5-8.
[12] WANG Zhao-bei,ZHANG Jing-ping. Application and Effect Assessment of Three Scoring Systems in Allocation of Patients Responsible by ICU Nurses [J]. Journal of Nursing, 2018, 25(9): 17-21.
[13] ZHOU Ran-Yun,WANG Hong,ZHANG Min,GUO Ying-jin,YANG Ya-ting,HAN Li-mei. Safety Management of Pickup and Transportation of Acute Severe Poisoning Patients by Medical Rescue Helicopters [J]. Journal of Nursing, 2018, 25(8): 9-12.
[14] YANG Jian,ZHANG Qi-hong,TIAN Yu,CHEN Jie. The Study of Effect of Three-level Quality Control and Mutual Promotion Model in Emergency Department [J]. Journal of Nursing, 2018, 25(5): 15-18.
[15] LIU Li,HE Li-yun,PENG Yan,SHAO Li. Stratified Training for Operating Room Nurses Based on Magnetic Management and JCI Standard [J]. Journal of Nursing, 2018, 25(4): 19-22.
Viewed
Full text


Abstract

Cited
  Shared   
[1] ZHAO Di, ZHAO Meng-Lu, WANG Na, FU Ming-Jing, LIANG Feng, ZHANG Wei, WANG Ai-Min. Current Status of Social Isolation of Community-dwelling Elderly People in Qingdao and Its Influencing Factors[J]. Journal of Nursing, 2020, 27(11): 6 -10 .
[2] . [J]. Journal of Nursing, 2020, 27(11): 11 -15 .
[3] XIE Yan-zhen, LI Zhuang-miao, ZHANG Jia-yu, JI Qiu-lu, WU Yu-xin. Bibliometric Analysis of Moxibustion for Hemiplegia after Stroke[J]. Journal of Nursing, 2020, 27(11): 16 -20 .
[4] . [J]. Journal of Nursing, 2020, 27(11): 21 -25 .
[5] YE Dong-ting, ZHANG Qin-lian, JING Shuang, GUO Jia, XING Yan-fen. Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis[J]. Journal of Nursing, 2020, 27(11): 33 -39 .
[6] GUO Xiao-yu, SHI Dong-li, ZHANG Zheng-mei, LI Na, ZHANG Pei-feng, YANG Li-juan. Best Evidence Summary for Early Removal of Urinary Catheters in Male Patients after Lumbar Spine Surgery under General Anethesia[J]. Journal of Nursing, 2020, 27(11): 46 -51 .
[7] . [J]. Journal of Nursing, 2020, 27(11): 52 -56 .
[8] . [J]. Journal of Nursing, 2020, 27(11): 66 -70 .
[9] LI Xi-zhen, CAO Mei-chang, DENG Ju-ying, ZENG Man-ping, OU Li-fang. Effect of Narrative Therapy on Fear of Cancer Recurrence and Level of Hope in Patients with Nasopharyngeal Carcinoma[J]. Journal of Nursing, 2020, 27(11): 71 -74 .
[10] . [J]. Journal of Nursing, 2020, 27(11): 75 -78 .