CHILDREN EMERGENCY AND NURSE’S PRACTICE
BY “120”MEDICAL
TRANSFERRING SYSTEM
Liao YF
Maternal
and Child Health Hospital, Zhuhai, Guangdong, China
Objective:“120”medical transferring system is an emergency
on-call system, Our hospital is its member in Zhuhai, especially for
children. To review its operation and nurses’ practice, a two-year data was
analyzed.
Methods: The system
consists of a command center and several hospitals, among which a
communicating network was set up by computers and interphones. The group
should be on-call in 24 hr. Each nurse on duty should inspect involved
medications, instruments, oxygen, etc, and be qualification-trained for
their usage in advance. The course of transferring by a nurse is: (1)
receiving a order and knowing the emergency spot from“120”center by
computer map; (2) notifying relevant doctor and ambulance and starting in a
couple of minutes; (3) in ambulance keeping contacting patient; (4) on
arriving helping doctor to save suffered child and make him stable; (5)
setting a IV infusion way; (6) in back way fixing child’s posture, keeping
airway open and monitoring vital signs; (7) communicating with relevant
department in hospital for preparation; (8) after transferring filling in
the record sheet and putting it in file.
Results: Out of 194
children transferred, 117 were sent to pediatric section for seizures,
coma, drowning, etc, 55 to NICU for birth asphyxia, prematurity, cyanosis,
etc, and 22 to surgery for acute abdomen, injury, etc. In the back way, 55
newborns were put in transport incubator; 76 cases were given oxygen by
nose-tube, 41 by mask, 34 by bag and mask, 4 by CPAP, 2 by endotracheal
intubation. Others included suctioning airway, IV infusion, defervescing
and sedating. All were transferred to our hospital safely and rapidly.
Conclusion: The competence and effect of nurses were very important in “120”
system, and keeping training and practising were indispensable for the
efficiency and quality of medical save.