Information source: Emergency and critical care team Release time: 2022-03-07

　　Recently, at the invitation of Jinan People's Hospital, Shenxian County People's Hospital and Lanling County Hospital of Traditional Chinese Medicine and Western Medicine, the emergency and critical care team of Shandong Provincial Hospital Affiliated to Shandong First Medical University (Shandong Provincial Hospital) successfully held a remote multi-specialty nursing consultation for three critically ill patients. The consultation on the cloud ICU platform for three patients was conducted by the emergency and critical care team as well as specialist nurses from nutritional care, respiratory therapy, venous thrombosis care, cardiopulmonary rehabilitation care, wound incontinence care, hospice care, neurosurgery. Yang Lijuan, Director of Nursing Department of Shandong Provincial Hospital, Qian Shuxuan, Secretary of the Party Committee and President of Shenxian People's Hospital, Sun Lixia, Director of Critical Care Medicine Department of Jinan People's Hospital, and Shen Feng, Director of Nursing Department of Lanling County Hospital of Traditional Chinese Medicine and Western Medicine participated in the consultation and discussion.

　　Director Yang Lijuan said that since 2017, Shandong Provincial Hospital has carried out more than 200 cases of multi-specialty nursing consultations, which has achieved good results in ensuring the safety of patient care and recovery of patients. This measure recognized by patients has trained a multi-specialty nursing consultation team and further improved specialty nursing. We hope to work hand in hand with hospitals to continuously promote multi-specialty nursing consultation and share high-quality nursing resources.

　　In the afternoon of February 23, based on the nursing difficulties of a patient with cerebral hemorrhage in Lanling County Hospital of Traditional Chinese Medicine and Western Medicine, the specialist nurses discussed the prevention strategy of pulmonary infection, the methods and timing of nutritional therapy, the observation and posture of lower extremity venous thrombosis, and the early rehabilitation nursing program for patients with cerebral hemorrhage. Through comprehensive discussion and analysis, a detailed consultation opinion and nursing plan were formed based on the best clinical evidence. Shen Feng, Director of Nursing Department of Lanling County Hospital of Traditional Chinese Medicine and Western Medicine, said that he would take this consultation as an opportunity to establish a long-term consultation with Shandong Provincial Hospital, continue to send the doctors, nurses and managers concerned to the hospital for further study, and he hoped that Shandong Provincial Hospital would continue to help grass-root hospitals.

　　In the afternoon of February 24, in view of the nursing difficulties of a patient with subarachnoid hemorrhage in Shenxian County People's Hospital, the specialist nurses provide a personalized and holistic best nursing practice plan after they discussed the strategy of enteral nutrition support, the prevention and treatment of incontinence dermatitis after diarrhea, the airway management of tracheotomy patients, the prevention of lower extremity venous thrombosis, rehabilitation exercises, the prevention of oral ulcer in patients with artificial airway and how to build a noiseless ward. Qian Shuxuan, secretary of Shenxian County People's Hospital thanked the nursing experts of Shandong Provincial Hospital for their guidance and help in this online consultation. He said that this activity is not only an effective way to solve the difficult problems of patients, but also a powerful exploration of innovative nursing mode. Multi-specialty nursing consultation not only solves the nursing problems for patients, but also brings advanced nursing concepts and management ideas to the nursing team of Shenxian County People's Hospital.

　　In the morning of February 25, eight specialist nurses and Zhang Jicheng, the chief physician of the Second Department of Critical Care Medicine formed a consultation team to conduct comprehensive and in-depth exchanges given the nursing difficulties of a case of uremia complicated with severe pneumonia in Jinan People's Hospital. The individualized nursing plan was formulated based on the best evidence of the nursing of non-invasive ventilator, after they discussed the way to prolong the use of blood purification filter that cannot be anticoagulated, the cooperation between doctors and nurses in the implementation of enteral nutrition, and the volume management of patients with heart failure. Sun Lixia, director of Jinan People's Hospital, spoke highly of the significance of the consultation and expressed gratitude to the nursing experts from Shandong Provincial Hospital for the multi-specialty nursing consultation. Jinan People's Hospital attached great importance to this work and had carried out 12 cases of multi-specialty nursing consultation. She hoped to further strengthen the cooperation and exchange of such multi-specialty nursing consultations in the future, so that more patients could benefit from it.

　　The nursing system of Shandong Provincial Hospital continuously innovates and explores high-quality nursing service, deepens the connotation of high-quality nursing service, provides individualized, standardized and high-quality nursing programs for more than 100 critically ill patients through multi-specialty nursing consultation, actively improves the recovery of patients, improves the satisfaction of patients and their families. It also enhances professionalism and self-confidence of nursing. In the future, Shandong Provincial Hospital will continue to promote this work, pull high-quality nursing resources together, promote high-quality nursing resources to the grass-root level, and enable patients to enjoy better nursing services.