In our clinical work, wristband checking is one of the important ways to identify patients in clinical work. In our strict implementation of the checking system, especially for severe patients, neonates and infants who have surgery, coma, unconsciousness and lack of autonomy, we need to wear wristband as an effective identification mark. The basis for checking is that the admission number is the only sign that the patient does not repeat. But even this little wristband can cause a lot of problems. Have you ever encountered these problems from the wristband in clinical work?
Firstly, the wearing rate of the wristband is low because of the lack of knowledge about the wristband and the inadequate teaching of nurses. As the first nurse to receive a patient in the ward, the nurse in charge should check in person and wear a wristband for the patient, and inform the patient that the wristband contains not only the name, bed number, hospital number, but also the two-dimensional number of the wristband which includes all the diagnosis, treatment, nursing and examination during hospitalization. Check results, two-dimensional code is the only patient code, check the patient for PDA wristband scan is the premise of various diagnostic and treatment operations, otherwise can not be treated!.
Secondly, wear the wrist strap correctly. When the wristband is ready, check the skin condition of the wearer to ensure that the skin is intact, undamaged and inflamed, adjust the tightness according to the size of the wrist, and keep a finger space between the wristband and the wrist to ensure that the wristband does not obstruct wrist movement. Do not let the patient operate the wristband by himself, pull the wristband violently, so it is very easy to cause wrist skin damage, must be cut by the responsible nurse with scissors.
Third, wear a wristlet out of the skin. Some patients are more sensitive to skin, allergies to a variety of substances, especially in some children, elderly patients, wearing wrist bands will appear after wrist swelling, and some even blisters caused skin damage. When patients are admitted to hospital, we should first assess the allergic substances of the patients. Some patients themselves know that they are allergic to some medical tapes and will tell nurses that they may be allergic. For children, their skin is delicate and easy to cause skin friction. For such patients, we can use gauze in The wristlet is wound around the wrist, and the wrist strap is worn outside the gauze to prevent the wrist strap from touching the skin directly. For elderly and critically ill patients, it may be more insensitive, or it may be used to protect the skin and relieve discomfort. And after the patient sweats, must observe the wristband skin, not long-term sweat so that wristband and skin adhesion, lest cause skin damage, keep the skin clean and dry, if the patient complains of skin discomfort, timely treatment for patients.
Fourth, psychological counseling. For the use of wristbands, not all patients can understand the meaning of wristbands, especially some elderly patients and some emergency patients and some "stingy" patients, for nurses chattering wristband propaganda is not a cure for disease is useless charge items, when the patient produces this psychology do not blindly. Then go to the propaganda, can suspend the propaganda, or the contrary, can do some treatment, when we get the patient's trust in the treatment can be strengthened propaganda, so that patients understand the meaning of the wristband.
The wristband in the hospital is the patient's identity mark, is the patient in the hospital "ID card", the nurse uses the wristband to check in the work, reduces the occurrence of the error accident, hoped that the patient can treat the wristband like the ID card, at any time wears, when loses promptly completes.