The Ninth Batch Of Sichuan Aid Medical Team: Improving The Cure Rate Of Critically Ill Patients By Meticulous Management

On the evening of February 21st, 181 of the ninth batch of medical teams in Sichuan province arrived in Wuhan under the guidance of captain Wang Dong. The team included the Sixth Batch of medical teams of Chengdu, who was captain Wang Gang.

After arriving at the hotel, the team adjusted the open hotel and set up two channels for hospital feeling. On the other hand, we should set up medical group, nursing group, hospital feeling group, nutrition group, psychological consultation group, life support group, etc., and draw up all management procedures to make adequate preparations for entering Wuchang hospital.

"We are here to save people, and we must not bring any other trouble to Wuhan." Wang Gang also recalled that he had written three times before and after the invitation to fight against the epidemic in Wuhan. He told the twenty-first Century economic news reporter: "Sichuan suffered a lot of assistance when it was hit by the disaster. Now Wuhan needs it, and we are duty bound. The medical team hopes to help patients through their own efforts, and other difficulties during the epidemic can be overcome.

Despite the fact that the epidemic situation in Wuhan is no longer as severe as it was in the early days, the team still has the mission of increasing the cure rate and reducing the fatality rate.

At present, the medical team led by Wang Dong took over the severe ward of Wuchang hospital. Wang Gang led the Chengdu medical team to support the ICU ward, and worked with the medical staff in the hospital to manage the critically ill patients.

Meticulous management

On the afternoon of February 24th, Wang Gang's ninth batch of Sichuan medical team entered Wuchang hospital.

After the first batch of designated hospitals in the early stage of the epidemic, the other hospitals in Wuchang worked for a short time to plan the channel. Because of the increasing number of health care workers, the access to protective clothing has become relatively narrow. After consultation with the hospital, the ninth batch of Sichuan medical teams in the first batch changed the original channel to two, which further optimized the process, ensured the orderly entry and exit and eliminated the exposure.

"No matter what happens, we must find a way to solve it ourselves." A new way to open a hole in the wall is to open a door. Wang Dong said, this is not very difficult at ordinary times, just find a few workers. But at this time, the epidemic spread in Wuhan, and workers were simply hard to find. With the joint efforts of the Wuchang hospital, within two days, they completed the re planning of the hospital sense channel.

"Meticulous management has certain requirements for the staffing of medical personnel, so our accession has achieved better management." In addition, ICU patients themselves need meticulous management in order to prepare for sudden changes in the situation, so we are more careful in the aspects of patient care and care. After the arrival of the medical team, the ward rounds should be held in the managed ward area, and multidisciplinary consultation should be organized. The West China Hospital, the National Health Committee, the doctors of TCM and the forces of the aid corps should be collected to help patients tide over the difficulties.

Small to the daily greeting to the patient, large to regular physical examination of patients, each step is meticulous management, each time only to more accurately grasp the patient's condition, timely tracking. "In order to find and master every change of patients in a more timely manner, we increase the number of visits to the house, and more observation and more protection."

There was a retired serviceman about 70 years old who could not hear his ears and had a light diet. He could not bear the spicy food provided by the hospital. After observing the elderly's dietary preferences, the nurse provided him with a light eight treasures porridge because he had no condition to open a small stove. The care and care of the nurse made the old man very moved. "In fact, our meticulous management is, directly speaking, the realization of all the care, whether in treatment or in spirit." Wang Gang added.

Refinement is not only confined to the behavior of medical staff, but also the refinement of hospital zoning. "Outside the ICU area, we are divided into A area and B area, which are severe and ordinary patients. Once the patient's condition is changed, effective transfer between the two districts will be achieved." Wang Gang said.

When it comes to the effect of meticulous management, Wang Gang said with joy, "under meticulous management and with various support, the rehabilitation of patients will be faster, and the situation of critically ill patients will have a good trend of improvement, and more and more patients will be improved."

Improve cure rate

After entering the Wuchang hospital, according to the actual condition of the patient, the team implemented the stratified treatment under the guidance of the treatment guidelines.

Intubation is the most dangerous. Doctors usually wear surgical masks and goggles when they are intubated for treatment. Medical staff must wear protective clothing, gloves, goggles and face screens. It is worth noting that the nursing staff in the intubation process are faced with a great risk of infection. Therefore, the whole process should be completed in a short time, the sooner the better. Before intubation, the medical staff must be well prepared to keep the patients quiet, prepare the tools for intubation, make a good backup plan, and so on, and then treat the patients.

"Before we arrived in Wuhan, we had already thought about the main support of these three aspects: first, support for the functions of all organs of the patients, especially respiratory support, including breathing apparatus and so on. Two is nutritional support, three is psychological support. If these are in place, the patient's condition will be greatly improved." Wang Gang continued.

On nutritional support, Professor Wang Gang, West China Hospital of the medical team of, sent the protein powder from the rear, according to the patient's condition, needs to be different, individualized to provide nutrition for each patient. In psychological terms, medical staff rounds rounds and usually gives more comfort and greetings to patients, and more exchanges with patients. Wang Gang explained: "at this stage, the patients are still very scared and afraid, and they can only communicate with their loved ones on the screen. At this time, face-to-face communication is very important. More communication will lead to greater confidence."

Multidisciplinary consultation is also an important measure to improve the cure rate of patients.

"The number of consultation with our experts is increasing, and the strength of various disciplines can be prevented in time to prevent ordinary patients from turning to severe cases, and critically ill to critically ill patients." In order to detect the trend of patients' transformation to critical situation, in addition to judging the relevant indicators, medical staff should observe the whole state of the patient, including breathing state, diet and the mental outlook of the patient. Once the situation changes, intervention measures will be taken immediately. "Some of the indicators provided above are a warning line, but they should not be limited to this. If all treatment is not done until the target is reached, it may be too late to take measures. "

Implementation of seamless connection duty mechanism is also further improve the cure rate of patients.

Medical staff in the A area change classes every four to five hours to ensure that the medical staff are full of physical strength and spirit. "Medical staff have regular rounds of rounds on duty, and the expert group will conduct irregular visits. Patients will see more times and observe more carefully." Health care workers, including Wang Dong, would go to the house to check the patients' situation in their spare time, so as to better master the daily changes of patients, prescribe the right medicine and improve the cure rate.

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