Zhang Yihong, Vice Captain Of Anyang Medical Aid Team, Build A Life Protection Wall For Patients With Nursing And Communication.

In March 18th, the first batch of Hubei medical teams stationed in Wuhan came back one after another. In the main battlefield of the Wuhan, more than 30 thousand medical personnel were still on the front line. The tenth batch of medical teams from Henan province (hereinafter referred to as "medical team") is one of these groups.

They arrived in Wuhan in February 19th, from 15 hospitals in Anyang, Kaifeng, Pingdingshan and other places, a total of 148 people, of whom 120 were nursing staff.

According to the instructions, they took the "assault" construction system to take over a sick area in the rear area of the Central Hospital of Wuhan. They stayed in Baisha Zhou of Hongshan District, and they needed two hours to commute to and from work every day. "As long as the patient can recover as soon as possible, our hard work is nothing." On March 18th, Zhang Yihong, deputy commander of Anyang aid medical team, told reporters on twenty-first Century economic report that in the current epidemic fighting process, patients need nurses to keep watch for 24 hours without interruption, and the risk of infection is even greater. During the special period, nurses have to work as nursing workers and work harder. When the medical team arrived in Wuhan, they overcome the difficulties of fear, acclimatization and language barrier at the beginning. With more careful nursing and more patient communication, they built a life protection wall for the new crown pneumonia patients in Wuhan.

Decompression for players

At 6 p.m. on February 23rd, Zhang Yi Hong's team suddenly received instructions: the construction system took over a fever ward in Hou Hu Hospital District of Wuhan Central Hospital, and arrived at the post 8 o'clock the next morning.

"The hospital is an hour away from our hotel." Zhang Yihong said, this means that in addition to work every day, each shift takes 2 hours on the road.

This is also the hospital where Li Wenliang, an ophthalmologist, worked. It is close to the seafood market in Southern China. The number of early onset patients is high, and the infection rate of medical staff is high. "At the beginning, the players had some psychological pressure. They all took a breath and drumming in their hearts." Zhang Yihong recalled, but the epidemic is the order, the medical staff's bounden duty, so that they can not choose to retreat.

In fact, for the infectious diseases, protection is the most important way of protection. In the early stage, the infection of doctors and nurses in Wuhan was mainly restricted by the lack of awareness of early protection and shortage of protective materials. One of the core courses in training is hospital feeling prevention and control.

When the first time arrives at the scene to familiarise themselves with the ward, the material storage area is covered with protective clothing and disinfectant supplies. Zhang Yihong took advantage of the hot iron and then decomposed the team members: "infectious disease prevention and control measures are mainly carried out in three aspects: controlling the source of infection, cutting off the transmission channels and protecting vulnerable groups. We can be selected to show that they are all professional leaders with good political quality, strong professional ability and good physical quality. I believe we can wear protective clothing, standardize the operation process, and strengthen our own protection so as to cut off the transmission channels.

To further overcome all fears, Zhang Yihong set an example. After taking over the first post of the first post in the ward, Zhang Yihong entered the ward with everyone and stood at the forefront of the team. The nurse was born, she received patients a set of processes flow smoothly, skilled and standardized operation also let the team members have confidence, feel at ease. Once again following the nursing staff in class second, Zhang Yihong obviously felt the mood of the players improved, "before their tension, anxiety, standing in front of the patient and so on and so on disappeared, and in a few days, all aspects of the track."

However, what I did not expect was that after taking over the ward, there were successive reports that the nervous strain of the medical team appeared again because of the virus being killed by a virus in the central hospital.

Faced with the sacrifices of their predecessors and peers, the players were heartache and sorry, but still strong enough to accept, "there are so many patients who need them, their sense of responsibility and mission to support them to continue to move forward". Zhang Yihong's tacit understanding personally encourages the players. "They were sent to the bus at work and returned to the station at 2:30 in the morning. I greeted them at the door, hoping to give everyone a feeling of warmth and dependence." At the same time, Zhang Yihong also held 38 women's day to send flowers, set up a collective birthday party, for members of the team to win the "fire party joining" honor and other activities, with warm details to shift the players' uneasiness. Slowly, negative emotions also disappeared.

Communication between doctors and patients

In March 10th, all the cabin hospitals in Wuhan were discontinued, and the discharged patients were discharged to the rehabilitation isolation point. The patients who had not yet reached the discharge standard were transferred to the designated hospital for further treatment.

The ward taken by the Zhang Yihong team has also been transferred to the patient from the shelter hospital, and the number of patients has been increased again, and the nursing pressure has increased.

"This means that the epidemic situation has been well controlled, but the new principle of concentrating resources, concentrating diagnosis and treatment, concentrating experts and concentrating patients" has added pressure to some designated hospitals, especially the pressure of nurses. Zhang Yihong explained that the majority of the patients they took over were elderly patients. Among them, patients aged 75 or above accounted for 50%-60%, and the peak period reached 70%-80%. These critically ill patients are relatively stable at present, but there are 5 patients who can not take care of themselves at all, and 2 patients can not take care of themselves. All these patients need to nurse instead of nursing workers and take care of them one by one.

The compliance of some patients is not good enough. Zhang Yihong remembered that when a 88 year old woman was admitted to the hospital, she was in a very excited state. "I lie well in the nursing home, dragging me into the ward. It's too dangerous. I have to go back!" The old man ran out all night, and the nurse stayed up all night at her bedside. Until the third day, the old man was still on the move. The nurses could only take the medicine, feed, comfort and so on to the old lady. They kept a close watch on the state of the old lady.

I remember a middle-aged PhD patient who had been transferred to the hospital after being isolated. He had been in a state of restlessness, not eating, taking medicine and not caring for the treatment. "He insisted that he had no symptoms of illness and should not be arranged to be here. He was hostile to medical care and was very intense." Therefore, Zhang Yi Hong explained patiently to the patient, "all suspected or confirmed cases admitted to the hospital are examined through layers of layers, and are also unified by the command department. If there is no symptom, after completing the relevant inspection and diagnosis, the patient can be discharged." After many reasonable persuasion, he opened the heart of a doctor. "He thanked us with his hands and smiled on his face."

In order to better improve the quality of medical care and enhance the sense of trust of patients, the medical team set up a medical and nursing combined weekly check room system, that is, the patients who are familiar with the patients' dynamics and the doctors cooperate with each other for ward rounds, and communicate on the spot. "This allows the doctors and nurses to understand the patient's recovery status, psychological state and medication adjustment more conveniently, and find some potential hazards in time."

The medical team also set up a communication between nurses and patients, that is, nurses in the daily inspection room, the patient reflects some of the problems that can not be solved, when the doctor rounds the room sooner or later, report to the doctor one by one, so as to solve the problem in a specific and targeted way.

At present, the tenth batch of medical teams in Henan has received 39 patients, and 20 people have been cured and discharged. "We told the patients that you were well discharged before we could go home." Zhang Yihong said, with the commitment to patients, they will silently adhere to, and the current good doctor-patient relationship is also their driving force.

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