Hello, I’m Lee Yuma. I’m from Taiwan.
Master of Nursing graduate
Currently serving the Chi Mei Medical Center
In the work attitude, I am very loyal to the organization, can accept the criticism has a sense of responsibility. To accomplish this task, we can work with others to help and support each other. We also actively participate in various seminars or read relevant books and articles on our own to spare no efforts in the innovation and innovation of our work. When faced with difficulties, she will not give up easily, will take the initiative to find the competent discussion, or peer to seek advice, analyze the problem together to find a solution, always try their best to do a good job.
Critical care and surgical care are a very challenging and demanding career, however, the rewards will be staggering and I am ready to start my career. It is indeed encouraging that the dedication and humanity of nurses are not only meant to treat patients but really want to make them happy and comfortable in difficult times. This is the main reason why I am very inspired to train in this field. I have been in nursing service for 22 years, still has enthusiasm. Having been engaged in nursing work for so many years, I discovered that nursing is not just a profession; it is a lifestyle, which includes lifelong learning. Understanding this requires the following qualities: focus, intuition, reassurance, excellent communication skills, ability to talk sensitively with seniors, and confidence in dealing with family care issues.
Reduced unplanned return to intensive care ward: Setting up a “Respiratory care ward” effectiveness
Re-admission to the accidental intensive care unit has been identified as a reliable indicator of intensive care. However, domestic or foreign studies have shown that the main reason for patients returning to the intensive care unit is respiratory disease is the main reason for ICU re-admission. The re-admission of unscheduled ICUs not only increased medical costs and lengthened hospital stays, but also increased patient mortality and morbidity. Therefore, in order to make more effective use of the resources of the intensive care unit, an “enhanced respiratory treatment room” has been added. Strengthen respiratory clearance and assess its effectiveness.Clinical features and results documented the reasons for the patient’s return to the intensive care unit through medical records and collected information about unplanned return to the intensive care unit. We found that the patient had to be re-intubated due to sputum and respiratory problems. Then return to the intensive care unit up to 40%.
This study was started in September 2014 with the addition of the “Strengthening Respiratory Nursing Ward” and setting of patient admission criteria: (1) Intensive Care Unit (2)suction more than 5 convulsions per class (8 hours) (3)18 Aged and above. Treatment exclusion: (1) Use of a ventilator (2) Hemodynamic instability. The statistical analysis and comparison of the percentage of return of the intensive care unit before and after the “enhanced respiratory care before and after the return to the intensive care unit” and the respiratory problems resulted in the intensive care unit return were collected in a medical record review.
Since the establishment of “Enhanced Respiratory Care Unit”, The number of patients who returned to the intensive care unit due to breathing problems fell from 40.4% to 28.0%. After the intervention, the proportion of non-planned intensive care units returning to the ward fell from 5.9% to 3.2%.
After the completion of the statistical study, the return to intensive care unit and unplanned return to intensive care unit management was 4.6% in 2014, 3.9% in 2015, 2.9% in 2016, and 2.1% in 2017, confirming that additional measures are effective .
The results of the study showed that the rate of relapse of respiratory problems in intensive care units was effectively improved and reduced. Reduce the number of hospitalizations in intensive care units, increase resource utilization in intensive care units, avoid wasting medical resources, and effectively reduce the proportion of unplanned return to intensive care units throughout the hospital