Nurse f. Was assigned to a neurosurgery support job and was told by the head nurse on the first day of work when a penicillin test was assigned to the patient. This is due to the fact that nurse little f was configured according to the basic nursing school teaching materials, with a leather test concentration of 400 units/ml and a neurosurgery with a concentration of 500 units/ml according to the guiding principles for the dermal testing of antibacterials of betaine amides. "our section has always been configured and observed according to old standards." it can be seen that the root causes of the different operating methods of the same premises are the responsibility of management。
Case analysis
The guiding principles for dermal testing of antibacterials of betanetamine were issued by the national board of health and welfare on 16 april 2021, but the use of antibiotics in medical institutions was carried out jointly by doctors, medicines and nursing, which was the main reason for the difficulties in the first case. The department of nursing did not organize the study, simply referred it to the nursing community and did not co-organized it with the medical department and issued the relevant notification; the competent doctor did not receive the medical department's advice and had to give it to him as a matter of course; the pharmaceutical department was always a good person without me or me. Thus, in the above-mentioned cases, the caregiver, as a working terminal, had to undergo a medical examination。
It is known to the authors that, even if some units have issued the guidelines, the clinicians and nurses are more willing to implement the original principle of "antibiotics or pictorial tests". The reason is nothing but so-called “security”. Even if the victims are injured, they must follow the rules。
This also served as a wake-up call for hospital management, which was a whole, each of which served clinically, and each of which had to relate to each other, putting problems to clinically was both a failure of management and a manifestation of inaction。
Pippin's not an exoneration. Failure to treat him is a failure
The guidelines were studied by co-organisations in the province, and the unit's medical sections, pharmacology sections and nursing departments collaborated in organizing and issuing regulations. As of last week, the clinical section had still conducted a dermatological examination of head scabies. Respiratory nurses and doctors spoke with one voice saying that no one could be held responsible for an allergy or an allergy shock without a skin test, and that the patient did not disagree with the test for his own safety. Visible dermatology of medical personnel is a means of exoneration and psychological comfort。
Before using antibacterial drugs, patients must be carefully asked about their history of drug allergies, closely observed in half an hour to 1 h after initial use, and treated quickly in the event of signs of an allergic reaction. An allergy is not the responsibility of the medical staff, who are exposed to a certain legal risk when it occurs that the post-treatment is inadequate or there is no commensurate treatment。
Here is a reminder to medical personnel that the state has guidelines for skin testing of anti-bacterium ethylamides and that there are countries behind it
To warn my friends of the vast number of patients who are not sensitive to the pictorial test for head spasms and who are projected to be zero percent positive, and who are you still suffering from
