ABSTRACT
Objective To build the dynamic management system of nursing staff allocation in general pediatric wards based on working hours measurement.Methods 30 general pediatric wards of 25 general or children hospitals of upper first class were selected to measure working hours.Depending on the average nursing hours required for pediatric patients in different care levels by each positions,we achieved the nursing staffing formulas.Results 7 nursing posts under double-shift turn and three-shift turn were collected.The average hour that nursing posts provide for one different nursing grade patient was made out.Taking a ward which had 20 patients as nursing grade one and 20 patients as nursing grade two for example,it would need 8-9 responsible nurses,2-3 long night shift nurses,1-2 general affairs nurses,2 night assistance nurse,1 day assistance nurse by double-shift turn,meanwhile,it would need 8 responsible nurses,4 early night shift nurses,3 late night shift nurses,1-2 general affairs nurses by three-shift turn.Conclusions Using the formulas based on measurement of working hours to calculate the number of nursing staff could provide a way to help the managers.
ABSTRACT
OBJECTIVE To analyze the clinic feature of hospital infection in pediatric wards of general hospital and explore the prevention and cure measures for hospital infection.METHODS A total of 215 cases of nosocomial infection were analyzed retrospectively based on 4514 inpatients′medical records from Jan 2005 to Dec 2006.RESULTS The total nosocomial infection rate in pediatric wards was 4.76%.The most of nosocomial infection were respiratory tract infection(60%) and digestive tract infection(32%) caused by viruses.Higher risk population of nosocomial infection in pediatric wards was the patients aged 1 month to 3 years old.The higher risk seasons were the winter and spring(61%).The cross infection of the patients was easily caused by personnel accompanied(64%).The longer the time in hospital,the higher the rate of nosocomial infection.CONCLUSIONS The most of nosocomial infection in pediatric wards are the respiratory tract infection and the digestive tract infection caused by viruses.The key points of preventing and controlling nosocomial infection are short time stay in hospital,patient isolation and preventing cross infection caused by personnel accompanied.