RESUMEN
Objective:To summarize the nursing care of a super old patient with right limb movement disorder accompanied by mixed aphasia and cardiac and renal insufficiency who had placed PICC catheter on the same side of pacemaker for multiple ectopic adjustments.Method:Full evaluation before catheterization and comprehensive nursing after catheterizationResult:No complications such as catheter blockage, thrombus, swelling and infection were found in the patients who were treated with PICC catheter for 80days.Conclusion:Before placing PICC catheter on the same side of the pacemaker, comprehensive evaluation and targeted nursing should be given to ensure the safe retention of PICC and the normal operation of the pacemaker.
RESUMEN
Objective To investigate the methods of nursing safety management for indwelling catheters. Methods The nursing safety management measures included the establishment of three-level monitoring network of safety management for indwelling catheters,standardization of 25 kinds of catheter identification cards,formulation of prevention procedure and reporting system of catheter extrusion,design of catheter management handbook,organization of training and examination on the relative skills for nurses. Results Nurses' safety awareness of indwelling catheters was strengthened. And nurses could distinguish different catheters promptly and provide efficacious and safe nursing services. There was no nursing error,nursing dispute and patient complaints towards nursing care of indwelling catheters. Conclusion The implementation of nursing safety management for indwelling catheters can ensure medical and nursing safety,and promote the continuous improvement of quality of nursing.