CN114400079A - Critical patient nursing system and method - Google Patents
Critical patient nursing system and method Download PDFInfo
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- CN114400079A CN114400079A CN202210032274.3A CN202210032274A CN114400079A CN 114400079 A CN114400079 A CN 114400079A CN 202210032274 A CN202210032274 A CN 202210032274A CN 114400079 A CN114400079 A CN 114400079A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
- G16H10/65—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H30/00—ICT specially adapted for the handling or processing of medical images
- G16H30/20—ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
Abstract
The invention discloses a critical patient nursing system, which comprises a doctor terminal, a processor, a plurality of ICU ward nursing task modules, a plurality of nursing terminals, a terminal manager, a distance sensor, an image identification module and an alarm module, wherein the doctor terminal is connected with the processor; the processor is connected with the doctor terminal, the ICU ward nursing task modules, the nursing terminals, the terminal manager, the distance sensor, the image recognition module and the alarm module. The invention can make the nursing task distribution in the ICU ward more efficient, quickly and reasonably distribute the emergency task to the nurses when the emergency occurs, and also can avoid that a plurality of nurses simultaneously put down the ongoing work in the hands to deal with the emergency.
Description
Technical Field
The invention relates to the field of medical care, in particular to a critical patient care system.
Background
The ICU is an Intensive Care Unit (Intensive Care Unit), which is also called an Intensive Care Unit comprehensive treatment room, and can synchronously carry out treatment, nursing and rehabilitation, provide isolation places and equipment for patients with severe or coma, and provide services such as optimal nursing, comprehensive treatment, medical and nursing combination, postoperative early rehabilitation, joint nursing exercise treatment and the like. The supply is monitored in a targeted manner, also referred to as a deep-cut treatment. The medical organization management form integrates the modern medical treatment, nursing and rehabilitation technology with the common development of medical treatment, nursing, rehabilitation and other specialties, the birth of novel medical equipment and the improvement of a hospital management system.
However, because medical care and nursing resources are limited, how to more reasonably and efficiently utilize nursing resources in ICU wards becomes a problem faced by many ICU wards at present.
Critical patients in an ICU ward can not respond to identity confirmation information of nurses mostly, the identity information of the patients is generally determined by the nurses through the information on patient bracelets at present, only the patient information is checked, whether medical instruments are used correctly or not can not be checked, and when the nurses perform nursing operation on the patients, specific contents, attention items and used medical equipment of the nursing operation all need to be memorized by the nurses, so that the nurses who originally have heavy nursing tasks need to memorize and confirm more information, and errors are easy to occur.
Compare in ordinary ward, the doctor can open more doctor orders to the critically ill patient in the ICU ward every day, and the nurse will also face more nursing tasks, needs reasonable efficient to accomplish to ensure not to omit every nursing task, make the nurse face bigger operating pressure.
For an ICU ward, emergency situations often occur, for example, emergency situations occur to patients in the ward, or doctors give medical advice temporarily, nurses are required to carry out nursing operations immediately, how to deal with the emergency situations is to ensure that people do the emergency situations, and the problem faced by many people to stop working in hands at the same time is solved at present.
Disclosure of Invention
The purpose of the invention is as follows: in view of the above problems, the present invention provides a critical patient care system and method.
The technical scheme is as follows:
in order to realize the aim of the invention, the invention provides a critical patient nursing system, which comprises a doctor terminal, a processor, a plurality of ICU ward nursing task modules, a plurality of nursing terminals, a terminal manager, a distance sensor, an image recognition module and an alarm module, wherein the doctor terminal is connected with the processor; the processor is connected with the doctor terminal, a plurality of ICU ward nursing task modules, a plurality of nursing terminals, a terminal manager, a distance sensor, an image recognition module and an alarm module,
the terminal manager is positioned at a nurse station;
the ICU ward nursing task module is used for storing a nursing task list, and the nursing task list is a plurality of nursing tasks generated by the processor according to doctor orders;
each sickbed in the ICU ward is provided with 3 distance sensors, the second distance sensor is located at the center of the short side of the head of the sickbed, the second distance sensor and the first distance sensor are symmetrical about a first plane, the first plane is a plane perpendicular to the ground where one side of the sickbed is located, the third distance sensor and the second distance sensor are symmetrical about a second plane, and the second plane is a plane perpendicular to the ground where the other side of the sickbed is located.
Preferably, the alarm module is used for receiving an alarm instruction sent by the server and sending an alarm prompt.
Preferably, the alarm prompt is a voice prompt or a light flashing prompt.
Preferably, the care terminal and the doctor terminal are portable terminal devices.
Preferably, the doctor generates the order through the doctor terminal, and the nurse receives the nursing task through the nursing terminal.
The invention also provides a nursing method for critically ill patients. The method comprises the following steps:
step S1, a doctor generates a medical order through a doctor terminal in the system, and the doctor terminal sends the medical order to a processor;
step S2, the processor classifies and stores medical orders sent by doctors for different patients, specifically comprises the steps that the processor extracts the medical orders needing nurses to carry out nursing operation in all the medical orders, generates a nursing task for each medical order, wherein each nursing task comprises patient information, required medical equipment information, doctor information and other remark information, and stores the nursing task of each patient in the same ICU ward in a nursing task list mode in the ICU ward nursing task module;
step S3, the processor sends a nursing task list in the ICU ward nursing module to a terminal manager of a nurse station, nurses adjust the nursing task sequence in the task list through the terminal manager of the nurse station and send the nursing task sequence to the processor, and the processor stores the adjusted nursing task list in the ICU ward nursing task module and covers the previous nursing task list in the ICU ward nursing task module;
step S4, the processor sends a first nursing task in the ICU ward nursing task list to a nursing terminal of a nurse I, sends a second nursing task to a nursing terminal of a nurse II, and sends the nth nursing task to a nursing terminal of a nurse n by analogy, wherein n is the number of nurses in the ICU ward, and task allocation is suspended at the moment;
step S5, before nursing operation starts, a nurse scans the two-dimensional code on the hand ring of the patient by using the nursing terminal, when the patient information stored in the two-dimensional code corresponds to the patient information of the nursing task assigned by the nursing terminal, the prompt is correct, and step S6 is entered, otherwise, the prompt is wrong, and the two-dimensional code needs to be scanned again until the prompt is correct;
step S6, the nurse carries out nursing operation to the patient of the corresponding sickbed according to the nursing task on the nursing terminal, uses the corresponding medical equipment according to the equipment information in the nursing task, three distance sensors on the sickbed detect the distance from the operating end of the medical equipment to each sensor, the operating end is a part used for the patient on the medical equipment, L1 represents the distance from the operating end to the first distance sensor, L2 represents the distance from the operating end to the second distance sensor, L3 represents the distance from the operating end to the third distance sensor, the processor judges the three distances detected by the three sensors,
when changing from L1< L2< L3 to L1> L2, or,
when the strain is changed from L3< L2< L1 to L3> L2,
the processor judges that the medical equipment is used, the image recognition module shoots an image at the moment, recognizes the used medical instrument, compares the used medical instrument with the required equipment information in the nursing task, the comparison is consistent, the image recognition module sends equipment correct information to the processor, the step S7 is carried out, the inconsistency is recognized, equipment error information is sent, when the processor receives the equipment error information, an alarm instruction is sent to the alarm module, the alarm module sends an alarm prompt, and the step S6 is carried out again;
step S7, the nurse sets and operates the corresponding equipment, sets the equipment at the nursing terminal, selects the completion of the nursing task, and then the process goes to step S71; or selecting the duration of the nursing task and setting the countdown time, and entering the step S72;
step S71, the nursing terminal sends task ending information to the server, the processor extracts the next nursing task to be distributed from the task list of the ICU ward nursing task module and sends the next nursing task to the nursing terminal, and the step S5 is returned; if the nursing task list is an empty list, go to step S8;
step S72, the processor compares the time required by the nursing tasks to be distributed in the nursing task list with the countdown time one by one according to the sequence in the nursing task list,
when the time required by the nursing task to be distributed is less than the countdown time, sending the nursing task to be distributed to a nursing terminal with a countdown setting, entering step S5 and step S6, after the step S6 is completed, waiting for a nurse to complete the nursing task to be distributed, and after the processor receives task completion information sent by the nursing terminal, entering step S73;
when the time required by all the nursing tasks to be distributed is greater than the countdown time, the nursing terminal prompts a nurse to wait for countdown to finish further nursing operation, and the step S71 is executed after the further nursing operation is finished;
step S73, the processor compares the time required by the remaining nursing tasks to be distributed in the nursing task list with the remaining time counted down one by one according to the sequence in the nursing task list,
when the time required by the nursing tasks to be distributed is less than the remaining countdown time, sending the nursing tasks to be distributed with the time less than the remaining countdown time to the nursing terminal with the countdown setting, entering the step S5 and the step S6, after the step S6 is completed, waiting for the processor to receive task completion information sent by the nursing terminal with the countdown setting, and repeating the step S73;
when the time required by all the nursing tasks to be distributed is greater than the countdown remaining time, the step S74 is entered;
step S74, the server sends nursing task suspension information to the nursing terminal, the nursing terminal pops up a prompt window to remind a nurse that no task exists temporarily, and the countdown is waited to be finished; the nursing terminal sends out a sound prompt when the countdown is finished and jumps out of a prompt pop-up window, and the pop-up window displays the number of a hospital bed, the name of equipment and the running time of the equipment; the nurse returns to the bed, completes the required nursing operation, and proceeds to step S71;
step S8, the processor sends task list completion information to the terminal manager of the nurse station;
the nursing system also comprises an emergency task processing module, the emergency task processing module is used for receiving the alarm information of the vital sign monitoring equipment of each patient in the ICU ward and the emergency nursing task information, when the emergency task processing module receives the alarm information of the vital sign monitoring equipment or the emergency nursing task information sent by the processor, the emergency task processing module generates an emergency nursing task from the received information and sends an emergency signal and the emergency nursing task to the processor, the processor identifies the state of each nursing terminal in the ICU ward,
if the nursing terminal is in the idle state at present, the emergency nursing task is sent to the nursing terminal in the idle state;
if no nursing terminal is in an idle state at present, judging whether an ongoing nursing task can be suspended, if the ongoing nursing task can be suspended, sending specific content of an emergency nursing task to a nurse capable of suspending the current nursing task, and if the ongoing nursing task can be suspended, sending emergency assistance information to a terminal manager of a nurse station to prompt the nurse station to select other nurses to go to the ICU to execute the emergency nursing task;
judging whether the ongoing nursing tasks can be suspended, specifically, sending suspension inquiry information to all the nursing terminals, popping up a popup window after the nursing terminals receive the suspension inquiry information, displaying information that whether the current nursing tasks can be suspended, selecting options including yes and no,
if yes, judging that the task can be suspended, sending a message for reconfirming whether the task can be suspended to the nurse, if yes, sending the emergency nursing task to the nurse, and prompting to continue the current nursing task if the inquiry windows of other nursing terminals disappear;
if all the nursing terminals have not selected 'yes' over a predetermined time, it is judged that no nursing task can be suspended.
Preferably, the emergency task includes alarm information sent by vital sign detection equipment in an ICU ward and emergency care task information generated by the processor according to an emergency medical order sent by a doctor.
Preferably, the terminal manager manages and sets the nursing terminal, including setting an ICU ward where the nursing terminal is located.
Preferably, the operation end comprises an ultrasonic probe of bedside intensive care ultrasound, a probe of an electrocardiogram monitor and an oronasal mask of a breathing machine.
Compared with the prior art, the invention has the following beneficial effects:
the critical patient nursing system and the method can also confirm whether the medical instrument is correct or not on the basis of confirming the patient information, firstly judge whether the medical instrument is used or not by judging the operation end of the medical instrument, and then judge whether the used medical instrument is consistent with the medical equipment used by the nursing task or not, thereby ensuring the correct nursing task. Through the nursing terminal, the specific content, the attention points and the like of the nursing tasks are displayed, and errors are avoided. For nursing tasks required to be carried out every day, a nurse can carry out manual adjustment through a terminal manager of a nurse station, so that after a task list is generated by the system, the nurse can further carry out adjustment according to different habits of different nursing teams, and the terminal manager can also adjust the task sequence which is not distributed in the task list at any time so as to deal with sudden situations. The critical patient nursing system and method can also prevent the omission of nursing tasks required to be carried out. And when an emergency situation occurs, the emergency task can be rapidly and reasonably distributed to nurses, and the problem that a plurality of nurses release ongoing work in hands at the same time to deal with the emergency situation can be avoided. In some nursing tasks, after a nurse wears a medical instrument on a patient and sets the medical instrument, the nurse needs to wait for a certain time and then process the medical instrument.
Drawings
FIG. 1 is a schematic diagram of a critical patient care system;
figure 2 top view of the patient bed;
FIG. 3 is a flow chart of a method of critical care patient care.
1. The hospital bed comprises a first distance sensor 2, a second distance sensor 3, a third distance sensor 4, a first surface 5, a second surface 6 and a hospital bed.
Detailed Description
The technical solution of the present invention is further described below with reference to the accompanying drawings and examples.
The first embodiment is as follows:
as shown in fig. 1, a critical patient nursing system includes a doctor terminal, a processor, a plurality of ICU ward nursing task modules, a plurality of nursing terminals, a terminal manager, a distance sensor, an image recognition module, and an alarm module; the processor is connected with the doctor terminal, a plurality of ICU ward nursing task modules, a plurality of nursing terminals, the terminal manager, the distance sensor, the image recognition module and the alarm module,
the terminal manager is positioned at a nurse station;
the ICU ward nursing task module is used for storing a nursing task list, and the nursing task list is a plurality of nursing tasks generated by the processor according to doctor orders;
each sickbed in the ICU ward is provided with 3 distance sensors, the second distance sensor is located at the center of the short side of the head of the sickbed, the second distance sensor and the first distance sensor are symmetrical about a first plane, the first plane is a plane perpendicular to the ground where one side of the sickbed is located, the third distance sensor and the second distance sensor are symmetrical about a second plane, and the second plane is a plane perpendicular to the ground where the other side of the sickbed is located.
The alarm module is used for receiving an alarm instruction sent by the server and sending an alarm prompt. The alarm prompt is a sound prompt or a light flashing prompt. The nursing terminal and the doctor terminal are portable terminal devices and can be tablet computers or mobile phones, and the doctor terminal can also be a doctor office computer. The doctor sends the doctor's advice through doctor terminal, and the nurse receives the nursing task through nursing terminal.
A method of care for critically ill patients, comprising the steps of:
and step S1, the doctor generates a medical order through the doctor terminal in the system, and the doctor terminal sends the medical order to the processor.
Step S2, the processor processes the orders sent by each doctor, and classifies and stores the orders for different patients, specifically, the processor extracts the orders for nursing operations of nurses in all the orders, generates a nursing task for each order, wherein each nursing task comprises patient information, required medical equipment information, doctor information and other remark information, and stores the nursing tasks in the same ICU ward in the ICU ward nursing task module in the form of a nursing task list, the task list comprises the nursing tasks of all patients in the ICU ward, the order in the nursing task list is that the first nursing task of each patient is arranged firstly according to the order sequence of the orders of the doctors for each patient, then the second nursing task of each patient is arranged, and so on.
Step S3, the processor sends a nursing task list in the ICU ward nursing module to a terminal manager of a nurse station, nurses can adjust the nursing task sequence in the task list through the terminal manager of the nurse station according to nursing convenience and habits, after adjustment, the nursing terminal sends the adjusted nursing task list to the processor, and the processor stores the adjusted nursing task list in the ICU ward nursing task module and covers the previous nursing task list in the ICU ward nursing task module; through such order adjustment, the nursing team of different departments of different hospitals can adjust the order of nursing tasks according to the work needs of the nursing team, for example, considering other work of nurses, preventing the conflict with equipment in other wards, and being beneficial to developing the nursing work more efficiently and conveniently.
Step S4, the processor sends the first nursing task in the ICU ward nursing task list to the nursing terminal of nurse I, sends the second nursing task to the nursing terminal of nurse II, and so on, sends the nth nursing task to the nursing terminal of nurse n, wherein n is the number of nurses in the ICU ward, and the task allocation is suspended.
And S5, before nursing operation starts, a nurse scans the two-dimensional code on the patient hand ring by using the nursing terminal, when the patient information stored in the two-dimensional code corresponds to the patient information of the nursing task assigned by the nursing terminal, prompting is correct, and the step S6 is entered, otherwise, prompting is wrong, and the two-dimensional code needs to be scanned again until the prompting is correct.
Step S6, the nurse carries out nursing operation to the patient of the corresponding sickbed according to the nursing task on the nursing terminal, uses the corresponding medical equipment according to the equipment information in the nursing task, three distance sensors on the sickbed detect the distance from the operating end of the medical equipment to each sensor, the operating end is a part used for the patient on the medical equipment, L1 represents the distance from the operating end to the first distance sensor, L2 represents the distance from the operating end to the second distance sensor, L3 represents the distance from the operating end to the third distance sensor, the processor judges the three distances detected by the three sensors,
when changing from L1< L2< L3 to L1> L2, or,
when the strain is changed from L3< L2< L1 to L3> L2,
the processor judges that the medical equipment is used, the image recognition module shoots an image at the moment, recognizes the used medical instrument, compares the used medical instrument with the required equipment information in the nursing task, the comparison is consistent, the image recognition module sends equipment correct information to the processor, the step S7 is carried out, the inconsistency is recognized, equipment error information is sent, when the processor receives the equipment error information, an alarm instruction is sent to the alarm module, the alarm module sends an alarm prompt, and the step S6 is carried out again; according to the invention, through the distance sensor arranged in the system, whether the equipment is used or not is judged by detecting the equipment operation end, the judgment is more accurate, and the distance sensor and the image recognition module cooperate to judge whether the medical equipment used by a nurse is correct or not, so that the equipment error is prevented, and the condition that the equipment is forgotten to act on a patient after being pushed to a patient bed can also be prevented.
Step S7, the nurse sets and operates the corresponding equipment, sets the equipment at the nursing terminal, selects the completion of the nursing task, and then the process goes to step S71; or selecting the duration of the nursing task and setting the countdown time, and entering the step S72;
step S71, the nursing terminal sends task ending information to the server, the processor extracts the next nursing task to be distributed from the task list of the ICU ward nursing task module and sends the next nursing task to the nursing terminal, and the step S5 is returned; if the nursing task list is an empty list, go to step S8;
step S72, the processor compares the time required by the nursing tasks to be distributed in the nursing task list with the countdown time one by one according to the sequence in the nursing task list,
when the time required by the nursing task to be distributed is less than the countdown time, sending the nursing task to be distributed to a nursing terminal with a countdown function, entering step S5 and step S6, after the step S6 is completed, not entering step S7, but waiting for a nurse to complete the nursing task to be distributed, and after the processor receives task completion information sent by the nursing terminal, entering step S73;
when the time required by all the nursing tasks to be distributed is greater than the countdown time, the nursing terminal prompts a nurse to wait for countdown to finish further nursing operation, and the step S71 is executed after the further nursing operation is finished;
step S73, the processor compares the time required by the remaining nursing tasks to be distributed in the nursing task list with the remaining time counted down one by one according to the sequence in the nursing task list,
when the time required by the nursing tasks to be distributed is less than the remaining countdown time, sending the nursing tasks to be distributed with the time less than the remaining countdown time to the nursing terminal with the countdown setting, entering the step S5 and the step S6, after the step S6 is completed, waiting for the processor to receive task completion information sent by the nursing terminal with the countdown setting, and repeating the step S73; during the countdown, the nurse continues to be assigned the care tasks that can be completed, thus making the care work more efficient.
When the time required by all the nursing tasks to be distributed is greater than the countdown remaining time, the step S74 is entered;
step S74, the server sends nursing task suspension information to the nursing terminal, the nursing terminal pops up a prompt window to remind a nurse that no task exists temporarily, and the countdown is waited to be finished; the nursing terminal sends out a sound prompt when the countdown is finished and jumps out of a prompt pop-up window, and the pop-up window displays the number of a hospital bed, the name of equipment and the running time of the equipment; the nurse returns to the bed, completes the required nursing operation, and proceeds to step S71; after the countdown is finished, the nursing terminal displays the detailed information of the nursing tasks again, so that the problem that the nurse memorizes the previous nursing tasks wrongly to cause wrong operation can be avoided.
In step S8, the processor transmits task list completion information to the terminal manager of the nurse station.
The nursing system also comprises an emergency task processing module, the emergency task processing module is used for receiving the alarm information of the vital sign monitoring equipment of each patient in the ICU ward and the emergency nursing task information, when the emergency task processing module receives the alarm information of the vital sign monitoring equipment or the emergency nursing task information sent by the processor, the emergency task processing module generates an emergency nursing task from the received information and sends an emergency signal and the emergency nursing task to the processor, the processor identifies the state of each nursing terminal in the ICU ward,
if the nursing terminal is in the idle state at present, the emergency nursing task is sent to the nursing terminal in the idle state;
if no nursing terminal is in an idle state at present, judging whether an ongoing nursing task can be suspended, if the ongoing nursing task can be suspended, sending specific content of an emergency nursing task to a nurse capable of suspending the current nursing task, and if the ongoing nursing task can be suspended, sending emergency assistance information to a terminal manager of a nurse station to prompt the nurse station to select other nurses to go to the ICU to execute the emergency nursing task;
judging whether the ongoing nursing tasks can be suspended, specifically, sending suspension inquiry information to all the nursing terminals, popping up a popup window after the nursing terminals receive the suspension inquiry information, displaying information that whether the current nursing tasks can be suspended, selecting options including yes and no,
if yes, judging that the task can be suspended, sending a message for confirming whether the task can be suspended again, if yes, sending the emergency care task to the nurse, eliminating inquiry windows of other care terminals, prompting to continue the current care task,
if all the nursing terminals have not selected 'yes' over a predetermined time, it is judged that no nursing task can be suspended.
The emergency task comprises alarm information sent by vital sign detection equipment in an ICU ward and emergency nursing task information generated by a processor according to emergency medical advice sent by a doctor. The terminal manager manages and sets the nursing terminals, including setting the ICU ward where the nursing terminals are located. The operation end comprises an ultrasonic probe of bedside intensive ultrasound, a probe of an electrocardiogram monitor and an oronasal mask of a breathing machine.
Some embodiments and claims may be described using terms such as "first," "second," "third," "fourth," and so forth. It can be appreciated that these and other similar terms are not necessarily limited to a single device or element. Rather, the terms may be used differently between different elements and may be applied to different devices or elements in different embodiments. The embodiments are not limited in this context.
As will be apparent to those skilled in the art, many modifications and variations can be made in the present invention without departing from the spirit or scope of the invention, and it is intended that all such modifications and variations be included within the scope of the invention as defined in the following claims and their equivalents be interpreted in accordance with the teachings of the invention.
Claims (10)
1. A critical patient nursing system comprises a doctor terminal, a processor, a plurality of ICU ward nursing task modules, a plurality of nursing terminals, a terminal manager, a distance sensor, an image recognition module and an alarm module; the processor is connected with the doctor terminal, a plurality of ICU ward nursing task modules, a plurality of nursing terminals, a terminal manager, a distance sensor, an image recognition module and an alarm module,
the terminal manager is positioned at a nurse station; the ICU ward nursing task module is used for storing a nursing task list, and the nursing task list is a plurality of nursing tasks generated by the processor according to doctor orders;
each sickbed in the ICU ward is provided with 3 distance sensors, the second distance sensor is located at the center of the short side of the head of the sickbed, the second distance sensor and the first distance sensor are symmetrical about a first plane, the first plane is a plane perpendicular to the ground where one side of the sickbed is located, the third distance sensor and the second distance sensor are symmetrical about a second plane, and the second plane is a plane perpendicular to the ground where the other side of the sickbed is located.
2. The system of claim 1, wherein the alarm module is configured to receive an alarm command from the server and send an alarm prompt.
3. The critical patient care system of claim 2, wherein the alarm prompt is an audio prompt or a flashing light prompt.
4. A critical patient care system as claimed in claim 1, the care terminal and the doctor terminal being portable terminal devices.
5. The system of claim 1, wherein the doctor generates the medical order through a doctor terminal and the nurse receives the nursing task through a nursing terminal.
6. A method of care of critically ill patients, using a care system as claimed in any of claims 1 to 5,
the method is characterized by comprising the following steps:
step S1, a doctor generates a medical order through a doctor terminal in the system, and the doctor terminal sends the medical order to a processor;
step S2, the processor classifies and stores medical orders sent by doctors for different patients, specifically comprises the steps that the processor extracts the medical orders needing nurses to carry out nursing operation in all the medical orders, generates a nursing task for each medical order, wherein each nursing task comprises patient information, required medical equipment information, doctor information and other remark information, and stores the nursing task of each patient in the same ICU ward in a nursing task list mode in the ICU ward nursing task module;
step S3, the processor sends a nursing task list in the ICU ward nursing module to a terminal manager of a nurse station, nurses adjust the nursing task sequence in the task list through the terminal manager of the nurse station and send the nursing task sequence to the processor, and the processor stores the adjusted nursing task list in the ICU ward nursing task module and covers the previous nursing task list in the ICU ward nursing task module;
step S4, the processor sends a first nursing task in the ICU ward nursing task list to a nursing terminal of a nurse I, sends a second nursing task to a nursing terminal of a nurse II, and sends the nth nursing task to a nursing terminal of a nurse n by analogy, wherein n is the number of nurses in the ICU ward;
step S5, before nursing operation starts, a nurse scans the two-dimensional code on the hand ring of the patient by using the nursing terminal, when the patient information stored in the two-dimensional code corresponds to the patient information of the nursing task assigned by the nursing terminal, the prompt is correct, and step S6 is entered, otherwise, the prompt is wrong, and the two-dimensional code needs to be scanned again until the prompt is correct;
step S6, a nurse carries out nursing operation on a patient of a corresponding sickbed according to a nursing task on a nursing terminal, corresponding medical equipment is used according to medical equipment information in the nursing task, three distance sensors on the sickbed detect the distance from an operating end of the medical equipment to each sensor and send the distances to a processor, the operating end is a part used for the patient on the medical equipment, L1 represents the distance from the operating end to the first distance sensor, L2 represents the distance from the operating end to the second distance sensor, L3 represents the distance from the operating end to the third distance sensor, the processor judges the three distances detected by the three sensors,
when changing from L1< L2< L3 to L1> L2, or,
when the strain is changed from L3< L2< L1 to L3> L2,
the processor judges that the medical equipment is used, the image recognition module shoots an image at the moment, recognizes the used medical instrument, compares the used medical instrument with the information of the required medical equipment in the nursing task, the comparison is consistent, the image recognition module sends correct information of the medical equipment to the processor, the step S7 is carried out, the inconsistency is recognized, error information of the medical equipment is sent, when the processor receives the error information of the medical equipment, an alarm instruction is sent to the alarm module, the alarm module sends an alarm prompt, and the step S6 is carried out again;
step S7, the nurse sets and operates the corresponding medical equipment, sets the medical equipment at the nursing terminal, selects the completion of the nursing task, and then the process goes to step S71; or selecting the duration of the nursing task and setting the countdown time, and entering the step S72;
step S71, the nursing terminal sends task ending information to the server, the processor extracts the next nursing task to be distributed from the task list of the ICU ward nursing task module and sends the next nursing task to the nursing terminal, and the step S5 is returned; if the nursing task list is an empty list, go to step S8;
step S72, the processor compares the time required by the nursing tasks to be distributed in the nursing task list with the countdown time one by one according to the sequence in the nursing task list,
when the time required by the nursing task to be distributed is less than the countdown time, sending the nursing task to be distributed to a nursing terminal with a countdown setting, entering step S5 and step S6, after the step S6 is completed, waiting for a nurse to complete the nursing task to be distributed, and after the processor receives task completion information sent by the nursing terminal, entering step S73;
when the time required by all the nursing tasks to be distributed is greater than the countdown time, the nursing terminal prompts a nurse to wait for countdown to finish further nursing operation, and the step S71 is executed after the further nursing operation is finished;
step S73, the processor compares the time required by the remaining nursing tasks to be distributed in the nursing task list with the remaining time counted down one by one according to the sequence in the nursing task list,
when the time required by the nursing tasks to be distributed is less than the remaining countdown time, sending the nursing tasks to be distributed with the time less than the remaining countdown time to the nursing terminal with the countdown setting, entering the step S5 and the step S6, after the step S6 is completed, waiting for the processor to receive task completion information sent by the nursing terminal with the countdown setting, and repeating the step S73;
when the time required by all the nursing tasks to be distributed is greater than the countdown remaining time, the step S74 is entered;
step S74, the server sends nursing task suspension information to the nursing terminal, the nursing terminal pops up a prompt window to remind a nurse that no task exists temporarily, and the countdown is waited to be finished; the nursing terminal sends out a sound prompt when the countdown is finished and jumps out of a prompt pop-up window, and the pop-up window displays the hospital bed number, the name of the medical equipment and the running time of the medical equipment; the nurse returns to the bed, completes the required nursing operation, and proceeds to step S71;
step S8, the processor sends task list completion information to the terminal manager of the nurse station;
the nursing system also comprises an emergency task processing module, the emergency task processing module is used for receiving the alarm information of the vital sign monitoring equipment of each patient in the ICU ward and the emergency nursing task information, when the emergency task processing module receives the alarm information of the vital sign monitoring equipment or the emergency nursing task information sent by the processor, the emergency task processing module generates an emergency nursing task from the received information and sends an emergency signal and the emergency nursing task to the processor, the processor identifies the state of each nursing terminal in the ICU ward,
if the nursing terminal is in the idle state at present, the emergency nursing task is sent to the nursing terminal in the idle state;
if no nursing terminal is in an idle state at present, judging whether an ongoing nursing task can be suspended, if the ongoing nursing task can be suspended, sending specific content of an emergency nursing task to a nurse capable of suspending the current nursing task, and if the ongoing nursing task can be suspended, sending emergency assistance information to a terminal manager of a nurse station to prompt the nurse station to select other nurses to go to the ICU to execute the emergency nursing task;
judging whether the ongoing nursing tasks can be suspended, specifically, sending suspension inquiry information to all the nursing terminals, popping up a popup window after the nursing terminals receive the suspension inquiry information, displaying information that whether the current nursing tasks can be suspended, selecting options including yes and no,
if yes, judging that the task can be suspended, sending a message for confirming whether the task can be suspended again, if yes, sending the emergency care task to the nurse, eliminating inquiry windows of other care terminals, prompting to continue the current care task,
if all the nursing terminals have not selected 'yes' over a predetermined time, it is judged that no nursing task can be suspended.
7. The method for nursing critically ill patients according to claim 6, wherein the emergency tasks comprise alarm information sent by vital sign monitoring equipment in an ICU ward and emergency nursing task information generated by a processor according to an emergency medical order sent by a doctor.
8. The method as claimed in claim 7, wherein the terminal manager manages and sets the nursing terminal, including setting an ICU ward where the nursing terminal is located.
9. The method of claim 6, wherein the operation end comprises an ultrasound probe of bedside intensive care ultrasound, a probe of an electrocardiograph monitor, and an oronasal mask of a respirator.
10. The method of claim 6, wherein the alarm is a sound or light flashing alarm.
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| CN202210032274.3A CN114400079A (en) | 2022-01-12 | 2022-01-12 | Critical patient nursing system and method |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117297610A (en) * | 2023-11-28 | 2023-12-29 | 首都医科大学宣武医院 | Method and device for monitoring and analyzing post-operation urine volume of patient |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN117297610A (en) * | 2023-11-28 | 2023-12-29 | 首都医科大学宣武医院 | Method and device for monitoring and analyzing post-operation urine volume of patient |
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Application publication date: 20220426 |