Abstract:

Objective To explore methods on how to take over quarantine departments of severely ill patients with coronavirus disease 2019（COVID-19） rapidly and efficiently,so as to provide nursing experience on how to respond to public health emergencies. Methods By the double-controlled method combined with checklists and Gantt charts,the nursing department of the medical aid team to Wuhan adopted content control and time control in the management of medical staff,equipment,materials,procedures and the environment,in order to meet the needs of clinical treatment and assure the implementation of all contingency works in taking over the quarantine departments of severely ill COVID-19 patients. Results The medical team was gathered in 2 hours,and took over the quarantine areas in 24 hours after they arrived in Wuhan. 100 severely ill patients were admitted in 48 hours,and the life support machines and materials were in place with the emergency plans being established. After 2 months of takeover and treatment,patients including more than 90% of critically ill ones were admitted,and more than 91% were discharged or transferred to rehabilitation hospitals. None of the medical team members was infected and no accidents happened. Conclusion The double-controlled method played an important role in taking over the quarantine departments of COVID-19 severely ill patients,which proved to be an effective nursing management method in response to the epidemic diseases.

Key words: Checklist, Gantt Chart, Quarantine Areas of Severely Ill Patients, Coronavirus Disease 2019

摘要：

目的 探索快速、高效地整建制接管新型冠状病毒肺炎（以下简称“新冠肺炎”）重症隔离病区的方法,为应对重大突发公共卫生事件提供借鉴。 方法 应用清单查检与甘特图相结合的方法,对我院在驰援武汉市整建制接管重症隔离病区过程中需要的人员、设备、物资、制度流程和环境5项管理进行内容控制和时间控制,确保隔离病区各项应急工作顺利开展。 结果 医疗队在2 h内完成人员集结,到达武汉市24 h内整建制接管重症隔离病区,48 h内收满100张床位的重症患者,各项生命支持设备、物资到位,应急预案完成。救治2个月,重症、危重症患者占比超过90%,患者出院、转出超过91%,医疗队队员零感染、零意外。 结论 双控法在整建制接管新冠肺炎重症隔离病区的护理管理和持续改进中发挥了重要的作用,是应对新冠肺炎等重大突发疫情行之有效的护理方法。

关键词: 清单, 甘特图, 重症隔离病区, 新型冠状病毒肺炎