肺炎护理面临问题与挑战-英文课件演示文稿.ppt

Pneumonia careControversies and Challenges;Overview;PN-1 Oxygenation assessment PN-2 Pneumococcal vaccination PN-3b Blood cultures PN-4 Adult smoking cessation advice PN-5 Antibiotic timing PN-5a Initial antibiotic w/in 8 h hospital arrival PN-5b Initial antibiotic w/in 4 h hospital arrival PN-6a Initial antibiotic selection – ICU PN-6b Initial antibiotic selection – Non ICU PN-7 Influenza vaccination ;PN-1 Oxygenation assessment ;Controversies ChallengesOxygenation assessment ;PN-3b Blood cultures;Controversies ChallengesBlood cultures;PN-4 Adult smoking cessation advice/counseling;Controversies ChallengesSmoking cessation advice;PN-5 Antibiotic timing;April 14, 2005;PN-2 Pneumococcal vaccination;April 14, 2005;PN-7 Influenza vaccination;April 14, 2005;Controversies Challengesinpatient immunizations;Controversies Challengespneumococcal vaccination;Controversies Challengesinfluenza vaccination;Other broad challenge-working with physicians;Communicating with docs-tips;Communicating your message effectively-tips;Communicating your message effectively-tips;Communicating your message effectively;Message to physiciansWe understand that their day-to-day life is overwhelming;Patient care;;30;April 14, 2005;We can…. But we cannot ensure that…;We have revolutionized what we do, without changing how we do it. We have advanced the product without changing the process. Contrast: FedEx, EBay, Amazon, Starbuck’s;Who is responsible for improving the system? ;How do we ensure the right treatment for the right patient at the right time, no more, no less?;Skills of physicians;To make best, most efficient, most effective use of physicians skills, need to protect time and touch of the patient-physician interaction. Alice G. Gosfield, J.D., Snyder, 9/12/03;Clinical information –patient’s history, and key aspects of care for their conditions-must be present and readily utilized during the patient-physician encounter ;Physicians take the lead;Old