输液治疗护理实践标准解读.pptxVIP

输液治疗护理实践标准解读第1页/共50页第2页/共50页输液治疗护理标准实践May 2011 2011 INS Standards of Practice UpdateDeb Richardson, RN,MS, CNS2011 Standards of Practice Committee Member/Author1第3页/共50页2011 INS Standards of Practice Update目标2Discuss changes in 2011 Standards 讨论2011输液治疗护理实践标准的变化Describe the evidence-based table developed to support practice criteria recommendations 描述支持实践标准意见的循证依据Discuss updated changes in select INS 2011 standards and study 讨论精选2011标准中的最新变化并学习应用Explain importance of clamping, flushing and luer-lock design practices 介绍封管夹、冲管、螺口连接实践的重要性第4页/共50页TABLE OF CONTENTS CHANGES修改内容的表格4Merged Standards整合的标准Vascular Access Site Preparation and Device Placement 血管通路穿刺点的准备和血管通路装置的置换VAD Site Care and Dressing Changes 血管通路穿刺点的护理和敷料的更换Infiltration and Extravasation 渗出和外渗Infusion Related Complications Section – new standards added 输液相关并发症精选-新标准中增加Air Embolism 气体栓塞Catheter Embolism 导管栓塞Catheter-Associated Venous Thrombosis 导管相关性静脉血栓Central VAD Malposition 中心血管通路装置位置不正第5页/共50页2011 INS Standards of Practice UpdateEVIDENCE TABLE 循证列表5New to 2011 Standards 对于2011新标准Practice Criterion Evidence: 实践标准的证据：Rated/Referenced 分等级的/参考的Reflects body of evidence available and retrievable at time of review 反应证据回顾时间内的可用性和可获取性Rating Scale: I, IA/P, II-V, Regulatory 等级： I , IA/P, II-V,法规的。Standards NOT rated标准没有分级Expectations of practice applicable in all settings 期望实践标准适用于所有机构第6页/共50页循证列表6I – Meta-analysis, systematic literature review, guideline based on randomized controlled trials (RCTs) or at least 3 well-designed RCTs. I Meta分析，系统文献回顾，指南是在随机对照试验或者至少3个较好设计的随机对照实验的基础上建立的。III – One well-designed RCT, several multicenter well-designed clinical trials without randomization, or several studies with quasi-experimental designs focused on the same question/includes 2 or more well-designed laboratory studies. III 一个较好设计的随机对照试验，不随机的一些多中心较好设计的临床实验或一些类实验设计的实验 重点在相同的问题/包括2个或多较好设计的实验室试验。第7页/共50页2011 INS Standards of Practice Update循证列表V – Clinical article/professional book/ consensus report, c