Determination Of The Content Of Prescription Rights Of Emergency Nurses Under Specific Circumstances

PurposeOn the basis of clearing the specific situation to grant emergency nurse prescribe right, confirm the content of emergency nurse prescribe right and prescription form open in the specific situation, so as to make relevant government policies and laws provide scientific reference and theory.ObjectTO adopt the purpose of the sampling and experience choose way, the selection of30experts who engaged in emergency medicine, emergency care, hospital management in the four three level of first-class hospital, in tai yuan.they have of doctor of vice director or the nurse-in-charge equivalent to associate chief nurse and above,andl5years professional experience,(hospital management experts to five years of management experience) and has adequate time and patience, voluntary to participate in this research.In fact,there are28experts participated in this study,and among them,man is six people and female is twentytwo people,mean age is45.2years.MethodsBy adopt the literature review method, retrospective analysis, and semi-structured interview method to clear the specific situation of granting emergency nurse prescribe right,and form expert consultation questionnaire. And then,by Delphi technique for2wheel consultation.ResultsAfter two rounds expert consultation is70.39%of the entries reached more than80%of the agreement. Experts response rates is93.33%in the first round, and the second round is100%; The degree of authority of the experts is0.775. In the15kinds of specific cases, the emergency nurse can be awarded prescribe right.The content of prescribe right have107items, involving the eleven kinds of nineteen rescue drug, four types of twenty species rescue measures and tow kinds of seven auxiliary examination, Which Includes Dexamethasone, Ethamsylate P-Aminomethylbenzoic Acid, Reptilase,20%mannitol, Glycerol fructose, Hydroxyethyl starch, The706generation of plasma, Dextran, Nikethamide, Furosemide, naloxone, Diazepam, Insulin,10%potassium chloride, Glucose saline, Physiological saline,50%glucose fluid, Check the airway smooth, Remove respiratory foreign body, Sputum suction, Oxygen inhalation, Tracheal intubation, Pull the tongue fixed body, Establish vein circuit, establish two large diameter above vein circuit, chest outside pressing, electrical defibrillation, automated external defibrillator except quiver, Cardiopulmonary resuscitation (if necessary), ecg monitoring, blood oxygen saturation monitoring, vital signs monitoring, emergency direct pressure, placing a urinary catheter, clean water stomach,1%sodium bicarbonate lavage, measuring the endings blood sugar, Check blood clotting function, blood check myocardial enzymes, serologic check cholinesterase activity determination, bedside ecg,18guide league ecg, cross matching blood experiment, and send blood, vomit, urine do drug concentration determination.92.52%of the entries open form for independent prescription,4.67%of the items of the open form of prescription for agreement prescription,2.81%of the items has be little gaps in between dependent and agreement of prescription.Conclusionthe cooperation degree and the degree of authority of experts is high. The research content has certain prediction significance and feasibility. But as the government related department to make relevant policies and laws of the reference basis, this research content should also be further validation and perfect in the clinical practice of emergency department.