(Fighting New Coronary Pneumonia) "Big White" in the ICU Isolation Ward: A "Zero Distance" Competition
China News Network Yichang, February 27th, title: "Big White" in ICU isolation ward: "zero distance" against the virus
Author Liu Qiong Xi Dajun
In the ICU isolation ward, there is a special respiratory treatment team. They are wearing tight airtight protective clothing and wearing a full-scale positive pressure breathing hood, like a stupid "big white". They are responsible for the respiratory treatment and artificial airway management of patients with new coronary pneumonia, as well as the collection of various blood gas samples and sputum samples, to compete with the virus at "zero distance".
In the A3ICU isolation ward of Yichang Central People's Hospital in Hubei Province, seven patients are using an invasive ventilator for respiratory support. A special respiratory therapy class was established in the ward, and the team leader was responsible for the patient's suctioning care.
Nurses cooperate with prone position ventilation
Jiang Yuanyuan, the nurse in charge of the second ward of the intensive care department, carefully listened to the breathing sounds of the patients, carefully observed the patients' breathing patterns and ventilator waveforms, and judged whether there was sputum retention in the airways of the patients, and suctioned the patients one by one.
"I'm not afraid that it is false, but there is no reason not to suck the sputum. We must ensure that the patient's airway is unobstructed and the sputum is expelled in time." Jiang Yuanyuan said that after one shift, she sucked the patient's sputum more than ten times. It can be infected at any time from contact with the virus.
It is also a common practice for nurses to take sputum specimens for etiological examination, but to leave sputum specimens after the establishment of an artificial airway requires disconnecting the ventilator tube. At this time, a large amount of aerosol will be ejected from the airway, and the infected The risk is huge.
"You all leave, I'll take care of it!" Without any retreat, Jiang Yuanyuan wore a positive headgear and collected sputum specimens for three patients.
In this special treatment team, there are also several "super nurses" with dual identities. They are both all-around intensive specialist nurses and professional respiratory therapists.
In addition to collecting sputum, blood gas, and sputum specimens, respiratory therapist Li Yi also conducts rounds with doctors, adjusts ventilator parameters, and completes various respiratory treatments to assess whether patients can leave the ventilator.
Nurse sucking sputum for patient
"We must first consider which part of the sputum does not come out, what are the characteristics of the sputum, and how the patient's coughing ability is." Li Yan said that less sputum, sticky sputum, and airway obstruction are the characteristics of patients with new coronary pneumonia. When sputum does not come out by shooting, nurses have to adopt different methods according to the actual situation of patients.
In addition to sputum suction and sputum extraction, in order to understand the patient's breathing treatment effect and adjust the ventilator parameters dynamically, the collection of arterial blood gas samples is essential.
Compared with the collection of venous blood specimens, the collection of arterial blood specimens is more difficult and requires accurate positioning by nurses. However, wearing protective clothing, goggles and face screens, plus 2 layers of thick surgical gloves, greatly reduced the flexibility and visibility of the hands.
"You must succeed once to minimize the pain of the patient." Yao Qing, the leader of nursing professional technology in the first ward of the critical care department, took the "hard work" to himself. She positioned and disinfected neatly, and the whole process was neat and straightforward.
As an intensive specialist nurse, it is not only necessary to operate, but also to understand the blood gas analysis and report the positive indicators to the doctor in time to adjust the ventilator parameters. "We are like the eyes of a doctor. We must do a good job of observing the condition and know the patient's various indicators." Yao Qing said. (Finish)