Young nurses on the front lines of the epidemic: surprise children
Yan Jing (first from left) and colleagues. Photo courtesy
Guo Huimin (first from left) interacted with the young patient who was discharged. It is understood that this family of three lives in the family ward. Photo courtesy
Yan Jing ’s WeChat name is “three years old” and her head is a cartoon character, Crayon Shinchan. This young man born in 1995 is a bit “two-dimensional” like many of her peers. Yan Jing is also the youngest nurse in the ICU ward of the new crown pneumonia in Beijing Youan Hospital.
Guo Huimin, the head nurse of internal medicine at Beijing You'an Hospital, said that the nurses in the ICU ward are often the best nurses in the hospital. They need to see six ears and listen to all directions when they work, because the patient's condition is more serious and there are more rescue equipment. If the professional standard of the nurse is not in place, a small negligent patient may be gone.
When I first registered to fight the new crown pneumonia epidemic, the nurses in the department were very enthusiastic. "It was really moving. Everyone with children signed up. I can't sign up if I'm not married." According to the hospital's work schedule, Yan Jing was the fifth batch of nurses involved in the epidemic, from February 18 to March 18, working one month without work. When talking about this month's work, Yan Jing said the most word is "growth."
I was agitated for two to three hours before I could fall asleep
Previously, Yan Jing worked in the ICU of the liver disease intensive care unit of the hospital. In Yan Jing's opinion, patients with new coronary pneumonia are more seriously ill than patients with ICU in liver disease intensive care unit. The overall pace of work to fight the epidemic is faster, and this time they are treating respiratory infectious diseases. Yan Jing has learned a lot before knowledge.
As the youngest nurse in the team, Yan Jing will ask her predecessors if she does n’t know what to do. "But you can only ask it once, and the second time, I think it is a problem for others. After all, everyone has patients. Take care. I was a little stressed at first, but I learned things quickly and I had to force myself to learn. "
Yan Jing first saw ECMO (Extracorporeal Membrane Oxygenation) in the ICU ward of new coronary pneumonia. She had encountered an ECMO alert once, "really scary." After the alarm sounded, she bounced from her chair, and the doctor rushed to deal with it when she heard the alarm. It turned out that a thrombus occurred in the patient, which caused a tube in the ECMO to be blocked. The doctor replaced the patient with a new set of tubes in the shortest time because the patient may be in danger at any time during the tube replacement. Yan Jing needs to help the doctor Prepare rescue equipment such as rescue vehicles, and also assist doctors to record relevant values. The whole process takes about 5 minutes.
On March 15, the day when the reporter interviewed Yan Jing, she was taking care of another patient who was on ECMO. Yan Jing counted it, the jejunum tube, gastric tube, femoral vein tube, jugular vein tube, urinary tube, arteriovenous tube, two lateral needles-a total of 8 tubes on the patient, in addition to ECMO, there was a hemofiltration Machine supports the patient's life. In the face of such a critically ill patient, Yan Jing needs to tighten his string tightly at all times. Once the patient is in danger of life, he should be rescued immediately, without delay for one second.
Due to long-term mental stress, Yan Jing's sleep was not particularly good, especially when it was her turn to get off work at 12pm, and she returned to the hotel at 1am, often unable to sleep at 3am. "The whole person is very excited, lying in bed Think of the hospital in my mind like a movie. " Later, Yan Jing communicated with other colleagues and found that everyone was in a similar situation.
New coronary pneumonia patients transferred to the ICU are often comatose, and front-line nurses like Yan Jing have no opportunity to communicate with the patient's family and cannot hear the patient thank them, but she said that watching the patient's life indicators gradually improved I am proud to be transferred to the general ward.
On March 18, Yan Jing ended her round of anti-epidemic work. On the same day, she sent a circle of friends: "No winter is insurmountable." She told the China Youth Daily · China Youth Daily reporter to relax first. It's not over, it will be on the front line, "Ready!"
Psychological nursing care for patients with new coronary pneumonia in family ward
Niu Xinyue, two years older than Yan Jing, was a nurse in the Department of Infectious Diseases at Beijing You'an Hospital and participated in the first team in the hospital to fight the new crown pneumonia epidemic. She received a notification at noon on January 27 (the third day of the New Year's Day), and entered the New Coronary Pneumonia Treatment Ward in the evening to begin work. Niu Xinyue cares for relatively mild patients.
What impressed Niu Xinyue was the inner anxiety of the patients. Niu Xinyue remembers that a patient always looks for a nurse because of some small things, such as that the bed board will not be put on the table and the thermometer cannot be seen clearly. Other patients have poor appetite and sleep problems at night because of concerns about infecting their families.
Niu Xinyue said that at that time, nurses were very busy with work. There was no way to take the entire time to provide psychological care for patients. Therefore, they took advantage of opportunities such as hygiene, pharyngeal test, and temperature measurement to chat with patients as much as possible, or take pictures. Pat your shoulders to appease the patient.
Many of the newly diagnosed patients with new coronary pneumonia admitted to Beijing You'an Hospital are family clustered cases. The hospital has arranged some family wards to allow patients with new coronary pneumonia from the same family to live in one ward. Niu Xinyue can feel that the establishment of the family ward has reduced the anxiety of the patients. "On the one hand, we can take care of each other, and on the other hand, it can ease the thoughts of the family. Especially those young children who can live with parents Together, I ’m not so scared. "
With the increase in the number of patients admitted, Niu Xinyue is getting more and more busy, often working more than 6 hours in a row-one shift. As the first batch of medical care in the hospital to participate in the epidemic prevention, the uncertainty of the virus and the improvement of the working process did not cause much distress to Niu Xinyue. The only thing that made this native Beijing girl a little uncomfortable was that she could only stay in a hotel during the epidemic, and she could not see her parents for more than 20 days. Niu Xinyue said, "I really miss them."
In the eyes of head nurse Guo Huimin, Yan Jing and Niu Xinyue were still children. "These children have set themselves up right in front of right and wrong. They understand what they are and what they need to do. They surprised me and surprised me. Harvest. "She said.
Head Nurse of New Crown Ward: Almost all problems can be solved
On January 25th (the first day of the Chinese New Year), after receiving the notice from the hospital to set up a new crown ward, Guo Huimin immediately requested to enter the front line of work. She has extensive management experience and is familiar with nurses. The hospital first arranged for her to assist in the deployment of nursing human resources. On February 11, Guo Huimin, as a nursing staff of the second echelon, officially entered the front line and served as the head nurse of Xinguan Ward.
Guo Huimin's work after entering the ward focuses on the care of critically ill patients. With the further development of the epidemic, at that time the number of severely ill patients in the New Crown Ward of Beijing You'an Hospital began to increase, the conditions of the severely ill patients became heavier, and the corresponding nursing work became more onerous.
At that time, some patients were relatively sick, but they did not meet the criteria for entering the ICU. In order to facilitate management, a ward was set up to treat these patients. Guo Huimin remembers that she had a rare morning sleep one day and her cell phone rang at 11 pm. The head nurse of this ward contacted her and said that a patient got on the ventilator and needed her emergency nurse to come over with the ventilator.
Guo Huimin quickly turned his head: "If there is a nurse who looks specifically at the ventilator, the remaining two nurses in the ward will be struggling to look after other patients. It is necessary to coordinate a ventilator nurse from the ICU and then from other wards Coordinate a nurse to assist two nurses in the care of other patients in this ward. "
Then, Guo Huimin called the head nurses in the two wards to confirm whether they could deploy staff to assist. Fortunately, the situation in the other two wards was stable that day, and Guo Huimin smoothly coordinated the staff. During the first month on duty, Guo Huimin said that in fact, he was particularly afraid of the telephone ringing. The telephone ringing must be urgent, and it was particularly urgent.
However, Guo Huimin has endless phone calls every day. Sometimes she goes to the ward for a rounds without a cell phone. After coming out, there will be dozens of missed calls and unread WeChat. After taking off her protective clothing, It takes almost an hour to return to the phone and WeChat, "Because I need to tell the other person exactly what he wants to know, but also understand the tasks assigned by the leader, and at the same time, whether the tasks assigned by the leader can be completed, if they can be completed. When will it be completed? If it ca n’t be completed, what factors restrict it, and then talk to the leader. Sometimes during the call, there may be other people to come. "
Guo Hui is very sensitive. After participating in the epidemic prevention work, I felt that the planned arrangements were too easy, because during the epidemic prevention period, almost everything was sudden and needed to be resolved in the shortest time. the amount.
17 years ago, Guo Huimin participated in the fight against SARS when she was the head nurse of a ward. Looking back now, Guo Huimin felt that he was doing his job well at the time, and this time as a "little manager". "This epidemic is a test for myself, our entire nursing team, and the entire hospital."
On March 7, Guo Huimin temporarily ended his work in the anti-epidemic field. Looking back at his front-line work experience for nearly a month, Guo Huimin felt that there was nothing particularly difficult to solve. "Almost all problems can be solved." "As for those who are not us For problems that can be solved at the hospital level, we will do our best to do our best. "
It is understood that Beijing You'an Hospital sent more than 200 nurses to work in the new crown ward, accounting for 2/5 of the total nurses in the hospital, involving all clinical departments.
China Youth Daily · China Youth Daily reporter Liu Yirong Source: China Youth Daily