㈠ 求一篇關於心電監護儀的英文論文，附中文翻譯的。
隨著人們法制觀念的不斷提高，病人維權意識逐漸增強，對醫療護理提出了更高的要求，因心電監護儀使用不當導致的投訴也逐漸增加。本院2003年6月至2004年6月被投訴4起，2004年7月至2005年6月5起，2005年7月至2006年6月9起；護士巡視不到位、責任心不強、病情變化未及時發現8例，心電監護儀參數設置不當或報警系統不工作5例，對心電監護儀性能不了解影響搶救治療2例，設備本身問題2例，監護收費問題1例。
病人自我保護意識增強與護士服務觀念轉變相對滯後的矛盾
隨著病人及家屬法制觀念的逐漸加強,對醫護質量的要求也越來越高〔1〕。在醫療護理活動中過去根本不會釀成糾紛的問題，現在都可能引發投訴，病家認為花了錢就要得到最好的服務及療效，稍有不當病人或家屬就要「討個說法」，更有甚者，認為病人進了醫院，化了錢，就得治好病，如病情反復或惡化就會千方百計尋找醫療工作中的缺陷和漏洞，進行投訴；而心電監護儀又是擺在他們面前看得見，摸得著的東西，稍有不慎就會成為投訴對象。
護理服務質量與病人期望值之間的矛盾
需要心電監護的病人相對病情都比較重，家屬特別關注治療護理情況，以為使用心電監護儀後病情就能得到控制，當病情出現變化時就難以接受；而護士在護理過程中操作稍不仔細，解釋不到位，對病人關心與理解不夠，沒有形成良好的護患關系，也就會受到病人及家屬的遷怒。
護理隊伍的年輕化，護理人員對心電監護儀性能不熟、使用不到位
當前醫院發展速度較快，年輕護士較多，護理隊伍的年輕化也已經成為護理投訴的主要原因之一〔2〕。首先年輕護士資歷淺，工作經驗不足，加之上崗前沒有進行系統培訓，不同程度地存在對心電監護儀使用性能及設置不熟悉，其次，年輕護士缺乏必要的醫患溝通技巧和交談藝術。
心電監護儀故障延誤病情
有些心電監護儀由於長時間連續使用，或者使用不當，或者年久失修等各種原因發生故障，特別是一些平時使用心電監護儀很少的科室，醫護人員沒有定期檢查，不能及時發現和處理故障，一旦病情有變化需要時，卻未能及時監護而延誤了病情的監測、治療，導致病家投訴。心電監護儀的使用費用相對較高，以每小時計算，且葯費、檢查費、一次性物品的廣泛應用，給病家帶來沉重的經濟負擔，因此，他們對收費特別敏感，對心電監護儀所用時數常有爭議，加之新聞媒體過分渲染，對收費不放心，而多數家屬在高額的醫療費用支出後疾病仍未明顯好轉，故將怨氣發泄到儀器的使用和收費上導致投訴。
為了適應目前新形勢下病人對護理服務質量的要求，必須不斷強化護士的優質服務意識，牢固樹立「以人為本，以病人為中心」的服務觀念，尊重病人的合法權益，盡量滿足其要求。如在行心電監護前應耐心向病人及家屬做好解釋宣教工作,介紹心電監護的目的及儀器的安全性,告知可能出現的報警聲。在整個監護過程中應加強巡視和觀察，注意心電監護儀參數的變化，出現報警聲時能迅速做出處理，並及時記錄和保存。
As the legal concept of continuous improvement, the patient graally build up their human rights awareness, health care for a higher demand, e to the use of ECG monitor misconct also led to a graal increase in complaints. Hospital from June 2003 to June 2004 were 4 complaints since July 2004 to June 2005 5, July 2005 to June 2006 9; nurse visits are not in place, do not have a strong sense of responsibility, timely detection of the disease did not change in 8 cases, ECG monitor improper parameter setting alarm system does not work or five cases, the ECG monitor the performance of emergency treatment do not understand the impact of two cases, two cases of the issue of the equipment itself, the issue of guardianship fees and charges in 1 case.
Self-protection awareness of patients and nurses to enhance the concept of service is lagging behind changes in the conflict
Patients and their families with the legal concept of the graal strengthening of the quality of health care have become more sophisticated [1]. Activities in health care will not lead to disputes over the issue, now may lead to complaints that the patient and his family will be花了錢the best services and the efficacy, some patients or their family will be inappropriate "to have a say" and, worse, that the patient into the hospital, of the money, you must heal the disease, such as illness or deterioration of repeated medical work will do everything possible to find defects and flaws in the conct complaints; and ECG monitor is placed in front of them visible and tangible things, a little carelessness will become the target of complaint.
Quality and patient care services in the conflict between the expectations
The need for ECG monitoring of patients is relatively heavier than the disease, their families pay special attention to health care situation, that the use of ECG Monitor can be brought under control after the disease, when a change in condition when it is difficult to accept; and nurses in the care process is not operating slightly careful to explain in place, concern and understanding for patients not enough, there is no good nurse-patient relationship, but also patients and their families will be the vent.
Care of the younger teams, nursing staff on ECG monitor the performance of the wake of the use of non-place
Faster development of the current hospital, more young nurses, care of the younger team care has become one of the main causes of complaints [2]. First of all, the young junior nurses, lack of work experience, coupled with no systematic pre-training, varying degrees of ECG monitor and the setting up of the use of performance are not familiar with, and secondly, the younger the patient the nurses lack the necessary communication skills and conversation art.
ECG monitor the delay fault condition
ECG monitor some time as a result of continuous use, or improper use, or repair a variety of reasons such as failure, in particular, a number of normal ECG monitor the use of small sections, medical personnel do not conct regular inspections, timely detection and to deal with failure, once the necessary conditions have changed, but failed to delay care and monitoring of the condition, treatment, patient and his family led to complaints. ECG monitor the use of the relatively high cost per hour basis, and drugs, inspection fees, the widespread application of a one-time items, to the patient and his family a heavy financial burden, so that they are particularly sensitive to charges of heart Monitor electricity used by a number of often controversial when, in addition to the news media exaggerated the charges do not trust, and the majority of families in the high medical costs to be incurred in a marked improvement after the disease has not yet, it will vent their grievances to the use of equipment and fees the lead to complaints.
In order to adapt to the new situation at present patients quality care, nurses must continue to strengthen the services, and firmly establishing the "people-oriented, patient-centered" concept of service, respect for the legitimate rights and interests of patients, as far as possible to meet their requirements. If the line before ECG patience to do a good job to explain the patients and their families and ecation on the purpose of ECG and the security apparatus, this may sound the alarm. In the guardianship process should strengthen the inspection and observation, attention to ECG monitor changes in parameters, sound alarms when there quickly to deal with, and to record and preserve a timely manner.
㈡ 監護儀的弱灌注是什麼意思
監護儀提示弱灌注，一般是通過脈搏氧探頭檢測到患者的脈搏比較微弱的提示。
㈢ 上氧和心電監護儀是不是同步進行
搶救時一般均得用心電監護，因為它可以觀察好多生命指標如：末梢氧飽和度，心率，心律，呼吸，血壓。總結應該用，只要堅持搶救
㈣ 六盤水婦幼保健院投訴電話是多少
㈤ 醫療：住院中一台多功能監護儀，有心電/血壓/血氧等功能，是分別收費嗎
注意啊注意:1台多功能監護儀是不能分開收費的,<今日說法>欄目都播過這種案例。如果能確定這些費用確實都是這台監護儀產生的，那就能投訴醫院，或者打官司。
㈥ 心電監護的注意事項有哪些
心電監護時的注意事項
一、心電監護時的注意事項：
1. 取出心電導聯線，將導聯線的插頭凸面對准主機前面板上的「心電」插孔的凹槽，插入即可
2．心電導聯線帶有5個電極頭的另一端與被測人體進行連接，正確連接的步驟有：
a．將人體的5個具體位置用電極片上的砂片擦試，然後用75%的乙醇進行測量部位表面清潔，目的清除人體皮膚上的角質層和汗漬，防止電極片接觸不良。
b．將心電導聯線的電極頭與5個電極片上電極扣扣好。
c．乙醇揮發干凈後，將5個電極片貼到清潔後的具體位置上使其接觸可靠，不致脫落。
d．將導聯線上的衣襟夾夾在病床固定好。並叮囑病人和醫護人員不要扯拉電極線和導聯線。
3、請務必連接好地線，這將對波形的正常顯示起到非常重要的作用。
二、血氧監護時的注意事項：
1．血氧探頭的插頭和主機面板「血氧」插孔一定要插接到位。否則有可能造成無法採集血氧信息，不能顯示血氧值及脈搏值。
2．要求病人指甲不能過長，不能有任何染色物、污垢或是灰指甲。如果血氧監測很長一段時間後，病人手指會感到不適，應更換另一個手指進行監護。
3．病人和醫護人員也不應碰撞及拉扯探頭和導線，以防損壞而影響使用。
4．血氧探頭放置位置應與測血壓手臂分開，因為在測血壓時，阻斷血流，而此時測不出血氧，且屏幕顯示「血氧探頭脫落」字樣
三、血壓監護時的注意事項
血壓袖帶與病人的連接，對成人、兒童和新生兒是有區別的，必須使用不同規格的袖帶，這里僅以成人為例。
1．袖帶展開後應纏繞在病人肘關節上1～2cm處，松緊程度應以能夠插入1～2指為宜。過松可能會導致測壓偏高；過緊可能會導致測壓偏低，同時會使病人不舒適，影響病人手臂血壓恢復。袖帶的導管應放在肱動脈處，且導管應在中指的延長線上。
2．手臂應和人的心臟保持平齊，血壓袖帶充氣時應囑病人不要講話或亂動。
3．測壓時，手臂上袖帶的位置應和心臟保持平齊，病人不要講話或動彈。
4．測壓手臂不宜同時用來測量體溫，會影響體溫數值的准確。
5．不應打點滴或有惡性創傷，否則會造成血液迴流或傷口出血。
6．一般而言，第一次測壓值只做為參考
四、體溫監護時的注意事項：
1、體溫探頭正常情況是夾緊於病人腋下，若是昏迷危重者，則可用膠布將探頭粘貼牢實。夾的過松，會使測得數值偏低。 2．因為體溫感測器通過金屬表面的熱傳導實現體表溫度測量，所以一定要使探頭的金屬面與皮膚接觸良好，且在五分鍾之後可得到穩定的體表溫度。
五、外接電源的注意事項：
1．配電盒質地應優良可靠，插接應牢靠。以免會出現插頭接觸不良，使主機不能正常工作，甚至造成主機電源損壞。
2．供電線路要求：交流電220V±10%(不能把380V接入配電盒)。以電源供應不間斷、穩定為原則。
六、地線連接的注意事項：
地線連接時應把帶有銅片套的一端，接在主機後面板的接地端子上。（方法是旋開接地端子旋鈕帽，把銅片套套上，然後旋緊鈕帽）。地線另一端帶有夾子，請夾在建築設施的公共接地端（自來水管、暖氣片上等與大地直接相通的地方）。切不可隨隨便便地把地線夾在與接地無關的病床或其他金屬上，那樣如同沒有連接地線。如果不接地線或地線連接不好可能會造成心電波形干擾較大，同時可能對儀器操作人的人身安全帶來傷害。
㈦ 只要住院不管什麼病,醫院都強制用心電監護器,怎麼投訴
可以向衛生部門投訴衛生局。他們應該負責。如果不管你給市長12345打電話投訴。希望採納答案
㈧ 床頭心電一台機器做幾項功能都是分開收費的嗎
摘要 您好，很高興為您解答。
㈨ 心內科夜班護士如何及時發現心電監護報警
心電監護是在病人床旁，如果設定音量和報警燈閃爍，患者陪護都能發現，告知他們按呼叫器。如果在護士站設有中心監護更好。關鍵是還要多巡視。如果病人有嚴重的室性心律失常或心梗急性期患者，最好還是住在CCU。
㈩ 什麼情況下使用心電監護儀
凡是病情危重需要進行持續不間斷的監測心搏的頻率、節律與體溫、呼吸、血壓、脈搏及經皮血氧飽和度等的患者。