㈠ 求一篇关于心电监护仪的英文论文，附中文翻译的。
随着人们法制观念的不断提高，病人维权意识逐渐增强，对医疗护理提出了更高的要求，因心电监护仪使用不当导致的投诉也逐渐增加。本院2003年6月至2004年6月被投诉4起，2004年7月至2005年6月5起，2005年7月至2006年6月9起；护士巡视不到位、责任心不强、病情变化未及时发现8例，心电监护仪参数设置不当或报警系统不工作5例，对心电监护仪性能不了解影响抢救治疗2例，设备本身问题2例，监护收费问题1例。
病人自我保护意识增强与护士服务观念转变相对滞后的矛盾
随着病人及家属法制观念的逐渐加强,对医护质量的要求也越来越高〔1〕。在医疗护理活动中过去根本不会酿成纠纷的问题，现在都可能引发投诉，病家认为花了钱就要得到最好的服务及疗效，稍有不当病人或家属就要“讨个说法”，更有甚者，认为病人进了医院，化了钱，就得治好病，如病情反复或恶化就会千方百计寻找医疗工作中的缺陷和漏洞，进行投诉；而心电监护仪又是摆在他们面前看得见，摸得着的东西，稍有不慎就会成为投诉对象。
护理服务质量与病人期望值之间的矛盾
需要心电监护的病人相对病情都比较重，家属特别关注治疗护理情况，以为使用心电监护仪后病情就能得到控制，当病情出现变化时就难以接受；而护士在护理过程中操作稍不仔细，解释不到位，对病人关心与理解不够，没有形成良好的护患关系，也就会受到病人及家属的迁怒。
护理队伍的年轻化，护理人员对心电监护仪性能不熟、使用不到位
当前医院发展速度较快，年轻护士较多，护理队伍的年轻化也已经成为护理投诉的主要原因之一〔2〕。首先年轻护士资历浅，工作经验不足，加之上岗前没有进行系统培训，不同程度地存在对心电监护仪使用性能及设置不熟悉，其次，年轻护士缺乏必要的医患沟通技巧和交谈艺术。
心电监护仪故障延误病情
有些心电监护仪由于长时间连续使用，或者使用不当，或者年久失修等各种原因发生故障，特别是一些平时使用心电监护仪很少的科室，医护人员没有定期检查，不能及时发现和处理故障，一旦病情有变化需要时，却未能及时监护而延误了病情的监测、治疗，导致病家投诉。心电监护仪的使用费用相对较高，以每小时计算，且药费、检查费、一次性物品的广泛应用，给病家带来沉重的经济负担，因此，他们对收费特别敏感，对心电监护仪所用时数常有争议，加之新闻媒体过分渲染，对收费不放心，而多数家属在高额的医疗费用支出后疾病仍未明显好转，故将怨气发泄到仪器的使用和收费上导致投诉。
为了适应目前新形势下病人对护理服务质量的要求，必须不断强化护士的优质服务意识，牢固树立“以人为本，以病人为中心”的服务观念，尊重病人的合法权益，尽量满足其要求。如在行心电监护前应耐心向病人及家属做好解释宣教工作,介绍心电监护的目的及仪器的安全性,告知可能出现的报警声。在整个监护过程中应加强巡视和观察，注意心电监护仪参数的变化，出现报警声时能迅速做出处理，并及时记录和保存。
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花了钱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 监护仪的弱灌注是什么意思
监护仪提示弱灌注，一般是通过脉搏氧探头检测到患者的脉搏比较微弱的提示。
㈢ 上氧和心电监护仪是不是同步进行
抢救时一般均得用心电监护，因为它可以观察好多生命指标如：末梢氧饱和度，心率，心律，呼吸，血压。总结应该用，只要坚持抢救
㈣ 六盘水妇幼保健院投诉电话是多少
㈤ 医疗：住院中一台多功能监护仪，有心电/血压/血氧等功能，是分别收费吗
注意啊注意:1台多功能监护仪是不能分开收费的,<今日说法>栏目都播过这种案例。如果能确定这些费用确实都是这台监护仪产生的，那就能投诉医院，或者打官司。
㈥ 心电监护的注意事项有哪些
心电监护时的注意事项
一、心电监护时的注意事项：
1. 取出心电导联线，将导联线的插头凸面对准主机前面板上的“心电”插孔的凹槽，插入即可
2．心电导联线带有5个电极头的另一端与被测人体进行连接，正确连接的步骤有：
a．将人体的5个具体位置用电极片上的砂片擦试，然后用75%的乙醇进行测量部位表面清洁，目的清除人体皮肤上的角质层和汗渍，防止电极片接触不良。
b．将心电导联线的电极头与5个电极片上电极扣扣好。
c．乙醇挥发干净后，将5个电极片贴到清洁后的具体位置上使其接触可靠，不致脱落。
d．将导联线上的衣襟夹夹在病床固定好。并叮嘱病人和医护人员不要扯拉电极线和导联线。
3、请务必连接好地线，这将对波形的正常显示起到非常重要的作用。
二、血氧监护时的注意事项：
1．血氧探头的插头和主机面板“血氧”插孔一定要插接到位。否则有可能造成无法采集血氧信息，不能显示血氧值及脉搏值。
2．要求病人指甲不能过长，不能有任何染色物、污垢或是灰指甲。如果血氧监测很长一段时间后，病人手指会感到不适，应更换另一个手指进行监护。
3．病人和医护人员也不应碰撞及拉扯探头和导线，以防损坏而影响使用。
4．血氧探头放置位置应与测血压手臂分开，因为在测血压时，阻断血流，而此时测不出血氧，且屏幕显示“血氧探头脱落”字样
三、血压监护时的注意事项
血压袖带与病人的连接，对成人、儿童和新生儿是有区别的，必须使用不同规格的袖带，这里仅以成人为例。
1．袖带展开后应缠绕在病人肘关节上1～2cm处，松紧程度应以能够插入1～2指为宜。过松可能会导致测压偏高；过紧可能会导致测压偏低，同时会使病人不舒适，影响病人手臂血压恢复。袖带的导管应放在肱动脉处，且导管应在中指的延长线上。
2．手臂应和人的心脏保持平齐，血压袖带充气时应嘱病人不要讲话或乱动。
3．测压时，手臂上袖带的位置应和心脏保持平齐，病人不要讲话或动弹。
4．测压手臂不宜同时用来测量体温，会影响体温数值的准确。
5．不应打点滴或有恶性创伤，否则会造成血液回流或伤口出血。
6．一般而言，第一次测压值只做为参考
四、体温监护时的注意事项：
1、体温探头正常情况是夹紧于病人腋下，若是昏迷危重者，则可用胶布将探头粘贴牢实。夹的过松，会使测得数值偏低。 2．因为体温传感器通过金属表面的热传导实现体表温度测量，所以一定要使探头的金属面与皮肤接触良好，且在五分钟之后可得到稳定的体表温度。
五、外接电源的注意事项：
1．配电盒质地应优良可靠，插接应牢靠。以免会出现插头接触不良，使主机不能正常工作，甚至造成主机电源损坏。
2．供电线路要求：交流电220V±10%(不能把380V接入配电盒)。以电源供应不间断、稳定为原则。
六、地线连接的注意事项：
地线连接时应把带有铜片套的一端，接在主机后面板的接地端子上。（方法是旋开接地端子旋钮帽，把铜片套套上，然后旋紧钮帽）。地线另一端带有夹子，请夹在建筑设施的公共接地端（自来水管、暖气片上等与大地直接相通的地方）。切不可随随便便地把地线夹在与接地无关的病床或其他金属上，那样如同没有连接地线。如果不接地线或地线连接不好可能会造成心电波形干扰较大，同时可能对仪器操作人的人身安全带来伤害。
㈦ 只要住院不管什么病,医院都强制用心电监护器,怎么投诉
可以向卫生部门投诉卫生局。他们应该负责。如果不管你给市长12345打电话投诉。希望采纳答案
㈧ 床头心电一台机器做几项功能都是分开收费的吗
摘要 您好，很高兴为您解答。
㈨ 心内科夜班护士如何及时发现心电监护报警
心电监护是在病人床旁，如果设定音量和报警灯闪烁，患者陪护都能发现，告知他们按呼叫器。如果在护士站设有中心监护更好。关键是还要多巡视。如果病人有严重的室性心律失常或心梗急性期患者，最好还是住在CCU。
㈩ 什么情况下使用心电监护仪
凡是病情危重需要进行持续不间断的监测心搏的频率、节律与体温、呼吸、血压、脉搏及经皮血氧饱和度等的患者。