THE ANALYSIS OF EMERGENCY CONDITIONS IN THE PRACTICE OF THE NURSES OF THE MEDICAL DEPARTMENT OF THE HOSPITAL AND THE WAYS OF OPTIMIZING THE GIVING OF THE FIRST AID

Abstract

Introduction. Hospital emergencies are a serious medical problem that requires immediate medical intervention. Urgent conditions in the inpatients can occur in the evening and at night when the main mission is perforned by the nursing staff at the departments. Before the arrival of the doctor on duty or the resusciation team it is the duty of the nurse who must be able to regocnize an emergency, call the resusciation team and do the primary rescue action before its arrival. However, the nature and frequency of occurence of emergency situations with which inpatient nurses deal with, the provision of departments with medical products and drugs for rescue operations and the effectiveness of training nurses for emergency situations in nursing have not sufficiently studied.

The aim of the study – to find out the nature and frequency of emergency situations in hospital departments and the effectiveness of nursing interventions before the arrival of the resusciation team and to outline directions for their improvement.

The main part. An anonymous survey of 200 female and male nurses representing 20 departments (surgical and therapeutic) was conducted in the supercluster medical institution. The rating of emergency conditions by frequency with which the nurses struggled before the arrival of the resusciation team was as follows: 1 – fainting of various origins, 2 – hypoclemic coma and convulsions including epileptic attacks, 3 – pulmonary embolism, 4 – sudden circulatory arrest, 5 – bronchial attacks and an anaphylactic shock, 6 – external and internal bleeding, 7 – mechanical airway obstruction. The time of arrival of the resusciation team varied from 4 to 10 minutes. The respondents rated their capabilities worst when providing emergency care to patients with pulmonary embolism, acute internal bleeding including lungs, hypoclemic coma and sudden circulatory arrest. One of the means of optimizing the technology of recognition and providing medical assistance to the patients in the event of a sudden emergence of a cart in the departments of a multidisciplinary hospitals is the introduction of a emergency cart which requires the individual development and application taking into account the spectrum of emergency conditions.

Conclusions. Among the urgent conditions in their practical work, nurses of hospital medical departments most often deal with fainting, hypoclemic coma, convulsions including the epileptic attacks, pulmonary embolism and sudden circulatory arrest. In providing hospital departments with medicine, medical products and training of nurses, it is necessary to pay more attention to emergency medical care for pulmonary embolism, acute internal bleeding, hypoclemic coma and sudden circulatory arrest. Provision of departments with emergency carts is a promising direction for optimizing the provision of emergency care by medical nurses to patients.