我们经过几年的探索,总结出急诊室、观察室病房化管理的一些经验,体会如下.1 狠抓组织管理,促进观察室病房工作规范化执行病房化管理,必须抓规范化建设,而规范化的实施又必须抓好组织管理.其中选拔德才兼优的优秀护士尤为重要,并明确各自职责,工作质量要求,使各项工作得以顺利进行.1.1 配备德才兼优的护士队伍 急诊观察室护士面对的大多是不能搬动的危重病人,其中中风占留观总数的50%.他们病势危急,变化快,抢救次数多,治疗任务重,常因躁动不安,引起输液肿胀,基础护理量大,被单也常被呕吐物、排泄物污染.加之病人及其家属思想素质高低不一,不能面对现实,不听医护人员的解释, After several years of exploration, we have summed up some experiences in the ward management of the emergency room and observation room, and learned as follows.1 We must pay close attention to organizational management, and promote standardized management of wards in the observation room. We must focus on standardization and standardization. We must also do a good job in organization and management. Among them, the selection of excellent and talented nurses is particularly important, and we must clarify the respective responsibilities and work quality requirements so that all work can be carried out smoothly. 1.1 A nurse team with an excellent and talented nurse team in the emergency observation room nurses Most of them are critical patients who cannot be moved, including 50% of the total number of people who suffer from stroke. They are critically ill, change rapidly, have more rescues, have more treatment tasks, often suffer from restless restlessness, cause infusion swelling, and have a large amount of basic care. Sheets are also often contaminated with vomitus and excretions. In addition, the level of ideological quality of patients and their families varies, and they cannot face the reality. They do not listen to explanations from medical personnel.