Qingdao, Shandong, recently launched a new “Internet +” nursing service model. Patients place orders online, and the hospital platform assigns nurses to door to provide nursing services for discharged patients or special groups of people with limited mobility. Once launched, it has been widely welcomed in the local area.

Currently, there are more than 2,000 registered users of the healthcare platform providing “online appointment nurses” services, with a total of more than 170 registered nurses online, and more than 230 orders for online appointment services have been completed.

The Internet + nursing service realizes the effective connection of medical care resources from the hospital to the community and to the family, and meets the home medical care needs of discharged patients or special groups of people with limited mobility. The satisfaction rate of doctor-patient mutual evaluation is 100%.

Not to mention the nurse’s on-site service, the emergency doctors in Inner Mongolia are still fresh in my memory. We have a story. Since then, any patient who gives up treatment can only go in his own car, accompanied by doctors and nurses, and can only be transferred. It was a few years ago, at three o’clock in the night, a tumor patient was exhausted, and the blood pressure booster was pumped and it was difficult to maintain. After the doctor in charge talked for the last time, the patient’s family agreed to give up and go home, but there was one condition: they wanted to insist on going home and stop breathing. He said that was his tradition. At that time, Doctor F didn’t think much about it, so he agreed, and took the oxygen liquid with the nurse on duty, and took the patient back in an ambulance. It should be four o’clock, and I arrived in a village without any lights. After parking, seven or eight people gathered around. “Unwanted hospital? Seeing a doctor and seeing people die? Bring me in quickly!” This sentence was to the doctors and nurses. Don’t say you dare not raise it. In the atmosphere at the time, if you can sit calmly, you are already in a good state of mind. If I could cry. Doctor F and the nurse carried the patient in. The patient had died of breath, and the family members began to cry, but they had no intention of letting them go, let alone the money for the ambulance. After a while, a man stuffed a bag of things in Dr. F’s hand, opened it and saw that it was a bag of “old clothes”, and said: Put it on the old man and you can go. They returned to the hospital and it was already 8 o’clock when they were handed over. They did not mention more details. Although Doctor F was still at work, the nurse had already resigned and left. Most of the professions of nurses are held by women. If a nurse is required to come for treatment, favorable treatment and a safe professional environment are indispensable. In large cities, urban villages, old communities, and even outer suburbs, it cannot be called safe, and practice in an unmonitored environment, once it occurs It is difficult to distinguish responsibilities for medical problems. I am a nurse, and I am firmly opposed to on-site service without sufficient plans!

zhiwo

By zhiwo

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helpmekim
8 months ago

After reading the news, the gimmick was correct. Two core issues have not been resolved. The first is treatment. The whole manuscript is convenient for patients, and then everyone is satisfied with each other, but why is the nurse satisfied? The example in the article is that the nurse rests and visits at home. Even if she is willing, why do other people want to? Visiting to make an appointment increases the commuting time, but reduces the workload and the performance drops. Who will make up for the difference in treatment between the nurse’s door-to-door service and the hospital service? If it is a full-time off-the-job nurse, if the market is not good and the business volume declines, who will pay the guaranteed salary when there is no work available? I often say that I’m 020 medical, and we’ll conduct a Wechat round on behalf of doctors on weekends. I can stick to it because it is in the interests of all parties. Patients can also contact me on weekends. They are at ease and help stabilize the doctor-patient relationship. I don’t need to go to the hospital on weekends, but I can grasp the patient’s dynamics, control the condition, and benefit the treatment effect. At most, my colleagues can help. My doctor’s order, it won’t take ten minutes to ask for a meal. Only things that conform to the interests of all parties have the motivation to advance. I just said I was satisfied without saying anything about money. I don’t believe it. The second is safety, including medical safety and personal safety. As I said before, there was a patient who was dying and his family asked to be accompanied by a doctor to return to the village. The doctors and nurses who went there at the time were surrounded by the locals after putting down the patient. If we say that we don’t look good, we won’t hold them accountable. You can wear old clothes for the elderly before they can leave. Dozens of strong men surround you at three o’clock in the morning, do you dare not wear it? This is still three people, you one or two female nurses come to the door, a thousand patients only need to meet a silly. ,How to do? What’s more, elderly patients have complicated conditions, such as airway obstruction, thrombosis of the lower limbs, hip fractures, chronic obstructive pulmonary disease, heart disease, aneurysms, etc., and the treatment is carried out without foreseeing, and this is the cause of serious consequences. One or two nurses hold the blame, or the one who mentions the matter hold the blame? The behavior of pursuing a better life for the public and improving social satisfaction is commendable, but at the same time, we must respect the wishes of practitioners, consider professional risks, and formulate all these things before launching the project. Otherwise, it will be a flash in the pan and earn some attention.

heloword
8 months ago

Saying different voices, I think this approach is quite good! At first, I thought it was a bullshit, so it is difficult to guarantee the safety of nurses. I will find out later, and it feels okay. First of all, I thought I would just download a piece of software and just register it, so that some malicious people could take the opportunity to trick the nurse into visiting for service and treatment. It is even life-threatening. Later, I saw that the conditions of the people who made an appointment are as follows: 1. Patients after being discharged from the hospital. 2. The elderly, disabled or semi-disabled elderly. 3. People with limited mobility, such as rehabilitation patients, terminal patients and chronic disease patients. 4. Mother and baby crowd. 5. Other people with special diseases who need home care. 5. Other people with special diseases who need home care.

helpyme
8 months ago

Just finished talking with the nurse in Corey, this is indeed a good attempt. At present, many areas have begun to have nurses set up their own workstations, similar to doctors’ clinics, to provide door-to-door services for patients in the community. There are a large number of disabled patients who need professional care and treatment. Most of them are elderly people. It is not easy to come to the hospital. The nurses can provide professional pressure sore care, diabetic foot care, stoma care, and replacement guide. Nursing services such as urinary tube, gastric tube replacement, sputum suction, etc. In fact, like many new things, it is important to do a good job in standardized management. I think the following two points need to be paid attention to: 1. Real-name registration of patients, provide real identity information, and ensure the safety of nurses’ door-to-door service. 2. Reasonable pricing and competitive remuneration for nurses. 3. Intelligent dispatch orders and take orders autonomously, just like the takeaway brother, the available and capable nurses will take orders and report to the hospital instead of uniform arrangements. 4. Patients can comment on the services of nurses, establish a reward and punishment mechanism, and patients can also bind their own nurses. 5. The doctors and nurses cooperate with each other. If there are special circumstances during the nursing process, the doctor should come to the scene for first aid in time. In the end, Doudou deeply agrees with my point of view. She said: I hope the nurses from the pet hospital can also come and take care of her~ Meow!

sina156
8 months ago

This is an emerging industry. Support, with a 100% satisfaction rate of mutual evaluation between doctors and patients, can show that there are patients and their families in real need. The platform says that the next step is to launch online appointments for doctors and establish an online appointment platform with doctors and care. Such door-to-door services There are many benefits. It can effectively provide convenient services for patients in need of rehabilitation. Family members save time and effort. Patients do not need to go to the hospital to queue up for registration. The best of both worlds is the best of both worlds. I have seen many people say that there may be many problems. The emerging industries must have many difficulties that need to be overcome slowly. The most important thing is to strengthen the “two-way audit”. The first is the audit and management of medical staff, but the patient information. Audit. From the current point of view, the implementation effect is good. Don’t deny it when you come up. Any industry that has just emerged will experience a process of development. Everyone should take into account that many elderly people have physical inconveniences and do not want to go to the hospital, and many family members have their own jobs, sometimes lacking skills. These elderly and family members are welcome to “home service”, there is a market when there is demand, and what we have to do Not to deny the need, but to monitor the market. Door-to-door service provides convenience to patients and their families in need, and medical staff get their own remuneration. I think it is OK and hope to continue to improve and provide “precise service” to people in need. This is commendable.

yahoo898
8 months ago

This is an emerging industry. Support, with a 100% satisfaction rate of mutual evaluation between doctors and patients, can show that there are patients and their families in real need. The platform says that the next step is to launch online appointments for doctors and establish an online appointment platform with doctors and care. Such door-to-door services There are many benefits. It can effectively provide convenient services for patients in need of rehabilitation. Family members save time and effort. Patients do not need to go to the hospital to queue up for registration. The best of both worlds is the best of both worlds. I have seen many people say that there may be many problems. The emerging industries must have many difficulties that need to be overcome slowly. The most important thing is to strengthen the “two-way audit”. The first is the audit and management of medical staff, but the patient information. Audit. From the current point of view, the implementation effect is good. Don’t deny it when you come up. Any industry that has just emerged will experience a process of development. Everyone should take into account that many elderly people have physical inconveniences and do not want to go to the hospital, and many family members have their own jobs, sometimes lacking skills. These elderly and family members are welcome to “home service”, there is a market when there is demand, and what we have to do Not to deny the need, but to monitor the market. Door-to-door service provides convenience to patients and their families in need, and medical staff get their own remuneration. I think it is OK and hope to continue to improve and provide “precise service” to people in need. This is commendable.

leexin
8 months ago

According to reports, in order to realize the professionalization, standardization and standardization of “Internet + Nursing” service work, and to ensure the quality and safety of nursing services, the new district has successively held two nursing training courses to provide key nurses with off-the-job training and provide services for the Qindao medical care service platform. A strong team of professional nurses has been established, and the scope of services covers 25 service items in three categories, including nurse visits, maternal and child care, and traditional Chinese medicine physiotherapy. Since its full launch in November last year, the Qindao medical care service platform has covered all public medical institutions in the West Coast New Area, with thousands of registered users and a total of 563 registered nurses online. Each public medical institution has carried out a needs assessment of 1,697 discharged patients, totaling a total of 1697 discharged patients. Completed 155 orders. Surgical suture removal, stoma care, pressure ulcer care, indwelling needle maintenance, puerperium care, jaundice testing, etc. These items that could only be carried out before going to the hospital for nursing care, all realized door-to-door services, satisfying the diversification of home care for the masses , Differentiated and specialized nursing service needs, and the satisfaction rate of doctor-patient mutual evaluation is 100%. “Internet + nursing service” means that medical institutions use nurses registered in the institution, relying on information technology such as the Internet, and mainly rely on online applications and offline services to provide medical care for discharged patients or special populations suffering from diseases and limited mobility. Behavior-related nursing guidance and nursing health consultation services. In fact, the simple understanding is that patients can make appointments with professional nurses for nasal feeding nursing, enema nursing, venous blood sampling, indwelling catheterization and other nursing services by using the Internet appointment platform and placing an order via mobile phone. The pain of rushing for medical treatment. The current aging situation is severe, and the society has great demand for new forms of elderly care and medical care. “Online appointment nurses” mainly provide some simple and standardized services. From the perspective of the scope of nursing services, The main target is the disabled and semi-disabled elderly. As far as the “Internet + nursing service” model is concerned, it can not only reduce the waste of medical resources in large hospitals, but also reduce the trouble for patients to travel to and from the hospital. In the near future, With a tap on your mobile phone at home, doctors and nurses will come to treat you. Are you looking forward to it?

greatword
8 months ago

The total number of medical staff is not wealthy enough to use it. I specifically searched for the West Coast New District Central Hospital and the 1,000-bed tertiary general hospital below. According to my understanding, under normal circumstances, such large hospitals work during the day. It’s basically impossible for the first-line nurses to go out to do tasks. They are busy enough with matters within their jurisdiction. As mentioned in the article, the order was sent to the off-duty head nurse. In fact, for almost all front-line nurses, There is only one possibility for shift rest, that is, I just finished an all-night night shift, and think about staying up for the night in Corey for the night watch shift, and going home for compensatory vacation two days later, I will be sent out for home service. For this comparison, the 996 work system is implemented. All of them are conscientious enterprises. This model is definitely not suitable for large hospitals, but it does provide another way of thinking. Some grassroots hospitals and community hospitals can be included in this system. The operating skills are not difficult to learn. I can basically get it every month, and I am not too busy at ordinary times. One or two people come out every day to wait for the order to be dispatched. In theory, it should be feasible. The problem involved is medical safety and personal safety. Why do people like to go to the big hospital? The picture shows a strong comprehensive ability and a complete range of experience, technology, equipment and equipment. Any problem can be dealt with in the first time. On-site service is different, and it cannot withstand the slightest risk. In case there is a problem that exceeds the scope of the nurse’s handling. Who will bear the responsibility for the unforeseen consequences? In the hospital, there are people chasing and slashing with knives. Two or three people are also beaten when they leave the emergency room. This kind of nurse comes to the door alone, if it encounters a strange flower and destroys it for a lifetime, you must know that most of the hospital nurses are now hired. , In essence, it is no different from the employees of private enterprises. Who will bear this guarantee? If all of these can be solved, I personally think this way can be tried, but as far as the content of this report is concerned, let’s wash and sleep.

loveyou
8 months ago

Nonsense is nonsense. Neither sustainable development nor profitable large-scale promotion. Nurses come to provide services, and the service fee is enough for your own bonus. It is equivalent to keeping a nurse in the hospital to work for others around the clock. Now the low cost of medical care is because of the large base, and you can make it through. How many of you have done homes ? I have taken the medical examination team for a year and a half, and it is very efficient to do three to five in a morning. This is still the unit to distribute the car, if you let the nurse go with the equipment on his own. One in the morning, how much do you charge is appropriate, you will definitely not make ends meet according to the charges in the hospital, you have to set the price separately, and the medical insurance assesses how well you can live? The only profit point of this service is to squeeze medical care, and there is no way out.

strongman
8 months ago

Now some NGA online forums have begun to suggest not to marry a nurse (some say that women can’t marry) in normal life, many people also suggest not to marry a nurse. Because the nurses are very busy at work and the work pressure is very high, it is easy to get angry in the hospital and get angry when they go home. More importantly, many patients have infectious diseases, and they are easily infected if they are not careful. The nurse industry is also considered a high-risk industry. But, on the other side, is the ever-increasing demand for medical care. Many patients and elderly people do not receive the help of normal medical care. Even with high prices, no suitable candidates were found. So it is understandable to use hospitals as the main body to promote qualified medical services to users’ homes. But in this process, the first thing to pay attention to is not to meet the needs of patients. But to protect the safety of nurses and doctors. Guarantee their income. We can’t make medical care pay more and get less. It is also impossible to pursue the so-called 100% satisfaction rate. There are 1.4 billion people in China, including criminals. How can there be a 100% satisfaction rate?

stockin
8 months ago

The family members of the former patients are very supportive! Hope to flourish. Generally speaking, what we usually refer to as the “doctor-patient relationship” does not actually include the “nurse”! I don’t know if you noticed it. The nurse is a hardworking, background-style existence. Therefore, few people are dissatisfied with nurses, and nurses generally seldom hear about “using power for personal gain”. This is a foundation. Nurses come to do nursing work, in fact, they use their professional nursing skills to provide “services.” This is also a “pleasing” job. Just imagine, if ordinary people can do well, basically this “service” will not arise. Not surprisingly, the job responsibilities of nurses themselves, coupled with their unique industry background, are naturally “fire”. In the past, it was rare to hear of hospital nurses “calling service”. This “fire” also shows that the potential market for medical care is huge. It is hoped that relevant industry departments will provide guidance and industry standards to effectively carry forward this medical and nursing service that benefits the general public, and it can also be brought to the whole country.

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