From the perspective of nursing administrators to carry out education and training.
As the "leader" of the team and the "commander" of education and training, nursing managers play a role in the team from point to area. Compared with basic anesthesia nursing education, continuing education pays attention to the cultivation of critical thinking of anesthesia nursing workers, emphasizes the deep combination of knowledge and clinical cases and pays special attention to the treatment of complex and difficult cases in work [14]. This model suggests that nursing administrators should regularly carry out oral disease knowledge training related to the stomatological anesthesia nurses in a planned and directional way. As one member said:
In addition to specialist nursing, such as oral diseases, the possible sudden complications need to be understood more. If she doesn't even know this, then the critical attention will not be found, and there is no way to correctly judge the situation of each patient
For example: strengthening airway management and risk identification related to general anesthesia and monitoring training in patient circulation are helpful to improve the professional skills and professional identity of stomatological anesthesia nurses.
From The Perspective Of Stomatological Anesthesia Nurses To Lead Patient Care
As the core strength of patient quality management team in oral PACU, anesthesia nurses play the role of main force in the team and control the management process. Anesthesia nurses are the main duty bearers of the oral PACU. Anesthesia nurses need to manage patients from the time when patients enter PACU to the time when patients are not awake to awake and then leave. The core concept of nursing is "patient-centered". The turnover of patients in PACU is generally 1.5-2 hours and the patient's condition change rapidly, which requires higher nursing quality. In the nursing process, there are differences between anesthesia nursing and routine disease nursing [15]. As one member mentioned:
Because each patient has different characteristics, for example, patients with parotid gland, orthognathic jaw or malignant tumors. We need to know the knowledge and characteristics of oral diseases in addition to specialist operations.
It is necessary to strengthen the pipeline management of anesthesia nurses for patients, such as respiratory tract, deep vein, peripheral vein and artery. Then, as one of the five basic patient indicators, patients are more likely to have hypothermia symptoms after anesthesia. Oral anesthesia nurses should further strengthen the management of basic vital signs of patients, such as the improvement of hypothermia symptoms and the improvement of pain evaluation process. By clarifying nursing responsibilities and refining the key points of nursing measures, the nursing quality can be improved and professional identity of anesthesia nurses can be further improved.
From The Perspective Of Stomatological Anesthesiologists To Improve Quality Control
The construction of patient management team focuses on cooperation with team members. Undoubtedly, anesthesiologists play an important guiding role in the team. As nursing collaborators, anesthesiologists can provide theoretical guidance and technical support for anesthesia nurses, participate in the discussion of difficult cases and give corresponding countermeasures. At the same time, anesthesiologists play an important role in quality control. As one member said:
Anesthesia nursing work is mostly directed by anesthesiologists. all invasive operations should be under the guidance of anesthesiologists and close cooperation with anesthesiologists.
"E Guanzi Tianze" said: "One leaf covers one's eyes, but no mountain is seen". Oral anesthesiologists can give constructive professional suggestions in the field of stomatology, guide the nursing operation of anesthesia nurses and give feedback and guidance to anesthesia nurses in time to better improve the patient quality of PACU. Therefore, it is a necessary step that oral anesthesiologists can control patient management quality.
Efficient Operation Of Oral Pacu Patient Quality Management Model
The operation process in oral PACU follows PDCA cycle theory model, including analysing problems (Analysis), making plans (Plan), training implementation (Do) and quality control (Check). By forming a Deming ring cycle closed quality control circle, it provides a specific executable management method, Stomatological anesthesiologists and anesthesia nurses found clinical patient management problems in PACU. They formed a quality control circle group with nursing administrators and formulated plans to improve patient quality by clarifying their respective responsibilities. Through continuing education and training assessment for anesthesia nurses, the anesthesia nursing level of stomatology specialty is linked with the quality of patients, and finally developed and improved in a spiral way to realize the efficient operation of the team.