文档介绍：输液治疗护理实践标准解读
输液治疗护理标准实践
Deb Richardson, RN,MS, CNS
2011 Standards of mittee Member/Author
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May 2011 2011 INS Standards of Practice Update
目标
Discuss changes in 2011 Standards 讨论2011输液治疗护理实践标准的变化
Describe the evidence-based table developed to support practice criteria mendations 描述支持实践标准意见的循证依据
Discuss updated changes in select INS 2011 standards and study 讨论精选2011标准中的最新变化并学习应用
Explain importance of clamping, flushing and luer-lock design practices 介绍封管夹、冲管、螺口连接实践的重要性
2011 INS Standards of Practice Update
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TABLE OF CONTENTS CHANGES 修改内容的表格
Merged Standards 整合的标准
Vascular Access Site Preparation and Device Placement 血管通路穿刺点的准备和血管通路装置的置换
VAD Site Care and Dressing Changes 血管通路穿刺点的护理和敷料的更换
Infiltration and Extravasation 渗出和外渗
Infusion plications Section – new standards added 输液相关并发症精选-新标准中增加
Air Embolism 气体栓塞
Catheter Embolism 导管栓塞
Catheter-Associated Venous Thrombosis 导管相关性静脉血栓
Central VAD Malposition 中心血管通路装置位置不正
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EVIDENCE TABLE 循证列表
New to 2011 Standards 对于2011新标准
Practice Criterion Evidence: 实践标准的证据:
Rated/Referenced 分等级的/参考的
Reflects body of evidence available and retrievable at time of review 反应证据回顾时间内的可用性和可获取性
Rating Scale: I, IA/P, II-V, Regulatory 等级: I , IA/P, II-V,法规的。
Standards NOT rated 标准没有分级
Expectations of practice applicable in all settings 期望实践标准适用于所有机构
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2011 INS Standards of Practice Update
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循证列表
I – Meta-analysis, systematic literature review, guideline based on randomized controlled trials (RCTs) or at least 3 well-designed RCTs. I Meta分析,系统文献回顾,指南是在随机对照试验或者至少3个较好设计的随机对照实验的基础上建立的。
III – One well-designed RCT, several multicenter well-designed clinical trials without randomization, or several studies with quasi-experimental designs focused on the same question/includes 2 or more well-designed laboratory studies. III 一个较好设计的随机对照试验,不随机的一些多中心较好设计的临床实验或一些类实验设计的实验重点在相同的问题/包括2个或多较好设计的实验室试验。
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2011 INS Standards of Practice Update
循证列表
V – Clinical article/professional book/ consensus report, case report, guideline based on cons