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1、输液治疗护理实践标准解读输液治疗护理标准实践DebRichardson,RN,MS,CNS2011StandardsofPracticeCommitteeMember/Author1May20112011INSStandardsofPracticeUpdate目标Discusschangesin2011Standards讨论2011输液治疗护理实践标准的变化Describetheevidence-basedtabledevelopedtosupportpracticecriteriarecommendations描述支持实践标准意见的循证依据Discu
2、ssupdatedchangesinselectINS2011standardsandstudy讨论精选2011标准中的最新变化并学习应用Explainimportanceofclamping,flushingandluer-lockdesignpractices介绍封管夹、冲管、螺口连接实践的重要性2011INSStandardsofPracticeUpdate2TABLEOFCONTENTSCHANGES修改内容的表格MergedStandards整合的标准VascularAccessSitePreparationandDevicePlacemen
3、t血管通路穿刺点的准备和血管通路装置的置换VADSiteCareandDressingChanges血管通路穿刺点的护理和敷料的更换InfiltrationandExtravasation渗出和外渗InfusionRelatedComplicationsSection–newstandardsadded输液相关并发症精选-新标准中增加AirEmbolism气体栓塞CatheterEmbolism导管栓塞Catheter-AssociatedVenousThrombosis导管相关性静脉血栓CentralVADMalposition中心血管通路装置位置不
4、正4EVIDENCETABLE循证列表Newto2011Standards对于2011新标准PracticeCriterionEvidence:实践标准的证据:Rated/Referenced分等级的/参考的Reflectsbodyofevidenceavailableandretrievableattimeofreview反应证据回顾时间内的可用性和可获取性RatingScale:I,IA/P,II-V,Regulatory等级:I,IA/P,II-V,法规的。StandardsNOTrated标准没有分级Expectationsofpractice
5、applicableinallsettings期望实践标准适用于所有机构52011INSStandardsofPracticeUpdate6循证列表I–Meta-analysis,systematicliteraturereview,guidelinebasedonrandomizedcontrolledtrials(RCTs)oratleast3well-designedRCTs.IMeta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–Onewell-designedRCT,severalmulti
6、centerwell-designedclinicaltrialswithoutrandomization,orseveralstudieswithquasi-experimentaldesignsfocusedonthesamequestion/includes2ormorewell-designedlaboratorystudies.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。72011INSStandardsofPracticeUpdate循证列表
7、V–Clinicalarticle/professionalbook/consensusreport,casereport,guidelinebasedonconsensus,descriptivestudy,well-designedQIstudy,theoreticalbasis,recommendationsbyaccreditingbodiesandprofessionalorganizationsormanufacturerrecommendationsforproducts/services.Alsoincludesstandardofpr
8、acticethatisgenerallyacceptedbutdoesnothaveares