Hoʻohana o nā kaohi
ʻO nā kaohi ʻana i kahi hoʻonohonoho olakino nā hāmeʻa e kaupalena i ka neʻe ʻana o ka mea maʻi. Hiki i nā kapu ke kōkua i ka mālama ʻana i ke kanaka mai ka ʻeha ʻana a i ʻole ka hana ʻino ʻana i kekahi poʻe ʻē aʻe, me kā lākou mea mālama. Hoʻohana ʻia lākou ma ke ʻano he hope loa.
Nui a hewahewa nā ʻano kaohi. Hiki iā lākou ke hoʻopili:
- Nā kāʻei, nā kapa komo, nā lākeke, a me nā mitts no nā lima o ka mea maʻi
- Nā hāmeʻa e pale i ka hiki i nā poʻe ke neʻe i ko lākou kuʻe lima, nā kuli, nā pūlima, a me nā kuʻekuʻe wāwae
Nā ala ʻē aʻe e kaohi ai i ka mea maʻi me:
- Mālama kahi mea mālama i kahi mea maʻi i kahi ala e kaohi ai i ka neʻe o ke kanaka
- Hāʻawi ʻia nā mea maʻi i nā lāʻau e kūʻē i kā lākou makemake e kaohi i kā lākou neʻe
- Ke hoʻonoho nei i kahi mea maʻi ma kahi lumi wale nō, kahi e noa ai ke kanaka e haʻalele
Hiki ke hoʻohana ʻia nā kapuahi e mālama i kahi kanaka i ke kūlana kūpono a pale i ka neʻe ʻana a i ʻole ke hāʻule ʻana i ka wā o ke ʻoki a i ʻole ma ke kau.
Hiki nō ke hoʻohana i nā kapu e kāohi a pale ai i ka hana ʻino.
I kekahi manawa pono i nā mea maʻi haukapila nā huikau e kaohi i hiki ʻole iā lākou:
- ʻAtchpala i ko lākou ʻili
- Wehe i nā catheters a me nā paipu e hāʻawi iā lākou i ka lāʻau a me nā wai
- E hele i waho o kahi moe, hāʻule, a hōʻeha iā lākou iho
- Hanaʻino i nā poʻe ʻē aʻe
ʻAʻole pono nā mea kapu i ka hōʻino a i ʻole hoʻohana ʻia i hoʻopaʻi. Pono nā mea mālama ola e hoʻāʻo mua i nā ʻano ʻē aʻe e kāohi i ka mea maʻi a hōʻoia i ka palekana. Pono e hoʻohana i nā kaohi ʻana ma ke ʻano he koho hope loa.
Hiki i nā mea mālama i ka haukapila ke hoʻohana i nā kaohi i nā wā pōpilikia a i ʻole inā pono lākou no ka mālama olakino. Ke hoʻohana ʻia nā kaohi, pono lākou:
- E palena wale i nā neʻe e hiki ai ke hōʻeha i ka mea maʻi a kahu paha
- Wehe ʻia i ka wā e palekana ai ka mea maʻi a me ka mea mālama
ʻO kahi kahu hānai nāna ka hoʻomaʻamaʻa kūikawā i ka hoʻohana ʻana i nā kaohi hiki ke hoʻomaka e hoʻohana iā lākou. Pono e haʻi ʻia i kahi kauka a i ʻole kahi mea lawelawe ʻē aʻe ke hoʻohana ʻia nei nā kaohi. Pono ke kauka a mea lawelawe ʻē aʻe paha e kau inoa i kahi palapala e ʻae ai i ka hoʻohana mau ʻana o nā kaohi.
ʻO nā mea maʻi i kāohi ʻia e pono i ka mālama kūikawā e ʻike pono ai:
- Hiki ke neʻe i kahi ʻōpū a i ʻole ka mimiki ke pono lākou, e hoʻohana ana i kahi moena a i ʻole ka lua
- E hoʻomaʻemaʻe ʻia
- E kiʻi i ka meaʻai a me nā wai e pono ai
- ʻOluʻolu e like me ka hiki
- Mai hōʻeha iā lākou iho
ʻO nā mea maʻi i kāohi ʻia e pono pū kekahi e nānā i ko lākou kahe o ke koko e ʻike pono ʻaʻole e ʻoki nā kaohi i ko lākou kahe o ke koko. Pono lākou e nānā pono ʻia i mea e hiki ai ke hemo i nā mea paʻa ke palekana ke kūlana.
Inā ʻoluʻolu ʻole ʻoe i ke kaohi ʻia ʻana o kahi mea aloha, e kamaʻilio pū me kekahi o ka hui kauka.
Hoʻonohonoho ʻia ka hoʻohana ʻana kapu e nā hui aupuni a me nā mokuʻāina. Inā makemake ʻoe e ʻike hou aʻe e pili ana i nā kaohi, hoʻokaʻaʻike i ke Komisina Hui ma www.jointcommission.org. Mālama kēia ʻoihana i ka holo ʻana o nā haukapila i ʻAmelika Hui Pū ʻIa.
Koʻo i nā hāmeʻa
Heiner JD, Moore GP. ʻO ka mea hoʻomanawanui a paʻakikī hoʻi. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 189.
ʻO ka pūnaewele Joint Commission. ʻO ka manual accreditation ākea no nā haukapila. www.jointcommission.org/accreditation/hospitals.aspx. Loaʻa iā Kēkēmapa 5, 2019.
Kowalski JM. Kāohi kino a me kemika. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 69.
Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M. Kino palekana kaiapuni kanaka a me nā kaohi. I: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, eds. Nā mākau hanai maʻi lapaʻau: Nā Pono i nā Manaʻo Pale. 9th ed. Nu Ioka, NY: Pearson; 2017: chap 7.
- Maluhia o ka hoʻomanawanui