What Does a Long-Term Care Nurse Do?

Nursing Home

Nursing homes refer to medical staff. To a certain extent, nursing homes provide medical care for long-term bedridden patients, patients with advanced palliative care, patients with chronic diseases, elderly people who cannot live on their own, and other patients who need long-term care services. Medical institutions providing services such as rehabilitation promotion and hospice care. Provide basic care, specialized care, long-term bedridden elderly patients, disabled people, terminally ill patients, terminally ill and other elderly patients who need medical care, supportive care, palliative care, peaceful care, disinfection and isolation technology guidance, community aged care, Medical services for nutrition guidance, psychological counseling, health education and other elderly medical care services.

The concept of aged care services dates back to the United Kingdom in the late 1960s. The old-age care services were originally relative to hospitals. People referred to nursing homes as nursing homes, and also called rest homes or

According to the "Regulations on the Management of Medical Institutions", nursing homes are medical institutions and cannot be attributed to elderly care institutions. They generally serve the elderly. Nursing homes are a combination of disease prevention, treatment and care, and hospice care. Designed for the elderly without care. It is different from ordinary social pension institutions and different from ordinary hospitals. It can not only provide daily health care, rehabilitation treatment, life care, fitness and entertainment for the elderly, but also provide medical assistance and end-of-life services at any time. care. Nursing homes are a combination of medical care and old-age care, a combination of health and civil affairs, and a continuation and supplement of hospitals. Its combination of medical care and support gives family members a sense of peace of mind and the elderly have a sense of security.

According to the document No. 21 (2011) of the Ministry of Health, "Basic Standards for Nursing Homes (2011 Edition)"

Nursing Home Beds

The total number of hospital beds is more than 50.

Nursing home department setting

(1) Clinical department: at least internal medicine department, rehabilitation medicine department and hospice care department.

Each clinical department should divide a number of wards according to the actual conditions such as the disease and self-care ability of the recipient. The ward includes a ward, a nurse station, a treatment room, a treatment room, and a rehabilitation treatment room if necessary. Hospice care units should be added to the hospice department.

(2) Medical technology department: at least pharmacy department, inspection department, radiology department, nutrition department and disinfection supply room.

(3) Functional Departments: At least medical quality management department, nursing department, hospital infection management department, equipment department, medical record (statistics) room, and information department shall be set up.

Nursing Home Staff

(1) There should be at least one physician with a professional technical title of associate chief physician or more, and at least three physicians with more than five years of work experience.

In addition to full-time physicians in accordance with the above requirements, part-time physicians can also be provided according to work needs. At least full-time or part-time physicians in neurology, cardiovascular medicine, respiratory medicine, oncology, geriatrics, etc. are responsible for regularly visiting patients and handling medical problems. For every 10 additional beds, at least one full-time or part-time physician is added.

(2) Each bed should be equipped with at least 0.8 nursing staff, of which the ratio of registered nurses to nursing staff is 1: 2-2.5.

(3) Every 10 beds or each ward shall be equipped with at least one nurse who is qualified to take charge of professional and technical positions in charge of a nurse or nurse. There is one head nurse in each ward.

(4) Medical and technical personnel such as pharmacists, technicians, clinical nutritionists, and rehabilitation therapists shall be provided in accordance with the diagnosis and treatment business.

Nursing home

(1) The overall design of the nursing home shall meet the requirements of barrier-free design.

(2) The net usable area of each bed in the ward is not less than 5 square meters, and the spacing between each bed is not less than 1 meter. Each room is suitable for 2-4 people.

(3) Each ward shall be provided with clothing storage space, and an accessible toilet shall be provided. The floor of the toilet shall meet the requirements of easy cleaning, imperviousness and non-slip.

(4) Separate bathrooms, equipped with bath facilities that meet the requirements of anti-slip, and facilities for moving patients, and other effective safety protection measures.

(5) There are areas for rehabilitation and indoor and outdoor activities, and they shall meet the requirements of barrier-free design. Handrails should be provided on both sides of the patient's area of activity and the corridor, and the door should be accessible to wheelchairs; rooms for radiation, inspection and functional examination, and rooms for physiotherapy should be provided with barrier-free access.

(6) The main building houses should not exceed 4 floors. Buildings that require elevators should be provided with at least one barrier-free elevator.

(7) There is a morgue.

Nursing Home Equipment

(1) Basic equipment: at least equipped with a calling device, an oxygen device, a ventilator, an electric suction device or a sputum suction device, an air bed or a mattress with the function of preventing pressure ulcers, a treatment vehicle, a morning and evening nursing vehicle, a medical record vehicle, and medicine Cabinet, ECG machine, X-ray machine, B-ultrasound, hematuria analyzer, biochemical analyzer, incubator, disinfection supply equipment, refrigerator, washing machine, normal water and hot water purification filtration system.

Clinical inspection, disinfection supply and related service contracts are signed with other legal institutions, and services provided by other institutions may not be equipped with inspection and disinfection supply equipment.

(2) Emergency equipment: at least equipped with a cardiac defibrillator, an ECG monitor, an intubation device, a respirator, an oxygen supply device, and a rescue vehicle.

(3) Professional equipment for rehabilitation therapy: At least equipment for sports therapy, physical therapy and occupational therapy adapted to the rehabilitation needs of the recipients.

(4) Informatization equipment: Automatic office equipment is deployed in the inpatient department, information department and other departments to ensure the statistics and reporting of nursing home information.

(5) Basic equipment for each bed unit in the ward: It should be the same as that in the general hospital of the second level, and the bed should be provided with a bed stop.

(6) Others: There should be other equipment corresponding to the diagnosis and treatment business.