Objective To design nursing record sheet for day surgery in the Department of Ophthalmology and evaluate its effect through clinical application. Methods The nursing record sheet for day surgery in the Department of Ophthalmology was designed based on the theory of forms and record control, using the method of process analysis and process reengineering and taking into consideration the characteristics of nursing care during day surgery in the Department of Ophthalmology. The adverse event rate in nursing for ophthalmologic surgery and the satisfaction rate of operating room nurses were calculated before and after the application of this record sheet. Results From July to October 2015, the Department of Ophthalmology was involved in 9 cases (7.96%) of adverse events resulting from drawbacks of the nursing record design or mistakes in recording. From November 2015 to February 2016, the Department of Ophthalmology was involved in only 1 case (1.28%) of advense event resulting from defect caused by nuring record sheet; the difference was significant (P < 0.05). From July to October 2015, the satisfaction rate of oph thalmologic nurses before using the nursing record sheet was 54.33%, which was significantly improved to 98.71% from November 2015 to February 2016 after the utilization of the nursing record sheet. Conclusion The nursing record sheet for day surgery in the Department of Ophthalmology has been appropriately designed and is easy to use, which can improve the quality of surgery nursing as well as the satisfaction of operating room nurses.
ObjectiveTo explore the application effect of itinerant strengthening post in ophthalmic day operating room.MethodsIn June 2019 (before the establishment of the itinerant strengthening post) and January 2020 (after the establishment of the itinerant strengthening post), satisfaction of 21 ophthalmic surgeons in the ophthalmic day operation room of the West China Hospital of Sichuan University on intraoperative nursing cooperation, and coping ability scores of operation in key links, satisfaction with scheduling and workload, as well as complaints and accusations received by surgeons of 15 ophthalmological nurses in the ophthalmic day operation room of the West China Hospital of Sichuan University were collected. The total volume of eye day surgeries and the length of the day operating room open in the second half of 2018 and 2019 were retrospectively collected.ResultsAfter the establishment of the itinerant strengthening post, the coping ability score of operation in key links of ophthalmological nurses was improved [(3.28±0.72) vs. (4.67±0.72), P<0.01]. In terms of surgeons’ satisfaction with intraoperative nursing cooperation, with the exception of aseptic operation, the other items were improved (P<0.05). The surgical nurses’ satisfaction with scheduling and workload [(3.30±0.77) vs. (4.47±0.67), P<0.01]; nurses’ complaints and accusations received by surgeons [(3.60±1.18) vs. (2.33±0.82), P<0.01] were improved. The volume of eye day surgery from July to December 2019 increased by 6.58% over the same period in 2018, and the average open time of the operating room increased by 1.88%.ConclusionThe setting up of itinerant strengthening posts in the ophthalmology day operation room is conducive to strengthening the strength and business guidance of the nurses’ key links in the operation room in a timely and effective manner. It can optimize the allocation of human resources in the operating room as much as possible when the existing nursing staff is in short supply, and improve the quality and efficiency of ophthalmic surgery nursing, which is worthy of promotion and application.