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1、加强您对中长期静脉保护的远期愿景:-系统了解并管理中长期静脉治疗 上海市护理学会与巴德医疗科技(上海)有限公司合作框架草案Enhance your long-term vision for medium to long-term venous protection:-Systematic knowledge and management of medium to long-term intravenous therapyThe draft of Cooperative framework between Shanghai Nursing Association andBard Healthca

2、re Science (Shanghai) Co., Ltd背景:Background随着临床护理学科的发展,安全、有效、可靠的中长期静脉治疗途径越来越受到各医院临床工作者的高度重视。经过多年的技术推广,Picc的应用已在国内大中城市的大型综合医院具备了一定的技术基础,但规范的Picc的理论培训及操作流程的执行始终是各大医院为之困扰的问题。为了满足临床护理操作人员呼声日增的操作资格认证需求,也为了规范包括Picc技术在内的中长期静脉治疗,提高护理工作者在Picc置管过程中的穿刺成功率及在使用中心静脉输液器材过程中出现的临床问题的解决能力,迫切需要由行业专业协会牵头建立系统、科学、严谨的中长期静

3、脉治疗的标准化培训体系,加深临床应用者对这一治疗途径的认识和远期规划。As the development of clinical nursing subject, a medium to long-term intravenous therapy which is safe, effective and reliable is drawing more and more attention of the clinicians in various hospitals. After years of technology popularization, the technological ba

4、se for application of Picc (Peripherally Inserted Central Catheter) has been built in the large-scale general hospitals of large and medium-sized cities of the country. However, the standardized academic training of Picc and the execution of operation procedure are always the trouble for each large-

5、scale hospital. In order to meet the increasing demand of the clinical nursing operating staff for the authentication of operation qualifications, and with the purpose of standardizing the medium to long-term intravenous therapies including Picc technique and increasing the success ratio of puncture

6、 in the process of Picc tubing and the abilities to solve the clinical problems in using central intravenous transfusion equipment for the clinicians, there is an urgent need for the industry professional association to lead the establishment of a standardized training system of medium to long-term

7、intravenous therapy which is systematic, scientific and strict, so as to strengthen the clinicians understanding and long term planning for this therapy.走过85年历程的上海市护理学会秉承繁荣护理事业、出人才、出成果的宗旨积极开展国内外学术交流、组织重点专业课题的探讨,大力普及推广护理科技知识并开展对会员的继续教育,举办各种培训班、讲习班或进修班,努力提高会员的学术水平。因此,在中长期静脉治疗的专业领域,希望由上海市护理学会充分发挥开展学术交流

8、的主渠道作用,充分发挥科普工作的主力军作用,充分发挥国际民间科技交流主要代表的作用,率领其组织和团队组建高水平的标准化培训体系并建立有资质的教育基地和培训教师队伍,造福广大病患。With a history of 85 years, Shanghai Nursing Associationalways holds the principle of booming the nursing cause, cultivating talents and seeking achievements, and actively participates the academic exchange at h

9、ome and abroad and organize the discussions on key professional subjects; it is committed to popularize the technical knowledge of nursing and carries out continuing education for its members by holding various training classes, tutorial classes and classes for advanced studies, so as to improve the

10、 academic level of its members with each effort. Therefore, in the professional field of medium to long-term intravenous therapy, Shanghai Nursing Association is expected to fully play a role of main channel for academic exchange, a role of main force for pauperization of science, and a role of main

11、 representative for international non-governmental exchange, and it is also expected to lead its organization and team to establish a standardized training system of high level, and found a qualified education base and train teaching staff to bring benefits to the patients.巴德血管通道产品部(BAS)作为全球最大的血管通道技

12、术的领导者,产品线涵盖Picc,植入式输液港(Port)和短期,长期血透产品。自1997年以来,BAS在中国成功地搭建了三向瓣膜式Picc技术的国际、国内交流平台,推广主动静脉疗法的理念并进行广泛的专业教育。2010年4月,巴德中国医学科学中心在上海成立, 这将对巴德推动中国医学专业教育及培训领域的发展和合作起到更加重要的作用。Bard vascular channels products department (BAS) is the biggest producer and the leader of vascular channels technology in the world, a

13、nd its production line covers Picc, implanted port and short term and chronic hemodialysis products. Since 1997, BAS has successfully built an international and domestic exchange platform of three-way valve Picc technique in China, so as to promote the concept of aorta and vena cave therapy and prov

14、ide extensive professional education. In April 2010, Bard China Healthcare Science Centerwas founded in Shanghai, which will play a more important role for Bard to push forward Chinas medical professional education as well as the development and cooperation of training field. 相信通过双方的强强联手,一定能实现在中长期静脉

15、治疗领域的标杆培训体系,打造得到国际、国内认可的教育基地和师资队伍。It is believed that with the win-win cooperation of both parities, can definitely realize the benchmark training system in the field of medium to long-term intravenous therapy, and create education base and teaching staff which are recognized at home and broad.上海瑞金医

16、院自 2004年开展“三向瓣膜Picc操作”以来,已在该领域取得了很大的成绩,对于临床长期静脉输液治疗,血管通道器材的选择,Picc临床教育及管理等方面也都有着较为系统和深入的研究,并于2009年率先出版了静脉输液指南一书,填补了静脉治疗规范操作流程的护理空白,在全国影响面甚大。瑞金医院完全可以成为一个影响华东乃至全国的标杆性教育基地,将中长期静脉治疗的管理理念推动到全国各地。Shanghai Ruijin Hospital has obtained great achievements since it started “three-way valve Picc operation” in

17、2004, and also has made systematic and in depth study on clinical chronic transfusion therapy, the choosing of vascular channels equipment and Picc clinical education as well as the management, etc, and it took the lead in publishing the book of Guidance for Intravenous transfusions in 2009, which f

18、illed the gap for standardized operation procedure of intravenous therapy and left enormous influence in the country. Ruijin Hospital is qualified to be a benchmark education base that affects East China even the whole country, to promote the management concept of medium to long-term intravenous the

19、rapy all over the country.目标:Objectives1、 通过充分利用上海市护理学会和巴德医疗科技(上海)有限公司的各类资源,包括在中长期静脉治疗领域的国内、国际专家及各种专科培训经验,巴德中国医学科学中心,上海市护理学会所辖合作教学医院等,以持续提高项目质量,逐渐建立起金字塔形的教学培训体系。By making the utmost of various resources of Shanghai Nursing Association and Bard Healthcare Science (Shanghai) Co., Ltd, including the do

20、mestic and international experts in the field of medium to long-term intravenous therapy and all kinds of specialist training experiences, Bard China Healthcare Science Centerand the cooperative teaching hospitals governed by Shanghai Nursing Association make continuous improvement of the project qu

21、ality and gradually build a pyramid teaching and training system. 2、 双方应尽其所能帮助参与培训人员将所学技术和理念应用于临床操作和管理的方方面面,使病人受益。Each party should spare no efforts to assist the personnel who join the training to apply the learned techniques and concepts to all rounds of clinical operation and management, and brin

22、g benefits to the patients.3、 通过战略伙伴合作提高双方的影响力、专业形象和知名度。Enhance the power of influence, professional image and popularity of both parties through strategic partnership.任务:Tasks1. 双方核心人员进行定期会晤,制定年度合作项目计划,并跟进计划的落实、执行以及项目完成后的反馈、改进。The core personnel of both parties should hold regular meetings to formu

23、late annual cooperative projects plan, and follow up the implementation and execution of the plan as well as the feedbacks and improvements after the completion of the projects.2. 由上海市护理学会根据学术发展的现状指派并领导若干中长期静脉治疗的教学示范基地,选聘基地主要负责人和培训师。Shanghai Nursing Association is responsible for appointing and lead

24、ing several teaching bases of medium to long-term intravenous therapy and choosing the main responsible person and the trainers in accordance with the status quo of the academic development.3. 由上海市护理学会根据各教学中心的专长,开发和建立相应的分级培训课程并在巴德医疗科技(上海)有限公司的协助下予以实施,使培训规范化,等级化,流程化。Shanghai Nursing Association shoul

25、d develop and establish the relevant graded training courses according to the expertise of each teaching center, and take implementation with the assistance of Bard Healthcare Science (Shanghai) Co., Ltd, so as to make the training more standard, graded and streamlined.4. 积极参加并协助中华护理学会“静脉输液学组”开展有关的学

26、术活动,进一步规范包括 Picc、输液港(Port) 在内的长期输液通道护理标准指南。Actively participate and assist the “Intravenous Transfusion Study Group” of China Nursing Association to launch relevant academic activities, so as to further standardize the standard guide to chronic transfusion channels nursing including Picc and transfu

27、sion port.5. 定期进行普及和宣传活动,利用医疗咨询及各类媒体对需长期输液患者进行宣传教育工作。Hold regular popularization and publicity activities, and provide publicity and education to the patients who need chronic transfusion through medical consulting and various mediums.合作培训课程体系示例:Example of cooperative training course system一、 基础课程;由

28、3-4家区域性教学基地主要担当Fundamental course;mainly undertaken by 3 to 4 regional teaching basesl 时间:2-3天Time: 2-3 daysl 课程设置:Course setting upA. Picc的运用发展历史The development history of Picc application.B. Picc的运用理念及血管通道优选方案The concept of Picc application and the preferred plan of vascular channelsC. Picc的标准化操作T

29、he standardized operation of PiccD. Picc的标准化维The standardized maintenance of PiccE. Picc的理论考核The theory assessment of PiccF. Picc的操作考核The operation assessment of Picc二、 中级课程;由2-3家区域性教学基地主要担当 Intermediate courses; mainly undertaken by 2 to 3 regional teaching basesl 时间:1-2天 Time: 1-2 daysl 课程设置:Cours

30、e setting upA. Picc的并发症监控及处理The monitoring of Piccs complication and the treatment B. Picc的感染控制The control of Picc infectionC. Picc的病人可行性健康宣教The patients feasibility health publicity and education of Picc D. Picc的病区护士教育及管理The education and management to the nurses in inpatient area of PiccE. Picc跨科转

31、院的注意要点Attentions in cross division and hospital transferring of Picc三、 高级课程;由1-2家区域性教学基地主要担当Advanced courses; mainly undertaken by 1 to 2 regional teaching basesl 时间:1-2天 Time: 1-2 daysl 课程设置:Course setting upA. 改良型的赛定格技术(MXT)运用Application of improved Seldinger technique (MXT)B. 血管超声导引系统 Ultrasound

32、guiding system of blood vesselC. MXT+血管超声定位穿刺PiccMXT+Ultrasound guided venipuncture Picc of blood vessel四、 高峰论坛 Submit foruml 时间;每年一次Time; once a yearl 对象:全国各大护理部主任,国内外顶尖静脉专科护士,Participants: heads of large nursing departments of the country and the top specialized vein nurses at home and abroad.l 交流

33、内容; Content of exchangeA. Picc 的管理 The management of PiccB. Picc门诊建立 The establishment of Picc clinicC. Picc的感染控制 The control of Picc infectionD. 超声定位穿刺Picc的个案DV交流,统一制定超声定位流程DV exchange of individual case of Ultrasound guided venipuncture Picc; formulate a unified ultrasound guiding procedureE. Picc

34、穿刺人员的准入及考核统一 Admission and appraisal standard of Picc venepuncture staffF. Picc的权威证书制定发放规范The formulation and issuing criterion of Picc authoritative certificatesG. 高级静疗护士的培养 The cultivation of advanced intravenous therapy nurses五、 人员培养方案示例:Example of staff development planl 全能的Picc专家培养步骤 The develo

35、pment steps of almighty Picc expertsA.第一阶段:单腔规范置管+标准维护+思乐扣固定技巧+简单的并发症处理+血管评估+病人宣教The first phase: single cavity standard tubing + standard maintenance + fixing skills of Bard fixing apparatus + treatment of simple complication + vascular assessment + publicity and education among patientsB.第二阶段:单腔,双

36、腔规范置管+单腔,双腔标准维护+思乐扣固定技巧+复杂的并发症处理+血管评估+病人宣教+MST技术The second phase: single and double cavity standard tube indwelling + single cavity and double cavity standard maintenance + fixing skills of Bard fixing apparatus + treatment of complicated complication + vascular assessment + publicity and education

37、among patients + MST techniqueC.第三阶段:超声导引下各种导管的植入:单腔+双腔+MST+SR5+思乐扣The third phase: the indwelling of various tubes under the guide of ultrasound: single cavity + double cavity + SR5 + Bard fixing apparatus l 客户分类:初级,中级,高级(全能Picc专家)Customer classification: primary, intermediate, advanced (almighty P

38、icc experts)l 证书:初级,中级,高级培训认证资格证书,每个级别可以罗列达到的技术能力。由上海市护理学会颁步。Certificates: primary, intermediate and advanced training qualification certificates; achieved technical skills can be listed for each level. The certificates will be issued by Shanghai Nursing Association.巴德医疗科技(上海)有限公司负责:The duty of Bard

39、 Healthcare Science (Shanghai) Co., Ltd:1. 巴德医疗科技(上海)有限公司将提供专业教育基金以支持包括教师津贴在内的教学基地建设。具体费用结构另行讨论。Bard Healthcare Science (Shanghai) Co., Ltd will provide specialized education fund to support the establishment of teaching bases including the teacher allowance. The specific cost structure will be othe

40、rwise discussed.2. 巴德中国医学科学中心作为上海市护理学会在中长期静脉治疗专业领域的常设教学演讲基地,将提供场地、血管通道新产品和教学样品。涉及到模拟训练时,巴德负责提供设备齐全的模拟实验室和/或实况转播进行操作演练。As the permanent teaching and lecturing base of Shanghai Nursing Association in the specialized field of medium to long-term intravenous therapy, Bard China Healthcare Science Center

41、will provide the field, new products of vascular channels and the teaching samples. If a simulated rehearsal is involved, Bard will be responsible for providing full equipped simulation laboratory and/or live broadcast for practical activities.3. 上海市护理学会所辖合作教学中心进行年度计划的项目培训时,由巴德医疗科技(上海)有限公司协助组织和邀请招募各

42、大医院学员并提供经费支持课程教材,操作样品等相关资料。When the cooperative teaching centers governed by Shanghai Nursing Association hold the project training of annual plan, Bard Healthcare Science (Shanghai) Co., Ltd will provide assistance in organizing, recruiting and inviting the students from various large-scale hospita

43、ls and provides funding to support the course teaching materials, operation samples and other relevant materials.4. 由巴德医疗科技(上海)有限公司提供经费协助上海市护理学会所辖合作教学医院的Picc门诊进行患者的健康教育沙龙,免费提供患者维护手册,患者跟踪维护卡,居家的注意事项单页,提供经费协助医院拍摄置管病人居家健康教育录像。Bard Healthcare Science (Shanghai) Co., Ltd will provide funds to assist the

44、Picc clinics of the cooperative teaching hospitals governed by Shanghai Nursing Association to hold health education salon for the patients, to distribute patients maintenance manual, patients following maintenance cards and sheets of household considerations free of charge, and provide funds to hel

45、p the hospitals shoot videos of household health education for the patients who received tubing.5. 巴德医疗科技(上海)有限公司将邀请海外专业人员到国内进行学术交流,协助组织高峰论坛,协助搭建与欧美的行业交流平台,并合作建立国际标准的培训认证资格。Bard Healthcare Science (Shanghai) Co., Ltd will invite the overseas professionals to give academic exchanges at home, provide

46、assistance in organizing submit forums and establishing industry exchange platform with Europe and America, and jointly set up the training authentication qualification of international standards.6. 巴德医疗科技(上海)有限公司提供上海市护理学会的主要教学中心瑞金医院超声样机1年作为开展教学培训的辅助设施。Bard Healthcare Science (Shanghai) Co., Ltd wil

47、l provide the ultrasound model machine to Ruijin Hospital which is the main teaching center of Shanghai Nursing Association for a period of one year as the auxiliary facility of teaching trainings.上海市护理学会负责:The duty of Shanghai Nursing Association 1. 指派至少5名中长期静脉治疗方面的专家,构建专业学组的团队,制定年度专业培训项目计划。Appoint

48、 as least 5 specialists of medium to long-term intravenous therapy to establish a team of specialized study groups, and formulate the annual project plans of specialized training.2. 由上海市护理学会牵头指派若干家合作教学医院,建立上海静脉治疗标准化指南的实施培训中心。指定相关的中心领导人,主要培训教师。Shanghai Nursing Association takes the lead to assign sev

49、eral cooperative teaching hospitals and establish implementation training center of Shanghai intravenous therapy standardization guide. Appoint the heads of relevant centers, and mainly give training to the teachers.3. 开发不同教学中心的课程内容,形成中长期静脉治疗管理的分级课程体系,开创流程化,等级制的静脉治疗专业护士培训系统并建立标准化的认证考核资格。Develop the course content of various teaching centers, and create graded course system of medium to long-term intravenous therapy management; set up a streamlined and graded specialized nurse training system of intravenous therapy, and establish

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