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广东省人民政府首页  >  要闻动态  >  广东要闻

广东将探索护士多点执业

来源: 南方日报网络版     时间: 2018年10月21日 09:37:29
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(  又)(到)(“5·12”国)(际)(护)(士)(节)(,昨)(日)(广)(东)(省)(卫)(生)(计)(生)(委)(发)(布)(《广)(东)(省)(持)(续)(改)(善)(护)(理)(服)(务)(重)(点)(工)(作)(方)(案)(》(以)(下)(简)(称)(方)(案)(),继)(放)(开)(医)(生)(多)(点)(执)(业)(后)(,,鼓)(励)(三)(级)(医)(院)(专)(科)(护)(士)(到)(基)(层)(开)(设)(专)(科)(护)(理)(门)(诊)(。
  鼓)(励)(三)(级)(医)(院)(护)(士)(开)(设)(基)(层)(专)(科)(护)(理)(门)(诊)(
  继)(放)(开)(医)(生)(多)(点)(执)(业)(后)(,护)(士)(群)(体)(也)(要)(跟)(上)(了)(。方)(案)(提)(到)(,逐)(步)(实)(行)(区)(域)(内)(护)(士)(执)(业)(注)(册)(,且)(提)(出)(“五)(个)(鼓)(励)(”:鼓)(励)(有)(条)(件)(的)(地)(区)(探)(索)(护)(士)(多)(点)(执)(业)(;鼓)(励)(三)(级)(医)(院)(专)(科)(护)(士)(到)(基)(层)(医)(疗)(卫)(生)(机)(构)(开)(设)(专)(科)(护)(理)(门)(诊)(;鼓)(励)(县)(级)(以)(上)(医)(院)(护)(士)(以)(各)(种)(形)(式)(开)(展)(出)(院)(后)(患)(者)(延)(续)(护)(理)(和)(长)(期)(护)(理)(服)(务)(;鼓)(励)(基)(层)(医)(疗)(卫)(生)(机)(构)(开)(展)(居)(家)(护)(理)(服)(务)(;鼓)(励)(护)(士)(在)(养)(老)(院)(、护)(理)(院)(巡)(诊)(或)(兼)(职)(。
  省)(卫)(计)(委)(医)(政)(处)(副)(处)(长)(彭)(刚)(艺)(称)(,护)(士)(多)(点)(执)(业)(最)(关)(键)(的)(是)(放)(开)(区)(域)(内)(护)(士)(执)(业)(注)(册)(,例)(如)(一)(个)(护)(士)(只)(要)(在)(深)(圳)(的)(合)(法)(医)(疗)(机)(构)(注)(册)(,在)(全)(省)(其)(他)(医)(疗)(机)(构)(执)(业)(不)(需)(要)(再)(进)(行)(变)(更)(,“从)(制)(度)(上)(把)(护)(士)(解)(放)(了)(。放)(开)(注)(册)(,这)(是)(全)(省)(今)(年)(的)(计)(划)(。”
  彭)(刚)(艺)(认)(为)(,如)(果)(一)(个)(护)(士)(一)(周)(上)(36小)(时)(的)(班)(,连)(续)(三)(天)(12个)(小)(时)(完)(成)(工)(作)(,剩)(余)(时)(间)(可)(以)(允)(许)(他)(们)(按)(照)(自)(己)(的)(规)(划)(安)(排)(。“可)(以)(多)(点)(执)(业)(的)(护)(士)(,一)(定)(是)(在)(某)(个)(领)(域)(有)(专)(长)(有)(能)(力)(的)(,现)(在)(看)(来)(从)(事)(老)(年)(护)(理)(、慢)(病)(护)(理)(等)(护)(士)(,更)(有)(可)(能)(率)(先)(走)(到)(社)(区)(或)(开)(展)(居)(家)(护)(理)(。”
  每)(名)(护)(士)(负)(责)(患)(者)(数)(不)(超)(过)(15名)(
  数)(据)(显)(示)(,2014年)(全)(省)(每)(千)(常)(住)(人)(口)(护)(士)(数)(达)(2.14人)(,较)(10年)(前)(翻)(了)(一)(番)(,但)(全)(国)(平)(均)(水)(平)(是)(2.2。别)(小)(看)(这)(点)(差)(距)(,按)(照)(广)(东)(2013年)(底)(常)(住)(人)(口)(10644万)(计)(算)(,要)(弥)(补)(这)(0.06的)(距)(离)(,意)(味)(着)(全)(省)(要)(增)(加)(近)(6400个)(护)(士)(。
  省)(卫)(计)(委)(昨)(日)(发)(布)(的)(方)(案)(明)(确)(,不)(得)(以)(任)(何)(理)(由)(减)(少)(护)(士)(编)(制)(和)(数)(量)(,确)(保)(临)(床)(护)(理)(岗)(位)(护)(士)(占)(全)(院)(护)(士)(比)(例)(不)(低)(于)(95%。普)(通)(病)(房)(实)(际)(床)(护)(比)(根)(据)(床)(位)(数)(、床)(位)(周)(转)(率)(、工)(作)(量)(及)(强)(度)(、难)(度)(、风)(险)(等)(调)(整)(,原)(则)(上)(每)(名)(护)(士)(负)(责)(患)(者)(数)(不)(超)(过)(15名)(。方)(案)(还)(指)(出)(三)(级)(医)(院)(要)(逐)(步)(设)(立)(护)(理)(副)(院)(长)(,分)(管)(医)(院)(护)(理)(工)(作)(,在)(2016年)(底)(前)(,30%的)(三)(级)(医)(院)(、2017年)(底)(前)(50%的)(县)(级)(医)(院)(要)(选)(拔)(优)(秀)(护)(理)(管)(理)(者)(进)(入)(院)(领)(导)(岗)(位)(。
  广)(东)(护)(士)(流)(失)(率)(平)(均)(低)(于)(8%
  社)(会)(地)(位)(低)(、工)(作)(压)(力)(大)(、薪)(酬)(不)(理)(想)(等)(带)(来)(的)(是)(护)(士)(的)(流)(失)(。彭)(刚)(艺)(介)(绍)(,广)(东)(省)(护)(士)(流)(失)(率)(平)(均)(没)(有)(超)(过)(8%,“这)(个)(数)(字)(我)(们)(认)(为)(还)(是)(合)(理)(的)(,没)(有)(像)(其)(他)(省)(份)(个)(别)(医)(院)(那)(样)(爆)(发)(集)(体)(辞)(职)(事)(件)(。”东)(莞)(市)(卫)(计)(局)(负)(责)(人)(提)(供)(的)(数)(据)(也)(显)(示)(,近)(三)(年)(该)(市)(公)(立)(医)(院)(注)(册)(护)(士)(流)(动)(率)(在)(4%-7%,相)(比)(全)(国)(尚)(算)(稳)(定)(。
  不)(过)(基)(层)(护)(士)(流)(动)(性)(不)(容)(乐)(观)(。“很)(多)(护)(理)(人)(员)(往)(往)(在)(基)(层)(干)(了)(几)(年)(,考)(了)(证)(就)(跳)(槽)(到)(大)(医)(院)(。”江)(门)(市)(护)(理)(学)(会)(理)(事)(长)(陈)(玉)(珍)(说)(,目)(前)(基)(层)(医)(院)(的)(护)(理)(人)(员)(待)(遇)(较)(差)(,每)(月)(仅)(一)(两)(千)(元)(,而)(在)(大)(医)(院)(可)(达)(三)(四)(千)(元)(。
  民)(调)(
  近)(一)(成)(受)(访)(护)(士)(称)(曾)(被)(患)(者)(性)(骚)(扰)(
  超)(八)(成)(的)(东)(莞)(护)(士)(曾)(遭)(遇)(过)(患)(者)(打)(骂)(,超)(四)(成)(的)(护)(士)(月)(收)(入)(在)(4000元)(以)(下)(……南)(都)(对)(多)(家)(东)(莞)(市)(属)(医)(院)(护)(士)(群)(体)(进)(行)(了)(实)(体)(问)(卷)(调)(查)(,回)(收)(1136份)(有)(效)(问)(卷)(。其)(中)(,75.88%的)(受)(访)(护)(士)(表)(示)(曾)(遭)(遇)(患)(者)(咒)(骂)(、威)(胁)(、侮)(辱)(等)(语)(言)(暴)(力)(,3.96%曾)(被)(患)(者)(殴)(打)(。另)(外)(,9.86%的)(受)(访)(护)(士)(表)(示)(曾)(被)(患)(者)(性)(骚)(扰)(。
  仅)(14%受)(访)(护)(士)(没)(遇)(过)(患)(者)(暴)(力)(
  日)(前)(深)(圳)(发)(生)(一)(起)(产)(妇)(掌)(掴)(护)(士)(的)(事)(件)(,再)(次)(引)(起)(公)(众)(对)(护)(患)(关)(系)(的)(关)(注)(。2013年)(第)(五)(次)(卫)(生)(服)(务)(调)(查)(结)(果)(显)(示)(,仅)(19%的)(护)(士)(认)(为)(“社)(会)(尊)(重)(护)(士)(职)(业)(”,25.1%的)(护)(士)(调)(查)(前)(半)(年)(内)(曾)(遭)(遇)(过)(患)(者)(辱)(骂)(或)(者)(肢)(体)(暴)(力)(。
  南)(都)(针)(对)(多)(家)(东)(莞)(市)(属)(医)(院)(护)(士)(群)(体)(的)(民)(调)(数)(据)(显)(示)(,仅)(14.08%的)(受)(访)(护)(士)(没)(有)(遭)(遇)(过)(患)(者)(的)(咒)(骂)(、殴)(打)(等)(暴)(力)(行)(为)(,75.88%的)(受)(访)(者)(表)(示)(曾)(遭)(遇)(过)(患)(者)(咒)(骂)(、威)(胁)(、侮)(辱)(等)(语)(言)(暴)(力)(;14.35%曾)(遭)(遇)(患)(者)(的)(推)(拉)(、推)(搡)(;3.96%曾)(遭)(遇)(患)(者)(殴)(打)(。值)(得)(注)(意)(的)(是)(,9.86%的)(受)(访)(护)(士)(表)(示)(曾)(遭)(遇)(过)(患)(者)(的)(性)(骚)(扰)((包)(括)(言)(语)(或)(行)(为)()。
  仅)(三)(成)(受)(访)(护)(士)(认)(为)(医)(院)(同)(工)(同)(酬)(
  在)(接)(受)(南)(都)(调)(查)(的)(1136名)(护)(士)(中)(,82.74%认)(为)(相)(对)(工)(作)(强)(度)(,薪)(酬)(水)(平)(属)(很)(低)(或)(比)(较)(低)(。相)(对)(薪)(酬)(水)(平)(的)(整)(体)(提)(升)(,东)(莞)(的)(护)(士)(更)(希)(望)(早)(日)(实)(现)(“同)(工)(同)(酬)(”。
  数)(据)(交)(叉)(分)(析)(发)(现)(,编)(制)(与)(薪)(酬)(的)(相)(关)(性)(十)(分)(明)(显)(。月)(薪)(“4000~6000元)(”是)(编)(制)(内)(外)(两)(类)(护)(士)(收)(入)(的)(分)(水)(岭)(,6000元)(以)(上)(的)(薪)(酬)(水)(平)(中)(,两)(类)(护)(士)(的)(占)(比)(出)(现)(明)(显)(差)(距)(。编)(制)(内)(护)(士)(有)(23.34%表)(示)(月)(收)(入)(水)(平)(在)(“6000~8000元)(”,编)(制)(外)(这)(一)(选)(项)(仅)(8.96%;编)(制)(内)(护)(士)(有)(11.41%月)(收)(入)(为)(8000~1万)(元)(,编)(制)(外)(仅)(1.05%受)(访)(者)(选)(择)(此)(项)(。
  昨)(日)(省)(卫)(计)(委)(出)(台)(的)(方)(案)(中)(,明)(确)(将)(100%县)(级)(以)(上)(医)(院)(实)(现)(护)(士)(同)(工)(同)(酬)(等)(指)(标)(列)(入)(医)(改)(考)(核)(。
  群)(像)(
  “男)(丁)(格)(尔)(”:不)(拼)(颜)(值)(拼)(细)(心)(
  护)(士)(节)(这)(天)(是)(世)(界)(上)(第)(一)(个)(女)(护)(士)(南)(丁)(格)(尔)(的)(生)(日)(,在)(各)(大)(医)(院)(里)(其)(实)(还)(活)(跃)(着)(一)(批)(“男)(丁)(格)(尔)(”,虽)(然)(护)(士)(里)(的)(男)(性)(比)(例)(才)(2%,但)(随)(着)(社)(会)(接)(受)(度)(不)(断)(提)(高)(,男)(护)(士)(数)(量)(呈)(现)(增)(长)(趋)(势)(,需)(求)(量)(也)(在)(不)(断)(增)(加)(。
  广)(州)(市)(红)(会)(医)(院)(有)(四)(名)(80后)(、90后)(的)(帅)(哥)(级)(护)(士)(冲)(在)(护)(理)(一)(线)(。已)(经)(在)(CCU(心)(脏)(重)(症)(监)(护)(室)()护)(士)(岗)(位)(上)(工)(作)(5年)(的)(卢)(进)(杰)(介)(绍)(,大)(多)(数)(病)(人)(乐)(于)(接)(受)(男)(护)(士)(,而)(且)(时)(间)(一)(长)(,有)(些)(病)(人)(会)(觉)(得)(原)(来)(男)(护)(士)(也)(能)(这)(么)(细)(心)(体)(贴)(。曾)(经)(有)(个)(住)(院)(的)(老)(太)(太)(觉)(得)(他)(工)(作)(时)(挺)(细)(心)(,还)(希)(望)(卢)(进)(杰)(能)(跟)(自)(己)(孙)(女)(交)(往)(,其)(他)(男)(护)(士)(也)(有)(过)(类)(似)(经)(历)(。手)(术)(室)(护)(士)(陈)(金)(龙)(从)(事)(护)(理)(已)(有)(4年)(,填)(高)(考)(志)(愿)(时)(主)(动)(选)(择)(护)(理)(专)(业)(。“我)(觉)(得)(各)(行)(各)(业)(都)(需)(要)(各)(种)(各)(样)(的)(人)(,每)(个)(人)(都)(有)(实)(现)(自)(己)(价)(值)(的)(方)(式)(。”
  陈)(金)(龙)(认)(为)(所)(谓)(“三)(分)(医)(疗)(,七)(分)(护)(理)(”,自)(己)(的)(工)(作)(不)(仅)(仅)(是)(打)(针)(、统)(计)(数)(据)(,观)(察)(病)(情)(、应)(对)(各)(种)(突)(发)(事)(件)(往)(往)(都)(是)(护)(士)(在)(做)(。“江)(门)(市)(中)(心)(医)(院)(的)(男)(护)(士)(黎)(文)(灿)(干)(了)(两)(年)(多)(的)(护)(理)(工)(作)(,他)(认)(为)(和)(女)(同)(事)(相)(比)(,男)(性)(有)(时)(思)(路)(更)(清)(晰)(、胆)(量)(更)(大)(,医)(院)(里)(的)(男)(护)(士)(也)(成)(为)(精)(神)(科)(、急)(诊)(科)(、手)(术)(室)(等)(科)(室)(重)(要)(力)(量)(,每)(次)(若)(碰)(到)(搬)(运)(病)(人)(等)(体)(力)(活)(儿)(,女)(同)(事)(都)(会)(过)(来)(求)(助)(。
  而)(在)(深)(圳)(儿)(童)(医)(院)(,用)(呼)(吸)(二)(科)(护)(士)(长)(李)(雨)(铮)(的)(话)(说)(,想)(要)(一)(个)(男)(护)(士)(得)(靠)(真)(刀)(真)(枪)(硬)(抢)(,每)(年)(几)(个)(男)(新)(人)(刚)(报)(到)(立)(刻)(就)(被)(急)(诊)(科)(、PICU(儿)(科)(重)(症)(监)(护)(病)(房)()瓜)(分)(掉)(。28岁)(的)(张)(志)(强)(是)(医)(院)(急)(诊)(科)(的)(一)(哥)(,也)(是)(护)(士)(姐)(姐)(们)(眼)(里)(的)(“小)(鲜)(肉)(”,虽)(然)(被)(喊)(作)(小)(强)(,其)(实)(他)(已)(经)(工)(作)(了)(八)(年)(。别)(看)(长)(得)(五)(大)(三)(粗)(,但)(小)(强)(心)(思)(细)(腻)(。科)(室)(护)(士)(长)(曾)(细)(秋)(说)(,小)(强)(扎)(针)(都)(是)(一)(针)(搞)(定)(,多)(细)(小)(的)(血)(管)(总)(能)(被)(他)(找)(到)(。
  同)(样)(是)(急)(诊)(科)(男)(护)(士)(的)(张)(信)(达)(,每)(天)(的)(工)(作)(是)(用)(最)(快)(的)(速)(度)(将)(患)(儿)(从)(急)(救)(车)(上)(搬)(下)(来)(,然)(后)(又)(以)(最)(快)(速)(度)(转)(送)(到)(医)(生)(手)(里)(。急)(诊)(室)(是)(大)(家)(都)(不)(愿)(意)(久)(呆)(的)(脏)(活)(累)(活)(集)(中)(区)(,可)(张)(信)(达)(一)(干)(就)(是)(四)(年)(。 深)(圳)(东)(莞)(江)(门)(地)(区)(读)(者)(详)(见)(AⅡ叠)(
  统)(筹)(:冯)(巧)(阳)(广)(霞)(
  采)(写)(:南)(都)(记)(者)(阳)(广)(霞)(肖)(佩)(佩)(王)(道)(斌)(熊)(晓)(艳)(文)(婷)(实)(习)(生)(郑)(兴)(皮)(子)(凡)(通)(讯)(员)(粤)(卫)(信)(胡)(颖)(仪)(
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