기관내관 소독방법 개선에 따른 간호업무 시간단축 및 비용 절감 효과 = Saving Effects Cost and Time in Nursing through Improving Sterilization Method of Inner Cannula

다국어 초록 (Multilingual Abstract)

Background: The purposeof innercannula is to protect the upperair wayand permitair to pass freely, in addition, to provideendotrachealsuction, artificial respiration and to maintain adequate oxygensaturation. The tubeneeds to be sterilizedformaintenanceand cleannessof air wayand forprevention of bronchospasm. However, it has been reportedthat there is no guideline forsterilization and manyhospitalsconducttheirown sterilization methods, forexample, oncea day(13's generalhospital), three timesa day(TheCatholic University of Korea STMary's hospital) or evenno cleansing. Consequently, the QI team of our hospitalsuggested the SOP(standard operatingprocedure) of sterilization and evaluate cost and timeeffect in nursing.
Method: 1) Benchmarking of 13's neurosurgery departmentof generalhospital in Seoul
2) Investigation of test recordsof sputumculture from patientswith intubation for tracheotomy
3) Checkof resultsof 02 Sat. monitoring to confirm of maintainingopenedair way
Result : 1) Improvement of process: decrease of excess sterilization of inner cannula (from 3 timesa day to oncea day)
2) Costeffects: saving over10 million wonper oneyear
3) Providing better nursing: time effects (30 mina day) permit to conductmorenursing activities
Conclusion: Itcan get Costand timeeffectsin nursing withimproved sterilization methodof innercannula It needs to do researchon improvement of the monthly exchangeprotocol of outercannula and providesupportingdata forthe properexchangeschedule. The resultof additionalmicroorganism detection frompatients withnewprocessneeds to be evaluated furthermore.