The professional nurse in the cell support unit.
نویسندگان
چکیده
These may be of different types but the one used at Groote Schuur Hos pital (figure 1) is the NCI-IBM 2997 model which uses disposable pre sterilised plastic tubing and a sepa ration band (figure 2) which is as sembled, inserted into the machine and all air flushed out with physio logical saline. The machine func tion, integrity of the tubing, and the alarm systems are tested before the subject is started on the procedure. Each cell separator is operated by one full-time professional nurse who never leaves her station at any stage during the procedure. The machine can be used for different purposes including white cell collec tion, known as leucopheresis, plate let harvesting, known as plateletpheresis, plasma exchange or plas mapheresis, and red cell exchange. The different techniques are collec tively known as apheresis. The Cell Support Unit is ideally an integral part of the Department of Haematology, where it fulfils the function of providing white cells and platelets for the leukaemia and transplantation programme, collec tions of haematopoietic stem cells for bone marrow grafting, and a wide range of emergency pro cedures not only for haematology patients but for those in the remain der of the hospital. OPSOMMING ’n Goed-opgeleide verpleegkundige is die sentrale flguur in ’n Selondersteuningseenheid. So ’n eenheid bestaan uit gesofistikeerde bloedsel-afskeiers waarvan elk voltyds deur ’h verpleegkundige beman word. Die apparaat kan gebruik word om witbloedselle (leukopherese), of plaatjies (plaatjiepherese) te versamel. om plasma af te skei (plasmapherese) of vir rooibloedseluitruiling. Gesamentlik staan die verskillende tegnieke bekend as apherese. Die rol van die verpleegkundige tydens apherese val in twee kategorieë. Eerstens moet sy die masjien bedien en enige newe-effekte of komplikasies by die pasiënt onmiddellik herken en dienooreenkomstig optree. Tweedens het sy ’n be langrike rol by die werwing van skenkers. Meeste skenkers word deur andere saamgebring maar dit impliseer dat daar ’n gelukkige atmosfeer in die eenheid moet heers en dat die personeel bekwaam moet wees. Die eise wat in hierdie eenheid vir die veiligheid van skenkers en pasiënte gestel word beklemtoon die rol van die verpleegkundige as ’n gelyke vennoot van die geneesheer in die lewering van moderne gesondheidsorg.
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عنوان ژورنال:
- Curationis
دوره 7 2 شماره
صفحات -
تاریخ انتشار 1984