Small splint external fixation,due to its advantages of low cost,good breathability,easy adjustability,and sufficient flexibility,has been widely used in clinical practice for fracture patients after manual reduction.Compared to plaster external fixation,small splint fixation is associated with fewer cases of pressure ulcers,but the ulcers still occur clinically.This article analyzes the causes of splint-associated pressure ulcers in fracture patients,and introduced the preventive measures and practice experience of Foshan traumatology and bone-setting practitioners in managing such complications.Their preventive strategies include the gentle and bone-following manipulations of pushing skin and squeezing bone,proper shaping of splints,use of soft cotton padding,appropriate tightness in bandage wrapping,and elevation of the affected limb to promote venous return.For patients suffering pressure ulcers,the external application of traumatic medicated yellow oil gauze combined with medicated yellow water gauze for wet compress has shown efficacy.These approaches provide valuable clinical references for reducing the incidence of splint-related pressure ulcers and for guiding the management of pressure ulcers.

Objective To discuss the application of prospective quality management in quality control of indwelling needle .Methods Twelve wards carried out the nurse grading management and set up prospective quality control management system , which was charged by a three-grading system of responsible nurse-responsible nursing group leader-head nurse .The intravenous indwelling needle was intervened under the consult of the professional guidance .The usage and maintenance of the indwelling needle before and after applying the prospective quality control management system were compared .Results The usage of the indwelling needle was decreased from 53.6%to 31.3%.The difference was significant (χ2 =45.099,P<0.01).The incidence of bad conditions of the maintenance was significantly decreased (P<0.01).Conclusions Every level of nursing staff is responsible for the prospective quality control management system , which can improve the participation of quality control and shorten the management extent .The system is oriented from clinical practical problems , so as to improve the control efficiency , and the usage and maintenance quality has been improved obviously .