Section 1 Overview of Medical Disputes
First, the diversity of dispute forms.
Second, the dispute covers a wide range.
Third, the diversity of rights protection means.
Fourth, the difficulty of legal supervision.
Section 2 nursing disputes
First, the concept of nursing disputes
Second, the characteristics of nursing disputes
Section 3 Nursing accidents
First, the concept of nursing accidents
Second, the characteristics of nursing accidents
Third, the composition of nursing accidents
The second chapter summarizes the legal risks in nursing practice.
Section 1 Overview of Nursing Risks
First, nursing risk and related concepts
Second, the characteristics of nursing risks
Section 2 Nursing Risk Management System
First, the concept of nursing risk management system
Second, the organizational system of nursing risk management
Third, the procedure of nursing risk management
Section III Nursing Risk Assessment
First, nursing risk management
Second, the causes of nursing risks
Third, the correct assessment of nursing risks
Chapter III Legal System of Nursing Practice Risk
Section 1 Overview
Section 2 Relevant laws and regulations
I. Laws enacted by the National People's Congress and its Standing Committee
Two. Administrative regulations formulated by the State Council.
Three. Departmental regulations formulated by the Ministry of Health
Four, the Ministry of health, Chinese Medical Association, Chinese Nursing Association to develop technical specifications.
In the third quarter, the legal system of nursing risk is stipulated in the Regulations on Handling Medical Accidents
The first is the system of practicing medicine according to law
Second, the medical notification system
Third, the system of reducing medical malpractice damage.
Four, medical accident prevention and treatment plan system
Verb (abbreviation of verb) adverse event reporting system
Six, evidence preservation system
The fourth chapter nursing practice risk rules and regulations
Section 1 Overview
The second quarter nursing succession system
I. Overview
Second, the nursing succession system
Section 3 Inspection System
I. Overview
Second, the doctor's advice check system
Third, the clinical drug inspection system
Four, blood transfusion inspection system
V. Operation inspection system
The fourth quarter to implement the doctor's advice system
Section 5 Rescue System
I. Overview
Second, the rescue system
Section 6 Department of drugs, equipment storage and use system
I. Overview
Second, the ward drug management system
Three, equipment and instrument management system
Section 7 Nursing consultation system
I. Stage 5E
Second, the nursing consultation system
Section 8 Ward Safety System
I. Overview
Second, the ward safety system
Third, the emergency handling system
Chapter V Notice of Nursing Practice
Section 1 Concept, characteristics, classification and significance of nursing notification
First, the concept of nursing notification
Second, the characteristics of nursing notice
Third, the classification of nursing notice
Fourth, the significance of nursing notification
Section 2 Related disciplines involved in nursing notification
First, nursing ethics
Second, nursing psychology
Section III Contents of Nursing Informing
A, the contents of the admission and discharge nursing notice
Second, the content of nursing operation
Section 4 Nursing Informing Skills
First, nurses' language communication strategies
Second, nonverbal communication skills.
Third, the problems that should be paid attention to in nursing notification
The fifth section nursing written notice
I. Admission Notice (Agreement)
Second, matters needing attention in family care
Three, infant patients with infusion risk precautions
Four. Precautions for the inevitable risk of pressure ulcers
Verb (abbreviation of verb) notice of applying for protective restraint
Chapter VI Writing and Proof of Nursing Documents
Section 1 Basic requirements for writing nursing documents
First, the concept and characteristics of nursing documents
Second, the difference and connection between nursing records and physician records
Third, the basic requirements of writing nursing documents
The second section of all kinds of nursing documents writing requirements
First, the temperature list
Second, the nursing record
Third, the doctor's advice
Four, surgical nursing records
The third section nursing documents prove that
First, the role of medical records in litigation
Second, the nursing documentation matters needing attention
Chapter VII Hospital Emergency Care Plan
Section 1 Overview
I. Concept
Second, classification
Example of emergency plan for hospital emergency care in the second quarter
First, the ward found suspected or confirmed SARS patients emergency plan
Second, the fire emergency plan
Third, the emergency plan for patients with aspiration.
Fourth, anaphylactic shock emergency plan
Five, the patient suicide emergency plan
VI. Emergency Plan for Medical Disputes
Seven, sudden gangster attack emergency plan
Eight, power outage emergency plan
Chapter VIII Outpatient Emergency Nursing Risks
Section 1 Introduction of Nursing Risks in Outpatient and Emergency Department
First, the basic characteristics of outpatient and emergency services
Second, the risk of outpatient and emergency care and its prevention.
Section II Overview of Outpatient Nursing Risks
First, the risks of injection room and infusion room
Second, the risk of blood drawing room
Third, the risk of dressing room.
Fourth, planned immunization risk.
Section III Overview of Emergency Nursing Risks
First, the risk of separate consultation rooms
Second, the emergency room risk
Third, the emergency operating room risk
Four, outpatient nursing records
Verb (abbreviation for verb) medical staff
Sixth, nursing vocabulary
Section IV Case analysis of nursing risks in outpatient and emergency departments.
Case 1, 2 Two cases of successfully avoiding and resolving disputes.
Case 3 Privacy Protection of Outpatients
Case 4 Cases of improper emergency triage
Chapter IX Basic Nursing and Ward Management Risks
Section 1 Overview of risks in basic nursing and ward management
Section II Overview of Basic Nursing Risks
First, deep vein or arteriovenous puncture failed.
Second, arteriovenous puncture pinhole oozing blood
Third, catheterization failed.
Fourth, the urine volume is inaccurate.
Five, aspiration, suffocation
Six, medical personnel technical factors
Seven, the professional quality of medical staff and rules and regulations.
Eight, assess the risk of patient care
Nine. Risks caused by inadequate protective measures
Ten, gastrointestinal decompression nursing risk
Xi。 Nursing risk of indwelling catheter
Section III Overview of Ward Management Risks
I. Power failure and sudden power failure
Second, fire.
The third is the risk of expired drugs caused by improper management of medicine cabinets.
Fourth, fall.
Five, falling bed
6. Lack of knowledge and unhealthy living habits
Seven, nurse-patient communication factors
Eight, medical staff have a weak legal awareness.
Nine, the risk of invasion of patient privacy
X. Nursing risks in discharge guidance
Section IV Risk Cases of Basic Nursing and Ward Management
Case 1 Gao v. The second hospital of a certain group co., Ltd.
Case 2: violation of nursing routine caused a first-class medical accident.
Chapter 10 Internal medicine nursing risks
Section 1 Overview of Internal Medicine Nursing Risks
First, the characteristics of internal medicine nursing risks
Second, the prevention methods of internal medicine nursing risks
Section 2 Nursing Risks in Respiratory Medicine
First, oxygen therapy nursing risks
Second, the nursing risk of sputum aspiration
Third, arterial blood gas analysis nursing risk
Fourth, closed thoracic drainage nursing risks
Section 3 Nursing Risks in Cardiology Department
First, the nursing risk of central venous catheterization
Second, the nursing risk of cardiopulmonary resuscitation
Third, the nursing risk of cardioversion (defibrillation)
Fourth, the nursing risk of thrombolytic therapy
The fourth quarter gastroenterology nursing risk
First, the nursing risk of nasal feeding
Second, the nursing risk of double-balloon three-lumen tube compression
Third, the risk of abdominal puncture nursing
Fourth, the risk of enema nursing
Section 5 Other Nursing Risks in Internal Medicine
First, the risk of bladder puncture nursing
Second, the nursing risk of indwelling catheter
Third, the nursing risk of urine sample collection
Fourth, the risk of bladder irrigation nursing
Five, bone marrow puncture nursing risks
Six, cerebrospinal fluid drainage nursing risks
Chapter 1 1 Risk of surgical care
Section 1 Overview of Surgical Nursing Risks
Section 2 Preoperative Nursing Risks
First of all, preoperative guidance is inaccurate.
Second, psychological care is not in place.
Third, insufficient preoperative preparation.
Fourth, the nursing risk of skin preparation
Verb (abbreviation of verb) exposes the nursing risk of operation.
Sixth, the nursing risk of indwelling gastric tube
Seven, the nursing risk of indwelling catheter
Section III Postoperative Nursing Risks
First, the nursing risk of urethral catheterization in patients with urinary retention
Second, the nursing risk of postoperative patients forced to stay in bed
Third, the nursing risk of postoperative indwelling drainage tube
Fourth, the nursing risk of postoperative auxiliary expectoration
Five, the nursing risk of postoperative dietary guidance
6. Nursing risks caused by insufficient protective measures for cancer patients.
Seven, early postoperative hemorrhagic shock.
Eight, lower extremity venous thrombosis
Nine, tracheotomy nursing risks
The fourth quarter general surgical nursing risks
First, the nursing risk of skin flap in patients with breast cancer after operation
Second, the nursing risk of indwelling negative pressure drainage in patients with intestinal fistula
Section 5 Nursing Risks in Neurosurgery
First, the ventricular drainage tube is blocked or slipped
Second, patients with craniocerebral injury suck sputum
Third, the nursing risk of restless patients
Fourth, the protective constraints of nursing risks
Verb (abbreviation of verb) Nursing risk of patients with mental illness
6. Nursing risks of patients with swallowing dysfunction
Section 6 Nursing Risks in Cardiothoracic Surgery
First, the nursing risk of fluid replacement after pneumonectomy
Second, the nursing risk of indwelling thoracic drainage tube after pneumonectomy
Third, the nursing risk of pericardial and mediastinal drainage tube
Section 7 Urology Nursing Risks
First, the nursing risks of various drainage tubes
Second, the nursing risks of patients with adrenal diseases
Section 8 Nursing risks in surgical intensive care unit
First, the nursing risk of critically ill patients turning over
Second, the nursing risk of physical cooling
Third, a large number of blood transfusion nursing risks
Fourthly, the nursing risk of restless patients when re-fixing important pipelines.
V. Nursing risks of extubation
Sixth, the nursing risk of enteral nutrition
Seven. Nursing risk of parenteral nutrition
Eight, the nursing risk of infusion through large vein catheter.
Nine, the potential nursing risks when critically ill patients are transported and checked out.
X. Severity and complexity of diseases in critically ill patients and potential nursing risks
Section 9 Functional Exercise Nursing Risks
First, the nursing risk of postural hypotension
Second, the risk nursing of wound dehiscence
Third, the risk of pathological fracture nursing
Fourth, joint contracture nursing risk
Chapter 12 Nursing risks in operating room
Section 1 Overview of Nursing Risks in Operating Room
First, the nursing risks from patients
Second, the risk management measures of surgery
Third, nursing occupational risk factors
The risk of nursing defects in operating room in the second quarter
First of all, pick up the wrong patient.
Second, cut the wrong surgical site.
Third, the foreign body leaves the body cavity
Fourth, wrong blood transfusion.
Five, the wrong medicine.
Six, the patient fell from the bed and fell.
Seven, burns, frostbite or chemical burns.
Eight, electrotome burns
Nine, improper preservation or loss of specimens
X. Injuries caused by improper surgical position.
Eleven, misuse of surgical instruments and articles that have not been disinfected or failed to achieve disinfection and sterilization.
Twelve, the risk of balloon tourniquet injury
Thirteen, incision infection
The third quarter operating room occupational hazard risk
First, air pollution.
Second, physical fatigue and psychological injury.
Third, cervical spondylosis and low back pain
Fourth, varicose veins of lower limbs.
Verb (abbreviation for verb) laser radiation pollution
Six, X-ray pollution
Seven, noise interference
Section IV Risk of Complications of Surgery and Anesthesia
First of all, shock.
Second, cardiac arrest.
Section 5 Case Analysis of Surgical Nursing Risk
1 case, the operating room management was not in place, and the aseptic technical operating standards were not strictly implemented, resulting in 9 patients' eyeballs being removed.
Case 2: The counting system of surgical nurses was not implemented, which led to the patient being kept in hemostatic forceps for 6 years.
Case 3: The nurse's examination was not in place, which led to the patient's right leg fracture and the left leg underwent steel nail surgery.
Case 4 Improper nursing, the electric knife spark ignited volatile ethanol gas, which burned the patients on the operating table.
Chapter 13 risks of gynecological care
Section 1 Overview of Gynecological Nursing Risks
First, gynecological surgery nursing risks
Second, gynecological chemotherapy nursing risks
Section 2 Nursing risks before gynecological surgery
First, the nursing risk of preoperative preparation
Second, sitting in a warm bathtub is in danger of scalding.
Third, the risk of blunt service attitude of nurses.
Section III Nursing Risks after Gynecological Surgery
One is the risk of nonstandard writing of nursing documents.
Second, the risk of abnormal drainage tube
Third, the risk of abnormal abdominal and vaginal incisions
Fourth, the nursing risks of patients with acute abdomen
Five, the perioperative nursing risks of laparoscopic surgery
Six, multi-function monitor risk alarm disposal
The fourth quarter gynecological tumor chemotherapy nursing risk.
First, the risk of failure of deep vein catheterization
Second, the risk of superficial vein puncture failure
Third, the risk of extravasation of chemotherapy drugs.
Fourth, the nursing risks of patients with epithelial tumors undergoing chemotherapy
Five, choriocarcinoma patients chemotherapy nursing risk
Section 5 Case Analysis of Gynecological Nursing Risk
Case 1 An unmarried female patient was punctured by a nurse during preoperative preparation.
Case 2 Medical disputes caused by improper speech of nurses
Chapter 14 obstetric care risks
Section 1 Overview of Obstetric Nursing Risks
Section 2 Prenatal Care Risks
First, the risk of fetal distress
Second, the nursing risk of umbilical cord prolapse
Third, the nursing risk of bleeding in the third trimester of pregnancy
Section 3 Nursing Risks in Delivery Period
First, the nursing risk caused by non-disinfection
Second, the nursing risk of uterine atony
Third, the nursing risk of amniotic fluid embolism
Fourth, the nursing risk of postpartum hemorrhage
Fifth, the nursing risk of third-degree perineal laceration
The fourth quarter postpartum neonatal nursing management risk
First, the risk of retinopathy caused by oxygen inhalation in premature infants.
Second, the nursing risk of neonatal asphyxia
Third, the nursing risk of holding the wrong baby
Fourth, the risk of neonatal theft.
Verb (abbreviation for verb) The risk of improper feeding by parents.
Section 5 Case Analysis of Obstetric Nursing Risk
Case 1 neonatal cerebral palsy, is the midwifery hospital responsible?
Case 2: The hospital took the initiative to deal with stillbirth, and the family members angrily sued.
Case 3: The baby's shoulder was dystocia at birth, resulting in brachial plexus injury.
Chapter 15 Pediatric Nursing Risks
Section 1 Overview of Pediatric Diagnosis and Nursing Risks
First, pediatric patient factors.
Second, the influencing factors of pediatric treatment measures
Third, guide the parents' factors.
Section 2 General Pediatric Nursing Operation Risks
First, the general care of neonatal diseases
Second, the nursing of neonatal jaundice
Third, the nursing of neonatal diarrhea
Fourth, the nursing of neonatal intracranial hemorrhage
Five, the nursing of neonatal vomiting
Sixth, nursing care of neonatal septicemia
Seven, the nursing of neonatal pneumonia
Eight, neonatal scleredema nursing.
Nine, the risk of neonatal umbilical infection
X. Pediatric accident risk
The third quarter neonatal intensive care nursing risk
First, routine monitoring and nursing risks
Second, temperature monitoring nursing risks
Third, cardiopulmonary monitoring nursing risks
Fourth, oxygen therapy and blood gas monitoring nursing risks
Five, neonatal respiratory management risks
VI. Application of Infusion and Infusion Pump in Critical Children
The fourth quarter pediatric nursing risk case analysis
Case 1 Legal Responsibility of the Baby Stolen in the Hospital
Case 2 Premature twin retinopathy, the hospital improperly compensated 6.5438+0.7 million.
Chapter 16 Nursing risks in infectious diseases department
Section 1 Overview of Nursing Risks in Infectious Diseases Department
Section II Overview of Common Nursing Risks in Infectious Diseases Department
First, the risk of infectious ward environment and facilities
Second, the risk of nosocomial infection in the infection ward
Third, the risk of nurses' emergency ability
Four, the infectious disease reporting system has not been effectively implemented.
The third quarter infectious disease nursing risk cases
Case 1 pregnant woman Ms. Tao v. a Chinese medicine hospital.
Case 2: Yang v. A hospital affiliated to a university.
Chapter 17 ICU nursing risks
Section 1 Overview of ICU Nursing Risks
Section II Overview of ICU Nursing Risks
A, nursing operation risk
Second, risks in the operation or operation of ventilators and other instruments and equipment.
Third, various complications in the process of diagnosis and treatment
Fourth, medical expenses.
The third quarter intensive care unit syndrome
First, the concept of ICU syndrome
Second, the causes of ICU syndrome
Prevention and nursing of ICU syndrome
Section IV Case Analysis of Special Risks
In case one, the patient was hospitalized for 55 days, costing 380,000 yuan; The ventilator was used for "143 hours" a day.
Chapter 18 Nursing risks of hemodialysis
Section 1 Overview of Nursing Risks in Hemodialysis Room
Section II Overview of Nursing Risks in Hemodialysis Room
A, nursing operation risk
Second, the risks in operation and the operation of dialyzer
Third, there are complications during dialysis.
Fourth, the risk after dialysis
Five, hemodialysis billing.
Section III Case Analysis of Special Risks
Case 1 Hepatitis C infection after hemodialysis. The two hospitals gave different proofs and the litigation results were quite different.
Case 2 Harbin sky-high medical expenses case
Case 3: The patient died because of unskilled dialysis technology.
Case 4 Improper use of insulin by nurses during dialysis led to the death of patients.
Chapter 19 the risk of nursing pressure ulcers
Section 1 Overview of Nursing Risks of Pressure Ulcer
First, the causes of pressure ulcers
Second, the nursing risk of pressure ulcers
Section II Overview of Nursing Risks of Pressure Ulcer
First, the risk of pressure sore management
Second, the risks in the prevention, treatment and nursing of pressure ulcers
Section III Case Analysis of Special Risks
Case 1 3 months after admission, the old man had pressure ulcer.
Case 2 Fracture patient complicated with pressure sore is not an accident but the hospital is responsible.
Chapter 20 Risk of Occupational Injury of Nurses
Section 1 Overview of Occupational Injury Risk of Nurses
I. Biological injury
Second, physical damage.
Third, chemical damage.
Fourth, physiological and psychological factors.
5. Unexpected and invasive factors.
VI. Comprehensive factors of injury
Section 2 Risk of Occupational Injury Caused by Biological Factors
I. Overview of occupational injuries caused by biological factors
Second, the occurrence of respiratory disease infection
Third, the occurrence of blood-borne sexually transmitted diseases.
Fourth, the occurrence of digestive tract infection.
Five, the occurrence of skin contact infectious diseases.
Six, prevention of biological factors of occupational injury * * * coordination strategy.
Monitoring and management of pathogens after occupational exposure.
Section 3 Occupational Injury Risk of Chemical Factors
I. Adverse reactions caused by exposure to antineoplastic chemotherapy drugs
Second, the adverse reactions of long-term inhalation of anesthetics
Third, adverse reactions caused by exposure to chemical disinfectants
Four, the chemical factors of occupational injuries and prevention strategies
Section 4 Physical Factors Occupational Injury Risk
I. Radiation damage
Second, ultraviolet radiation damage.
Third, sharp weapon damage
Section 5 Risk of Occupational Injury Caused by Physiological and Psychological Factors
First, posture injury
Second, chronic fatigue syndrome.
Third, the psychological burden is too heavy.
Section 6 Occupational Injury Risk of Accidents and Invasive Factors
I. Accidents and injuries
Second, violent attacks and injuries.
Section 7 Example of Occupational Health and Safety Management Scheme for Hospital Employees
Occupational health and safety management scheme for employees in a hospital
Section VIII Typical Risk Case Analysis
Case 1 Nurses were infected with AIDS and hepatitis C after accidental needle injury in nursing operation.
Case 2 of disinfectant infection in Shenzhen Women and Children Hospital
The next interpretation of the Nurses Ordinance
Chapter 2 1 Overview and Characteristics of Nurses' Regulations
Section 1 Overview of Nurses' Regulations
I. General situation
Second, the content and distribution of the provisions.
Third, the "Regulations" simplified memory table
Section 2 Characteristics of Laws and Regulations
Firstly, the responsibilities of government and medical institutions in nursing management are put forward.
Second, protect the legitimate rights and interests of nurses.
Third, strengthen the rights and obligations of nurses.
Fourth, adjust the rules of nursing practice.
Verb (abbreviation of verb) defines legal responsibility.
Chapter 22 The concept of nurses and nurse registration system
Section 1 The concept and characteristics of nurses
First, the concept of nurses
Second, the characteristics of the concept of nurse
Section 2 Historical Origin of Nurses
First, the source of the nurse profession
Second, nursing legislation
Section 3 Nurse Registration System
First, standardize the access to nurse qualifications.
Two, standardize the title of nurse's practice certificate
Three, the registration authority and registration procedures are stipulated.
Fourth, the registration period
Provisions on the validity period of verb (verb abbreviation)
Provisions of intransitive verbs on re-registration
Seven. Change of registered items
Eight, the nurse qualification cancellation
Nine, the former has been recognized as a nurse qualification.
The fourth quarter nurse registration system process and key point comparison
First, the nurse registration system process
Two, the main points of the change of the old and new nurse registration system.
Chapter XXIII Legal Rights and Obligations of Nurses
Section 1 Overview of Nurses' Legal Rights
First, the concept of nurses' legal rights
Second, the contents of nurses' legal rights
Section 2 General Legal Rights of Nurses
First, the rights of nurses as workers according to law.
Two, nurses as medical and health workers enjoy the rights of medical and health workers according to law.
Section 3 Professional Rights of Nurses
First of all, protecting the professional rights of nurses is the primary legislative purpose of the Regulations.
Second, the professional rights of nurses
Section 4 Professional Obligations of Nurses
First, the concept of nurse's legal obligation
Second, the legal professional obligations of nurses
Chapter XXIV Responsibilities and Legal Responsibilities of the Government and Medical Institutions
The first section strengthens the responsibilities of the government and medical institutions.
I. Requirements for the Government
Second, the requirements for medical institutions
The second section clarifies the responsibility for violation.
First, the responsibilities of the health administrative organs.
Second, the responsibility of medical institutions
Third, the responsibility of nurses.
Fourth, the responsibility of others infringing on the rights and interests of nurses.
Chapter 25 Comparison between the Measures for the Administration of Nurses and the Regulations on Nurses
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appendix
postscript
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