Date: Record the date of nursing operation.
Time: record the specific time of nursing operation.
Patient information: including basic information such as patient's name, age and gender.
Nurse/Nurse: The name of the nurse or nurse who performs the nursing operation.
Nursing operation: describe the specific steps of nursing operation, including the specific methods of bladder perfusion, drugs or solutions used, perfusion time, etc.
Observation and evaluation: record the situation observed in the nursing process and the patient's reaction, such as the color and quantity of urine, pain or discomfort.
Matters needing attention: record the matters needing special attention, such as whether there are any adverse reactions and the requirements of cooperating with doctor's advice.
Nursing measures: record nursing measures, such as taking care of the patient's comfort and keeping the catheter unobstructed.
Doctor's order evaluation: record the doctor's requirements or evaluation of nursing operation.
Signature: the nurse or nursing staff signs at the end of the record to confirm the accurate implementation of the nursing operation.
It should be noted that records should be accurate, detailed and objective, and avoid vague or subjective descriptions. Record every detail of nursing operation in time to ensure that the information is complete and traceable.