What do you mean by four customs and five inspections?

Check the doctor's advice, clinic report, etc. The "four customs and five inspections" of hospital departments are to look at doctor's orders, clinic reports, body temperature books and various nursing records, check whether the initial treatment of newly admitted patients is perfect, check whether the patients' preoperative preparation is perfect, check whether the critically paralyzed patients turn over on time, check whether the patients' incontinence is handled properly, and check whether there is bleeding in the wounds after major surgery.