The so-called "three checks and nine pairs"
Three checks: before operation, during operation and after operation.
Nine pairs: bed number, name, drug name, dosage, medication time, usage, concentration, expiry date, allergy history.
After receiving the doctor's order, double check it. After the nurse's bedside assessment, she returns to the treatment room to prepare the treatment tray.
Operation method:
1. Materials: Preparation before operation. Dress neatly, wash hands in 7 steps, and wear a mask.
2. Steps:
1. Prepare all supplies, bring them to the bedside, check the patient's bed number, name, explain the purpose, and ask in detail whether there is a history of allergies. Medical education Collected and organized online.
2. Draw the medicine, shake it well, and let in the air
3. Select the middle of the three horizontal fingers on the volar crease of the forearm, check the patient again, and disinfect the skin.
4. Tighten the skin on the inner side of the forearm with your left hand, hold the syringe in your right hand, with the bevel of the needle upward, the needle and the skin
5. Insert, 5. After the needle enters the skin, lay the syringe flat , fix the needle plug with your left thumb, push in 0.1ml of the medicinal solution with your right hand to form a round raised bump on the local skin, quickly pull out the needle (the needle does not need to be pressed with a cotton swab to reduce friction and prevent false positives), expose the injection site, and check again .
6. Ask the patient about his or her needs, tidy up the sheets and dispose of supplies, wash hands and remove the mask, observe the reaction and record the results.
3. Judgment of intradermal test results:
1. Negative: There is no change in the skin, no redness and swelling around it, no blush, and no subjective symptoms.
2. Positive: The local skin bulge increases, and there is redness, swelling and induration with a diameter greater than 1cm. There are pseudopods around the redness and local itching. In severe cases, there may be dizziness, palpitation, nausea, and pale complexion. , or even anaphylactic shock occurs. If the result is judged to be positive, stop using it immediately. At the same time, inform the patient or family member of the result and make relevant records.
IV. Prevention of allergic reactions:
1. Before the test, the patient’s medication history, allergy history, and family history should be asked in detail; if the patient has a history of allergies, allergy testing should be prohibited. ;
2. An allergy test must be done before using penicillins and cephalosporins. Patients with a history of allergies should undergo a skin test at any time. Tests are required if they have been used for more than 24 hours or if the batch number has been changed. Use again.
3. Patients should not undergo allergy testing within 5 days of being hungry, anesthetized after strenuous exercise, or drinking alcohol.
4. The skin test solution is ready for use and should not be used for more than 12 hours in winter.
5. Those with positive test results will be noted with a red pen (+) on the medical record, the outpatient registration book, and the bedside card.
6. Strengthen the sense of responsibility , make a check-up system, and prepare renin.
Extended information:
In 1980, the American Academy of Nursing defined nursing as: "Nursing is the diagnosis and treatment of human responses to existing or potential health problems." From this definition Extension: Modern nursing is a science that studies how to diagnose and treat human responses to existing or potential health problems. Emphasis on "human behavioral responses" is reflected in people's behavioral responses to an event from physiological, psychological, social, cultural and spiritual aspects.
For example, the behavioral reactions of patients with myocardial infarction can be manifested as: physiological - pain, chest tightness, shortness of breath; psychological - fear, fear; social - concern of relatives and units; cultural - concern for Awareness and understanding of disease knowledge; spiritual - whether it is valued and respected by nurses and doctors.