ICU instrument management system is as follows:
1, master the use of various instruments, can set a variety of common parameters.
2, the instrument has a person to maintain, regular inspection and maintenance, have a failure to report to the head nurse, section chief in a timely manner, in order to timely contact with the maintenance staff, departmental self-inspection, equipment section inspection and maintenance to be registered.
3, regular charging of instruments, (every Saturday), to keep each instrument clean, thoroughly cleaned or disinfected after each use, at least once a week routine cleaning, all instruments are kept in good standby condition.
4, the instrument before use carefully check the performance of the machine, carefully check the relevant parameters, parameters in doubt, repeated measurements or replacement of an instrument for control.
5, instruments and equipment in strict accordance with the implementation of disinfection management norms, to prevent cross-infection of medical origin
ICU rescue system is as follows:
1, the basic principles of rescue: immediate rescue, from the point of view of maintaining the patient's life to consider the specific measures to deal with the estimated condition of the patient may be subject to sudden changes to be prepared first.
2, resuscitation do a good job of organizing, rational arrangement of manpower, so that busy but not chaotic. Nursing staff in their respective roles, close cooperation, nursing staff should maintain tracheal intubation, gastric tube, intravenous fluid line smooth, to prevent dislodgement, close monitoring of vital signs, to ensure accurate and timely application of rescue medications.
3, there is a person to record the rescue related information, such as the patient's heartbeat, respiratory arrest time, the resuscitation process, the record should be detailed, the time specific to the minute.
4, a person to maneuver in order to provide the necessary human and material support at any time.
5, arrange for the supervision of other patients to prevent accidents.
6, the rescue car to do the "four fixed", each shift carefully check the registration, after the use of timely replenishment of drugs, items, in a functional position.
7, resuscitation completed nursing record sheet to record the participants in the resuscitation, remind the doctor to make up the medical advice in a timely manner, and the special care sheet after checking the signature.
8, in the process of resuscitation in order to ensure that the resuscitation process is not interrupted, the doctor in charge of random notification of the patient's family, in the event of a major resuscitation or rescue of important people to report to the higher leadership in a timely manner.
ICU nosocomial infection monitoring nurse duties
ICU nosocomial infection monitoring nurse duties:
1, participate in the development of the department's hospital infection management rules and regulations, responsible for the department's disinfection and isolation of supervision and inspection.
2, responsible for the implementation of hospital infection management regulations in the department.
3, to assist the physician to fill in the hospital infection cases and send specimens, organize monthly and quarterly hospital infection report.
4, responsible for the room monthly or quarterly bacteriological monitoring, found that the problem promptly assist the head nurse to find the cause of treatment.
5, is responsible for the room related to hospital infection knowledge of publicity and training work.
ICU nurse team leader responsibilities
ICU nurse team leader responsibilities:
1, under the leadership of the head nurse, leading the nursing members of the team to do a good job of nursing.
2, with the head nurse **** with the nursing quality control checks.
3, on the group of nursing work problems in a timely manner to detect, correct, and report to the head nurse.
4, daily according to the patient's condition and the nurse on duty to rationalize the division of labor nurses, to ensure the quality of care.
5, on time to participate in the nursing morning meeting and the regular meeting of nurses, and will be related to the matters of every nurse in the group.
6, according to the workload situation, discretionary arrangements for the group of nurses temporary off-duty.
7, the new nurses and advanced nurses are responsible for training, guidance and assessment of learning.
8, arrange the group of students teaching staff and supervise and check the teaching work.
9, organization and coordination of the class within the rescue work, and organization of summary discussion.
ICU nurse duties:
1, under the guidance of the department director, nurse manager and the nurse in charge or team leader.
2, consciously abide by the hospital, the Department of the rules and regulations and various technical procedures, to prevent the occurrence of errors and accidents and disputes.
3, to participate in the bed doctor's check-up, timely understanding of the patient's treatment and care priorities, a comprehensive understanding of the patient's condition, the ability to use the nursing program to care for critically ill patients, the implementation of timely, accurate and error-free medical advice, master the implementation of a variety of methods of supervision for the patient, nursing records reflecting the characteristics of the specialty.
4, conscientiously do a good job in the rescue of patients with acute and critical illnesses and a variety of rescue instruments, items, medicines, preparation and storage work.
5, to assist physicians to carry out a variety of diagnostic and treatment work, responsible for collecting a variety of test specimens.
6, participate in nursing teaching and scientific research, guide nursing students and nursing staff work, work constantly summarize experience, and actively find ways to solve the difficult problems in the work.
7, pay attention to listen to patients or their families, understand the needs of patients, improve nursing care, do a good job of new or transferred patients and their families into the Department of introduction, for admission, transfer, transfer, discharge procedures and registration.
8, under the leadership of the head nurse and team leader, do a good job in ward management, pay attention to disinfection and isolation, care and cherish the hospital and departmental instruments and materials, adhere to the principle of thrift and frugality.
ICU nurse's duties
ICU nurse's duties:
1, in the nursing department, under the leadership of the department director, responsible for the administrative management of the ward and nursing work.
2, according to the situation of the ward and the ability and requirements of the nurses, reasonable arrangement of shifts, in order to meet the needs of nursing work at the same time try to meet the requirements of the nurses.
3, daily preside over the morning meeting shift and bedside handover, organize and participate in the rescue of critical patients.
4, accompanied by the director of the department checkups, to understand the condition of all patients, to participate in the difficult, critical, death case discussion.
5, supervise and check the implementation of the nursing work, timely help to solve the difficult problems in nursing.
6, in accordance with the plan or random inspection of a variety of instruments, the use of first aid goods and medicines and storage, to ensure that the performance of the rescue goods and medicines is good.
7, often check the nursing form records, to ensure its completeness and accuracy.
8, often check all kinds of disinfection items disinfection and medical waste disposal.
9, management and guidance of new graduate nurses, further training, internship staff, designate experienced nursing staff to teach.
10, regularly listen to the doctor's views on nursing, and promote close cooperation between doctors and nurses.
11, regularly listen to the views of patients and their families, timely improvement.
12, planned to organize nurses to learn, so that nurses master the new technology and the installation of new instruments, use, etc., and constantly improve the quality of care.
ICU handover system
The ward handover
1, three shifts seriously bedside handover, special need to observe the content and need to take care of the measures to be written handover (written in the special care sheet or note). The content of the shift includes: patient's state of mind, vital signs, bilaryngeal respiratory sounds, skin, drainage tubes, special position requirements, infusion pathway, treatment and medication, the patient's family contact phone number and so on.
2, borrowed drugs, to be registered in the register, borrowed items in the Department to keep a record, the competent class should be carefully checked, the borrowed drugs, items, the day shift in a timely manner to return.
3. When there is any doubt in the process of shift handover, it must be clarified before the shift handover person can leave; the shift handover person is responsible for the shift handover, and the problems found after the shift handover are the responsibility of the shift handover person.
4, the shift handover process is required to do "two light" talk light, operation light, keep the bed unit clean and tidy, keep the ward quiet, all the patients are finished after the shift handover, the shift handover personnel can leave.
5, competent class, treatment class for the night to make up a variety of goods and liquids, in order to prepare for the night emergency, and handover.
Receiving surgical patients
1. Prepare bed units and related instruments according to the information of bed appointment.
2, according to the needs of the condition, first connect the ventilator, monitor (cardiac, blood pressure, oxygen saturation), check the drainage tube and fix it properly, and check the patient's skin meticulously from head to toe.
3, to the anesthesiologist and surgeon to understand the intraoperative situation and special patient postoperative care precautions (such as: position, drainage tube, condition observation, etc.).
4, with the operating room nurse handover skin, infusion, items, etc., fill out the surgical nursing record sheet, and ask the operating room nurse to fill out the contents of the items handover book and sign.
5, in case of dentures or other valuable personal belongings, timely hand over to the family and sign as evidence.
6, place the patient, record the intensive care record sheet, deal with temporary medical orders, and always observe the patient's condition changes.
To receive emergency admissions or wards transferred to the patient
1, smooth handling of the patient to the hospital bed, immediately connected to the cardiac monitor, or ventilator, etc., cardiac and respiratory arrest immediately organized resuscitation.
2, carefully check the patient's skin, ask the shift workers or family members about their conditions, and the emergency department or ward nurses to hand over fluids, goods, etc., and ask the shift workers to fill out the "ICU patient handover register" and sign.
3. Place the patient, hand over valuables to family members or accompanying personnel and sign the shift handover book, record the intensive care record sheet, deal with temporary medical orders, and observe changes in the condition at any time.
Transferring patients to wards
1, after giving medical orders for transferring patients to wards, return the accompanying card and medical certificate (the register should be signed), notify the relevant departments of the name of the patient to be transferred, the approximate time of transferring the patient, whether or not to prepare a micro-pump, etc., and notify the family to wait at the door.
2, for the patient to wear a good clothes, check the handover register, carry the patient's belongings and medical records to escort the patient to the ward, according to the condition of the oxygen pillow, or portable monitor.
3, the main changes in the patient's condition and related treatments, items (hemostatic forceps, tracheal cannula inserts, the remaining intraoperative with medication, micro-pumps, etc.) with the ward nurses to hand over clearly.
4. Hand over the patient's personal belongings to his/her family, greet the patient and leave.
5. Hand over the medical record to the ward nurse in charge of the shift, count the items on the flat car and return to ICU.
Accompanying the patient to go out for checkups
Accompanying the ICU patient to go out for checkups is as follows:
1. After checking the medical order, the nurse in charge is responsible for tidying up the bed unit (covering the bedclothes, fluids, micro-pumps, boom, etc.).
2, with a simple respiratory capsule, with oral intubation to check whether the oral intubation can be articulated with the respiratory capsule, without oral intubation, with a pressurized mask.
3, according to the condition of the prepared oxygen pillow and ask the physician whether to prepare emergency medicine.
4, accompanied by the process, always pay attention to the patient's condition changes, if the need for resuscitation according to the condition of the local resuscitation or quickly transferred back to the ICU for resuscitation, to ensure the safety of the patient on the way to ensure the safety of the patient.
5, the end of the examination back to the ICU, placed the patient, organize the bed unit, and then do the treatment and care.
ICU instrument management system
ICU instrument management system is as follows:
1, master the use of various instruments, can set a variety of common parameters.
2, the instrument has a person to maintain, regular inspection and maintenance, have a failure to report to the head nurse, section chief in a timely manner, in order to timely contact with the maintenance staff, departmental self-inspection, equipment section inspection and maintenance to be registered.
3, regular charging of instruments, (every Saturday), to keep each instrument clean, thoroughly cleaned or disinfected after each use, at least once a week routine cleaning, all instruments are kept in good standby condition.
4, the instrument before use carefully check the performance of the machine, carefully check the relevant parameters, parameters in doubt, repeated measurements or replacement of an instrument for control.
5, instruments and equipment in strict accordance with the implementation of disinfection management norms, to prevent cross-infection of medical origin
ICU new nurses training system
1, the department to develop a detailed training program for new graduates, the new nurses should familiarize themselves with the work environment and various rules and regulations as soon as possible, and actively participate in the activities organized by the department.
2, specialists to teach, new nurses should keep study notes, develop a personal work study plan, the new graduate nurses work, the head nurse, team leader hierarchical gatekeeper.
3, according to the requirements of the training program, phased assessment of new nurses, routine 3 months, half a year, a year, especially the first 3 months, the training work to be refined, there is the layout, implementation, inspection, summary, so that the new nurses work to lay a good foundation.
4, the head nurse regularly talk to the new graduate nurses, understand the needs, put forward rationalization suggestions, more incentives to make the new graduate nurses continue to progress.
ICU internship management system
ICU internship management system is as follows:
1, the department try to provide nursing students with a convenient working and learning environment, nursing students to the ICU, required to abide by the rules and regulations of the department, to comply with the work and rest time, and to actively participate in the department's organization of the business study, nursing room, etc..
2. Understand the requirements of ICU internship program and keep internship notes.
3. Arranging for specialists to lead the teaching, with the assistance and guidance of the teaching teacher, providing as many opportunities as possible for the internship nursing students to operate, and the lecture topics assigned by the teaching teacher should be completed in a timely manner before the end of the internship of each group of students.
4, in case of rare diseases or some major rescue, the head nurse or the teacher should randomly organize the nursing students to study the topic.
5, nursing students out of the department before the theory and operation of the examination, completed in a timely manner internship appraisal, teaching information feedback, and constantly improve the teaching work.
ICU disinfection and isolation system
ICU hospital infection management in the ward on the basis of hospital infection management should meet the following requirements:
1, the layout is reasonable, divided into the treatment room (area) and guardianship area. Treatment room (area) should be equipped with mobile water hand-washing facilities, hospitals with conditions can be equipped with purification workstations, guardianship area per bed area of not less than 9.5 m2. air disinfection every day, disinfection method, see the "Hospital Disinfection Technical Specification". Hospitals with conditions should be equipped with air purification devices.
2, the placement of patients should be infected patients and non-infected patients separate, special infected patients and patients need protective isolation separate placement. Diagnosis and care activities should take appropriate isolation measures to control cross-infection.
3, the staff into the ICU to wear special uniforms, change shoes, wear hats, masks, hand washing, infectious diseases are not allowed to enter.
4, the strict implementation of aseptic technology operating procedures, in accordance with the six-step method of hand washing or hand disinfection, wearing gloves when necessary.
5, pay attention to the patient's observation of various indwelling tubes, local care, keep wound dressings dry and neat, randomly wear gloves for relevant operations.
6, strengthen the management of anti-infective drug application, prevent patients from bacterial dysbiosis, strengthen the monitoring of bacterial resistance.
7, strengthen the various monitoring instruments and equipment, sanitary materials and patient supplies disinfection and management.
8, strict visitation system, limit the number of visitors, bedside visitors should change clothes, change shoes, wear a hat, mask to enter, and wash their hands before contact with the patient.
9, special infections or highly drug-resistant bacteria infected patients, strict implementation of disinfection and isolation measures.
10, weekly laminar flow filter cleaning, monthly ICU large and small room air, object surfaces, staff hand line bacterial culture once, the culture is not qualified, find the cause of timely treatment and re-culture.
Management of ICU patients
The management system of ICU patients is as follows:
1. The team leader of each class needs to be carefully grouped, and each team is responsible for its own duties and responsibilities to a person, and will be reasonable arrangements for further training and internship students, and the team members are united in cooperation.
2, the treatment class to prepare the drugs, placed in the treatment tray to the 8-4 class, check before execution, spare fluids, replacement of fluids require a second person to assist in checking, in advance, plus the drugs of the liquid to be noted on the liquid list.
3, require the nurse in charge of a comprehensive understanding of the condition and treatment, each patient's treatment is completed by the nurse in charge of their own, before the end of the shift to check all the medical orders implemented on the shift, intensive care record sheet with a pencil to play "√", check the temporary medical orders have not missed the signature.
4, at any time to observe the patient's monitoring indicators, the emergence of abnormalities in a timely manner to rule out and report to the doctor, something to leave when you need to ask other people to take care of.
5, each shift to fully assess all aspects of the patient's nursing problems, and take timely and appropriate preventive measures to prevent complications.
6, long-term ICU patients, daily nurses and caregivers *** with the patient's hygiene and cleanliness, to achieve the "six clean", pay attention to insulation during the operation, to avoid too much exposure to the patient, wear a good clothes (shirt), coma patients to keep the limbs in a functional position, to prevent foot drop.
7, to keep the bed unit clean and tidy, the bed surface is contaminated with clothing to be replaced at any time.
8, for the drainage tube and tracheal intubation of the patient, must be properly fixed or braked, to prevent self-removal of the tube.
9, there is a problem, the parties involved must write a written material, the nurses will be discussed at the regular meeting, so that we can take warning.