I. Preparation
1, the environment of the clinic: clean up the health, reasonable arrangement of tables and chairs.
2, the preparation of diagnostic tools: sphygmomanometer, stethoscope, a variety of inspection tools. If necessary, prepare the demonstration of wall charts, information and models.
3, instrument specification: in accordance with the code of conduct to organize clothing, keep tidy.
4. Mental adjustment: do a good job of self-motivation as well as self-management, keep a good mood, maintain an enthusiastic attitude.
5. Adjust posture and smile: Keep a confident smile. This changes your state of mind through behavior.
Two, receiving
1, handover and initial understanding of the situation: from the guide and receiving nurse to obtain the patient's basic information and valuable information.
2. Smile: The doctor's smile can be a good way to relieve the patient's stress: "Good day! Please take a seat" to indicate that he or she is sitting down.
3. Check the completeness of the general items in the medical record. Ask for as much complete information as possible. If the patient has not been filled out completely, ask the patient to sit down and complete the general items in the medical record: "Oh, please fill out these missing items, which is a great help in our diagnosis and treatment, and now the hospital also requires formal completion, thank you! If it's inconvenient/unwilling to be filled out, it can be subtly obtained during the consultation.
Based on the information in the medical record, the doctor can also probably determine the patient's cultural quality, home environment and thus for the presumption that the other side of the financial ability to pay to provide reference, so as to develop a personalized diagnosis and treatment plan to lay the foundation.
Three, inquiry
Inquiry, including the main complaint, history, past history, family history, personal history and other parts of the inquiry, through the inquiry we can not only determine the development and evolution of the disease and its experience, but also a preliminary understanding of the patient's economic situation, attitude toward health, the motivation for this visit and so on.
1, the patient is very nervous or very little statement, the doctor should smile and encourage her: "do not worry, talk slowly" "think again, there are other discomfort?"
2, can be appropriate and targeted to remind or imply that the patient has a certain aspect of the symptoms, which can be for the back of the examination and treatment to lay the groundwork. For example, "How is the hearing?" "Is it in one ear or both ears?"
3, be sure to ask the patient the time of symptoms.
On the one hand, it is very important for the staging of the disease, the development and treatment of the problem should pay attention to. On the other hand, you can determine the patient's economic situation and health attitude.
4, be sure to ask the patient's experience.
Knowing the patient's experience on the one hand can remind us to avoid repeated use of drugs and ineffective treatment; on the other hand, we can further understand the patient's condition, especially the motivation for this visit, which can provide reference for us to develop a differentiated program. At this time, it can also improve the patient's trust in the doctor to provide opportunities: "You have done those tests before, and what other drugs, if so less tests, do not buy or buy less drugs, so you can spend less money." This way the patient feels that the doctor is on his or her side and is much less skeptical about the prescriptions and treatment plans that follow.
Determining a patient's ability to pay is detailed in Topic II.
Fourth, physical examination
The whole body examination of the patient
1, the order of inspection: from top to bottom, look touch percussion hearing.
2, necessary auxiliary examination such as X-ray, CT, etc..
4, precautions
a. carefully check the order, record carefully to avoid omissions;
b. actions to be light and skillful;
c. communication with the patient during the inspection process, inform her of the manifestations of the disease in a timely manner, in the tone of voice can be appropriately exaggerated;
d. to pay attention to the patient's reaction, can help the doctor make a judgment and analysis;
d. to help the doctor make a judgment and analysis;
d. to pay attention to the patient's reaction, can help the doctor make a judgment and analysis;
e. and analyze;
5, fill out the medical record after the examination, make a good record;
Refer to the national regulations required to write, not only to the patient is responsible for, but also self-protection requirements.
5, preliminary diagnosis
The examination will objectively and comprehensively tell the patient, where there is a problem, what is the problem, and make a preliminary diagnosis, and inform the patient, what is the cause of the cause, to say the principle of treatment and diagnosis and treatment can be listed in a series of programs, so that the patient to choose or recommend their own set of our more suitable for the disease of an effective rehabilitation and treatment program. How much does each test cost, when can the results and so on. Should let the patient feel that the doctor is knowledgeable, do things professionally. This will establish an authoritative image in front of the patient, and then obtain the patient's trust. At the same time for the examination and treatment to make a good foundation. If after the above communication patients may have a lot less objection.
At this point, you can also use different methods according to different patients. The quality of the patient is relatively low in the diagnosis of the conversation, about the severity of the disease, the efficacy of the certainty of the increase in its psychological pressure, and urge it to accept the diagnosis and treatment. Higher-quality patients should be based on the scientific guidance of the patient and secretly exert psychological pressure to promote their consumption of health.
Sixth, the treatment program and statement
According to the patient's economic situation, the motivation to visit the clinic and the condition of the design of the treatment program, you can design two to three sets of programs, including the cost of each program for choice. The characteristics, advantages and disadvantages of each program and the benefits to the patient should be described. At the same time, based on the patient's condition and psychological characteristics obtained during the diagnostic stage, a program that is easy to accept is recommended to promote acceptance of the treatment.
There are generally five questions in the patient's mind at this time: what is it? What's in it for me? So what? Who said so? Who else has been treated? Therefore, at this time should be prepared to introduce.
Encourage the patient to speak out his doubts, the less doubts he has, the more he trusts us, the more we can understand the patient's main concerns, and the more targeted the choice of treatment.