Three checks: medication, disposal and preoperative examination; Examination during medication, disposal and operation; Medication, disposal and postoperative examination;
Eight pairs: bed number, name, drug name, concentration, time, dosage, usage and batch number;
Note: reaction after medication.
In clinical practice, we must strictly follow the above requirements.
Potential occupational risks in nursing work In clinical nursing work, nurses should not only carry out doctor's orders, observe the condition and write nursing records, but also closely cooperate with doctors to carry out various diagnosis and treatment nursing operations. In most cases, nursing work is done by nurses alone, and no other medical staff are present, so nurses bear great responsibilities and risks. If the system is not perfect or there are rules and regulations that are not observed, negligence will easily lead to liability risk: there are many rules and regulations in nursing work, which must be strictly implemented, such as handover system and ward round system. When the system is not perfect, the organization and management are lax, or there are rules and regulations that are not observed and neglected, it will lead to liability risks. Poor management of medical equipment and nursing safety defects cause quality risks: for example, sputum aspiration is needed when rescuing patients, and the sputum aspiration machine is broken, which delays the rescue and causes disputes. Careless observation of illness: lack of professional knowledge of soil protection, lack of experience, carelessness, weak sense of responsibility, failure to report in time due to one-sided thinking and subjective judgment, failure to handle or record in time. Incorrect or mechanical execution of doctor's orders: incorrect handling and execution of doctor's orders or wrong execution of doctor's orders, or checking that three pairs of seven pairs are not strict. If the doctor's order is unclear and the nurse does not ask, cefazolin sodium is regarded as ceftriaxone sodium. Low professional skills of nurses: Nursing is a practical, scientific and highly technical applied science. Nurses are unfamiliar with business, lack of professional knowledge, unfamiliar with operation, or unclear operation process, all of which will lead to technical risks. The risk of practice teaching: teaching is to turn a student into a prospective nurse. Teaching teachers should not only teach students some theoretical knowledge, such as aseptic technique operation and enema, but also teach them how to operate normally and how to deal with faults. These are all operated in the ward, beside specific patients, and patients and their families can see their words and deeds at a glance. Potential legal risks in nursing records: such as scribbling, random alteration, inconsistent contents with medical records, incomplete nursing measures, random signature or false filling in monitoring results, etc., which make nursing records lose their authenticity and integrity. Once a dispute arises, it will inevitably lead to difficulties or failures in proof. Poor service attitude: improper communication language between nurses and patients, indifferent attitude, inability to understand the anxiety of patients and their families, and impatience. Others: For example, when the work is busy, the office nurse asked other nurses to send the test sheets and operation notices, but they did not verify whether they had been sent afterwards, which delayed the operation and examination. Preventive measures should be people-oriented, completely change the service concept and strengthen the cultivation of nurses' professional ethics: ① Nurses' moral cultivation, moral belief and moral quality affect and restrict nurses' behavior and work quality [1]. ② People-oriented, completely change the service concept and overcome the "indifference" of behavior. We hope to get respect and attention, and see the smiling, kind and conscientious work style of nurses. Strengthen study and improve nurses' professional quality and legal awareness: ① Strengthen the study of "three basics" knowledge and improve nurses' professional quality. ② Strengthen the study of legal knowledge and improve nurses' legal awareness. Let every nurse know and understand the law, use the law to regulate their behavior, serve patients according to law, protect themselves according to law, and prevent problems before they happen. Strengthen management and improve nursing quality: ① Relevant experts pointed out that as long as there are medical activities, there must be medical risks [3]. Nursing managers should check the quality of nursing regularly or irregularly. ② Strengthen safety management and give priority to prevention. In clinical nursing work, it is an effective preventive measure to insist on "three checks, seven pairs and one attention", as well as for interns. We should conscientiously do a good job in mentoring, let them know the responsibilities of nurses, know what is right and wrong, and the importance of prevention first.