Nursing safety means that during the entire process of patient receiving care, no psychological, physical structural or functional damage, disability or death occurs beyond the scope permitted by laws and statutory regulations. Nursing safety is the key to achieving high-quality nursing care and is one of the important links in reducing medical accidents. Let’s take a look at what exactly we can do to reduce medical accidents in the nursing process!
1. Don’t forget to turn off the insulin pump
Severely ill patients have unstable blood sugar levels, coupled with diabetes Most patients provide parenteral nutrition while maintaining insulin pumps to regulate blood sugar. Remember to stop the insulin pump at the end of parenteral nutrition or enteral nutrition.
2 Assess before operating
Before performing any operation, new nurses must carefully evaluate whether the patient is suitable for the operation and whether there are any contraindications. For example, take arteriovenous blood collection, check the patient's limbs for arteriovenous fistulas before measuring blood pressure, observe whether the patient has a bent nasal septum before inserting a nasogastric tube, assess whether the patient has sensory impairment before applying hot or cold compresses, etc. to avoid adverse consequences caused by blind operations. .
3. Do not interrupt the operation process
When the nurse's ongoing work is interrupted for various reasons, it may have an impact on what is being done. Junior nurses have less experience in handling emergencies, so they should try to finish the work at hand before handling other incidents. Even if the emergency is very urgent, the safety of the patient must be ensured before leaving.
4 Don’t ignore various alarms
In the ICU working environment, there are often monitoring equipment alarms, infusion pump alarms, ventilator alarms, etc. Junior nurses must not ignore every alarm. Call the police because if the alarm is not dealt with in time, it can have a big impact. For some questionable alarm issues, you should contact the superior nurse or head nurse in time and handle them promptly and correctly. Do not turn a blind eye and delay treatment.
5 Drug knowledge to learn
Due to the serious condition of the patients, there are many types of drugs used in ICU. New nurses should become familiar with the indications, contraindications, preparation methods, special requirements, etc. of various commonly used drugs as soon as possible. Drug-related information can be obtained through drug instructions, business training, physician consultation, Hospital Management Information System (HMIS) and other channels to ensure accurate medication use.
6. Whether you can drink water should follow the doctor’s instructions
ICU patients may be given medical advice on fasting and water due to treatment needs. Patients are often thirsty when fasting water. Some new nurses do not understand the condition and kindly give the patient some water when the patient strongly requests water. This is undoubtedly counterproductive. Before any patient asks to drink water, he should first check the diet prescribed by his doctor. Patients who are fasting from water should be given appropriate education and guidance. In addition to telling the patient that the doctor will not allow you to drink water, the patient should also be told the purpose of fasting water and the special significance of fasting water for disease treatment and diagnosis, and obtain the patient's understanding. Understanding and cooperating will make the later work much easier.
7 Things to keep in mind about the verification process
The verification system is one of the core systems of nursing work and the basis for ensuring clinical safety. Although new employees will receive training in this area during induction training to strengthen their awareness of verification, they may miss the verification link at work due to objective reasons such as busy work, handling of emergencies, and insufficient human resources, which may lead to adverse events. No matter what kind of working environment new nurses are in, they must keep the checking process in mind. Especially for therapeutic operations, they should implement the principle of three checks and seven pairs. If there are questions about the doctor's orders, ask first and confirm that they are correct before executing them, so as to effectively avoid errors and accidents. occurrence.
The above is the author’s actual experience of working in ICU as an example, summarizing the nursing risks that are more likely to occur in daily clinical work, hoping to give some tips to new nurse partners to reduce the risk of nursing defects. incidence rate and improve nursing safety.
Satisfying patients is the ultimate goal of the angels in white. I hope you all will try your best!
Original title: Nursing Safety Tips for New Nurses
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