Chapter 1 Nursing Disputes and Nursing Accidents
Section 1: Overview of Medical Disputes
I. Diversity of Dispute Forms
II. Coverage of Dispute Occurrence Has Wide-ranging Nature
III. Diversity of Means of Defending Rights
IV. Difficulty of Legal Regulation
Section 2: Nursing Disputes
I, The Concept of Nursing Disputes
II. Characteristics of Nursing Disputes
Section 3 Nursing Accidents
I. The Concept of Nursing Accidents
II. Characteristics of Nursing Accidents
III. Composition of Nursing Accidents
Chapter 2 Overview of Legal Risks of Nursing Practice
Section 1 Overview of Nursing Risks
I, Nursing risk and related concepts
II. Characteristics of nursing risk
Section 2 Nursing Risk Management System
I. Concepts of Nursing Risk Management System
II. Organizational System of Nursing Risk Management
III. Procedures of Nursing Risk Management
Section 3 Nursing Risk Assessment
I. Nursing Risk Management
II. Causes of Nursing Risks
III. Correct Assessment of Nursing Risks
Chapter 3 Legal System of Nursing Practice Risks
Section I. Overview
Section II. Relevant Laws and Regulations
I. Laws Formulated by the National People's Congress and its Standing Committee
II. Administrative regulations formulated by the State Council
III. Departmental regulations formulated by the Ministry of Health
IV. Technical specifications formulated by the Ministry of Health, the Chinese Medical Association, and the Chinese Nursing Association
Section III: Legal system for nursing risks under the Regulations on the Handling of Medical Accidents
I. System for practicing medicine in accordance with the law
II. System for medical notification
III. System for mitigation of Medical Incident Damage System
Fourth, Medical Incident Prevention and Handling Plan System
Fifth, Adverse Event Reporting System
Sixth, Evidence Preservation System
Chapter 4: Rules and Regulations on Nursing Practice Risks
Section 1: Overview
Section 2: Nursing Hand-Over System
Overview
Section 2: Nursing Hand-Over System
An Overview
Section 2: Nursing Hand-Over System
Second Nursing handover system
Section III checking system
Overview
Second, the checking system of medical advice
Third, the checking system of clinical drug administration
Fourth, the checking system of blood transfusion
Vth, the checking system of surgical procedures
Section IV system of implementation of the medical advice
Second, the system of rescue
Second, the system of medical advice
Second, the system of medical advice
Section V p>I. Overview
II. Resuscitation system
Section 6, departmental drugs, equipment storage and use system
I. Overview
II. Ward drug management system
III. equipment and instrument management system
Section 7, nursing consulting system
I. Phase 5E Description
II. System
Section VIII ward safety system
I. Overview
II. Characteristics of nursing informing
III. Classification of nursing informing
IV. Meaning of nursing informing
Section II: Relevant disciplines involved in nursing informing
I. Nursing Ethics
II. Nursing Psychology
Section III: Contents of Nursing Informing
I. Contents of Nursing Informing for Admission and Discharge
Section IV nursing inform the skills
I. Nurses verbal communication strategies
II. Non-verbal communication skills
III. Nursing inform the attention should be paid to the problem
Section V nursing written inform the letter
I. Admission inform the letter (agreement)
II. Family accompanied by the letter of information
Three, infant patients infusion risk notification letter
Four, inevitable pressure ulcer risk notification letter
Five, the application of protective restraints notification letter
Chapter 6 Nursing paperwork writing and proof
Section 1, the basic requirements for nursing paperwork
I. Concepts and features of the nursing paperwork
Second, the nursing record Difference and connection with the physician's record
Third, the basic requirements for writing nursing documents
Section II, a variety of nursing document writing requirements
I. Temperature sheets
II. Nursing records
III. Medical orders
IV. Surgical nursing records
Section III, nursing documents to prove
I. The role of the medical record in the Role in litigation
II. Nursing paperwork record considerations
Chapter 7 Hospital Emergency Nursing Emergency Response Plan
Section 1 Overview
I. Concepts
II. Classification
Section 2 Hospital Emergency Nursing Emergency Response Plan Examples
I. Ward found suspected or confirmed SARS patient Emergency response plan
Second, the fire emergency response plan
Third, the occurrence of patient aspiration emergency response plan
Fourth, anaphylactic shock emergency response plan
Fifth, the patient's suicide emergency response plan
Sixth, the medical dispute emergency response plan
Seventh, the sudden attack of the thugs emergency response plan
Eighth, the power outage emergency treatment plan
Chapter 8 outpatient emergency nursing risks
Section 1 outpatient, emergency nursing risk overview
One, outpatient, the basic characteristics of the emergency room
One, outpatient, emergency nursing risks and their prevention overview
Section 2 outpatient nursing risk overview
One, injection room, infusion room risks Room Risks
II. Blood Drawing Room Risks
III. Medication Changing Room Risks
IV. Planned Vaccination Risks
Section III Overview of Emergency Nursing Risks
I. Triage Room Risks
II. Resuscitation Room Risks
III. Emergency Operating Room Risks
IV. Outpatient Nursing Records
V. Medical staff
VI. Nursing speech
Section 4 outpatient and emergency nursing risk case review
Cases 1 and 2 to avoid and resolve disputes in two successful cases
Case 3 outpatient privacy protection
Case 4 emergency triage inappropriate cases
Chapter 9 basic nursing and ward management risks
Section 1: Overview of Primary Care and Ward Management Risks
Section 2: Overview of Primary Care Risks
I. Failure of deep vein or arterial venipuncture
II. Blood seepage from arterial venipuncture needle holes
III. Failure of catheterization
IV. Inaccuracy of urinary output
V. Mis-aspiration, choking
VI. Technical factors
VII. Factors of professional quality and regulations of medical staff
VIII. Assessment of risks in patient care
IX. Risks arising from inadequate protective measures
X. Risks in gastrointestinal decompression care
XI. Risks in indwelling catheter care
Section III. Overview of risks in ward management
I, Power outages and sudden blackouts
II. Fires
III. Risk of expiration of medications due to improper management of medicine cabinets
IV. Falls
V. Falling out of bed
VI. Lack of knowledge and unhealthy habits
VII. Nursing and patient communication factors
VIII. Low legal awareness among medical staff
IX, Risk of violating patients' privacy
X. Nursing risks in discharge guidance
Section IV Basic Nursing and Ward Management Risk Cases
Case 1 Gao Mou v. The Second Hospital of a Group Co. Ltd. for the disability caused by the importation of deteriorated medicines
Case 2 Violation of nursing routines resulting in a first-degree medical malpractice
Chapter 10: Nursing Risks in the Internal Medicine Department
Section 1: Overview of Internal Medicine Nursing Risks
I. Characteristics of Internal Medicine Nursing Risks
II. Methods of Preventing Internal Medicine Nursing Risks
Section 2: Risks of Respiratory Medicine Nursing Care
I. Risks of Oxygen Therapy Care
II. Risks of Sputum Suction Care
III. Risks of Arterial Blood Gas Analysis Care
IV, Closed chest drainage nursing risks
Section III cardiology nursing risks
I. Central venous puncture catheterization nursing risks
II. Cardiopulmonary resuscitation nursing risks
III. Electrorecovery (defibrillation) nursing risks
IV. Thrombolytic therapy nursing risks
Section IV Gastroenterology nursing risks
I, Nasogastric feeding nursing risk
II. Double balloon triple lumen tube compression nursing risk
III. Laparotomy nursing risk
IV. Enema nursing risk
Section V. Other Nursing Risks of Internal Medicine
I. Bladder puncture nursing risk
II. Indwelling urinary catheter nursing risk
III. Urine specimen collection nursing Risks
IV. Bladder irrigation nursing risks
V. Bone marrow aspiration nursing risks
VI. Cerebrospinal fluid drainage nursing risks
Chapter 11 Surgical Nursing Risks
Section I. Overview of Surgical Nursing Risks
Section II. Preoperative Nursing Risks
I. Inaccurate preoperative instructions
II. Inadequate psychological care
III. Inadequate preoperative preparation
IV. Nursing risks of skin preparation
V. Nursing risks of exposed operations
VI. Nursing risks of indwelling gastric tubes
VII. Nursing risks of indwelling urinary catheters
Third section of postoperative nursing risks
I. Nursing care for catheterization in patients with urinary retention Risks
II. Nursing risks of postoperative forced bedridden patients
III. Nursing risks of postoperative indwelling drainage tubes
IV. Nursing risks of postoperative sputum coughing assistance
V. Nursing risks of postoperative dietary guidance
VI. Nursing risks arising from inadequate protective measures for oncology patients
VII. Early postoperative hemorrhagic shock
VII. Shock
VIII, lower extremity venous thrombosis
IX, tracheotomy nursing risks
Section IV, general surgery nursing risks
I, postoperative breast cancer patients with flap nursing risks
II, intestinal fistula patients with indwelling negative pressure drainage nursing risks
Section V, neurosurgery nursing risks
I, ventricular Drainage tube obstruction or slippage
II, sputum suctioning in patients with craniocerebral injuries
III, nursing risks in agitated patients
IV, nursing risks of protective restraint
V, nursing risks in patients with psychiatric disorders
VI, nursing risks in patients with impaired swallowing
Section VI Nursing Risks in Cardiothoracic Surgery
I. Nursing risks of rehydration after total pneumonectomy
II. Nursing risks of indwelling chest drains after total pneumonectomy
III. Nursing risks of pericardial and mediastinal drains
Section VII: Nursing Risks in Urological Surgery
I. Nursing Risks of Various Drains
II. Nursing Risks in Patients with Adrenal Disease
Section 8: Nursing Risks in Surgical Intensive Care Unit
I. Nursing Risks in Turning Critically Ill Patients
II. Nursing Risks in Physical Cooling
III. Nursing Risks in Large Quantities of Blood and Fluid Transfusion
IV. Nursing Risks in Re-fixing Vital Tubes in Restless Patients
V. Nursing Risks in Removal of Tracheal Intubation
VI. Nursing risks of enteral nutrition
VII. Nursing risks of parenteral nutrition
VIII. Nursing risks of transcatheter infusion through large vein placement
IX. Potential nursing risks of transferring critically ill patients and going out for checkups
X. Potential nursing risks of the severity of the disease and the complexity of the condition of critically ill patients
Section IX: Functional Exercise Nursing Risks
Section IX: Functional Exercise Nursing Risks
Section IX. /p>
I. Postural Hypotension Nursing Risks
II. Wound Dehiscence Nursing Risks
III. Pathologic Fracture Nursing Risks
IV. Joint Contracture Nursing Risks
Chapter 12: Nursing Risks in the Operating Room
Section 1: Overview of Nursing Risks in the Operating Room
I. Nursing Risks From Patients
I. p>II. Risks from Surgical Treatment Measures
III. Nursing Risks from Occupational Factors
Section II Risks of Nursing Defects in the Operating Room
I. Picking Up the Wrong Patient
II. Cutting the Wrong Site for Surgery
III. Foreign Objects Left in the Body Cavity
IV. Transfusion of the Wrong Blood
V. Administration of the Wrong Medication
VI. Patient Falls and injuries
seven, scalding, frostbite or chemical burns patients
eight, electric knife burns
nine, improper preservation or loss of specimens
tenth, improper placement of the surgical position resulting in injuries
eleven, the misuse of unsterilized or failed to meet the disinfection of the surgical instruments and items
twelve, the airbag tourniquet damage Risks
XIII, incision infection
Section III occupational hazards in the operating room risks
I, air pollution
II, physical fatigue and psychological hazards
III, cervical spondylosis and lumbar back injuries
IV, varicose veins of the lower extremities
V, laser radiation contamination
VI, X-ray contamination
VII, noise interference
Section IV, surgery and anesthesia complication risk
I, shock
II, cardiac arrest
Section V, surgical nursing risk case study
Case 1, the operating room management is not in place, do not strictly implement the aseptic technology operation norms, resulting in the removal of the eyes of the nine patients
Case 2, surgery Nurse inventory system is not implemented, resulting in hemostatic forceps left in the patient's abdominal cavity for up to six years
Case 3 nurses did not check the right, resulting in the patient's right leg fracture while the left leg to do the steel nail surgery
Case 4 improper nursing care, the electro-knife sparks ignited volatile ethanol gas, burning the patient on the operating table
Chapter 13 gynecological nursing risks
Section 1 gynecological nursing risk overview<
I. Risks of gynecologic surgical care
II. Risks of gynecologic chemotherapy care
Section 2: Risks of gynecologic pre-surgical care
I. Risks of pre-surgical preparations
II. Risks of scalded injuries during warm water sitz baths
III. Risks of hard service attitude of nursing staff
Section 3: Risks of gynecologic post-surgical care Risks
I. Risks of irregular writing of nursing documents
II. Risks of abnormal drainage tubes
III. Risks of abnormal abdominal and vaginal incisions
IV. Risks of nursing care for patients with acute abdominal disease
V. Risks of nursing care in the perioperative period of laparoscopy
VI. Risks of multifunctional monitors' alarm disposal
Section IV Nursing Risks of Chemotherapy for Gynecologic Oncology
I. Risks of Failure of Deep Vein Cannulation
II. Risks of Failure of Superficial Venipuncture
III. Risks of Extravasation of Chemotherapeutic Drugs
IV. Nursing Risks of Chemotherapy in Patients with Epithelial Tumors
V. Chemotherapy Nursing Risks in Patients with Choriocarcinoma
Section V. Gynecological Nursing Risk Case Study
Case 1 Unmarried Female Patient's Hymen Stabbed by Nurse During Preoperative Preparation
Case 2 Medical Dispute Caused by Nurse's Inappropriate Speech
Chapter 14 Obstetric Nursing Risks
Section 1: Overview of Obstetric Nursing Risks
Section 2: Prenatal Nursing Risks
I. Fetal Distress Risk
Section 2: Fetal Distress Risk
Section 2: Fetal Distress Risk
I. p>
II. Nursing Risks of Umbilical Cord Prolapse
III. Nursing Risks of Hemorrhage in Late Pregnancy
Section III Nursing Risks during Labor and Delivery
I. Nursing Risks Produced by Unsterility
II. Nursing Risks of Tonic Contractions
III. Nursing Risks of Amniotic Fluid Embolism
IV. Nursing Risks of Postpartum Hemorrhage
V. Nursing risks of perineal laceration of degree III
Section IV: Risks of postpartum neonatal care management
I. Risk of retinopathy due to oxygenation in preterm neonates
II. Risks of asphyxia care in neonates
III. Risks of care for wrongly held babies
IV. Risks of neonatal theft
V. Parental improper feeding Risks
Section V Obstetric Nursing Risks Case Study
Case 1 Newborn baby cerebral palsy, the midwifery hospital is liable
Case 2 hospitals take the liberty of disposing of the stillborn baby, the family is angry and sued
Case 3 baby born with shoulder dystocia, resulting in brachial plexus nerve damage
Chapter 15 Pediatric Nursing Risks
Section I pediatric diagnosis and treatment Overview of Nursing Risks
I. Pediatric Patient Factors
II. Pediatric Therapeutic Measures Factors
III. Instructing Accompanying Parents Factors
Section II General Pediatric Nursing Operational Risks
I. General Nursing Care for Neonatal Diseases
II. Nursing Care for Newborn Jaundice
III. p>
Four, care of intracranial hemorrhage in the newborn
Five, care of vomiting in the newborn
Six, care of sepsis in the newborn
Seven, care of pneumonia in the newborn
Eight, care of sclerodactyly in the newborn
Nine, the risk of umbilical cord infection in newborns
Ten, the risk of pediatric accidents
Section III Neonatal Intensive Care Nursing Risks
I. Risks of Routine Monitoring Nursing Care
II. Risks of Temperature Monitoring Nursing Care
III. Risks of Cardiopulmonary Monitoring Nursing Care
IV. Risks of Oxygen Therapy and Blood Gas Monitoring Nursing Care
V. Risks of Respiratory Management for Newborns
VI. Transfusion of Fluids and Application of Transfusion Pumps to Critically Ill Infants
Section IV Pediatric Nursing Risk Case Study
Case 1 Legal Liability for Infant Theft Cases in Hospitals
Case 2 Retinopathy in Premature Twins, Hospitals Improperly Compensated for 170,000
Chapter 16 Infectious Disease Nursing Risks
Section I Infectious Disease Nursing Risks Overview
Section II Infectious Disease Nursing Risks Overview of Common Infectious Disease Nursing Risks
I. Risks of infectious ward environment and facilities
II. Risks of nosocomial infection in infectious wards
III. Risks of nurses' emergency response capability
IV. Infectious disease reporting system not effectively implemented
Section III Nursing Risks in Infectious Diseases Cases
Case 1 Pregnant woman, Ms. Tao, v. A Chinese medicine hospital, damages for misdiagnosis
Case 2 Yang v. A university, damages for misdiagnosis
Section IV. >Case 2 Yang v. A university hospital for violation of the right to reputation for his unfounded diagnosis of HIV infection
Chapter 17 ICU nursing risks
Section 1: Overview of nursing risks in the ICU
Section 2: Overview of nursing risks in the ICU
One: Nursing operation risks
Two: Risks in the functioning or operation of respiratory machines and other instruments and equipment ICU risk
Three, all kinds of diagnosis and treatment in the process of complications
Four, medical costs
Section III ICU syndrome
One, the concept of ICU syndrome
Second, ICU syndrome causes
Three, ICU syndrome prevention and care
Section IV, the special risks of the case
Section IV, case study
Case 1, the patient was hospitalized for 55 days and spent 380,000 yuan; the ventilator was used for "143 hours a day"
Chapter 18, hemodialysis nursing risk
Section 1, hemodialysis unit nursing risk overview
Section 2, hemodialysis unit nursing risk overview
One, Nursing operation risks
II. Risks in the operation and operation of dialyzers
III. Complications during dialysis
IV. Post-dialysis risks
V. Haemodialysis billing
Section III. Special Risks Case Study
Case 1: Hepatitis C infection after haemodialysis.
Case 2: Harbin's overpriced medical bills
Case 3: Death of a patient due to unskilled dialysis
Case 4: Death of a patient due to improper use of insulin by a nurse during dialysis
Chapter 19: Risks of Pressure Sore Nursing Care
Section 1: Overview of the Risks of Pressure Sore Nursing Care
1: Reasons for Pressure Sores
2: The Risks of Pressure Sore Nursing Care
Section 2: The Causes of Pressure Sores
II. Nursing Risks of Pressure Sores
Section II Overview of Nursing Risks of Pressure Sores
I. Risks in Pressure Sore Management
II. Risks in Pressure Sore Preventive and Therapeutic Nursing Care
Section III Special Risks Case Study
Case 1 Three Months After Admission to the Hospital, the Elderly Have Longer Pressure Sores
Case 2 Fracture Patient Complicated with Pressure Sores, Not an Accident But the hospital is responsible
Chapter 20 nursing staff suffered occupational injury risk
Section 1 nursing staff suffered occupational injury risk overview
I. Biological factor injury
II. Physical factor injury
III. Chemical factor injury
IV. Physiological and psychological factor injury
V. Accidental and invasive Factor Injuries
VI. Combined Factor Injuries
Section II: Risks of Biological Factor Occupational Injuries
I. Overview of Biological Factor Occupational Injuries
II. Occurrence of Respiratory Transmitted Disease Infections
III. Occurrence of Bloodborne Transmitted Disease Infections
IV. Occurrence of Digestive Transmitted Disease Infections
V. Occurrence of Skin contact spread disease infection
VI, the prevention of biological factors of occupational injury **** the same strategy
VII, pathogens after occupational exposure to monitoring and management
Section III, the risk of occupational injuries of chemical factors
I, exposure to anti-tumor chemotherapy drugs adverse reactions
II, long-term inhalation of anesthetics adverse reactions
Fourth, chemical factors of occupational injury *** with preventive strategies
Section IV, physical factors of occupational injury risk
I. Radiation damage
Two, ultraviolet radiation damage
Three, sharp object injury
Section V, physical and psychological factors of occupational injury risk
Section V, physical and psychological factors of occupational injury risk
Section V, physical and psychological factors of occupational injury risk
Section VI, physical and psychological factors of occupational injury risk
I.
One, postural injuries
Two, chronic fatigue syndrome
Three, psychological overburden
Section VI Accidental and Invasive Factors Occupational Injury Risks
One, accidental injuries
One, injuries from violent assaults
Section VII Examples of Occupational Health and Safety Management Programs for Hospital Workers
A hospital's "hospital staff occupational health and safety management program"
Section VIII typical risk case analysis
Case 1 nursing operation accidental needle-stick injuries after nurses infected with AIDS Hepatitis C case
Case 2 Shenzhen Women's and Children's Hospital disinfectant infection case
Next chapter of the interpretation of the nurses regulations
Chapter 21 Nurses Regulations Overview and Characteristics
Section 1: Overview of the Nurses Regulations
I. General information
II. Content and distribution of articles
III. Simplified memory table of the Regulations
Section 2: Characteristics of the Regulations
I. Legal Rights and Interests
III. Strengthening the Rights and Obligations of Nurses
IV. Adjusting the Rules of Nursing Practice
V. Clarifying Legal Responsibilities
Chapter 22: Concepts of Nurses and Nurses' Registration System
Section I: The Concepts and Characteristics of Nurses
I.
Section II: Historical Origin of Nurses
I. Origin of the Nursing Profession
II. Nursing Legislation
Section III: Nurses' Registration System
I. Regulates the Way of Obtaining Nurses' Qualifications for Practicing Nursing Practice
II. Regulates the Designation of Nurses' Practicing Certificates
III. Provisions
Duration of registration
V. Provisions on the validity of registration
VI. Provisions on re-registration
VII. Changes in registration
VIII. Cancellation of nursing license
IX. Recognition of the former nurse license
Section IV: Comparison of the flow of the registration system of nurses and the key points
I. The process of the nurse registration system
II. Comparison of the key points of the changes in the old and new nurse registration system
Chapter 23: Legal Rights and Obligations of Nurses
Overview of the Legal Rights of Nurses in the First Section
I. Concepts of the Legal Rights of Nurses
II. Legal Rights of Nurses
I. Workers' Rights to which Nurses as Workers are Legally Entitled
II. Health Care Workers' Rights to which Nurses as Health Care Workers are Legally Entitled
Section III: Occupational Rights of Nurses
I. Protecting the Occupational Rights of Nurses is the Primary Legislative Purpose of the Regulations
II.
Section 4: Professional Obligations of Nurses
I. The Concept of Legal Obligations of Nurses
II. Legal Professional Obligations of Nurses
Chapter 24: Duties and Legal Responsibilities of the Government and Healthcare Institutions
Section 1: Strengthening of Responsibilities of the Government and Healthcare Institutions
I. Requirements on the Government
II. Requirements
Section 2 clarifies the responsibility for violations
I. Responsibility of health administrative organs
II. Responsibility of medical institutions
III. Responsibility of nurses
IV. Responsibility of others for violation of nurses' rights and interests
Chapter 25 Comparison of Nurses' Management Measures and Nurses' Regulations
References
Appendices
Afterword
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