A: It will take effect on September 1 2002.
2. What is a medical accident?
Answer: It refers to an accident in which medical institutions and their medical staff violate medical and health management laws, administrative regulations, departmental rules, norms, routines and make mistakes in diagnosis and treatment, resulting in personal injury to patients.
3. What are the levels of medical accidents?
A: The Ministry of Health divides medical accidents into four levels and eleven levels.
Among them, the first level is the death and severe disability of the patient, which is divided into A and B levels; The second level is patients with moderate disability and severe dysfunction caused by organ and tissue damage, which are divided into A, B, C, D and so on. The third level is to cause patients with mild disability, and organ tissue damage leads to general dysfunction, which is divided into A, B, C, D and so on. The fourth level is other consequences that cause obvious personal injury to patients.
4. If the medical record is not written in time due to the rescue of the patient, it shall be truthfully recorded and explained within a few hours after the rescue?
A: It will be completed within 6 hours after the rescue.
5. How should medical personnel report medical accidents that may lead to medical negligence or medical accident disputes in medical activities?
A: It should be reported to the department head immediately. The person in charge of the department shall promptly report to the department or full-time (part-time) personnel in charge of monitoring the quality of medical services in this medical institution. After receiving the report, the department or full-time (part-time) staff responsible for monitoring the quality of medical services shall immediately investigate and verify, truthfully report the relevant situation to the person in charge of the medical institution, and inform and explain to the patients.
6. How to deal with medical malpractice disputes?
A: 1, negotiation; 2. Civil litigation; 3. Administrative reconciliation;
7. What are the contents of the technical appraisal materials on medical accidents submitted by medical institutions?
Answer: (1) The original medical records, such as the course records of inpatients, the discussion records of death cases, the discussion records of difficult cases, the consultation opinions, and the records of superior doctors' rounds; (2) The original medical records of hospitalized patients, such as hospitalization records, temperature sheets, doctor's orders, laboratory tests (inspection reports), medical image examination data, special inspection consent, operation consent, operation and anesthesia records, pathological data, nursing records, etc. ; (3) supplement the original medical records of emergency patients within the specified time; (four) sealed infusion, injection supplies, blood, drugs and other physical objects, or the inspection report of the inspection agency qualified for inspection according to law; (five) other materials related to the technical appraisal of medical accidents;
8. Which situations are not medical accidents?
Answer: (1) taking emergency medical measures to save the lives of dying patients in an emergency, resulting in adverse consequences; (2) A medical accident occurs in medical activities due to the patient's abnormal condition or special physique; (3) Unforeseen or unforeseeable adverse consequences occur under the existing medical science and technology conditions; (4) No-fault transfusion infection causes adverse consequences; (five) due to the patient's delay in diagnosis and treatment, resulting in adverse consequences; (6) Adverse consequences caused by force majeure.
9. How long does it take for a party to file a dispute resolution application with the health administrative department when he knows or should know that his body is damaged?
A: Within one year.
10, what factors should be considered in determining the specific compensation amount for medical accident compensation?
Answer: (1) medical accident level; (2) the degree of responsibility of medical negligence in the consequences of medical accident damage; (3) the relationship between the damage consequences of medical accidents and the original disease status of patients;
1 1. How does the health administrative department handle the medical personnel involved in the medical accident?
A: It can be ordered to suspend practice for more than 6 months 1 year. If the circumstances are serious, your practice certificate shall be revoked and criminal responsibility shall be investigated according to law.
12. What major medical negligence behaviors have occurred, and the medical institution should report to the local health administrative department within 12 hours?
Answer: (1) A medical accident that leads to the patient's death or may be above Grade II; (two) causing personal injury to more than three people; (3) Other circumstances stipulated by the health administrative department of the State Council and the health administrative department of the people's governments of provinces, autonomous regions and municipalities directly under the Central Government.
13. How to handle medical records in case of medical malpractice disputes?
Answer: In case of disputes, medical records should be sealed and unsealed in the presence of both doctors and patients, and the sealed medical records should be kept by medical institutions.
14. If blood transfusion, blood transfusion, injection, drugs, etc. are suspected. Has caused adverse consequences, what should be done with the real thing?
A: Both doctors and patients should jointly seal and unseal the on-site physical objects, and the sealed on-site physical objects should be kept by medical institutions. If inspection is required, it shall be conducted by an inspection agency designated by both parties and qualified for inspection according to law. If both parties cannot carry out inspection, the health administrative department shall designate inspection.
15. when applying for medical malpractice technical appraisal, the parties concerned shall submit medical malpractice technical appraisal materials, written statements and defense within a few days from the date of receiving the notice from the medical association?
A: It should be within 10 days.
16. what are the medical malpractice technical appraisals that the medical association does not accept?
Answer: (1) One party directly applies to the medical association for identification. (2) The medical malpractice dispute involves many medical institutions, and the medical association where one medical institution is located has accepted it. (3) medical malpractice disputes have reached an agreement or judgment through mediation by the people's court. (4) The party concerned has brought a civil lawsuit to the people's court (except those entrusted by the judicial organ); (5) Illegally practicing medicine causes harm to the health of patients. (6) Other circumstances stipulated by the Ministry of Health.
17. What medical records do patients have the right to copy?
Answer: Outpatient medical records, inpatient medical records, temperature sheets, doctor's orders, laboratory tests, medical imaging examination materials, special examination consent, operation consent, operation and anesthesia records, pathological data, nursing records and other medical records specified by the health administrative department of the State Council.
18. What should I do if the patient has the right to copy the medical record?
Answer: When a patient requests to copy medical records, the medical institution shall provide copying or duplicating services, and affix a certification mark on the copied or duplicated medical records. When copying or duplicating medical records, patients should be present, and medical institutions can charge copying fees according to regulations.
19. In medical activities, medical institutions and medical personnel should truthfully inform patients of their illness, medical measures and medical risks, and answer their consultations in time, but should avoid causing adverse consequences to patients. What reasons should they pay attention to when earnestly fulfilling their obligation to inform?
Answer: (1) Insist on giving priority to doctors' opinions on purely technical issues; (2) Problems related to beauty and life concept can be based on patients' opinions; (3) Pay attention to the artistry of informing language; (4) Patients should be informed of their privacy.
20, what are the major medical negligence, medical institutions should report to the local health administrative department within 12 hours?
Answer: (1) A medical accident that leads to the patient's death or may be above Grade II; (two) causing personal injury to more than three people; (3) Other circumstances stipulated by the health administrative department of the State Council and the health administrative department of the people's governments of provinces, autonomous regions and municipalities directly under the Central Government.
2 1. How to deal with subjective medical records in case of medical malpractice disputes?
Answer: In the event of medical malpractice disputes, there are subjective data such as death case discussion records, difficult case discussion records, superior doctors' rounds records, consultation opinions and course records. It must be sealed and unsealed in the presence of more than two doctors and patients, and the sealed medical records shall be kept by medical institutions.
22. When a medical malpractice dispute occurs, what is the disposal and storage time of the body?
Answer: If the patient dies and both doctors and patients cannot determine the cause of death or disagree, an autopsy should be conducted within 48 hours after the patient dies. If the conditions for cryopreservation of the corpse are met, it can be extended to 7 days. Autopsy should be approved and signed by the relatives of the deceased. If a patient dies in a medical institution, the body shall be immediately moved to the mortuary, and the storage time of the body shall generally not exceed 2 weeks.
23, the parties have objections to the conclusion of the first medical accident technical appraisal, what should I do?
Answer: You can apply to the health administrative department where the medical institution is located within 15 days from the date of receiving the first appraisal conclusion.
24. What are the requirements for the members of the expert database established by the medical association?
Answer: (1) has good professional quality and professional ethics; (two) employed by medical and health institutions or medical teaching and scientific research institutions and held senior technical positions in the corresponding professions for more than 3 years.
25, how to form a medical accident technical appraisal experts?
A: The expert group conducts technical appraisal of medical accidents and adopts collegiate system. The number of expert groups is odd, and the experts involved in major disciplines are generally not less than half of the members of the appraisal group.
26. What should be avoided by the members of the expert appraisal team?
Answer: (1) is the disputed party of medical accident or the close relative of the party; (2) Having an interest in the dispute over medical malpractice; (3) Having other relations with the parties to the medical malpractice dispute, which may affect the impartial appraisal.
27, medical malpractice technical appraisal should be completed when?
A: The medical association responsible for organizing the technical appraisal of medical malpractice shall organize the appraisal and issue a technical appraisal of medical malpractice within 45 days from the date of receiving the relevant technical appraisal materials and written statements submitted by the parties, and the appraisal conclusion shall be passed by more than half of the members of the expert appraisal group.
28. What is the main content of medical accident technical appraisal?
Answer: (1) Basic information and requirements of both parties; (2) the materials submitted by the parties and the investigation materials of the medical association responsible for organizing the technical appraisal of medical accidents; (3) Description of the evaluation process; (four) whether the medical behavior violates the laws, administrative regulations, departmental rules, medical care norms and routines of medical and health management; (5) Whether there is a causal relationship between medical negligence and the consequences of personal injury; (6) the degree of responsibility of medical negligence in the consequences of medical accident damage; (7) medical accident level; (8) Medical care and medical advice for patients with medical accidents.
29, how to define the cost of technical appraisal of medical accidents, and how much is tentatively set in our city?
Answer: if it is identified as a medical accident, the appraisal fee will be paid by the medical institution; If it is not a medical accident, the appraisal fee shall be paid by the party applying for handling the medical accident. Our appraisal fee is 2200 yuan.
30. What items does the medical accident compensation include and how to settle it?
Answer: (1) medical expenses; (2) lost time; (3) Hospitalization food allowance; (4) Escort fee; (5) Disability living allowance; (6) Disability appliance fee; (7) Funeral expenses; (8) Living expenses of the dependents; (9) Transportation expenses; (10) Accommodation fee; (1 1) Compensation for mental damage. The medical malpractice compensation fee shall be settled in one lump sum and paid by the medical institution that bears the responsibility for medical malpractice.
3 1. What are the penalties for medical institutions violating regulations? What is the specific content?
A: If a medical institution violates the provisions of this Ordinance, a single punishment system will be implemented, that is, only the responsible person will be punished. The contents are as follows: (1) The patient's condition, medical measures and medical risks were not truthfully informed; (2) refusing to provide patients with the service of copying or duplicating medical records without justifiable reasons; (three) failing to write and properly keep medical records in accordance with the requirements of the administrative department of health of the State Council; (four) did not fill in the medical records of rescue work within the prescribed time; (five) failing to seal up, keep and unseal medical records and physical objects in accordance with the provisions of these regulations; (6) No medical service quality monitoring department or full-time (part-time) staff; (7) Failing to formulate a plan for the prevention and treatment of medical accidents; (eight) failing to report serious medical negligence to the administrative department of health within the prescribed time; (nine) failing to report medical accidents to the administrative department of health in accordance with the provisions of these regulations; (10) Failing to conduct autopsy, preserve or dispose of the corpse as required.
32, the specific content of medical accident?
A: It refers to the patient's death and severe disability, of which the first level is death; Grade I and grade B are respectively: loss of vital organs or complete loss of function, no compensatory ability of other organs, special medical dependence, and complete inability to take care of themselves. Such as: (1) vegetative state; (2) extremely severe mental retardation; (3) Coma that cannot be recovered by clinical judgment; (4) Clinically, the spontaneous breathing function is completely lost and cannot be recovered, and it is maintained by a ventilator; (5) quadriplegia, muscle strength 0, clinical judgment can not be restored.
33. What are the specific contents of four-level medical accidents?
Answer: It refers to a medical accident that causes obvious personal injury to the patient. Such as: (1) bilateral mild incomplete acute facial paralysis, no dysfunction; (2) Mild pigmentation or depigmentation of the face; (3) One eyelid has obvious defect or ectropion; (4) extracting healthy permanent teeth; (5) Instruments or foreign bodies mistakenly enter the respiratory tract or digestive tract and need to be taken out under the endoscope after general anesthesia; (6) Slight soft tissue injury around the mouth and face; (7) When the maxillary posterior teeth are extracted due to non-anatomical variation and other factors, the root or foreign body enters the maxillary sinus and needs to be extracted surgically; (8) The tissues and organs were slightly damaged, and there was no dysfunction after repair; (9) Defect of distal thumb 1/2; (10) Except thumb and forefinger, the proximal interphalangeal joints of two fingers have no function; (1 1) is missing a toe; (12) Foreign bodies in soft tissues lag behind; (13) The foreign body left in the body cavity has been wrapped, and there is no need for surgery to take it out, and there is no dysfunction; (14) local injection caused tissue necrosis, which was 2% larger than body surface area in adults and 5% larger than body surface area in children. (15) Fetal injury caused by cesarean section; (16) Postpartum placenta residue caused massive hemorrhage, and there were no other complications.
34. What documents should be submitted to the registration authority to apply for the first nurse registration?
Answer: (1) People's Republic of China (PRC) nurse's practice certificate; (2) identification; (3) health examination certificate; (4) Other certificates required by the provincial health administrative department.
35. How many years is the validity of nurse registration? What should I do if I interrupt my registration?
A: The validity period is two years. If the registration has been suspended for more than five years, the applicant must participate in clinical practice for three months in accordance with the provisions of the health administrative departments of provinces, autonomous regions and municipalities directly under the Central Government, and submit relevant certificates to the registration authority before re-registration.
36. Under what circumstances will I not register?
Answer: (1) During the prison term; (2) Unable or unsuitable to carry out nursing business due to health reasons; (3) Suspension or cancellation of registration in violation of these measures; (4) others are not suitable for working as nurses.
37. What are the requirements for the registration period of nurses in Hunan Province?
Answer: Nurses are required to register in even years, and those registered in odd years will be registered continuously in the second year.
38, nurses to apply for the establishment of nursing service institutions must meet what conditions?
Answer: (1) Obtain a practicing certificate; (2) Having worked as a nurse in a medical institution for 20 years and holding relevant certificates; (3) after registration.
39. In medical practice, how many years is the retention period of medical records in medical institutions?
Answer: The storage period of outpatient medical records shall not be less than 15 years, and the storage period of inpatient medical records shall not be less than 30 years.
40. What is the penalty for issuing false documents?
Answer: If the circumstances are minor, a warning may be given and a fine of not more than 500 yuan may be imposed. Under any of the following circumstances, a fine of 65438 yuan to 0000 yuan shall be imposed on 500 yuan. (1) Delayed diagnosis and treatment due to false supporting documents; (2) Causing mental injury to patients; (3) Causing other harmful consequences, the unit or the higher authorities shall give administrative sanctions.
4 1. What are the contents of maternal health care services?
A: (1) maternal and child health care guidance, providing medical advice on the causes, treatment and prevention of pregnant healthy offspring, serious hereditary diseases, iodine deficiency disorders and other endemic diseases; (two) maternal health care, providing health, nutrition, psychological counseling and guidance, as well as regular prenatal care and other medical and health services; (3) Fetal health care: providing consultation and medical guidance for fetal growth and development; (4) Newborn health care, providing medical and health care services for the growth and development, breastfeeding and nursing of newborns.
42. What are the verification contents of blood bag packaging by blood professionals in medical institutions?
Answer: (1) Name of blood station and its license number; (2) The name and blood type of the blood donor; (3) blood variety; (4) Date and time of blood collection; (5) Validity period and time; (6) the serial number of the blood bag; (7) Storage conditions.
43. What is the age of blood donation advocated by People's Republic of China (PRC) Blood Donation Law?
A: 18 to 55-year-old healthy citizens.
44. What are the provisions of the Blood Donation Law on the amount and interval of blood donation?
A: The amount of blood donated each time is generally 200ml, with a maximum of 400ml, and the interval between two collections is not less than half a year.
45. What is the classification of infectious diseases stipulated in the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases?
A: There are three kinds: A, B and C, among which A is plague and cholera, B is 24 kinds, and C is 13 kinds.
46. How to report the epidemic situation stipulated in the management measures of the Law on the Prevention and Control of Infectious Diseases?
Answer: When the responsible epidemic reporter finds AIDS, pulmonary anthrax patients, pathogen carriers and suspected infectious disease patients in Class A and Class B infectious diseases, he will report to the health and epidemic prevention institutions in the epidemic area by the fastest communication within six hours in the city and twelve hours in the countryside, and report the infectious disease report card at the same time.
47. According to the Law on the Prevention and Control of Infectious Diseases, which infectious diseases are not allowed to be isolated by medical personnel without authorization?
A: Without the approval of the health administrative department of the government at or above the county level, the names and addresses of gonorrhea, syphilis, leprosy, AIDS patients, HIV carriers and their families may not be disclosed.
48. Patients suspected of Class A infection should be diagnosed within a few days?
A: If a medical institution finds a patient suspected of Class A infectious disease in the course of diagnosis and treatment, it shall make a definite diagnosis within two days.
49. What are the types of administrative punishment?
A: (1) Warning; (2) a fine; (three) the confiscation of illegal income and illegal property; (four) ordered to suspend production or business; (five) withholding or revoking the license, withholding or revoking the license; (6) Administrative detention; (seven) other administrative penalties prescribed by laws and administrative regulations.
50, to participate in the technical appraisal of medical accidents, the number of both sides shall not exceed how many per day?
A: Three people.
5 1. Who should medical institutions accept applications for copying or duplicating medical records?
Answer: (1) The patient himself or his agent; (2) The close relatives of the deceased patients or their agents; (3) Insurance institutions.
52. How often is the nurse practice examination held?
A: Once a year for 4-7 months.
53. The right of nurses to perform their duties according to law is protected by law, and no unit or individual may infringe upon it. If there is a violation, how to punish it?
Answer: If a nurse illegally obstructs practicing according to law or infringes on the personal rights of a nurse, the unit to which the nurse belongs shall submit it to the public security organ for administrative punishment. If the circumstances are serious enough to violate the criminal law, they shall be submitted to judicial organs for criminal responsibility according to law.
54. When was the Measures for the Administration of Nurses in People's Republic of China (PRC) promulgated and implemented?
A: It was promulgated on March 26th, 20th14 by Decree No.3 1993 of the Ministry of Health, and came into force on October 26th, 20th14.
55. What are the requirements for blood storage management in medical institutions?
Answer: The cold storage temperature of whole blood, red blood cells and blood substitutes should be controlled at 2-6℃, and platelets should be controlled at 20-24℃ (transfusion within 6 hours). Blood storage personnel should make a 24-hour monitoring record of blood cold storage temperature. The blood storage environment should meet the hygiene standards.
56, "technical specification for clinical blood transfusion" regulation, blood transfusion department shall be the responsibility of the medical staff. If any situation is found, blood bags shall not be distributed.
Answer: The label of 1 is broken and the handwriting is unclear. 2 The blood bag is damaged and leaks blood. There are obvious clots in the blood. 4 plasma is chylous or dark gray. There are obvious bubbles, flocs or coarse particles in plasma. When the interface between plasma layer and red blood cells is unclear or not shaken evenly, hemolysis appears at the interface. The red blood cell layer is purplish red. ⑦ Expiration or other circumstances that need to be verified.
57. Which infectious disease patients or pathogen carriers need isolation treatment and can't return to work until they are proved to be non-infectious?
A: (1) Plague and cholera. (2) AIDS, viral hepatitis, bacterial and amebic dysentery, typhoid and paratyphoid, anthrax, typhus, measles, whooping cough, diphtheria, polio, epidemic cerebrospinal meningitis, scarlet fever, epidemic hemorrhagic fever, dengue fever, gonorrhea and syphilis. (3) Tuberculosis, leprosy, mumps, rubella and acute hemorrhagic conjunctivitis.
58. What is the training time requirement of infection knowledge for medical staff?
Answer: Full-time hospital infection management personnel should have no less than 15 class hours per year, other management and medical personnel should have no less than 6 class hours per year, and new employees, trainees and interns should have no less than 3 class hours, and they can only take up their posts after passing the examination.
59. What certificates must be obtained for disposable sterile medical supplies used in hospitals before they can be purchased?
A: You must obtain the Medical Device Manufacturing Enterprise License, Industrial Product Production License, Medical Device Product Registration Certificate and Medical Device Trading Enterprise License issued by the pharmaceutical supervisory and administrative department at or above the provincial level.
60, anti-infective drug application management regulations hospital in the application of anti-infective drugs, should be controlled in how much range?
A: The application rate of anti-infective drugs in hospitals should be controlled below 50%.
6 1. Who will implement the administrative penalty, and what power does the punished person enjoy?
A: The administrative punishment shall be implemented by the administrative organ with the power of administrative punishment within the statutory authority. The people's governments of provinces, autonomous regions and municipalities directly under the Central Government authorized by the State Council or the State Council may decide that an administrative organ shall exercise the power of administrative punishment of the relevant administrative organs. However, the power of administrative punishment to restrict personal freedom can only be exercised by public security organs. Citizens, legal persons or other organizations that have been punished have the right to make statements and defend themselves. Those who refuse to accept the administrative punishment have the right to apply for administrative reconsideration or bring an administrative lawsuit according to law.
62. For example, what is the law?
A: The law is a normative document formulated by the highest organ of state power and its permanent organs. Such as criminal law, marriage law, administrative procedure law and environmental protection law.
63. For example, what are administrative regulations?
A: Administrative regulations are documents formulated by the State Council in accordance with the Constitution and laws to regulate state administrative activities. Their status is second only to the Constitution and laws, and they are generally called regulations, rules, measures and detailed rules. Such as Regulations on Handling Medical Accidents, Regulations on Management of Medical Institutions, Law on Prevention and Control of Infectious Diseases in People's Republic of China (PRC), and Measures for Management of Nurses in People's Republic of China (PRC).
64. What are departmental regulations?
A: It is a normative document formulated by the ministries and commissions affiliated to the State Council and the directly affiliated institutions authorized by the State Council according to laws and administrative regulations.
65, the focus of accident prevention:
A has the function of preventing suicide and self-injury; B has the function of preventing falling out of bed.
C prevention of surgical accidents D prevention of three checks and seven pairs are not in place.
66, the main form of our country's law:
A constitution b laws c administrative regulations and departmental rules
D local regulations, local government regulations, autonomous regulations, separate regulations e international regulations
67. The relationship between law and morality mainly includes:
Law A and morality are complementary and interactive, and Law B protects morality.
Law C is a unique social phenomenon in class society.
Law D is formulated or approved by the state, and its formulation, amendment and abolition have to go through certain procedures.
E-law is a special code of conduct, and morality is not a constraint on human behavior but an inner world.
68, the basic responsibilities of nursing staff:
A promotes health, b prevents diseases, c restores health and d relieves pain.
69, nursing is characterized by:
Respect for human life and dignity; Respect human rights.
The work of nurses is not limited by nationality, race, age, gender, political beliefs and social status.
D nurses cooperate with relevant units to provide services for individuals, families and society.
70, care about the wishes of patients in hospice care, nurses should pay attention to:
At least two people must sign the will to testify.
You shouldn't ask about the contents of the will. Should not interfere with the will of the testator.
D record the mental and physical condition of the testator at that time, signed by two people.
E does not accept part of the patient's inheritance.
7 1, the moral quality of nurses is reflected in:
A loves nursing and devotes himself to life, and B respects patients, so be careful what you say and do.
C abide by the rules and regulations, strictly operate D with dignified appearance and standardized language.
E study business, strive for perfection, respect each other, help each other, unite and cooperate.
72, nurses should have the psychological quality are:
A keen and meticulous observation B agile and independent thinking ability
C positive and stable emotions d quick and accurate judgment
Proper expression and good memory.
73. The main contents of the code for nursing staff at all levels are:
A. The operation shall be rigorous, accurate and strive for perfection.
B respect patients, treat each other as equals, be warm and considerate, and serve wholeheartedly.
Be honest and polite, and behave politely. D strengthen the cultivation of professional quality and abide by the rules and regulations of the hospital.
E care about the collective, obey the arrangement, and do not seek personal gain.
74, nursing safety management should do:
A establish and improve the nursing safety system of undergraduate course room.
B strengthen the management of aseptic technology and operating procedures, and strictly check three and seven pairs.
C effective measures to prevent errors and accidents, as well as handling principles and methods.
D. Pay attention to the safe use of electricity and oxygen, and achieve four precautions.
E for children, coma and elderly patients, there are measures to prevent accidental injuries such as falling out of bed, scalding and slipping.
75, duty, succession system:
A often makes rounds and knows the ward and patients like the back of his hand.
B. Strictly implement "Four Lightnesses" and "Ten No's"
C successor to the department in advance to understand the doctor's advice, carefully handover items, several things.
D. The personnel on duty must finish all the work of this shift before the succession, and make preparations for the next shift.
E adhere to bedside handover and on-site handover, and pay attention to the nursing situation of critically ill patients such as coma and paralysis.
76, the patient admission system should pay attention to:
Party A shall not pass the buck for any reason, and Party B shall make timely preparations for beds and materials.
C immediately prepare for emergency surgery or critically ill patients.
The ward environment and related systems are introduced in detail. E inform patients of their rights and obligations during hospitalization.
77, Ⅰ nursing condition basis:
A. Those who need to stay in bed strictly after serious illness, critical illness and various major operations and cannot take care of themselves.
B all kinds of internal bleeding or trauma, high fever, coma, liver and kidney failure, shock and extreme weakness.
C paralysis, convulsion D premature infants, advanced cancer
78, about the implementation of the doctor's advice system:
A strictly follow the contents and time of the doctor's advice, and B shall not change the doctor's advice without authorization.
When executing the doctor's advice, strictly abide by the check system.
D. If the doctor's advice is unclear or suspicious, it must be found out before implementation.
E. In case of emergency, report to the doctor in time after emergency treatment, and make records.
79, check system mainly includes:
The doctor suggested Ben BANCHA: Yes, the next one is in BANCHA.
B all doctor's orders shall strictly implement "three checks" and "seven pairs".
C all drugs should be checked by a second person when they are prepared, and they can be used only after they are accurate.
Drug allergy should be clearly marked.
80, when using drugs should be paid attention to:
A check the drug label, batch number and expiration date. B. Check the cork and bottle for looseness and cracks.
C whether there is crack in ampoule D whether there is discoloration and precipitation in liquid medicine.
8 1, blood transfusion examination corresponds to two people's examination, and the examination contents are as follows:
A check the date of blood collection, coagulation and hemolysis.
The blood bag is damaged or leaked. Names and blood types of blood donors and recipients.
D cross matching results e whether the blood transfusion volume is consistent with the doctor's advice
82, rescue system mainly includes:
The rescue room must be equipped with complete and intact rescue equipment, instruments and medicines.
B. All kinds of rescue instruments have good functions and are on standby at any time.
C. The articles on the ambulance should be placed in an orderly manner, and the drug numbers should be clear and consistent.
D rescuers must be familiar with rescue knowledge and procedures.
E closely observe the condition, conscientiously implement the doctor's advice, and the oral doctor's advice must be checked repeatedly before execution.
83, timely rescue indoor items four or three.
A, determine the variety quantity b, position and place c, and manage d regularly.
E timely inspection, timely disinfection and sterilization, timely supplement.