The six main points of nursing risk assessment mainly include patient factors, nurse factors, management factors and doctor factors.
Extended reading:
First, patient factors.
(1) Care for critically ill patients with high risk, rapid change of condition, many complications, serious injury, or complicated pathological changes, difficult operation and high risk.
(2) Individual differences of patients: For example, patients with high allergic constitution are at risk of allergic reaction when using other drugs.
(3) Patients with health problems are prone to cognitive and emotional crisis. If nurses fail to provide effective psychological support in time after the psychological crisis, conflicts between nurses and patients may occur, and even develop into disputes.
Second, the nurse factor.
Due to the increasing complexity of patients' diseases and conditions, the legal awareness and self-protection awareness of patients and their families are increasing day by day, and the requirements for hospital service attitude and medical quality are getting higher and higher. In addition, due to the guidance of the news media and the direct intervention of the judicial department, medical disputes have increased year by year. Clinical nurses have more opportunities for direct contact with patients and more opportunities for conflicts and disputes. However, nurses did not change their ideas in time, lacked legal knowledge, paid more attention to treatment, ignored records, and had insufficient writing level of nursing records, which had potential safety hazards.
Third, management factors.
(1) Imperfect rules and regulations: unclear responsibilities of staff.
(2) the implementation of rules and regulations is not in place, and the implementation of the system is insufficient: ① nurses are unfamiliar with the system and cannot follow it. For example, newly graduated nurses have not received pre-job training, and newly transferred nurses do not understand the specialized nursing system. ② Nurses have a weak sense of responsibility and do not strictly implement various systems. If the "three checks and eight pairs" system and the doctor's advice execution system are not strictly implemented. ③ The head nurse has poor management, lax requirements, insufficient supervision and inspection, lack of foresight on various unsafe links in nursing work, and failed to take timely measures or ineffective measures.
(3) Poor arrangement and management of nursing students led to the unsupervised nursing work. (4) The head nurse failed to keep up with the training of new nurses' business, new business and new technology.
Fourth, the doctor factor.
(1) The patient's condition is complicated and beyond the doctor's ability.
(2) Doctors are not responsible enough to manage patients.
(3) When introducing new technologies, new projects and carrying out medical research projects.
(4) When the knowledge and skills of doctors are insufficient.
(5) Doctors lack patience with patients, which leads to dissatisfaction of patients and their families, and it is easy to transfer contradictions to nurses, which increases nursing risks.