Date: record the date of the nursing operation.
Time: Record the exact time of the nursing operation.
Patient information: including the patient's name, age, gender and other basic information.
Nurse/Caregiver: name of the nurse or caregiver who performed the nursing operation.
Nursing operation: describes the specific steps of the nursing operation, including the specific method of bladder irrigation, the drug or solution used, and the time of irrigation.
Observation and assessment: record the observation and patient's response during the nursing process, such as the color and amount of urine, pain or discomfort.
Precautions: record matters requiring special attention, such as the presence of adverse reactions, and the requirement to cooperate with medical advice.
Nursing measures: record the nursing measures performed, such as taking care of the patient's comfort and keeping the catheter open.
Evaluation of medical advice: record the doctor's requirements or evaluation of nursing operations.
Signature: the nurse or caregiver signs at the end of the record to confirm the accurate execution of the nursing operation.
It should be noted that the record should be accurate, detailed and objective, avoiding the use of vague or subjective descriptions. Record every detail of the nursing operation in a timely manner to ensure that the information is complete and traceable.