Nursing care of inpatients:
The purpose of hospitalization nursing is to help patients understand and get familiar with the environment so as to adapt to hospital life as soon as possible; Meet their physical and mental needs and mobilize the enthusiasm of patients to cooperate with treatment and nursing; Do a good job in health education to promote their early recovery.
(A) Inpatient care
1. Patients or their families who have gone through the admission formalities shall go through the admission formalities at the admission office with the admission certificate issued by the outpatient or emergency doctor. After receiving the patient, the inpatient department immediately called the ward to prepare for receiving new patients.
Step 2 carry out sanitary treatment
3. Escort the patient into the ward
(2) Initial nursing care of patients after entering the ward.
1. Nursing care of ordinary patients
2. Nursing care of emergency patients
(3) graded nursing
Different levels of nursing measures are given according to the severity, urgency and self-care ability of patients, which is called graded nursing.
Nursing care of discharged patients:
The purpose of discharge nursing is to guide patients to discharge, meet their physical and mental needs and help them adapt to social life as soon as possible; Bed treatment unit, preparing for new patients.
(1) Nursing before discharge
(2) Handling of relevant documents
1. Fill in the discharge time. At 40 ~ 42℃, fill in the discharge time vertically in the corresponding time column between the horizontal lines of the thermometer with a red pen.
2. Cancel cards Cancel various cards, such as diagnosis cards, bedside (tail) cards, medication cards, diet cards, treatment cards, etc.
3. Arrange the discharge medical records, arrange the medical records and submit them to the medical record room for preservation. The order of discharge medical records: the first page of hospitalization medical records, discharge (or death) records, admission records, medical history and physical examination sheets, course records, various inspection reports, nursing records sheets, doctor's orders and temperature sheets.
4. Fill in the patient discharge registration form.
(3) Treatment of bed units
1. Take down the dirty clothes from the hospital bed, put them in dirty pockets and send them to the laundry room for treatment.
2. Mattress, mattress pad, cotton tire and pillow core shall be disinfected with ultraviolet lamp or exposed to the sun for 6 hours.
3. Wipe the sickbed, bedside table and chair with disinfectant; Non-disposable washbasins and sputum cups are soaked in disinfectant.
4. Ward windows are ventilated.
5. Make room for a bed to prepare for new patients.
6. Wards and beds of patients with infectious diseases should be treated according to the terminal disinfection method of infectious diseases.
Law on transporting patients:
Wheelchair transportation method
1. Objective To escort patients who can sit up but can't walk; Assist patients in activities to promote blood circulation and physical recovery.
2. Business methods
3. Preventive measures
(2) transportation method of flatbed car
Objective To transport patients who can't get up.
2. Business methods
3. Preventive measures
(1) Check the flat car carefully before handling to ensure the safety of patients.
(2) Pay attention to energy saving when handling, keep your body as close as possible to the patient, and separate your legs at the same time to expand the supporting surface. Handling actions should be light and steady, and multi-person handling should be coordinated to ensure the safety and comfort of patients.
(3) During transportation, pay attention to: ① The patient's head should lie on the end of the big wheel to reduce the discomfort caused by excessive rotation or bumps; (2) The nurse stands on the patient's head to observe the condition; (3) When flat car and downhill, the patient's head should be high to prevent the patient from being uncomfortable; (4) drainage tube and infusion tube, should be properly fixed, keep unobstructed; (5) When transporting fracture patients, the flat car should be padded with wooden boards and the fracture site should be fixed; ⑥ Keep the speed steady during transportation; ⑦ When entering or leaving the house, you should open the door first, and don't hit the door with a car, so as not to shake the patient and damage the building; Keep warm in winter to avoid catching a cold.
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