A 1 shift (nursing team leader): 07:30- 15:30, 8 hours (including eating for half an hour).
1, counting narcotic drugs.
2. Shift with N 1 shift, inspect critically ill, bedridden and special patients, and attend the early shift.
3. Coordinate the treatment and nursing work of various departments on duty, and pay attention to keeping an empty bed in the intensive care unit for emergencies.
4, to participate in the rescue work, responsible for organizing and coordinating the work.
5. If there is a hospital, it is responsible for the treatment of this group.
6. Be responsible for the health education of inpatients, functional exercise of bedridden patients, guidance of swallowing function of patients, discharge education, etc.
7. Nursing care of critically ill patients and difficult patients. Participate in ward rounds of general special diseases, use nursing procedures to carry out work, lead junior nurses to evaluate patients in charge, organize implementation, evaluate the effect, and monitor bedside signs in time.
8, completes the medical record quality control (newly admitted patients, critically ill patients, rescue patients). Timely record, check and modify the nursing records of junior nurses. Revise and sign the nursing records of junior nurses, the first nursing record of newly admitted patients, and the nursing records of critically ill and rescued patients. (Written by Class P and Class N the night before)
9, responsible for nursing guidance, and urge junior nurses to complete, evaluate the effect.
10, check the doctor's advice: check A2 on one day, A3 on two days, and check the head nurse's doctor's advice on Tuesday.
1 1, responsible for filling in the nurse's succession report.
12, arrange, guide and urge the life assistant to do a good job in the patient's examination, check the patient's sputum culture, urine and urine inspection and the completion of various inspections, and ensure that the patient takes urine and urine for inspection within three days of admission.
A2 and A3 (senior nurses): A2 (bed 65438 +0-38 and emergency room) and A3 (bed 39-86) work hours are 08:00- 15:30, 7.5 hours (including half an hour for eating).
Responsible for all the treatment, nursing and rescue work of patients during this period.
1, attend the morning meeting.
2, responsible for dispensing, injection, bottle, injection and fill in the infusion card.
3. Send oral medicine in the morning, and clean the oral medicine truck in Class A3 every Friday.
4, to participate in the rescue work of patients in this group. Responsible for the patients in this group to move beds and change departments.
5, all kinds of treatment methods and the implementation of the new doctor's advice.
6.A2 uses A 1 for single day and A 1 for double day for A3.
7. Write the nursing records of ordinary patients once every three or seven days.
8, responsible for critically ill and bedridden patients patrol, turn back and record, writing nursing records on duty. (The first nursing record of critically ill patients is completed within 4 hours, and the average patient is completed within 8 hours. )
9. Be responsible for the health education of inpatients in this group, functional exercise of bedridden patients, guidance of swallowing function of patients, discharge education, etc.
10, responsible for checking the doctor's advice and placing rehydration the next day.
1 1, responsible for monitoring the vital signs of patients in this group.
12. Fill in the "Care Sheet for Falling Prevention", "Care Sheet for Drug Outflow Prevention" and "Care Sheet for Pressure Ulcer". Patients over the age of 65 who are at risk of falling need to fill in the fall prevention nursing form. Patients who use mannitol and dopamine should fill in the nursing list to prevent drug extravasation.
13, responsible for the review and quality control of the medical records of general patients discharged from the toll booth the day before. The medical records are retrieved from the pharmacy by the computer technician every day. The medical records of critically ill, rescued and dead patients are reviewed by the head nurse. )
Class A4 (nurse in treatment class): 07:30- 14:30, 7 hours (including eating for half an hour).
Assist A2 and A3 to complete all the treatment, nursing and rescue work of patients during this period.
1, 7: 30, oral care, perineal swab (changing urine bag every two days), atomization, lighting, special treatment and nursing for multi-channel patients.
2, responsible for dosing, injection, bottling, injection and fill in the infusion card, inspect the rehydration situation at any time. Responsible for filling out various treatment orders, such as intravenous injection and intramuscular injection.
3. Be responsible for measuring and recording body temperature, pulse and stool frequency at 12. If you don't have stool for three days, you should report to the doctor and make relevant education and write a nursing record.
4, all kinds of treatment methods and the implementation of the new doctor's advice
5. Assist in receiving patients.
6. Assist critically ill and bedridden patients to patrol, turn over and pat their backs and record them, and write nursing records on duty.
7. Assist A2 and A3 to complete health education for inpatients, functional exercise for bedridden patients, swallowing function guidance for patients, and discharge education.
8, responsible for the supplement and cleaning of rescue items.
9. Add the third bottle and later liquid.
10, call back patients discharged five days ago every day.
1 1. Keep the wards and beds clean and tidy at all times.
12, execute the monitoring instructions issued by the team leader. (critically ill and bedridden patients bathe and wash their hair in bed; Nail cutting; Change sheets, etc ).
13, responsible for hospital duty. (When the assistant nurse follows the class, she is still sent to the hospital in Class A2 and Class A3.)
AP shift: 08: 00-12: 0015: 30-18: 00, with 6.5 hours.
1, responsible for the patient's dosing, injection, bottle receiving, needle pulling and filling in the infusion card.
2, responsible for handling new patients and make nursing records. Responsible for filling in the admission evaluation and first nursing record sheet of newly admitted patients.
3, the implementation of the patient's various treatment plans and new doctor's advice.
4. The patient was treated at 16: 00.
5. Take oral medicine in the afternoon.
6, responsible for the first aid work in the evening department (rescue, hospitalization, shift).
Regular shift: 08: 00-11:3014: 00 (14: 30)-17: 00 (17: 30),
6.5 hours
1, count and register daily medical instruments, exchange all kinds of sterile items with the supply room, count and record sterile items such as scissors and potassium chloride needles. Check and sign the first aid medical devices.
2, responsible for adding a second bottle of rehydration.
3, responsible for the doctor's advice. (including oral and external medication orders for newly admitted patients. )
4, write the discharge shift.
5, responsible for various items and medicines needed by the department. And check the receipt of the medicine in the computer.
6. Check the computer doctor's advice with the computer clerk in the afternoon.
7. Replace the disinfectant for soaking the thermometer every three days, and indicate the date. On Monday, arrange all cabinets in the intensive care unit, turn on the ventilator, check the performance, and check whether the pipes are leaking or damaged. Tidy up the drawers in the nursing station on Tuesday, the cabinets in the treatment room on Wednesday, the medicine cabinets and refrigerators in the dispensing room on Thursday, apply ultraviolet lights on Friday, and seal the ambulances on Saturday. (completed in the afternoon).
8. Count clothing materials on June 1 day every month, clean the cabinet in the dispensing room on the last day of each month, and count all kinds of medicines.
9. Check the rehydration situation the next day.
10, when other nurses are away, handle emergency orders.
1 1. Make sure that the emergency room is equipped with a urinal and bedpan.
12, 15 is responsible for urging nursing staff to replace plastic bags of universal oxygen inhalation and sputum aspiration devices every month. Supervise the nursing staff to clean the medicine cart and the medical record cart.
P 1 shift (nursing team leader): 15: 00-22: 30, 7.5 hours (including eating for half an hour).
1, counting narcotic drugs.
2, succession, patrol critically ill, bedridden, special patients.
3. Coordinate the treatment and nursing work of various departments on duty, and pay attention to keeping an empty bed in the intensive care unit for emergencies.
4, to participate in the rescue work, responsible for organizing and coordinating the work.
5, responsible for the patients of this class move bed, change one's major.
6. Be responsible for the health education of inpatients, functional exercise of bedridden patients, guidance of swallowing function of patients, discharge education, etc. And record it.
7. Nursing care of critically ill patients and difficult patients. Use nursing procedures to carry out work, lead junior nurses to evaluate patients in charge, organize implementation, evaluate the effect, and monitor bedside signs in time.
8, completes the medical record quality control (newly admitted patients, critically ill patients, rescue patients). Timely record, check and modify the nursing records of junior nurses. Revise and sign the nursing records of junior nurses, the first nursing record of newly admitted patients, and the nursing records of critically ill and rescued patients. (The record written by Class A).
9, responsible for filling in the nurse succession report.
10, responsible for arranging the order of patients who need to be examined the next day. In principle, fasting examination is the first choice. If there is a special maintenance needle, consult the competent doctor.
P2 class (high and low post nurses): 15: 00-22: 30, 7.5 hours (including eating for half an hour).
Responsible for all the treatment, nursing and rescue work of patients during this period.
1, after the shift change, the critically ill and bedridden patients will be handed over at the bedside.
2. Measure and record blood pressure, sulfur dioxide and MBG at night, and inject pre-meal needle and execution time needle.
3, to participate in the rescue work of patients.
4, all kinds of treatment methods and the implementation of the new doctor's advice.
5, responsible for handling new patients and make nursing records. Responsible for filling in the admission evaluation and first nursing record sheet of newly admitted patients.
6, responsible for critically ill and bedridden patients patrol, turn back and record, writing nursing records on duty. (The first nursing record of critically ill patients is completed within 4 hours, and the average patient is completed within 8 hours. )
7, responsible for monitoring the vital signs of patients in this group. Measure and record vital signs at 16:00 and 20: 00.
8, the implementation of oral care and perineal scrub, atomization, lighting, multi-channel patients and other special treatment and care.
9, responsible for the supplement and cleaning of rescue items.
10, keep the ward and sickbed unit clean and tidy at all times.
After 1 1, 2 1: 30, assist the patients to do a good job in evening nursing and urge the visitors to leave the hospital. Turn off the lights and fans correctly.
12, execute the monitoring instructions issued by the team leader. (critically ill and bedridden patients bathe and wash their hair in bed; Nail cutting; Change sheets, etc ).
13, oral medication before going to bed
N 1 shift (senior nurse): go to work from 22: 00 to 08: 00, 10 hour (including half an hour for eating).
Responsible for all the treatment, nursing and rescue work of patients during this period.
1, counting narcotic drugs.
2, after the succession, the new hospital, critically ill, bedridden patients, patients with fluid replacement and patients with special circumstances require bedside succession.
3, to participate in the rescue work of patients in this class.
4, the implementation of the treatment and new doctor's advice, regular implementation of timing needle and special treatment.
5, responsible for the new hospital patients' treatment and nursing record writing. After 07: 30, the critically ill patients admitted to the hospital and newly opened were handed over to Class A for completion.
6, responsible for critically ill and bedridden patients patrol, writing nursing records on duty. (The first nursing record of critically ill patients is completed within 4 hours, and the average patient is completed within 8 hours. )
7, responsible for monitoring the vital signs of patients in this class.
8. Draw blood in the morning, measure blood sugar, take medicine orally, and give an injection before meals.
9, responsible for filling in the new patient's admission evaluation and first visit nursing records. (completed within 4 hours after admission)
/kloc-0, 07: 30 shift with team leader a, bedside shift is required for newly admitted patients, critically ill patients, bedridden patients, rehydration patients and patients with special circumstances. 08: 00 morning meeting, get off work after a big shift.
1 1, responsible for filling in the nurse's succession report.
Class N2 (therapeutic nurse): go to work from 22: 00 to 08: 00, 10 hour (including eating for half an hour).
Assist to complete all the treatment, nursing and rescue work of patients during this period.
1, after the shift, the newly admitted, critically ill, bedridden patients, rehydration patients and patients with special circumstances require bedside shift.
2, treatment room, dressing room, dirt room, disposal room open ultraviolet lamp disinfection and recorded.
3. At 04: 00, the temperature and pulse of patients with high fever (above 39 degrees) were measured and recorded.
4. When new patients are admitted to the hospital, they are responsible for monitoring vital signs, arranging beds, assisting new patients in treatment and writing nursing records.
5, responsible for the patient in bed patrol, turn head and record,
6. Measure and record the morning blood pressure, blood oxygen, body temperature, pulse and respiration, and replace the humidification bottle and oxygen exchange tube (N2) every two days.
7, urge the care workers to do morning care, keep the ward and bed unit clean and tidy.
Help me add the first bottle of rehydration after 8: 07: 30.