>
January 11 of www.chinanews.com Ministry of Public Health releases today>,Admitted to hospital attending to to the patient, attending to and such technological service items as life physical sign is monitored of leaving hospital, make the norm from respects such as the performance goal, standardizing the main point and standard of fruiting,etc., thus guarantee service quality and level of the clinical nursery work.
The following are full texts:
Attend to the technological service regulation (draft) dailily and clinically
First, patient are admitted to hospital and attend to
(1) Performance goal
Receive a patient warmly, help it to be familiar with the environment as soon as possible; Observe and assess patient's condition and attend to the demand; Meet patient's safe, comfortable need.
(2) Main point of the behaviour
1.Get the location of sheet ready. Do the preparation well according to patient's condition, and notify the doctor.
2.Introduce oneself to the patient, find a room for a patient in the sick bed properly.
3.Measure patient's life physical sign, understand the patient's main suit, symptom, self-care ability, psychological state, fill in the patient and is admitted to hospital the relevant materials.
4.Admitted to hospital and tell: Recommend being in charge of the doctor, nurse, head nurse in the inpatient area to the patient relative. Recommend the intersection of inpatient area and environment, daily schedule, visit system and relevant regulations,etc.. Encourage the patient relative to express one's own need and worry.
5.Finish being admitted to hospital and attending to assessing, communicate and confirm with the doctor that attends to the rank, follow the doctor's advice and implement the relevant treatment and attend to.
6.Finish patient's attending to clean.
(3) Result standard
1.Articles plan to meet patient's needs, the urgent, endanger, heavy patient is treated and cured in time.
2.The patient relative knows telling the item of the nurse, are satisfied with the care.
Second, patient leave hospital to attend to
(1) Performance goal
The patient relative knows the content of leaving hospital and guiding, know the essential knowledge of rehabilitation.
(2) Main point of the behaviour
1.Tell a patient. Resume situation go on, leave hospital guidance, attentive matters leave hospital, bring medicine guidance, diet and the intersection of function and temper, the intersection of subsequent visit and time and place,etc. to the intersection of patient and condition.
2.Opinions and suggestions while listening to the patient in hospital.
3.Do well and leave hospital to register, put the case history of leaving hospital in order.
4.Sterilize regular and clean patient's sheet location.
(3) Result standard
1.The patient relative can know telling the item of the nurse, are satisfied with serving.
2.Clean and sterilize and fulfil requirements in the location of sheet.
Third, life physical sign monitoring technology
(1) Performance goal
Safe, accurate and measuring the patient's body temperature, pulse, breathes, blood pressure in time, and make and attend to the measure to offer the basis for disease treatment.
(2) Main point of the behaviour
1.Tell a patient, ready. Avoid factors influencing body temperature such as eating, cold hot drink, cold giving a hot compress to, having a bath, movement, enema, the bath sitsing,etc. in 30 minutes before measuring the body temperature.
2.To infant and pre-school children and old age dull-witted and spirit unusual and consciousness unclear agitated with cooperator, the nurse should assist the patient to measure the body temperature by the bed.
3.Should dry the armpit while examining the armpit warmly, put the clinical thermometer in patient's axillary depths and stick to the skin closely, prevent lossing. Measure for 5- 10 minutes, take out.
4.Should clinical thermometer oblique to put under the intersection of patient and tongue examine warm mouth, breathe with the nose, close the mouth, take out.
5.Should first in the intersection of anus and the intersection of table and front with lubricant, make anus warm to count, insert 3-4 of rectum gently examine warm anus, take out 3 minutes later. Polish the clinical thermometer by sterilizing gauzes.
6.While finding the body temperature agrees with condition no, should reply and examine the body temperature.
7.The clinical thermometer used should be sterilized.
8.Assess and measure the skin situation in the pulse position, avoid measuring pulse on positions such as the side of hemiplegia, forming the limbs of pulse Lou side of sound, skill limb,etc..
9.Assist the patient to adopt the comfortable posture while examining pulse, by meaning the end presses the radial artery of forefinger, middle finger, the third finger, efforts is moderate, such that be able to feel that beats in pulse.
10.The general patient can measure for 30 seconds, patient with unusual pulse, measure for one minute.
11.Find, have pulse fall short, answer two people parts measurement meanwhile, a people examine the heart rate, a people examine pulse.
12.A patient fetches the natural body posture when measurement is breathed, the nurse keeps the gesture of feeling the pulse, observe patient's chest or belly and rise and fall, measure for 30 seconds. Critical patient, dyspnea, infant and pre-school children, person who breathes abnormality measure for one minute.
13.Observe situations such as patient's respiratory rate, rhythm, range and type,etc..
14.Critical patient breathe faint and difficult observe, can put in front of the nostril with a little cotton, observe the condition of falling through and becoming excited of the cotton, and count.
15.While measuring blood pressure, assist the patient to adopt seats or lie in the location, keep zero point of sphygmomanometer, arteria brachialis and the same level of heart.
16.Drive and tuck inside the sleeve and bring the inner air to the limit, twines in the middle part of patient's upper arm levelling, the elasticity is by being able to be put and meant, from bottom flange to 2-3 of crook of the arm.
17.Judge systolic pressure and diastolic pressure correctly. If when blood pressure is not unusual, should measure again after 1-2 minutes.
18.Measurement, arrange and tuck inside the sleeve and take me to be angry to the limit, close the sphygmomanometer.
19.Observe the patient of blood pressure for a long time, make sure " four is fixed " : Book time, book the position, book the body posture, book the sphygmomanometer.
20.The result is recorded and attended to and recorded singly or drawn on the body temperature form accurately.
21.Will measure the result to tell the patient relative. If it is unusual to measure the result, observe symptom and physical sign followed, communicate and deal with the doctor in time.
(3) Result standard
1.Nurse's measurement method is correct, measure the result accurately.
2.The record is accurate, communicate to the abnormal condition in time.
Fourth, catheterization technology
(1) Performance goal
Follow the doctor's advice as patient's catheterization, patients can know the purpose of catheterization, can cooperate.
(2) Main point of the behaviour
1.Follow and check the system, accord with aseptic technology, standard and prevent the principle.
2.Tell the patient relative holds the purpose that the urine is in charge of, attentive matters, obtain the patient's cooperation.
3.It is full of degree, some skin etc. to assess the patient's age, gender, condition, catheterization purpose, cooperative intensity, bladder. According to assessing the result, choose the appropriate catheter.
4.Follow the aseptic technical operation principle in the catheterization course strictly, avoid pollution, protect patient's personal secrets.
5.While inserting the urine tube for the male patient, meet resistance, especially urine in charge of pass mouth, membrane portion, narrow department, pubic symphysis of external urethral orifice lower side and ago when the bend of in the urethra, advise a patient and deeply breathe slowly, insert the urine to manage slowly.
6.Insert after the catheter pouring into 10-15 aseptic physiological saline, light to draw urine, in charge of in order to verify it is fixed and safe for urine to in charge of.
7.Urine retention patient leads, produces urine quantity and does not exceed 1000 ml once, so as not to present collapsing and hematuria.
8.Instruct the patient how to guarantee the sufficient liquid entering amount during holding the urine tube, prevent from infection and calculus to take place.
9.Advise a patient and prevent the urine from being in charge of taking place in situation of giving a discount, bend, is pressed, deviated from etc. during holding the urine tube, keep unobstructed.
10.Advising a patient keeps the urine bag and is highly lower than the pubic symphysis level, prevent driving in the wrong direction and infecting.
11.Instruct the patient holding the urine and managing for a long time how to carry on bladder function training and exercise of the pelvis bottom skin, in order to strengthen to control the ability to urinate. The patient holds it during the urine tube, the urine is in charge of inserting and closing regularly.
(3) Result standard
1.The patient relative knows the item that a nurse tells, is satisfied with to operating.
2.Operation regulation, security, have not caused unnecessary damage to patient.
3.The urine is in charge of connecting with urine bag closely, it is unobstructed to guide, fixed and safe.
Fifth, technology of reducing pressure of the intestines and stomach
(1) Performance goal
Follow the doctor's advice and put the stomach tube for the patient, the patient can understand relevant knowledge and cooperate.
(2) Main point of the behaviour
1.Follow and check the system, accord with aseptic technology, standard and prevent the principle.
2.Tell the patient relative holds the purpose of the stomach tube, attentive matters, obtain the patient's cooperation.
3.Assess the intersection of patient and condition, the intersection of consciousness and state, cooperative intensity, the intersection of patient and nasal cavity, have secretion block, unobstructed, and it is narrow whether the patient has digestive tract or the gullet is variceal,etc., the patient has a experience of the past intubate. Chosen the appropriate stomach tube according to assessing the result.
4.Measure the length that the stomach tube is meddled in accurately.
From earlobe to the nose and then to the distance of ensiform process.
Have sent border to the distance (45-55 centimetres of adult, 14-18 centimetres of children) of ensiform process ago .
5.Intubate instruct patient cooperate with skill is safe to insert the stomach tube in smoothly in the course.

|