1. If the patient accidentally falls/falls out of bed, he should immediately go to the scene and notify the doctor and head nurse.

2. Before the doctor arrives, make a preliminary judgment on the patient, such as measuring blood pressure, heart rate and breathing, and judge the patient's conscious state.

3. After the doctor arrives, provide information for the doctor, assist the doctor to check and handle according to the doctor's advice.

4. Evaluate the state of consciousness and judge whether there are skin abrasions and fractures.

(1) For minor injuries, help patients stay in bed, comfort patients, monitor vital signs, and make further examination and treatment according to the condition.

(2) People with ecchymosis are locally cold-compressed, and those with skin abrasions and oozing blood are disinfected with iodophor and then wrapped with sterile dressing; If there are many bleeding or wounds, first use sterile dressing to stop bleeding, and then the doctor will debride and suture the wound as appropriate; If the wound is large and deep, tetanus antitoxin should be injected according to the doctor's advice.

(3) For those suspected of fracture or muscle ligament injury, take corresponding treatment methods according to the injured position and injury, carry the patient to the hospital bed, cooperate with the doctor to check the patient, assist the patient in auxiliary examination, and give drugs according to the doctor's advice.

(4) In case of life-threatening conditions such as consciousness disorder, the head injured person should be immediately carried to the hospital bed, closely observe the changes of his condition, pay attention to the changes of vital signs such as pupil, consciousness, breathing and blood pressure, and cooperate with the doctor to take corresponding emergency measures quickly.

5, strengthen patrol, timely observe the effect after taking measures, until the condition is stable.

6, accurate and timely writing nursing records, succession seriously.

7. Understand the patient's falling/falling out of bed, help the patient analyze the reasons for falling/falling out of bed, give safety guidance, improve the patient's self-protection awareness, and avoid falling/falling out of bed again.

8, according to the nursing adverse event reporting process reported to the nursing department, department head timely organization discussion, find out the reason, take targeted corrective measures, reduce the occurrence of accidents such as patients fall/fall off the bed.