1, establish a good nurse-patient relationship, and the nurse smiles and stands up to meet the new patients, leaving a good first impression on the patients and their families.
2. Prepare the bed unit. Accompany to bed, make proper arrangements and notify the doctor. Complete the collection of admission weight and vital signs.
3. Self-introduction and admission notice: introduce the bed management doctors and nurses, ward head nurses, ward environment, the use of call bells, shift schedules and related management regulations to patients or their families. Inform the assistant nurse to send the first pot of boiling water to the bedside.
4, understand the patient's chief complaint, symptoms, self-care ability, psychological status.
5, such as emergency admission, according to the need to prepare electric monitor, oxygen device, etc.
6. Encourage patients and their families to express their needs and scruples, establish a trust relationship, and reduce the strangeness or loneliness of patients in the hospital.
Second, morning care
1. Clean and tidy the bed unit by wet sweeping, and replace the bed unit, patient's clothes and surgical gowns when necessary.
2, abdominal surgery semi-recumbent position (the nurse shakes the bed to a suitable height). If necessary, assist the patient to wash and eat.
3, check the pipeline fixation, processing completion.
4. Morning communication: Ask about sleep, pain and ventilation at night, and learn about the recovery of intestinal function and the activity ability of patients.
Third, evening care.
1. Arrange the bed unit and replace it if necessary. Arrange and straighten out various channels, strengthen education, and provide oral care and defecation care for patients who can't take care of themselves before going to bed.
2. For patients with postoperative pain, attention should be paid to the quietness of the surrounding environment to facilitate sleep. The TV set in the ward was turned off on time and the family members were asked to leave the hospital.
3. Keep the corridor lights in the critical ward, which is convenient for observing patients.
4. Turn down the doors and windows properly and pay attention to the temperature difference.
Fourth, diet care.
1, according to the doctor's advice to give dietary guidance, inform the diet content.
2, actively assist patients in cooking, enteral nutrition nurses do a good job of patients' diet guidance, deployment, health, temperature, speed and other knowledge.
3. Observe the patient's reaction after eating according to the condition.
Verb (abbreviation of verb) excretory nursing
1, do a good job in incontinence care, change wet clothes in time, and keep your skin clean and dry.
2. Patients with indwelling catheter should exercise bladder function. Perineal care twice a day.
Six, lying nursing
1, choose a suitable lying position according to the condition, guide and assist patients in bed rest activities and limb function exercise.
2, according to the need to turn over, pat the back, assist in expectoration, if necessary, give sputum suction. Instruct effective cough.
3, strengthen the patrol of high-risk patients with pressure ulcers, and take effective preventive measures in time when there is a pressure ulcer alarm.
4. Strengthen safety measures to prevent bed falling and falling.
Seven, comfortable care
1, patients cut their fingers and toenails once a week; Gastrointestinal surgery helps to soak feet 1 time every day.
2, life can not take care of themselves to help change clothes.
3. Provide appropriate ward temperature and instruct patients to keep warm.
4, often open the window ventilation, keep the air fresh.
5, keep the ward quiet, the light is appropriate, the operation as concentrated as possible, to ensure that patients sleep well.
6. Do three things at night: walk lightly, talk lightly and operate lightly.
Eight, preoperative care
1, give psychological support, evaluate surgical knowledge, and properly explain surgical cooperation and postoperative precautions.
2. Tell them the time of fasting and water prohibition and the necessity of quitting smoking and drinking.
3. Prepare skin when necessary.
4, do a good job of preoperative guidance, such as: take a deep breath, cough effectively, pat the back, and train to get out of bed to urinate.
Nine, postoperative care
1, prepare the anesthesia bed, and give ECG monitoring and oxygen inhalation according to the doctor's advice.
2. Mark all kinds of pipelines and fix them properly to ensure that the pipelines are in place and unimpeded.
3, closely observe the condition changes and make records, if there is any abnormality, report to the doctor in time.
X. Patient safety management
1, patrol the ward according to the requirements of nursing level, know the patient's nine knowledge, have an infusion patrol card and record it in time.
2. Restraint belts, guardrails and other protective measures shall be given to critically ill and restless patients, and wristbands shall be used for critically ill patients.
3, patients go out to check, mild patients accompanied by nurses, severe patients accompanied by medical staff.
4. Comprehensive health education. Individualized education on disease knowledge during hospitalization not only enabled patients to recover physically, but also obtained a good way and established a good health consciousness.
XI。 Discharge nursing
1, according to the patient's condition and recovery, discharge guidance (discharge inspection procedures, postoperative precautions, medication guidance, diet and functional exercise, postoperative dressing change and suture removal time, and issuing love contact cards).
Fill in the patient satisfaction questionnaire and listen to the opinions and suggestions of patients during hospitalization. Assist in the discharge formalities and escort patients to the hospital gate. Do a good job of discharge registration. .
3 terminal disinfection of the sickbed unit.
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