Don't forget to turn off the 1 insulin pump.
The blood sugar level of severe patients is unstable, and most of them are diabetic patients. Most of them continue to use insulin pump to regulate blood sugar while providing parenteral nutrition. Remember to stop the insulin pump at the end of parenteral or enteral nutrition.
2. Preoperative assessment.
Before any operation, new nurses should carefully evaluate whether the patient is suitable for this operation and whether there are any contraindications. For example, arteriovenous blood collection, check whether there is arteriovenous fistula in patients' limbs before blood pressure measurement, observe whether the nasal septum is bent before placing nasogastric tube, and evaluate whether there is sensory disturbance before hot compress and cold compress. , in order to avoid adverse consequences caused by blind operation.
3 Do not interrupt the operation process.
When a nurse's ongoing work is interrupted for various reasons, it may have an impact on what she is doing. Junior nurses have little experience in dealing with emergencies, so they should try their best to finish the work at hand before dealing with other incidents. Even if the emergency is very urgent, you should ensure the safety of the patient before you leave.
Don't ignore all kinds of alarms.
In the working environment of ICU, there are often alarms from monitoring equipment, infusion pumps and ventilators. Junior nurses should remember not to ignore every alarm, because if the alarm is not handled in time, it may have a great impact. For some suspicious alarm problems, it is necessary to contact the superior nurse or head nurse in time and handle them correctly in time. Don't turn a blind eye and delay treatment.
5. Drug knowledge to be learned
Because the patient's condition is serious, there are many kinds of drugs used in ICU. New nurses should be familiar with the indications, contraindications, preparation methods and special requirements of various commonly used drugs as soon as possible. Drug-related information can be obtained through drug instructions, business training, physician consultation, hospital management information system (HMIS) and other ways to achieve accurate medication.
Can you drink water according to the doctor's advice?
ICU patients may prescribe fasting and water for treatment. Patients without water are often thirsty, and some new nurses don't understand the condition. When patients strongly ask for water, it is undoubtedly counterproductive to give them some kindly. Any patient should see the doctor's diet before asking for water. Appropriate education and guidance should be given to patients who are fasting water. In addition to telling patients that doctors don't allow you to drink water, you should also tell patients the purpose of drinking water on an empty stomach and the special significance of drinking water on an empty stomach for disease treatment and diagnosis, so as to gain patients' understanding and cooperation, so that the later work will be much easier.
7 keep in mind during the inspection.
Check system is one of the core systems of nursing work, and it is also the basis to ensure clinical safety. Although the new induction training will receive this training and strengthen the awareness of checking, due to objective reasons such as busy work, emergency handling and lack of human resources, the checking link may be omitted, leading to adverse events. No matter what kind of working environment, new nurses should keep in mind the inspection process, especially for therapeutic operations, and implement the principle of "three checks and seven pairs". When in doubt, they should ask the doctor's advice first and then carry it out after confirming it, so as to effectively avoid mistakes and accidents.
The above is the author's practical experience in ICU as an example, summarizing the nursing hidden dangers that are easy to appear in daily clinical work, hoping to give some tips to new nurses, reduce the occurrence of nursing defects and improve nursing safety. Satisfying patients is angels in white's ultimate goal. Let's share it!
Original title: Nursing safety tips for new nurses
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