Graded nursing means that medical staff determine and implement different levels of nursing according to the patient's condition and self-care ability. It is divided into four levels: super nursing, first-class nursing, second-class nursing and third-class nursing. Use different colors to mark the list of inpatients, red marks the special grade and the first grade, yellow marks the second grade, and the third grade is not marked.
1, intensive care: critical patients who need to be rescued at any time; Intensive care patients; Patients who need to be strictly monitored when using ventilator to assist breathing.
2. First-level care: the basis of illness includes critically ill patients whose condition tends to be stable; Patients who need to stay in bed strictly after operation or during treatment; Patients who are completely unable to take care of themselves and whose condition is unstable.
3. Secondary care: the basis of illness includes patients whose condition is stable but still need to stay in bed; Partly take care of their own patients.
4. Three-level care: the basis of illness includes patients who are completely self-care and are in rehabilitation; A chronic patient with stable condition.
Complete all kinds of treatment and nursing according to the nursing plan.
1. Complete intravenous infusion and intravenous administration.
2. Keep all kinds of drainage tubes unobstructed, observe and record the color, quantity and nature of drainage fluid, and take samples when there is abnormality.
3, do a good job in morning and evening care, keep the bed clean, dry and comfortable, keep the patient's skin clean, and clean up vomit and excrement in time.
4, every 2-3 hours to help patients change position, massage the compressed parts, pat the back, to prevent complications.
5. Oral care twice a day.
6, coma patients every 5- 10 minutes.
7, when using oxygen shed treatment, check the oxygen concentration, flow and temperature and humidity on time.
8. Take arterial blood regularly to detect oxygen partial pressure and carbon dioxide partial pressure.