2 Prepare the bed unit. Accompany to bed, make proper arrangements and notify the doctor. Complete the collection of admission weight and vital signs.
Self-introduction and admission notice: introduce the hospital bed doctors, nurses and head nurses in the ward to patients or their families, and introduce the ward environment, the use of call bells, work and rest time and related management regulations. Inform the assistant nurse to send the first pot of boiling water to the bedside.
To understand the patient's chief complaint, symptoms, self-care ability and psychological status.
5 when you are admitted to the hospital in an emergency, prepare a good electric monitor and oxygen inhalation device as needed.
Encourage patients and their families to express their needs and concerns, establish a trust relationship, and reduce patients' strangeness or loneliness in the hospital. 1 Clean the bed unit by wet sweeping, and replace the bed unit, patient clothes and surgical clothes when necessary.
Semi-recumbent position for abdominal surgery (the nurse shakes the bed to a suitable height). Assist the patient to wash and eat when necessary.
3. Check the fixing of each pipeline and the completion of treatment.
Morning communication: ask about sleep, pain and ventilation at night, and understand the recovery of intestinal function and the activity ability of patients. 1 bed unit, and replace it if necessary. Organize 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.
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.
Corridor lights are reserved in the critical ward to facilitate observation of patients.
4 turn down the doors and windows appropriately, and pay attention to the temperature difference. 1 Give dietary guidance according to the doctor's advice and inform the dietary content.
Actively assist patients in cooking, and nurses of patients with enteral nutrition should know about dietary guidance, preparation, hygiene, temperature and speed.
3 Observe the patient's reaction after eating according to the illness. 1 Take care of incontinence, 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. 1 Choose a suitable lying position according to the condition, and guide and assist patients in bed rest activities and limb function exercise.
Turn over, pat your back, assist in expectoration when necessary, and suck sputum when necessary to guide effective cough.
Strengthen the patrol of high-risk patients with pressure ulcer, and take effective preventive measures in time when there is pressure ulcer alarm.
4. Strengthen safety measures to prevent falling out of bed and falling. 1 Patients cut their fingers and toenails once a week; Gastrointestinal surgery assisted foot bath every day 1 time.
People who can't take care of themselves help change clothes.
Provide appropriate ward temperature and ask patients to keep warm.
Always open the window for ventilation to keep the air fresh.
Keep the ward quiet, the light is suitable, and the operation is as concentrated as possible to ensure the patient's good sleep.
Six nights in the evening, we should do three things lightly: walk lightly, talk lightly and operate lightly. 1 Give psychological support, evaluate operation knowledge, and properly explain operation cooperation and matters needing attention after operation.
Tell them the time of fasting and water prohibition and the necessity of quitting smoking and drinking.
Prepare your skin if necessary.
Preoperative guidance, such as taking a deep breath, coughing effectively, patting the back, defecating on the training bed, etc. Prepare the anesthesia bed, and give ECG monitoring and oxygen inhalation according to the doctor's advice.54438.00000000606
Mark all kinds of pipes and fix them properly to ensure that the pipes are in place and unimpeded.
3. Closely observe the changes of the disease and make records. If there is any abnormality, report it to the doctor in time. 1 according to the requirements of graded nursing, patrol the ward to know nine things that patients know. Have an infusion patrol card and record it in time.
Protective measures such as restraint belts and guardrails should be taken for critically ill and restless patients. Wrist bands should be used for critically ill patients.
Patients go out for examination, and the light ones are accompanied by nurses, and the heavy ones are accompanied by medical staff.
4 Full-course 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. 65438+
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.