(全)護理操作流程與評分標(biāo)準(zhǔn)

護理操作流程與評分標(biāo)準(zhǔn)目錄..................................................................................................................................3..................................................................................................5..............................................................................................................................6......................................................................................................................7..........................................................................................................................8............................................................................................................................................8..............................................................................................................................................8..........................................................................................................9................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1、............................................................................2、................................................................................3、............................................................................................4、所注射的藥物性質(zhì)、作用、不良反應(yīng)及對血管的影響程度。.................................................5、........................................................................................................................................................................................................................................................................................................................................1..................................................................................................2......................................................................................3......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................操作準(zhǔn)確、輕巧、熟練，物品放置合理，不影響操作。.....................................................................................................................................................無菌觀念強，手臂未跨越無菌區(qū)，操作過程無污染。.........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1、...........................................................................................................................................................1、患者的病情、意識狀態(tài)、合作程度；.........................................................................................2、患者胸腹部的皮膚情況；.............................................................................................................3、.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................患者約束法操作流程................................................................................................................................................................................................................................................................................................................................................................................患者約束法評分標(biāo)準(zhǔn)........................................................................................................................................................................................................................1、............................................................................................................2、病人安全、保暖、保護病人隱私、舒適、無墜床.....................................................................3、....................................................................................................................................4、................................................................................................................1、........................................................................................................................................................................................................................................................................................................................................................................................................................................1............................................................................................................................1、2、3、4、5、........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1、輸液泵無液體外滲報警，注意觀察有無管道脫落.......................................................................2、貓眼安放位置在茂菲氏滴管液面以上，才能感應(yīng)輸液滴數(shù).......................................................3、輸液泵使用完畢后用酒精擦凈，置于陰涼干燥處保存.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................2..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................生命體征監(jiān)測技術(shù)1234563781914生命體征監(jiān)測技術(shù)操作考核評分標(biāo)準(zhǔn)1、2、測1腋10溫122測量脈搏分2223測量呼吸分2330秒,乘以22驟2215分2測量2血2壓4mmHg/秒為宜2分451112扣分33、34、每超時12口服給藥法操作流程操配藥作過6護患溝通口服給藥法操作評分標(biāo)準(zhǔn)5A5235B4C3113504配藥55444444888333333666作55過55程發(fā)藥54835613221007口腔護理技術(shù)操作流程8口腔護理技術(shù)操作考核評分標(biāo)準(zhǔn)評分細則A2BCD準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)110000222211190008000732210100000操作流操作前、1、43219432321210100操作5432090001210210321中2104324223112001005322110006423531242013100準(zhǔn)床上洗頭操作流程操作前準(zhǔn)備222210操作中流程操作后評價床上洗頭操作考核評分標(biāo)準(zhǔn)總分ABCD據(jù)溝通評估32101132132102255555555554444總計12床上溫水擦浴操作規(guī)程準(zhǔn)1備質(zhì)量標(biāo)準(zhǔn)操作流程質(zhì)量標(biāo)準(zhǔn)13床上溫水擦浴操作評分標(biāo)準(zhǔn)6準(zhǔn)33備質(zhì)量標(biāo)準(zhǔn)344424操4作流程質(zhì)28量標(biāo)準(zhǔn)2623143555會陰沖洗技術(shù)操作規(guī)程準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)操作流程質(zhì)量標(biāo)準(zhǔn)15會陰沖洗技術(shù)操作考核評分標(biāo)準(zhǔn)及總項目評分細則分1864034321034321治療車下層:消毒便盆,沖洗壺(內(nèi)盛溫度適宜的3210555432操5432作中164543255432432161343鼻飼技術(shù)操作規(guī)程1234517。678鼻飼液的溫度為9鼻飼完畢注意反折胃深度為，鼻飼200ml，胃儲留量共若患者面部有膠布痕18、、、、鼻飼技術(shù)操作規(guī)程考核評分標(biāo)準(zhǔn)2532準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)322324855操作流程19質(zhì)3量標(biāo)4準(zhǔn)442232235肌內(nèi)注射技術(shù)操作規(guī)程準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)1操作流程質(zhì)量標(biāo)準(zhǔn)20肌內(nèi)注射技術(shù)考核評分標(biāo)準(zhǔn)扣分及實際得分準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)53232123444464464443333555操作流程質(zhì)量標(biāo)準(zhǔn)215皮下注射技術(shù)操作流程2223皮下注射技術(shù)操作考核評分標(biāo)準(zhǔn)總評分細則分A2B1C0D025432況3322110032102100004212413333302201111l4444222445454364433434325332232321421121液2103110000012321222331112200011424靜脈注射技術(shù)操作規(guī)程、、、、、、、、、評）----排氣核對病人信息穿刺固定----緩慢推注擦、、、、、25靜脈注射操作評分標(biāo)準(zhǔn)項目33準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)22242255345333333533432操作流程質(zhì)量標(biāo)準(zhǔn)終末44444質(zhì)量標(biāo)準(zhǔn)分分26靜脈留置針操作技術(shù)操作流程、、、乙、、治療室護士準(zhǔn)備物品準(zhǔn)備核對藥物貼瓶簽再次核對開瓶口手消排氣注----手消整理用物巡視記錄用手消取27內(nèi)將輸、、、、、、、、、28靜脈留置針輸液技術(shù)操作考核評分標(biāo)準(zhǔn)項目實際準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)2323、2373231354353253245、、、、、、操作流程質(zhì)量標(biāo)準(zhǔn)5545分29項目操作流程操作前準(zhǔn)備操作中流程；操作后評價30密閉式靜脈輸血技術(shù)操作考核評分標(biāo)準(zhǔn)總分項目評分細則AB8C6d43210112001000321302014221100003141302035224141303020525443322521424103130020233221133322211132無菌技術(shù)操作流程2的33無菌技術(shù)操作評分標(biāo)準(zhǔn)總分項目評分細則ABCD210022110000621100002431201023212102100100003操作過程3210321100022100342111110000000000222222211110000332100212010010021100003221210100025138026004532135膀胱沖洗操作流程準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)操作流程質(zhì)量標(biāo)準(zhǔn)36膀胱沖洗操作規(guī)程評分標(biāo)準(zhǔn)技術(shù)操作要求223225555分37真空負壓靜脈采血技術(shù)操作規(guī)程準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)操作流程質(zhì)量標(biāo)準(zhǔn)38真空負壓靜脈采血技術(shù)操作規(guī)程評分標(biāo)準(zhǔn)技術(shù)操作要求準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)分3操作流程質(zhì)量標(biāo)準(zhǔn)分5555分39動脈血標(biāo)本采集操作規(guī)程準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)操作流程質(zhì)量標(biāo)準(zhǔn)錄40動脈血標(biāo)本采集技術(shù)評分標(biāo)準(zhǔn)分及值8準(zhǔn)備質(zhì)34量標(biāo)準(zhǔn)824333操3作3流4程3質(zhì)3量標(biāo)43準(zhǔn)4443333535241氧氣吸入技術(shù)操作流程項目技術(shù)操作要求準(zhǔn)備質(zhì)量標(biāo)準(zhǔn)