英文護(hù)理安全管理制度匯編Nursing safety management system

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ChinaInternationalEmergencyMedicalTeam(Shanghai)

Nursingsafetymanagementandpreventionsystem

Thefirsttoseriouslyimplementthetengoalsof2014-2015annualpatientsafety.

Secondstrictimplementationofthesystemandnursingtransfersystem,strictimplementationofeffectivecommunicationbetweenmedicalpersonnelinspecialcases,sothatthecorrectimplementationofthedoctor'sadvice.

Thirdstrictimplementationofthenursingroutineandrulesandregulations.

Formulaterelevantnursingsecuritymanagementsystem,andregularlyrevised.Accordingtoriskfactorsandunexpectedevents,makeplan,andperiodicallyrevised.Developthefocalpointofcaretreatmentprocess,andperiodicallyrevised.

Implementationofthenursingsafetysystem,strengthenpatientsafetymanagement,strictimplementationoftheinvestigationofthesystem.

Fourthtostrengthenthenursingadverseevents(pressuresore,fall,takeoffthetube,nursingerrors,etc.)toprevent.

Formulatethemanagementsystemofallkindsofnursingadverseevents,andchangeregularly.

Forpronetoadverseeventsofnursingprojects,theestablishmentofasafetywarningsigns,placedprominently,promptingnursesalwayspayattentiontocheckthework,tostrengthenthepropagandaandeducationofhigh-riskgroups.

Fifthnotethesafetyoftheuseofdrugs.

Thepreventionsystemforadversedrugeventswasformulatedandrevisedregularly.

Strictcompliancewiththepreventionofpenicillinandotherdrugallergysystem,andcarryoutawarningsign.

Accordingtotheuseofdrugs,ofadversereactions,complications,sideeffects,drugdrugformulationsubjectsfocusondrugdirectory,keepinstructionsandstrengthenthetrainingandguidethenursingwork,andtoensurethesafetyofdruguse.

Inaccordancewiththeprovisionsofthenationalnormsandpharmacydepartment,theDepartmentofhighriskdrugstoidentify,fortheseemingly,listento,andmorestrictdistinctionbetweendrugs,strengthentraining,carefullycheckthecorrectuse.

Medication,payattentiontoobservetheefficacyofdrugs,sideeffects,adversereactionsoccurintimetodoagoodjobintherecord,withthetreatment.

Article6thestrictimplementationoftheverbalorders:emergencyrescuecanbeexecutedthedoctorverbalorders,accordingto"listen,ask,look,"strictimplementation;needtodoublecheckonthedrug,leftblankampoules;rescuetimelyfillorders.

Seventhcriticalvaluemanagement:strictimplementationofcriticalvaluemanagementreportingsystem,timelyreportinginatimelymanner,topreventtheoccurrenceofaccidents,toensuremedicalsafety.

Eighthencouragepatientstoparticipateinmedical:

Totaketheinitiativetoinvitepatients(ortheirfamilies)toparticipateinidentityrecognition,suchasname,bednumber,wriststrapandotherinformation,beforegivingdrugs,infusion,interventionaltreatmentandvariousinvasiveoperations,suchasname,bednumber,wristbandandotherinformation,toensuresafety.

(two)assessmentofpatientsafetyriskfactors,tothepatients,familymembers,toaccompanythestafftodoagoodjobinsafetyeducationworktopreventtheoccurrenceofnursingaccidents,toencouragepatientstoparticipateinmedicalsafety.

(III)children,elderlypatientswithdisturbanceofconsciousnessandneedbedrestpatientsshouldbesetpromptcard,addguardrail,implementthesafetynursingmeasuresonthebed,andtothepatientdoexplain,especiallydangerousforchildren,theelderly,dementia,pregnantwomen,actioninconvenienceanddisabledpatientstotaketheinitiativetoinformthefallingoutofbedandfell,andgivewarninglabels,languagereminds,armoraskforhelpetc..

Ninthstrictcompliancewiththefourarenotallowedtosystem:notallowedtoplaythewrongpenicillin,insulin,inputmold;nottolosethewrongblood,bloodproducts;notallowedtoholdthewrongbaby,thewrongbody,heavypatientfallingbed;notopenthewrongoperationsite.

Tenthstrictlypreventtheoperationofpatients,surgicalsiteandtheoperationoftheerror.

Article11thestrictimplementationofhandhygiene,andimplementthebasicrequirementsofhospitalinfectioncontrol;disinfectionandisolationsystemimplementation,strictpreventionofcatheterassociatedurinarytractinfectionandcatheterrelatedbloodborneinfectionoccurred.

Twelfthtoimprovetheprofessionallevel,strengthennursingobservationwork,strengthenclinicalteachingmanagement.

Departmentsregularlyconductbusinesslearning,updateprofessionalknowledge.

Effectiveobservationandtimelytreatmentofallkindsofsituations.

Fornewnurses,continuingeducationandnursingstudentstocarryoutsafetyeducation,internshipnursingstudentshandinhandwiththeteaching.

Theimplementationofthirteenthpatientsonleaveandsickleavesystem,anddotheinterpretation.

Article14thenursingsafetycontinualimprovement:Monthlynursingsafetymanagementcommitteeofnursingadverseeventsreportedanalysis,discussingontheexistingproblems,andputsforwardsomefeasiblecorrectivemeasurestoachievethreedon'tpass;didnotidentifythereasonsnottopass,partiesanddiseasedistrictnurselonglessonsdidnotmiss,nottodeveloppreventivemeasuresdidnotmiss,inordertoavoidinthefuturesimilarmistakesandunsafeevent.

ChinaInternationalEmergencyMedicalTeam(Shanghai)

IdentificationofpatientsSystem

Article1identificationmethodsforclinicalpatients:

Nursesintheblood,administration,withblood,bloodtransfusion,collectingspecimensoperationmuststrictlyenforcethecheckofthesystem,atleastatthesametimeusingtwomethodsofidentifyingpatients,languagecheckmethodandvisualcheckmethodandcheckthepatient'sname,bed,etc.(banonlytoroomorbed,asthesolebasisforidentification).Patients,requiretheuseofwristbandscheckthepatientandbedsidecardcheckwithtwomethods.

Infrontofthepriortotheimplementationofanyinterventionorahigh-riskmedicalactivities(suchasPICCcatheter),concurrentuseofatleasttwomethodsofidentifyingpatients,namely,languagecheckmethodandvisualcheckingmethodasthepatientidentificationmeanstoensuretherightofpatientstocarryoutthecorrectoperation.

IntheICU,operatingroom,emergencyroom,neonataldepartments,wristbands,asbeforetheoperation.Beforetreatmentandbeforebloodtransfusionandothertreatmentpatientidentificationofanecessarymeans.

Tocarryouttheoperation,coma,confusion,noindependentabilityofpatientsinthediagnosisandtreatmentofusing"wristbandsasbeforeoperation,beforetreatment,beforetransfusiontreatmentactivitiesdifferentiatepatientsaessentialmeans.

PatientswithtransferIDidentification:emergencyward,operationroom,ICU,deliveryroombetweentransferpatients,shouldbeescorted,admissionnotice,medicalrecords,checkthewristband,patienthandoverandaccordingtotherequirementsofthefillintransferofnursingrecords.

Identificationmethodforsecondoperationroompatients:

Instrictaccordancewiththenursingoperationroutine,"fourchecksevenpairs"system,preventerrors,accidents.

Surgicalpatients,workersanditineratenurseshouldcarefullychecktheward,bednumber,name,sex,age,length,,surgery,surgicalsite,operationtimeandintraoperativepremedicationsuchastopreventconnectedtothewrongpatient.

Inanesthesia,surgerybegantoimplementamomentago,implementationofthe"pause"program,thesurgeon,anesthesiologist,surgery/itineratenurseintheimplementationofthefinalconfirmationcheckprogram,startedtheimplementationofanesthesiaandsurgery.

Patientswithsurgicalprocedures:

Scratchinanesthesia,abdominalsurgeryandanesthesiabeforethedoctor,thedoctoraccordingtothecommon"SurgicalSafetyChecklist"onebyonecheck.

Takepathologicalspecimens,safekeeping,timelyregistration,check,inspection,topreventloss.

Theuseofdrugsandnursesorsurgeryoranesthesiologistcheckduringoperation,whenusinggassourceshouldbecheckedandsigned.

Whenperformingaverbalorders,beforetheexecutionshallbewithdoctorrepeat,confirmedafterexecution,shouldkeepusedemptybottles,aftercheckandthenabandoned,afterthecompletionoftheemergencyshouldbetimelymakeupordersanddoublecheck.

Identificationmethodforthirddooremergencypatients:

Nursesintheblood,administration,withblood,bloodtransfusion,collectingspecimensoperationmuststrictlyenforcethecheckofthesystem,atleastatthesametimeusingtwomethodsofidentifyingpatients,namely,languagecheckmethodandvisualcheckingmethod,checkthepatient'sname,thenameofadrug,toensureaccurateoperation.

Intheimplementationofanyinvasivediagnosisandtreatmentactivities,atleasttwopatientstoidentifythemethod,namely,thelanguageofthecheckandvisualcheckmethodasameansofidentificationofpatients,toensurethecorrectimplementationofthecorrectoperationofthepatient.

TransfusionroomshouldregulatetheuseofPDAsystemtoensurethecorrectidentificationofpatients.

Fourthmethodsofidentificationofnewborn:

Beforemothersintothelaborroomorbycesareansectionoperationandnewbornmedicalrecordsshouldcheckthematernalmedicalrecordsinthename,hospitalization,andelectronicinformationisconsistent,thereisnomistakethatneonatalhandringthebreastpiecestatedmotherhospitalnumberandname,andclipinthemother'smedicalhistory.

Delivery,neonatalmidwivesschematicmothernewborngender,thatintheneonatalrightwristwriststrap,hangingbadges,neonatalbirthrecordslistaccordingtomotherrightthumbprintandneonatalrightfootprintandcheckthemother'sname.

Wristband,chestcardshouldbemarkedonthemother'sbednumber,name,sexofnewborn.

Intheneonatalintoroominginandtransferredinto,bath,BCGvaccinationandhepatitisBvaccine,treatment,hermilk,hospital,nursingshifthandover,carefullycheck.Checkthesite:bedsidecards,badges,wristband.Checkthecontents:motherbednumber,name,birthsex.

Fifthwristbandsusingthespecificationandmanagementrequirements:

Theimplementationof"patientsafetygoals,patientwristbandsasanidentificationmarkerineachhospital.

Whennewpatientsadmittedtohospital,twonursesweredoublecorerightaftertheerror(anurseondutyforthetwocheck),thepatient'swrist,elastic,appropriatetoputthepatienttorefertotheappropriate.

Wristbandwithaballpointpentofillinthepatientinformation,tokeepclearandeasytocheck.

Nursingpersonnelintheimplementationoftheadmissioneducation,shouldexplaintothepatienttheimportanceofwearingwristbands,nospecialcircumstancesneedtodischargesideonthesamedaythedesirable.

Wristbandiflost,nursesmustbetimelytofillin,theduoafterwearing.Upto

Wristbandshallindicatethepatient'sname,gender,Department,bed,hospitalnumber;ahistoryofdrugallergypatientsshouldbeindicatedinthedrugallergy;clearbloodgroupofpatientsshouldpatientswithmarkedblood.Nohistoryofallergy,donotknowbloodtypeofpatientswiththetwocolumntemporarilyfill;fuzzywristbandinformationshouldbetimelyreplacementorsupplementarywritteninformation.

Theinspectionofthequalitycontrolpersonnelatalllevelsresponsibleforthewristbandspermonthshallbethepatientwristbandswear,wristbandsfilltheright,nursecheckoneoftheimportantcontentsofshallcheckthe.

ChinaInternationalEmergencyMedicalTeam(Shanghai)

Preventdrugallergysystem

One,topreventhospitalpatientswithpenicillinallergy

Hospitalizedpatientswithpositivepenicillin,shouldbenotedinthefollowing:

Medicalrecords(includinginformationsystem)todoagoodjobofpenicillinpositivenote.

Knownpenicillinpositivepersonsinhospital:

Bodytemperaturealoneplusanote"penicillinpositive,"theredpaper.

Electronicbodytemperaturesinglenote"penicillinpositive"(fullpageprinting);temporarymedicalorders,outpatientcard(outpatientcardinthehospital)wereannotated"penicillin(+)".

Inpatientcareobservationassessmentaloneonthehomepageoftheallergymedicationwrittenonpenicillin.

Electronicmedicalrecordhomehaspositiveinformation(intheinformationsystem).

Penicillinskintestwaspositiveduringhospitalization:

Inthefrequencyofthefrequencyofthesinglephaseoftheelectronicbodytemperatureshouldbepositiveinformationontheinputofpenicillin(inpatientcareobservationassessmentsheetdoesnothavetochange,shouldbewritteninaspecialcarerecordonthelist)therest(1),(2),(4).

Nursesinthestationtodoagoodjobofpenicillinpositivenote.

Thelistofcards,cardsandasingleinfusionofdrugallergy,injectionnote"penicillin(+).

Thepatientiswellannotatedwithpositivepenicillin.

Thebedhung"penicillinpositive"brand.

Patientsandtheirfamilieswerereportedtobepositiveforpenicillin.

Asstatedinthe"patient"wristband.

Forthefirsttimethatpatientswithpositivepenicillin,needtoshiftintheshiftregister.

Differentmethodsofinquiryareusedintheuseofpenicillin.

Todotheskintest:ask"ifyoucanusepenicillin".

Usepenicillin:askforahistoryofallergiesand"thistime,doyouhaveaskintest."

Penicillintreatment:

Accordingtothedruginstructionsforskintest.Thedoctormustbeskintestresultsisnegative,thepenicillinordersintothecomputer.Thenurseinthetemporaryordersfillin"skinteststarttime"and"entertheskintestresultsoftime"(twotimeshouldbea20minuteinterval).

Whenthenurseusespenicillin,inadditiontomustseethepenicillinskintestnegativerecord,butalsomustaccordingtotheinquirymethodinquiry,canuse.

Two,topreventthepatientallergictopenicillin

Differentinquirymethodswhenusingpenicillin:

Todotheskintest:ask"ifyoucanusepenicillin".

Whenusingpenicillin:askaboutthehistoryofallergiesand"thistime,youhavedoneaskintest."

Theskintestresultswereenteredintotheinformationsystem.

Inthesingleinjectionandprescriptionwithpenicillincutanteststamp.

Inthemedicalrecordsthedateofrecordcoverofpenicillincutanteststamp.

Three,topreventotherdrugallergies

Accordingtotheproductspecification,severaldrugmustbeallergytest,skintestwhenusingliquidconfigurationsolutionforskintest,notwithothersimilardrugsskintestinstead.

Equinetetanusimmunoglobulin;

Salmoncalcitonin(Miacalcic,elcatonin);

Thymopeptides(ThymopolypeptidesforInjection,MaiPuxin);

AgkistrodonhyalysAntivenin;

L-asparaginase;

Chymotrypsin;

Cephalosporins:Rocephin(CeftriaxoneSodiumforInjection),claforan(CefotaximeSodiumforInjection);

CompoundMeglumineDiatrizoateIniection.

Determinewhetherthedrugallergy,identifyandinformtheshift,referencetopenicillinskintest.

Forotherspecialcases,followthedoctor'sinstructionsandfollowtheinstructionsinstrictaccordancewiththeinstructions.

ChinaInternationalEmergencyMedicalTeam(Shanghai)

CriticalValueReportingManagementsystem

First,thedefinitionofcriticalvalues

Criticalvalueistheextremelyabnormaltestresults,ifnottimelytreatmentwillendangerthepatient'slifeatanytime.

Two,nurses'reportingofcriticalvalue

ThedutynursereceivedacriticalvalueoftheinformationsystempromptedthereportbytheDepartmentofinspection,immediatelynotifythedoctortosee.

Dutynursereceivedacriticalvalueoftheinspectiondepartmenttelephonenotification,youmustasktheperson'snameorworknumber,whilerepeatingthepatient'sname,hospitalnumber,laboratorytestsandresults,toconfirmtheaccuracyoftheinformation.

Fillcriticalvalueregistry:thereceiveddate,time,patientsbednumber,name,numberofhospitalization,andtheresultsofcriticalvalue,laboratoryreportnameornumber,receivenursefullnameitemizedfillcriticalvaluesintheformofregistration.Completetheformnote:nocontentofothertestprogramtopinempty,IIsignedbyadoctorbartourgedoctorssignature,onbehalfofthenursecouldn'tsign.

Accordingtothedoctor'sdoctor'sordertodealwith,ifnecessary,followthedoctor'sadvicetocollectsamples,retesttestresults.

Criticalvaluecontentandreferencerangeofnursingwork:

Item(specimentypeblood)

criticalvalues

NorthHospital

SouthHospital

upperlimit

lowerlimit

upperlimit

lowerlimit

Kcl+

<2.8mmol/L

>6.2mmol/L

<2.8mmol/L

>6.2mmol/L

Na

<120mmol/L

>160mmol/L

<120mmol/L

>160mmol/L

Totalcalcium

<1.5mmol/L

>3.25mmol/L

<1.5mmol/L

>3.25mmol/L

Glucose

<2.2mmol/L

>24.8mmol/L

<2.2mmol/L

>24.8mmol/L

Magnesium

/

>3.5mmol/L

pO2（arterialblood）

<5.3kPa

/

<5.3kPa

/

pCO2（arterialblood）

<2.7kPa

>9.3kPa

<2.7kPa

>9.3kPa

pH

<7.2

>7.6

<7.2

>7.6

Whitebloodcell（/L）

<1.0×109

>60×109

≤0.5×109(Bloodunit)

≥40×109(Bloodunit)

≤1.5×109(Generalpatient)

≥50×109(Generalpatient)

Hemoglobin

<50g/L

>210g/L(Exceptnewborn)

≤40g/L

≥210g/L（Dynamicchange>30%）

Platelet（/L）

<20×109

>1000×109

≤10×109（Bloodunit）

/

≤20×109(Generalpatient)

≥1000×109(Generalpatient)

HCT

<15%

>65%

≤15%

≥65%（Dynamicchange>30%）

PT

<9s

>40s

≤9s

≥40s

APTT

<19s

>80s

≤19s

≥78s

Fibrousprotein

<1g/L

/

≤1g/L

≥8g/L

TroponinT*

/

>0.5ng/ml

/

≥0.5ng/ml

INR

≤0.5(Nottakingmedicine）

≥4.0（Nottakingmedicine）

/

≥6.0（OAc）

Neutrophils（/L)

<0.5×109(Bloodunit）

/

ALT（/L)

/

>1000U

Neutrophils（/L)

<0.5×109(Bloodunit）

/

ALT（/L)

/

>1000U

*Note:high-sensitivitytroponinT>0.5ng/mlandpatientsatisfactiononeofthefollowing:emergencygateadmissionwasdetectedforthefirsttimeorrecentlywithin15daysforthefirsttimedetectedelevated,reachthecriticalvaluerange.

ChinaInternationalEmergencyMedicalTeam(Shanghai)

Allpatientstransferred,transfer,transfersystem

Thefirstreceivingsectionnursereceivesthenotificationtobereadytoreceivethepatienttopreparetheworktoguaranteethepatienttogetintime,continuously,effectivenursing.

Article2generalwardreportcriticallyill,severedisease,andmayatanytimeoccurrenceconditionchangesincriticallyillpatientsintransfertotheICU,checkout,headnursesshouldarrangementofthenursingstaffaccompaniedbyescort;ICU,sickroomandbloodthroughinpatientswithventriculartransfershouldbetransferredoutofthedepartmentarrangenursesaccompaniedtheescort.

Thirddiseaseinterval,emergency,surgery,deliveryroom,ICU,hemodialysisroomandsooneachsectionofthepatient'stransferonthewaytodoafeweffective:

Effectiveobservation:onthewaytocarefullyobservethepatient'sconditionchanges.

Effective,continuoustreatment:toensureeffectiveliquidinput;toprotecttheeffectiveinhalationofoxygen;topreventavarietyofpipelineslip.

Effectivetransfer:implementationofpatienttransferprocess;accordingtotheseverityofthecorrectplacementofthepatientposition.Withacartorbedpushthepatientonthedownhill,andoutofthedoorsofvarioustopreventthepatient'sheadfallingoutofbed,bruisesandotheraccidents;movingthepatientcorrectaction.

Effectiverescue:whenthepatientaccidentshouldbetimelyrescue,andmakeuptherelevantrecords.

Thefourthtransfertodo:strictlychecktheidentityofthepatient,concurrentuseofatleasttwopatientidentificationmethod;handovercondition,variousducts,skin,allkindsofattention;transferofeverydayobjects,medical,pharmaceutical,imagedata,whennecessarytohandoverpatientscarryvaluables.Dothehandoverrecords,accordingtotherequirementsofthesignatureandretainedinthepatient'srecord.Incriticallyillpatientsmustpayspecialattentiontotheconditionofhandoverandinnursingdocumentintegrity,accuraterecords.

ChinaInternationalEmergencyMedicalTeam(Shanghai)

AntiPatientLostManagementSystem

Firstadmissionofnewpatientsandnursesdoingmissionary,informthepatientinthehospitalshallnotbeallowedtoleavethehospital,iftherearespecialcircumstancesfromthehospital,thepatientshallinformthecompetentdoctorsandnursesandfillinthe"todissuadepatientsouttoinform"beforeleavingthehospital.

Secondhospitalbedsdoctorsandnursesthatareresponsiblefortheassessmentofthepatient'scognitiveandbehavioralfunctions,easeofprevention.Intherecognitionofpatientswithmemorylossorcognitiveimpairment,therequirementsoffamilymembers.

Thirdpatientsafteradmissionrequirementsreplacepatientclothesandusewristbandsforidentification.

Fourthinspectionsontime,thenursetransferclassesaccordingtonormstocomplywiththetransferofthesystem,topreventtheoccurrenceofpatientlostevents.

Article5foundpatientsfornoreasonnotintheward,immediatelyunderstandthewhereaboutsofpatients,halfanhouronceagainconfirmed,ifnotbacktotheward,immediatelyreporttothebedsdoctorsandpatientstounderstandthefateandresponsibilitynursecollaborativebed/thedoctorondutyimmediatelyphonecontactwithpatientsandtheirfamilies,understandingapatienttohavenohomefromhospitalandsoon,andtounderstandthedisease,enjoinitsaccompanyingfamilymembersimmediatelybacktothehospital.

Reportondutydoctorsreport;report:Article6lasted1hoursdonotcontacttothepatientorfamilymember,orcontacttothepatientbutpatient,dissuasionrefusedtogotothehospital,immediatelyreporttotheheadnurse,divisiondirector,Departmentofmedicalandnursingdepartmentandsecuritydepartment(dayresponsibilitynursenurse,nursenursingreportanddefendtheDepartmentinchargeoftheDepartmentanddirectorofthemedicaldepartment,thenightdutynursenurseorthegeneralonduty).Thecontentsofthereport:thepatientward,bednumber,name,andthepatientdiagnosisandspecialattention.Thelasttimethatthepatient'splace,lookingfortheregion;diseasehomeaddressandcontact;patientcharacteristics(suchasclothing,etc.);wardforDiseaseMeasurestakenbythepeople.

Seventhdepartmentofdefenseorthehospitalchiefofstaffatthehospitaltofindthemissingpatientsinsideandoutsidethehospital,andthepolice.

24eighthhourstogooutwithoutreturn,inchargeofdoctors,nursesandsecuritystaffandothercommoninventoryofpatients,medicaldepartment,nursingdepartmentfortherecord.

Ninthcompetentdoctorsandnursestodoagoodjoboftherelevantrecords(nursingmonitoringrecords).

Article10thecompetentdoctorandnurseneedinthepatientlost1hourafterthetimelyandsecuritydepartmentdealwiththehospitalmonitoringimagepreservation,ifnecessary,tocollectrelevantcircumstantialevidencematerialwithwardpatientsortheirfamilies;notifythefamilyortheentrustedpeople,savegoodnoticethephonerecordsandtextmessages(KONEdoctorondutyorondutyphone).

Eleventhoutofthehospitaltofillinthe"discouragethehospitaltogoouttoinformthesingle"andoverdue,treatmentinaccordancewiththesixth,seven,eight,nine,ten.

ChinaInternationalEmergencyMedicalTeam(Shanghai)

Suicide(Injury)TendencyPatientManagementSystem

Firstpatientsadmittedtothehospital,thenurseondutytodoadmissionnursingsafetyassessmentanddailyassessmentofattentiontosocialpsychologicalproblems,andrecordedin<inpatientcaretoevaluatesingle>,foundorsuspectedpatientswithexistingorpotentialsuicidetendency(injury),shouldpromptlyreporttothenurse,doctorinchargeandaDirector(duringnightandholidaysreporthospitalnursingdepartmentondutyandonduty).

Article2thecompetentdoctorsandnurseslongestcommonrationalcoordinationofallkindsofpersonnel,nursesChanganrownursesornursingstudentsincare.Ifpatientsarerestlessorviolenttendencies,noticesecuritydepartmentstaffarrivedatthescene.

Thethreenursesanddoctorsbedstogether,immediatelywiththefamilysigned<suicide(injury)patientsinformedconsentbook>(seeAnnex),thefamilymustbe24hoursaccompanyingfamilymembersleavepatientsshallnotifyintheclassofthemedicalstaff.

Fourthtodothenecessaryprotectivemeasures,toprovideasafeenvironment,anddothefollowing:

Thedoctorinchargeoftheimplementationofmedicalthreerounds,theappropriatemedicaltreatment(suchaspleasepsychiatricconsultation),andtheirfamiliesexplainthedisease,ifnecessary,transferredordischarged.

Responsiblenurse:

Accordingtothenursingleveltodoagoodjobofinspection,checkthepatient'ssafetyprecautionsindetail;

Assessthestateoftheillnessandpsychologicalchanges,anddoagoodjobofrecord;

Psychologicalnursingtodoagoodjobtogivepsychologicalcounseling;

Toachievetheunderstandingofpatientsandtheirfamiliesasfaraspossiblewithrespecttopatientsandpriorinformed;

AmarkedantiDutchAct(noredcard);

Tourgefamiliestoclosetheblade,rope,scissors,drugsandotheritems.

TheheadnurseinformedtherelevantdepartmentstodoagoodjobfortherecordandtoworktogethertopreventtheworkoftheMinistryofHealth(fromthedoctor'snotice),theMinistryofcare,logisticsescortcenter,thedisputeoffice,thetotalvalueofclass(night),monitoringroom.

Fourthsuchpatientshavecommittedsuicide(injury):

Nurseimmediatelyassessmentofairway,respiration,circulation,andcontactadoctor,healthcarewiththenecessaryrescue,andnotifythefamily,thereportofheadnurses,doctorsbeds,departmentdirector,nursingdepartment,medicaldepartmentanddisputesdo(daytime),nightreportsondutynurseorgrossclass.

Informsecuritydepartmenttomaintainorderinthefieldandkeeprelevantitems.

Nursingdepartmentinaccordancewiththerelevantdepartmentsofnursingadverseeventsreported.

NursesdoadetailedrecordoftheDepartmentandthenursingdepartmenttocooperatew