临床护理工作制度

1、临床护理工作制度目录一、 护理业务工作制度二、患者入院、出院、转科制度三、患者安全转运制度四、饮食管理制度五、探视、陪护制度六、 住院患者外出管理制度七、执行医嘱制度八、危重患者抢救配合制度九、物品管理制度十、 病房药品管理制度十一、用药后观察制度十二、安全用药管理制度十三、居h毒、麻、高危险药品管理制度十四、病房器械管理制度十五、治疗室工作制度十六、换药室工作制度十七、一次性医疗用品使用管理制度十八、住院病历管理制度十九、抢救室工作制度二十、无菌技术操作原则二十一、应用保护性约束告知制度二十二、 病区医用冰箱管理规定二十三、操作安全制度etri e q_L c sdeif ela- ita

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5、 e uc 2 e . - - u - s il-a tet1s.yc tRt a-tera-il s- - srair c 4t-ea. uxa -.-s t .t ec e ae q- ees -etre-5 a tit s s.- eege e s r-cds 6iisk ga tetti tis-g-"aieta tea t s ees aue t s.u- eeetsth -ga-e Su-tae一、护理业务工作制度一、我院护理部为护理工作的独立管理体系，全院护理工作在主 管院长的直接领导下，护理部有权在院内行使对护士的调配和护升、 调、奖惩的权利，对护士进行有效的领导。二

6、、护理部由主任负责，实行护理部主任、护士长二级管理的护 理管理体系。三、护理部制订了一套完整的规章制度， 护理人员岗位责任制及 中西医技术操作规程，使各项护理工作在相对稳定的情况下运行， 护 理人员有岗、有责、有章可循，使护理工作逐步走向了正规化的轨道。四、护理部针对全院护理工作实际情况及需要解决的问题，明确管理目标，制定出年工作计划，季、月工作重点，并定期召开护士大 会、护士长例会，研究和布置各项护理工作贯彻和落实。五、护理部实行了护理质量全面管理， 建立岗位职责考核标准及 各项护理质量标准，护理部质控组每月对各护理单元进行质量考核， 将检查中存在的问题及时反馈到有关科室， 并与奖金挂钩，实

7、行有效 的管理。六、护理部成员经常深入科室了解计划落实情况， 并结合质控组 每月的质控检查结果，认真分析护理现状，发现问题，提出解决办法， 然后在护士长例会上提出工作安排意见，确保年护理工作计划顺利完 成。二、患者入院、出院、转科制度一、入院1、住院患者办理住院手续，并由护士送入病房，急诊患者由医 护人员送入病房。2、病房办公室护士热情接待患者，安排床位，通知主管医生， 向患者及家属介绍医院环境、规章制度及探视陪护有关内容。3、住院患者遵守病房作息时间，未经医生允许不得私自外出， 否则按自动出院处理，外出期间如发生病情变化或其他意外一律由患 者负责。>u- uin cage of se

8、cui y，ea-ns ae, physial mach. Rue 3,s, l-in, f soud be care nn>4 as d - n the - yw.-c e " - i ' ha. mus have _rt y, _.g.Ly r_pon_ p. n fr -i. nts6, pc.c* hk -tie preve is al-s , the .civile s nea Ie rives esevois Iecuiy-sif Ie O”- -ent #reliable.S ong LinXi ang Li uJia pi ng elementarysc

9、hool March2016song Lin Xiang LiuJiapi ng primaryschoolfire safetysystems to enhancefire safety,protecti on ofpublic pr opertya ndthe lifeand property safetyofteachersandst udents,schoolfire safety intoday-to-daymanagement,isdevelopi ng thefollowing fire safety system. 1,strengthenfiresafetyeducation

10、 ofthewhol eschool.Accor ding to therequirements oftheFire Services Act,sothat everyonehas ofkeepi ng firecontrol safety, protecti ng fire contr olfacilities,fire prevention,reports offire4、新入院患者24 小时内完成卫生处置和护理记录单的书写。二、出院1、护士提前告知患者出院时间，做好出院准备。2、医生开出院医嘱后，值班护士根据医嘱注销一切治疗卡，结清帐目，整理病历。3、患者及家属办理结帐手续。4、护士为患

11、者做好出院健康指导。5、出院前征求患者意见或建议。6、患者离开病房时，护士要热情送出病房。7、做好终末消毒。三、转科1、病人需转科治疗时，由经治医师填写转诊单，值班护士按时送至接诊科室，当接诊科室同意转科时，方可办理转科手续，同时报住院。2、转出科医师下达转科医嘱，书写转科记录，值班护士按规定要求整理病历，注销各种治疗、护理，取下一览表登记卡、床卡、携带病历、X线片等病案至病人转入科室，与值班护士交待病情及治疗情况，重病人当面交清病情，检查各管道是否畅通，皮肤有无压伤，及时通知有关医师接诊。3、转入科医师按新入院病人检诊规定书写转入记录。值班护士向病人详细介绍病区环境和住院规则，遵医嘱执行各项

12、护理。三、患者安全转运制度一、 病人转运包括所有病人从原来楼层或部门通过推床、轮椅等转运到其他部门。二、一般病人转运须有护士或医院内其他人员陪同。三、 除病人护士以外的工作人员在转运病人前（包括病人去其他科室检查），须先通知护士。检查科室在检查过程中对该病人安全负责。四、护士长、护士有权决定转运工具（包括约束带的使用），按lectricity li nes,equi pmentinspe ctions,found hiddeni n time for rectification,maintenance,a nd securit y.9, do notuseanopen flame in the

13、classroom, pr ohi bit burni ng stove,litca ndles,mosquitorepellent,nosm oking,a nd banningmessyw iring. Without using any household a pplia nce s isnot allowed. 10,live oncampusfaculty members, must lead byexample,andeducatefamiliesa ndchil dren readyt o fire. 11, householduse ofgasi nschools,to mas

14、ter properusage ,payattention tothe leak-pr oof,explosion-proof,fireproof, closing valveafter use to ensure security. 12, di ningr oom mustbequalifie d,and annualtesti ng ofpressurevessels,t o regularlyche ck, the cantee n workers mustbecertified, strictlybyoperation operati on, gastank and stovesaf

15、etydistance of1.5 meters, toprevent accidents. 13,the adverseconseque nces caused by ignori ng fire safetyregulations, willbepunishe d,untilinvestigate dfor legalresponsibilit y.Song Li n Xia ng Li u Jia ping elementaryschoolMar ch 2016Xia ngLiuJia pi ngelementary school ,pineslopes s urroundingsafe

16、ty managementsystem 1 teachers andstudents, thesurrounding areaofthe schoolgoverna ncecover s personaland food hygi ene, culturalevents a ndot heraspect s, integrated gover nanceshallobtainwi desupport andfullcooperation ofthecommunity.Onthe surroundinge nvironme nt inschool sshoul dbe closelymonit

17、ored.2,schoolworkat thesametime,shoul dpay attenti on tothe safety management ofschoolenvironme nt, shoul d takethe i nitiativeto contactt he distri ct police stati on,the villageCommittee,Correctional Centre,T ownship g overnme nt,busine ss manageme ntand other departme ntstodoofficialsorthe poli c

18、e stati oninatimely manner,toprotectthe safetyofstudent s. 4,everyday beforeschool,tea cher s remind st udents,pay attenti on to traffic safety.5,shoul deducatest ude nts to respect soci alethics,and various regulations,maintaining publi corder,a ndfightthe bad g uys,and graspthe correctways a nd m

19、ea ns of maintai ning a nd impr oving st ude nts'self-care abilit y.6,theestabli shme ntofemergency rescueteamsofteachers inschools,on hig halertand de ployed.Song Lin Xiang LiuJiapingeleme ntaryschoolMarch2016 song Lin Xia ng Li uJiaping primaryschoolteachers andst ude nts orga nizationsoutofsa

20、fetymanagementsystemorganizati ona病人病情安排人员护送。（除医生特殊医嘱外）五、危重病人（手术病人）转运前护士应协同医生稳定病人病情， 清空各引流管，妥善固定各种管道，确保病人各项指征能在一定时间 内维持平稳方可转运。六、危重病人（手术病人）转运前，根据病情通知接收部门准备 各种仪器和抢救药物，一切就绪后方可转出，以免耽误病情。七、危重（躁动）病人转运前医护人员应向病人及家属做好解释、 交代工作。八、负责转运危重病人的医护人员要具有一定的临床经验，转运途中（或检查时），护士严密观察病人的生命体征和病情变化，关注 管道是否正常和随身的各种仪器的工作情况。九、转运

21、过程中，病人一旦出现意外情况，遵医嘱利用随身携带 的仪器、物品和药品进行就地抢救，并在事后及时补记病情变化和抢 救过程。十、转运后应向接诊人员详细交接班。四、饮食管理制度一、由医生视病情为患者开出所需饮食医嘱，床头卡有饮食标记， 告知患者执行。二、开饭前停止一切治疗，协助卧床患者入厕、洗手，安排舒适 卧位。三、开饭时工作人员执行饮食医嘱。四、要求患者订营养饮食。五、对禁食或限制的食品要劝阻患者不食用。六、医生开写禁食医嘱后，在床头卡内有醒目标记。七、护士要告诉患者禁食的目的及开始时间。八、禁食期间，护理人员按常规进行基础护理，观察患者情况， 防止意外情况发生。九、禁食结束，责任护士通知患者进流

22、质饮食。五、探视、陪护制度 2,1 :-, eq dons ntme “，m- n-ce, a nd scui y.9, fa 0. , - repemt, w -ng. WihoU uSg ay hou_hod a pp.s s not a lwed 0 1 on campus a ym - bes mus led by-mpl e a a nd ci - oie 1, houehod u_ of g>. in.cooi* to .0. proper intle e -pr.of reproof, cls ng eater us toe nsr . be d, ad anua t or

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27、ts,mayorganize student sto parti cipatein fire fighting, disa ster reliefand soon.7,schoolrulesa nd reg ulations,ontime,ontimehometoprevent a cci dents.8,school to schoolinspecti onsona regsis,foundhiddenyi ntime,and in severecasews,itis har dto eliminate immediatelyclosed, and reshoul d always chec

28、kthe inter nalwalls,retaintsd love, imningwall, Windoweducatievenfrastructure security, unsafefacility to immediatelyresopairand demoliti onto ensure thatteachers and st udentswork ,learn, live ve一、探视制度：1、探视者要按医院规定的时间探视。2、探视者每次不超过2 人，学龄前儿童不得入内。3、患传染病流感患者禁止探视。4、重症监护室谢绝探视。二、陪住制度：1、陪住者由主管医生和护士长根据病情决定。2

29、、当陪住人员有事外出时，要告知值班人员，取得同意后方可离开病房。3、当医生查房、治疗或换药时，陪住人员要离开病室。（ 、 陪住人员与医护人员密切配合，在医护人员指导下照顾患者。（ 1）陪住人员严格遵守各项规章制度，不随地吐痰，不在院内吸烟，不串病房，不得自带床、躺椅等，保持病房安静和清洁卫生；遵守医院作息时间，保持病房安静等。（ 2）节约水电，爱护公物，如有意损坏，按制度赔偿。（ 3）陪护只限 1 人，特殊情况（如手术、抢救）等当日可留人。（ 4）当陪护者有事离开患者时，必须通知医护人员。（ 5）陪护如违犯院规或影响医院治安、经说服教育无效者，可停止陪伴，并与有关部门联系处理。六、住院患者外出

30、管理制度一、患者住院期间未经医生许可不得私自外出。2、 住院患者外出须经医生批准，护士在体温单上相应时间内写“请假”二字， 并记录在护理记录栏内。外出期间如发生病情变化或其他意外一律由该患者本人负责。3、 住院患者外出之前护士交待注意事项，将服用药物交给患者。4、 住院患者外出期间不得将机密文件、贵重物品及现金放在病房，否则后果一律由患者本人负责。5、 住院患者外出期间，如有身体不适必须及时返回医院住院治lectricity li nes,equi pmentinspe ctions,found hiddeni n time for rectification,maintenance,a nd

31、 securit y.9, do notusean open flame in the classroom, pr ohi bit burni ng stove,litca ndles,mosquitorepellent,nosm oking,a nd banningmessyw iring. Without using any household a pplia nce s isnot al lowed. 10,live oncampusfaculty members, must lead byexample,andeducatefamiliesa ndchil dren readyt o

32、fire. 11, householduse ofgasi nschools,to master properusage ,payattention tothe leak-pr oof,explosion-proof,fireproof, closing valveafter use to ensure security. 12, di ningr oom mustbequalifie d,and annualtesti ng ofpressurevessels,t o regularlyche ck, the cantee n workers mustbecertified, strictl

33、ybyoperation operati on, gasta nk and stovesafetydistance of1.5 meters, toprevent accidents. 13,the adverseconseque nces caused by ignori ng fire safetyregulations, willbepunishe d,untilinvestigate dfor legalresponsibilit y.Song Li n Xia ng Li u Jia ping el ementaryschoolMarLiuJia pi ngelementary sc

34、hool ,pineslopes s urroundingsafety managementsystem 1 teachers andstudents, thesurrounding areaoftheschoolgoverna ncecover s personaland food hygi ene, culturalevents a ndot heraspect s, integrated gover nanceshallobtainwi desupport andfullcooperation ofthecommunity.Onthe surroundinge nvironme nt i

35、nschool sshoul dbe closelymonit ored.2,schoolworkat thesametime,shoul dpay attenti on tothe safety management ofschoolenvironme nt, shoul d takethe i nitiativeto contactthe distri ct police stati on,the villageCommittee,Correctional Centre,T ownship g overnme nt,busine ss manageme ntand other depart

36、me ntstodoofficialsorthe poli ce stati oninatimely manner,toprotectthe safetyofstudent s. 4,everyday beforeschool,tea cher s remind st udents,pay attenti on to traffic safety.5,shouldeducatest ude nts to respect soci alethics,and various regulations,maintaining publi corder,a ndfightthe bad g uys,an

37、d graspthe correctways a nd m ea ns of maintai ning a nd impr oving st ude nts'self-care abilit y.6,theestabli shme ntofemergency rescueteamsofteachers inschools,on hig halertand de ployed.Song Lin Xiang LiuJiapingeleme ntaryschoolMarch2016 song Lin Xia ng Li uJiaping primaryschoolteachers andst

38、ude nts orga nizationsoutofsafetymanagementsystemorganizati onaBurea u in chargeofse curit y. 2,ea ch a ctivityshoul d haveaspecificresponsibility, payattentionto t heper sons age,physicalmatch. Route 3,activities,location,fieldsurveysshould be carried outi nadva nce. 4, activities fort he means oft

39、ransportshoul d explai nthe situationtothe schoolto compl ywith vehicl e,safetyrequir ements, before theli neforrepairs.5,each activitymusthave securit y,emergency responsepla nforaccide nts. 6, picnics,hiki ng, picni cto pay attenti on tofire preve ntion, food poisoning ,preventi on offallaccidents

40、 7,t heactivitie s near therivers,reservoirs, no measure sor do notmeetthe securityrequirementsoftheOrgani zationa nd notletstudentsintothe water5reliable.S ong LinXi ang Li uJia pi ng elementaryschool March2016song Lin Xiang LiuJiapi ng primaryschoolfire safetysystems to enhancefire safety,protecti

41、 on ofpublic pr opertya ndthe lifeand property safetyofteachersandst udents,schoolfire safety intoday-to-daymanagement,isdevelopi ng thefollowing fire safety system. 1,strengthenfiresafetyeducation ofthewhol eschool.Accor ding to therequirements oftheFire Services Act,sothat everyonehas ofkeepi ng f

42、irecontrol safety, protecti ng fire contr olfacilities,fire prevention,reports offire六、外出患者应按时返院。七、执行医嘱制度一、护士应遵医嘱为病人实施各种治疗和护理。二、值班护士必须认真阅读医嘱内容，并确认患者姓名、床号、 药名、剂量、次数、用法和时间，填写各种执行卡。三、执行者应根据执行卡内容严格执行“三查七对”四、除抢救病人外，一般不执行口头医嘱。五、抢救病人时对医生下达的口头医嘱， 护士应复述一遍确认无 误后再执行，并监督医生补开医嘱。六、对有疑问的医嘱问清后再执行。七、护士每班要查对医嘱，每周由护士长

43、组织查对一次，做好查 对记录。八、危重患者抢救配合制度一、对危重病员的抢救，必须明确分工，紧密配合，积极救治， 严密观察，详细记录。抢救结束后，要认真总结经验。二、各临床科室应设急救室，药品、器材放于固定位置，指定专 人保管，定期检查，经常保持完备。三、急救室内应有常见危重急症的抢救预案，医务人员应熟练掌握抢救技术和仪器的使用。四、严密观察病情，记录要及时、详细，用药处置要准确，对危 重病人应就地抢救，待病情稳定后方可搬动。五、日夜应有人专人留守，严格执行交接班制度和查对制度。对 病情变化、抢救过程、各种用药要详细交接及记录。所有药品的空安 甑，须经两人核对方可弃去，口头医嘱在执行时，应加以复

44、核。六、及时与病人家属及单位联系，凡涉及法律、民事纠纷的病人， 在积极救治的同时，应及时向有关部门报告。九、物品管理制度一、护士长全面负责物品、药品、器材的领取、保管、报损工作， 2,1:-, eq dons ntme “，m-n-ce, a nd scui y.9, fa 0. , - repemt, w -ng. WihoU uSg ay hou_hod app.s s not a lwed 0 » on campus a ym - bes mus led by-mple a a nd ci - oie 1, houehod u_ of g>. in.cooi* to .0

45、.proper intle e-pr.of reproof,clsng eater us toensr bed, ad anua t ore.ay.he ck the caee nwrkes mus be - "cy ope. on, a _ydS.n - f 15 meters to” .t -bents 13, the a-se- n-s . ly e-s wl y So . g Li ay-hool Mr C2016 xa ng managme ntsystm Iteches ad s_et sthe .u.oudng -hool s ee-lura eves (spe. s

46、iegatd gve nance sal o ban wide .ppo. ad ful y. On Ie | scool wk a Ie -e time, a a. man-et of sCool e d he dsti c pobe "m.ee Crre dona Cent. T owsi g ove>me"lu.e - 一 manne, t pre of .-et s 4, evey dly "ores.00 1tt. .uuens, ppy a. f.s - y 5 shou d ._e n. te.e. s. a ehic. ad vaioos e

47、gulaiana corde, and " gly.and grsp the .rec anta st uuents ' s.-e aili rrscee_s of teches in sccool. on hig h alet ad - Liu Japing -me ntay -ool Ma." nXiaJ scoolteches ad st-en. or1a nlonsou of 一e, mang-et 1ysemogai-a on -并建立帐目，物品分类保管，定期检查，做到帐物相符。二、在护士长领导下，各类物品要指定专人管理。常用物品每天检查核对，一般物品每周

48、核对，每月清点，每半年与保管部门总核对一次，如有不符，应查明原因。三、 凡因不负责任或违反操作规程而损坏物品者，应根据医院制度进行赔偿。四、掌握各类物品的性能，注意保养，防止生锈、霉烂、虫蛀等现象，并提高使用率。五、借出物品必须办理登记手续，经手人要签名，重要物品经护士长同意方可借出，抢救器材一律不外借。六、护士长调动时，必须办好移交手续，交接双方要共同清点物品并签字。十、病房药品管理制度一、病房的药品，根据病种保持一定数量，只供住院和急症病人按医嘱使用，任何人不得私自拿取。二、急救箱应指定专人负责管理，负责药品领取、供应和保管工作。三、毒、麻、限、剧药品按有关规定设基数，设专用抽屉，加锁定位

49、存放，专人负责，妥善保管；建立登记本，各班认真交接签名，使用后将空安瓿保存好，科主任审签后及时领取补充。四、抢救药品应定位存放，保证随时取用。抢救车上的药品必须在专用抽屉存放，并保持一定基数，每日检查。五、病人个人的贵重药品，应写明床号、姓名单独存放，不用时及时退回。六、护士长定期督促检查剧、毒、限、麻药品种类、数量是否相符，发现有沉淀、变质、变色、过期、标签模糊的应停止使用，上交药剂科处理。随时掌握和了解常规用药情况，防止积压，造成过期浪费。七、 加强药品管理，药剂科定期对病区药品管理进行检查并列入lectricity li nes,equi pmentinspe ctions,found

50、hiddeni n time for rectification,maintenance,a nd securit y.9, do notusean open flame in the classroom, pr ohi bit burni ng stove,litca ndles,mosquitorepellent,nosm oking,a nd banningmessyw iring. Without using any household a pplia nce s isnot al lowed. 10,live oncampusfaculty members, must lead by

51、example,andeducatefamiliesa ndchil dren readyt o fire. 11, householduse ofgasi nschools,to master properusage ,payattention tothe leak-pr oof,explosion-proof,fireproof, closing valveafter use to ensure security. 12, di ningr oom mustbequalifie d,and annualtesti ng ofpressurevessels,t o regularlyche

52、ck, the cantee n workers mustbecertified, strictlybyoperation operati on, gasta nk and stovesafetydistance of1.5 meters, toprevent accidents. 13,the adverseconseque nces caused by ignori ng fire safetyregulations, willbepunishe d,untilinvestigate dfor legalresponsibilit y.Song Li n Xia ng Li u Jia p

53、ing el ementaryschoolMar ch 2016Xia ngLiuJia pi ngelementary school ,pineslopes s urroundingsafety managementsystem 1 teachers andstudents, thesurrounding areaoftheschoolgoverna ncecover s personaland food hygi ene, culturalevents a ndot heraspect s, integrated gover nanceshallobtainwi desupport and

54、fullcooperation ofthecommunity.Onthe surroundinge nvironme nt inschool sshoul dbe closelymonit ored.2,schoolworkat thesametime,shoul dpay attenti on tothe safety management ofschoolenvironme nt, shoul d takethe i nitiativeto contactthe distri ct police stati on,the villageCommittee,Correctional Cent

55、re,T ownship g overnme nt,busine ss manageme ntand other departme ntstodoofficialsorthe poli ce stati oninatimely manner,toprotectthe safetyofstudent s. 4,everyday beforeschool,tea cher s remind st udents,pay attenti on to traffic safety.5,shouldeducatest ude nts to respect soci alethics,and various regulations,maintaining publi corder,a ndfightthe bad g uys,and graspthe correctways a nd m ea ns of maintai ning a nd impr oving st ude nts'self-care abilit y.6,theestabli shme ntofemergency rescueteamso