涉外护理英语情境对话 第二册 第一单元book 2 unit1

Chapter1

hospitaladmission&patientsafetyUnit1admittingpatientstothehospitalLucas[lukəs]Amy英

[eɪmɪ]

美

['emɪ]

Anderson['ændəsn]Dialogue1

patientregistrationgooverto

朝…走去Booth

[buːθ]

n.货摊；公用电话亭counter['kaʊntə]

n.柜台；对立面；计数Dialogue1

patientregistrationEmergencyMedicalTreatmentandLaborAct=EMTALA《紧急医疗护理与劳动法》/rczz/rdxw/405334e4d4703e2e26579288df2b81fc.htmlDialogue1

patientregistrationDialogue2triageTriage伤员验伤分类BriefassessmentofvictimsClassifyvictimsaccordingtotheseverityoftheinjury,urgencyoftreatment,andplacefortreatmentPrioritizingHighLife-threateningResultinharmifuntreatedIntermediateNonemergencyNon-life-threateningclientneedsLowNeedsthatarenotrelateddirectlytoclient’sillnessorprognosisPrioritizingActualconcerns>potentialconcernsABC：Airway–maintainpatentairway!!!BreathingCirculationMaslow’sHierarchyofneeds:Physiologicalneed→Safety→Loveandbelonging→self-esteem→self-actualizationNursingprocessAssessmentfirstRankAclientwithheartfailurewhohasa4-ibweightgainsinceyesterdayandisexperiencingshortnessofbreathA24-hourpostoperativeclientwhohadawedgeresectionofthelungandhasaclosedchesttubedrainagesystemAclientadmittedtothehospitalforobservationwhohasabsentbowelsounds(肠鸣音消失)Aclientwhoisundergoingsurgeryforahysterectomy(子宫切除术)ofthefollowingday1、2、3、4Ifuareafirstresponderatthesceneofaschoolbusaccident……RankConfusedchildwithbrightredbloodpulsatingfromalegwoundChildwithaclosedheadwoundandmultiplecompoundfracturesofthearmsandlegsChildwithasimplefractureofthearmcomplainingofabdominalpainSobbingchildwithseveralminorlacerationsontheface,arms,andlegs1、2、3、4Uareassignedtocareoffourclients.Inplanningclientrounds,whichcomesfirst?Aclientscheduledforachestx-rayAclientrequiringdailydressingchangesApostoperativeclientpreparingfordischargeAclientreceivingnasaloxygenwhohaddifficultybreathingduringthepreviousshift4AclientwhoisambulatoryAclientscheduledforphysicaltherapyat1pmAclientwithafeverwhoisdiaphoreticandrestlessApostoperativeclientwhohasjustreceivedpainmedication3Triageclients:highestprioritiesAclientcomplainingofmuscleaches,ahead-ache,andmalaiseAclientwhotwistedheranklewhenshefellwhilerollerbladingAclientwithaminorlacerationontheindexfingersustainedwhilecuttinganeggplantAclientwithchestpainwhostatesthathejustatepizzathatwasmadewithaveryspicysauce4Anurseisgivingabedbathtoanassignedclientwhenanursingassistantenterstheclient’sroomandtellsthenursethatanotherassignedclientisinpainandneedspainmedication.Theappropriatenursingactioniswhichofthefollowing?Finishthebedbathandthenadministerthepainmedicationtotheotherclient.Askthenursingassistanttofindoutwhenthelastpainmedicationwasgiventotheclient.AsktheNAtotelltheclientinpainthatmedicationwillbeadministeredassoonasthebedbathiscompleted.Covertheclient,raisethesiderails,telltheclientthatyourwillreturnshortly,andadminister

thepainmedicationtotheotherclient.4Dialogue3directadmissionConversation:patient’sroomSelf-learningUnit2

PatientSafety

HospitalEnvironmentofCareDialogue1FireDrillDrill[drɪl]n.训练Alarm[ə'lɑːm]n.闹钟；警报，警告器Firealarm

火警；[安全]火警警报器Realistic[rɪə'lɪstɪk]adj.现实的；现实主义的；逼真的Theoverheadpager扬声传呼器JCAHO医疗机构评审联合委员会JointCommissiononAccreditationofHealthcareOrganizationsCloseallthedoorsClearthefireexitcorridorsEnsurethattheexitsandtheevacuationroutesarewelllitanddon’thaveobstaclesDuringthedirll…Setprioritiesintheeventofafire:RACERescueclientsinimmediatedangerAlarmContain/Confinethefirebyclosingalldoors关门限制火势ExtinguishorevacuateExtinguish[ik'stiŋɡwiʃ]熄灭Evacuate[ɪ'vækjʊeɪt]vt.疏散，撤退Firesafety消防安全Useafireextinguisher灭火器:PASSPullthepin拉出栓Aimatthebaseofthefire对准火焰的根部Squeezethehandle握紧手柄SS:sweepfromsidedosideFiresafety消防安全Hazardousmaterials&wasteRadiationsafety辐射安全Dialogue2FallRiskPatientNameband/armbandConsciousness['kɒnʃəsnɪs]n.意识；知觉；觉悟；感觉嗜睡somnolence昏睡stupor昏迷comadelirium

谵妄Bruise[bruːz]Fracture['fræktʃə]骨折Posturalhypotension体位性低血压Assesstheclient’sriskforfalling.Assigntheclientatriskforfallingtoaroomnearthenurses’station.Alertallpersonneltotheclient’sriskforfalling.Assesstheclientfrequently.Orienttheclienttophysicalsurroundings.Instructtheclienttoseekassistancewhengettingup.Explaintheuseofthecallbellsystem.Usesafetydevicessuchasbedorchairalarmsthatalerthealthcarepersonnel.Keepthebedinthelowpositionwithsiderailsadjustedtoasafeposition(followagencypolicy).Lockallbeds,wheelchairs,andstretchers.Keepclients’personalitemswithintheirreach.Eliminateclutterandobstaclesintheclient’sroom.Provideadequatelighting.Reducebathroomhazards.Maintaintheclient’stoiletingschedulethroughouttheday.MeasurestoPreventFallsAnursehearsaclientcallingoutforhelp,hurriesdownthehallwaytotheclient’sroom,andfindstheclientlyingonthefloor.Thenurseperformsathoroughassessment,assiststheclientb