(全)护理操作流程与评分标准

护理操作流程与评分标准目录..................................................................................................................................3..................................................................................................5..............................................................................................................................6......................................................................................................................7..........................................................................................................................8............................................................................................................................................8..............................................................................................................................................8..........................................................................................................9................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1、............................................................................2、................................................................................3、............................................................................................4、所注射的药物性质、作用、不良反应及对血管的影响程度。.................................................5、........................................................................................................................................................................................................................................................................................................................................1..................................................................................................2......................................................................................3......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................操作准确、轻巧、熟练，物品放置合理，不影响操作。.....................................................................................................................................................无菌观念强，手臂未跨越无菌区，操作过程无污染。.........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1、...........................................................................................................................................................1、患者的病情、意识状态、合作程度；.........................................................................................2、患者胸腹部的皮肤情况；.............................................................................................................3、.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................患者约束法操作流程................................................................................................................................................................................................................................................................................................................................................................................患者约束法评分标准........................................................................................................................................................................................................................1、............................................................................................................2、病人安全、保暖、保护病人隐私、舒适、无坠床.....................................................................3、....................................................................................................................................4、................................................................................................................1、........................................................................................................................................................................................................................................................................................................................................................................................................................................1............................................................................................................................1、2、3、4、5、........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1、输液泵无液体外渗报警，注意观察有无管道脱落.......................................................................2、猫眼安放位置在茂菲氏滴管液面以上，才能感应输液滴数.......................................................3、输液泵使用完毕后用酒精擦净，置于阴凉干燥处保存...................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.....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................生命体征监测技术1234563781914生命体征监测技术操作考核评分标准1、2、测1腋10温122测量脉搏分2223测量呼吸分2330秒,乘以22骤2215分2测量2血2压4mmHg/秒为宜2分451112扣分33、34、每超时12口服给药法操作流程操配药作过6护患沟通口服给药法操作评分标准5A5235B4C3113504配药55444444888333333666作55过55程发药54835613221007口腔护理技术操作流程8口腔护理技术操作考核评分标准评分细则A2BCD准备质量标准110000222211190008000732210100000操作流操作前、1、43219432321210100操作5432090001210210321中2104324223112001005322110006423531242013100准床上洗头操作流程操作前准备222210操作中流程操作后评价床上洗头操作考核评分标准总分ABCD据沟通评估32101132132102255555555554444总计12床上温水擦浴操作规程准1备质量标准操作流程质量标准13床上温水擦浴操作评分标准6准33备质量标准344424操4作流程质28量标准2623143555会阴冲洗技术操作规程准备质量标准操作流程质量标准15会阴冲洗技术操作考核评分标准及总项目评分细则分1864034321034321治疗车下层:消毒便盆,冲洗壶(内盛温度适宜的3210555432操5432作中164543255432432161343鼻饲技术操作规程1234517。678鼻饲液的温度为9鼻饲完毕注意反折胃深度为，鼻饲200ml，胃储留量共若患者面部有胶布痕18、、、、鼻饲技术操作规程考核评分标准2532准备质量标准322324855操作流程19质3量标4准442232235肌内注射技术操作规程准备质量标准1操作流程质量标准20肌内注射技术考核评分标准扣分及实际得分准备质量标准53232123444464464443333555操作流程质量标准215皮下注射技术操作流程2223皮下注射技术操作考核评分标准总评分细则分A2B1C0D025432况3322110032102100004212413333302201111l4444222445454364433434325332232321421121液2103110000012321222331112200011424静脉注射技术操作规程、、、、、、、、、评）----排气核对病人信息穿刺固定----缓慢推注擦、、、、、25静脉注射操作评分标准项目33准备质量标准22242255345333333533432操作流程质量标准终末44444质量标准分分26静脉留置针操作技术操作流程、、、乙、、治疗室护士准备物品准备核对药物贴瓶签再次核对开瓶口手消排气注----手消整理用物巡视记录用手消取27内将输、、、、、、、、、28静脉留置针输液技术操作考核评分标准项目实际准备质量标准2323、2373231354353253245、、、、、、操作流程质量标准5545分29项目操作流程操作前准备操作中流程；操作后评价30密闭式静脉输血技术操作考核评分标准总分项目评分细则AB8C6d43210112001000321302014221100003141302035224141303020525443322521424103130020233221133322211132无菌技术操作流程2的33无菌技术操作评分标准总分项目评分细则ABCD210022110000621100002431201023212102100100003操作过程3210321100022100342111110000000000222222211110000332100212010010021100003221210100025138026004532135膀胱冲洗操作流程准备质量标准操作流程质量标准36膀胱冲洗操作规程评分标准技术操作要求223225555分37真空负压静脉采血技术操作规程准备质量标准操作流程质量标准38真空负压静脉采血技术操作规程评分标准技术操作要求准备质量标准分3操作流程质量标准分5555分39动脉血标本采集操作规程准备质量标准操作流程质量标准录40动脉血标本采集技术评分标准分及值8准备质34量标准824333操3作3流4程3质3量标43准4443333535241氧气吸入技术操作流程项目技术操作要求准备质量标准