静脉输液考核评分表

静脉输液考核评分表RecruitmentNurseOperationAssessmentScoringTableItemScoringStandardScoreDeductionStandardUncleanclothes,hats,andshoes1pointNotwashinghands1point,notwearingamask1pointWearingjewelryduringoperation1pointNotchecking2pointsNotassessingpatientconditionandlocalskincondition1pointNotinstructingpatienttourinate1pointNotintroducingmedicationnameandfunction2pointsDeductions:1.Dressneatly(clothes,hats,shoes),washhands,wearmasks.42.Assessment:Bringinfusioncardtothebedside,checkbednumber,name,andheadcard,askthepatienttoprepareforinfusion,andinstructthepatienttourinate.3.Preparation:Inthetreatmenttray,put2%iodine,70%alcohol,disposableinfusiondevice,disposablecottonswab,disposableinfusionpatch,adhesivetape,curvedtray,infusioncard,gauze,tourniquet,pre-configuredmedication,infusionstand.4.Inthetreatmentroom,carefullychecktheinfusioncardandmedication,checkthequality,validityperiod,oropeningdateofthemedicationandmaterials.5.Punctureprocessisincorrect1point6.Needlecontamination2points7.Failedexhaustonce1point8.Liquidspillsoutsidethecurvedtray1point9.Didnotchecktheconnectionbetweentheneedleandtheinfusiontube1point10.Incorrectdisinfectionmethod1point11.Doesnotmeetthedisinfectionscope2points12.Incorrecttourniquetposition,didnotprepareadhesivetape2points13.Contaminateddisinfectionsite1point14.Liquidspillsoutsidethecurvedtray1point15.Didnotchecktheexhaustresult1point16.Presenceofbubbles1point17.Didnotverify1point18.Didnotinstructthepatienttoclenchtheirfist1point19.Didnottightentheskin1point20.Incorrectpunctureangle2points21.Contaminationinoneplace3points22.Puncturefailureonce15points23.Bringthematerialstothebedside,checkthebednumber,name,medicationname,andheadcard.24.Hangtheinfusionbottleonthestand,andsuccessfullyexhaustonce.25.Tiethetourniquet,selecttheappropriatevein,releasethetourniquet,disinfectwith2%iodine,waitforittodry,preparetheinfusionpatch,andthentiethetourniquetagain,disinfectwith2%iodineagain.26.Removetheneedle,checkagain,exhaust,andchecktoensuretherearenobubbles,thenclamptheregulator.27.Instructthepatienttoclenchtheirfist,andwhenpuncturing,tightentheskinwiththelefthand.28.Whenpuncturing,theneedletipshouldbeupwardatasmallangle(20°)withtheskin,andpenetratetheskinfromaboveorfromtheside,thenpenetratealongthedirectionofthevein.Whenbloodreturns,theneedlecanbeadvancedslightlyalongthevein.29.Releasethetourniquetandregulator,andinstructthepatienttorelaxtheirfist.30.Whentheinfusionsolutionisdrippingsmoothly,fixtheinfusionpatchproperly,checkagain,andadjustthedriprateaccordingtothepatient'sage,condition,andmedicationproperties(generally,adultsdrip40-60dropsperminute,childrendrip20-40dropsperminute,forelderly,infants,andyoungchildrenwithgoodheartandlungfunction,thespeedcanbefaster;forgeneralsolutions).1.输液操作规范在进行输液操作时，需要注意以下几点。首先，补给速度应该适中，根据医嘱调节。其次，在签名及时间后，将输液卡挂在输液架上，并交代患者注意事项。最后，在输液完毕后，需要核对并除去胶布，夹紧调节器，用消毒棉签按压穿刺点，迅速拔出针头，并嘱病人按压。2.输液操作评价标准在对输液操作进行评价时，需要考虑以下几个方面。首先，固定针头的方法是否正确。其次，是否进行了核对和签名。第三，是否出现了针头脱出的情况。第四，是否调节了滴数，并且滴速符合要求。第五，是否有口述错误或未签名及时间等问题。最后，是否进行了交代注意事项、除去胶布、关调节夹、拔针、嘱病人按压、做疾病健康宣教等