确保病人安全Patientsincriticalconditiontobeabsolute-山东大学.PPTVIP

通知医生 准备床单位、 急救器材及药品，做好抢救准备 密切观察病情变化，积极配合医生进行抢救，并作好护理记录。 不能正确叙述病情和要求的病人、意识不清病人或婴幼儿等，需暂留陪送人员，以便询问病史。 * 病人病情危重，需绝对卧床休息 * 适应对象 病人病情较重，生活不能自理。大手术后病情稳定者/年老体弱不宜多活动者/幼儿 …… * * 适应对象 病人病情较轻，生活能基本自理。一般慢性病人 疾病恢复期病人 择期手术前 * 对病人进行出院指导 指导病人办理出院手续 清洁、整理床单位 * 通知病人及家属，协助其做好出院准备。 健康教育 关注病人情绪 征求意见 * 执行出院医嘱 * * Assisting the patient to the room Orienting the patient to the facility Patient assessment Vital signs Weight Height Admission interview physical examination The patient’s arrival on the unit Assisting the patient to the room Orienting the patient to the facility Patient assessment Documenting the medical chart The patient’s arrival on the unit 填写住院病历和有关表格 姓名： 性别： 诊断： 住院日期：名 住院病人一览表 床头/尾卡 Assisting the patient to the room Orienting the patient to the facility Patient assessment Documenting the medical chart The patient’s arrival on the unit Emergency admission Patients condition Self-care ability Intensive care First level of care Second level of care Third level of care Patients Patient in critical condition, need to be observed at any time Severe traumaMultiple organ failureOrgan transplant recipients 护理内容 ①专人24h护理，严密观察病情变化。 ②制定护理计划，严格执行各项诊疗及护理措施，及时准确逐项填写特别护理记录。 ③备好急救所需药品和用物。 ④做好基础护理，严防并发症，确保病人安全 Patients in critical condition, to be absolute bed rest all major post-operationShockBleedingParalysis…… 护理内容 ①每15～30min巡视病人一次，观察病情变化。 ②制定护理计划，严格执行各项诊疗及护理措施，及时准确逐 项填写特别护理记录。 ③做好基础护理，严防并发症，确保病人安全 Patients in serious condition, who can not take care of themselves. Post-operation patient in stable conditionElderlyChild 护理内容 ①每1—2h巡视病人一次，观察病情。 ②按护理常规护理。 ③给予必要的生活及心理协助 Patients who can take care of themselves Chronic disease patientsPatients in rehabilitation Pre-elective surgery Patients 护理内容 ①每日巡视病人2次，观察病情。 ②按护理常规护理。 ③给予病人健康教育，监督病人遵守院规，满足病人身心需要 Intensive care First level of care Second level of care Third level of care Goals of admission nursing (出院护理的目标) Teaching the patient for discharge Help patien