三級醫(yī)院開展優(yōu)質(zhì)護(hù)理服務(wù)要點

1、三級醫(yī)院開展優(yōu)質(zhì)護(hù)理服務(wù)要點優(yōu)質(zhì)護(hù)理規(guī)定要點：一、入院護(hù)理：面帶微笑 留好印象二、晨間護(hù)理：更衣?lián)Q洗 詢問情況三、晚間護(hù)理：口腔護(hù)理 睡前排便四、飲食護(hù)理：為患者打飯 飲食指導(dǎo)五、排泄護(hù)理：失禁護(hù)理 會陰護(hù)理六、臥位護(hù)理：翻身拍背 協(xié)助排痰七、舒適護(hù)理：修剪指甲 協(xié)助泡腳優(yōu)質(zhì)護(hù)理要點詳解：一：入院護(hù)理：建立良好的護(hù)患關(guān)系1 護(hù)士面帶微笑、起立迎接新病人，給患者和家屬留下良好第一印象。2 備好床單元。護(hù)送至床前, 妥善安置,并通知醫(yī)生。完成入院體重、生命體征的收集。3 主動進(jìn)行自我介紹，入院告知：向病人或家屬介紹管床醫(yī)生和護(hù)士、病區(qū)護(hù)士長，介紹病區(qū)環(huán)境、呼叫鈴的使用、作息時間及有關(guān)管理規(guī)定等。通

2、知師傅送第一瓶開水.4 了解病人的主訴、癥狀、自理能力、心理狀況。5 如急診入院，根據(jù)需要準(zhǔn)備好心電監(jiān)護(hù)儀、吸氧裝置等。6 鼓勵患者和家屬表達(dá)自己的需要和顧忌，建立信賴關(guān)系，減輕患者住院的陌生感或孤獨感。二 晨間護(hù)理1 采用濕掃法清潔并整理床單元，必要時更換床單元，手術(shù)衣。2 腹部手術(shù)半臥位(護(hù)士搖床至適當(dāng)高度).必要時協(xié)助患者洗漱。3 晨間交流：詢問夜間睡眠、疼痛、通氣等情況，了解腸功能恢復(fù)情況,患者活動能力。三 晚間護(hù)理1 整理床單元，必要時予以更換。整理,理順各種管道,健教.對不能自理的患者進(jìn)行口腔護(hù)理，睡前排便護(hù)理。2 對于術(shù)后疼痛的病人，應(yīng)注意周圍環(huán)境安靜便于入睡。病室內(nèi)電視機按時關(guān)

3、閉，要求家屬離院。3 病重病危的病室保留廊燈，便于觀察病人。四 飲食護(hù)理1 根據(jù)醫(yī)囑給予飲食指導(dǎo)，告知其飲食內(nèi)容。2 積極主動協(xié)助患者打飯，腸內(nèi)營養(yǎng)患者護(hù)士做好飲食指導(dǎo)、調(diào)配、衛(wèi)生、溫度、速度等知識。3 根據(jù)病情觀察患者進(jìn)食后的反應(yīng)。五 排泄護(hù)理1 做好失禁的護(hù)理，及時更換潮濕的衣物，保持皮膚清潔干燥。2 留置尿管的患者進(jìn)行膀胱功能鍛煉。每日會陰護(hù)理2次。六 臥位護(hù)理1 根據(jù)病情選擇合適的臥位.指導(dǎo)并協(xié)助患者進(jìn)行床上活動和肢體的功能鍛煉。2 按需要給予翻身、拍背、協(xié)助排痰，必要時給予吸痰.指導(dǎo)有效咳嗽。3 加強巡視壓瘡高?；颊?，有壓瘡警報時，及時采取有效的預(yù)防措施。七 舒適護(hù)理1 患者每周剪指

4、、趾甲一次;胃腸手術(shù)每天協(xié)助泡腳1次。2 生活不能自理者協(xié)助更換衣物。3 提供適宜的病室溫度，囑患者注意保暖。4 經(jīng)常開窗通風(fēng)，保持空氣新鮮。5 保持病室安靜、光線適宜、 操作要盡量集中，以保證患者睡眠良好。6 晚夜間要做到三輕：走路輕、說話輕、操作輕。八 術(shù)前護(hù)理1 給予心理支持.評估手術(shù)知識,適當(dāng)講解手術(shù)配合及術(shù)后注意事項。2 告知其禁食禁水時間、戒煙戒酒的必要性。3 如需要給予備皮。4 做好術(shù)前指導(dǎo)如：深呼吸、有效咳嗽、拍背、訓(xùn)練床上大小便等。九 術(shù)后護(hù)理1 準(zhǔn)備好麻醉床，遵醫(yī)囑予心電監(jiān)護(hù)、氧氣吸入.2 做好各種管道標(biāo)識并妥善固定各管道，保證管道在位通暢.3 密切觀察病情變化并做好記錄，

5、如有異常，及時匯報醫(yī)生.十 患者安全管理1 按等級護(hù)理要求巡視病房，了解病人九知道. 有輸液巡視卡并及時記錄.2 對危重、躁動患者予約束帶、護(hù)欄等保護(hù)措施. 危重病人使用腕帶.3 患者外出檢查，輕病人由護(hù)工陪檢，危重病人由醫(yī)務(wù)人員陪檢.十一 出院護(hù)理1 針對患者病情及恢復(fù)情況進(jìn)行出院指導(dǎo)(辦理出院結(jié)賬手續(xù)、術(shù)后注意事項、帶藥指導(dǎo)、飲食及功能鍛煉，術(shù)后換藥、拆線時間，發(fā)放愛心聯(lián)系卡)。2 聽取患者住院期間的意見和建議，護(hù)送患者至電梯口，做好出院登記。3 對患者床單進(jìn)行消毒。wa3p tgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgsh

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