靜脈輸液考核評分表

靜脈輸液考核評分表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.輸液操作規(guī)范在進行輸液操作時，需要注意以下幾點。首先，補給速度應(yīng)該適中，根據(jù)醫(yī)囑調(diào)節(jié)。其次，在簽名及時間后，將輸液卡掛在輸液架上，并交代患者注意事項。最后，在輸液完畢后，需要核對并除去膠布，夾緊調(diào)節(jié)器，用消毒棉簽按壓穿刺點，迅速拔出針頭，并囑病人按壓。2.輸液操作評價標準在對輸液操作進行評價時，需要考慮以下幾個方面。首先，固定針頭的方法是否正確。其次，是否進行了核對和簽名。第三，是否出現(xiàn)了針頭脫出的情況。第四，是否調(diào)節(jié)了滴數(shù)，并且滴速符合要求。第五，是否有口述錯誤或未簽名及時間等問題。最后，是否進行了交代注意事項、除去膠布、關(guān)調(diào)節(jié)夾、拔針、囑病人按壓、做疾病健康宣教等