(1) doctor's advice check system:

The doctor's orders should be checked in class and daily, including doctor's orders, execution cards, various signs (diet, nursing level, allergies, isolation, etc.). ), and the register should be checked frequently. The next shift is responsible for checking the doctor's advice handled by the single-line shift. After all medical orders are processed, they should be checked and signed. The temporary execution of the doctor's advice can only be carried out after the second person checks it correctly, and the execution time is recorded and signed by the executor.

When rescuing patients, the oral orders given by doctors must be repeated loudly by the executors and can only be carried out after being verified by doctors. After the rescue, the doctor fills in the doctor's order and signs it; The ampoule should be checked again after the rescue. The problematic doctor's advice must be verified before it can be implemented.

② Inspection system for dispensing, injection and infusion:

Drug distribution, injection, infusion, etc. We must strictly implement the "three investigations, eight to one attention". When preparing drugs, check whether the drugs are within the validity period and whether the labels are clear; Whether the aqueous solution and tablets are deteriorated; Whether there are cracks in ampoules and injection bottles; Whether the sealing aluminum cover is loose; Whether the infusion bottle (bag) leaks; Whether the liquid medicine has turbidity and floc, etc. Any unqualified items shall not be used. After preparing the medicine, it must be checked by a second person before execution.

Empty ampoules after the use of narcotic drugs must be kept for future reference, and registered and signed in the Record Book of Toxicity and Narcotic Drugs Management. When using multiple drugs, we should pay attention to whether there are compatibility taboos. When dispensing, injecting and infusing drugs, if patients ask questions, they should check them in time and make sure they are correct before implementation. After the infusion bottle is filled with medicine, the label should indicate the bed number, name, name and dosage of the main medicine, and leave an empty ampoule for another person to check before use.

(3) Blood transfusion inspection system:

Cross matching blood test system. Check the blood collection system. When collecting blood, carefully check whether the name, gender, serial number, blood transfusion amount and blood type on the blood bag are consistent with the cross matching report to ensure accuracy. Check the validity period and appearance of blood, and meet the requirements of the specification. Inspection system of blood transfusion process.

(4) Sterile goods inspection system:

Before using sterilized articles and disposable sterile articles, check whether the packaging and containers are tight, dry and clean, and check whether the sterilization date, expiration date and sterilization effect indication mark meet the requirements. If it is found that the articles are out of date, the packaging is damaged, unclean, wet and have not reached the sterilization effect, it is forbidden to use them. When using activated sterilized articles, check the opening time, article quality, and whether the packaging is tight and pollution-free.

The records of disposable sterile articles issued by the disinfection supply room should be traceable. Records include date, name, specification, quantity, manufacturer, production batch number, sterilization date, expiration date, etc. The department appoints a special person to be responsible for the collection and storage of sterile items. Regular inventory, classified storage, timely inspection. Ensure that the outer packaging of the product is tight and clean, and the aseptic items are free from moisture, mildew and expiration.

⑤ Run the safety verification system:

Before the patient is connected to the operating room, the operating room operator will check the patient's department, bed number, hospitalization number, name, gender, diagnosis, operation name and operation site, blood matching report, preoperative medication, drug allergy test results and imaging data. Surgical patients should wear identification signs, valuables, dentures, etc. are not allowed to be brought into the operating room.

After patients enter the operating room, they must be checked and signed by qualified surgeons, anesthesiologists and operating room nurses (hereinafter referred to as the three parties) before anesthesia, before surgery and before patients leave the operating room.

During the operation, the surgeon or anesthesiologist will give instructions according to the situation and make corresponding records, and the operating room nurse will be responsible for verification. In any body cavity or deep tissue surgery, it is necessary to check whether the number of gauze pads, gauze, suture needles and instruments is consistent with that before and after closing the body cavity. The specimens taken out of the operation are checked by the hand-washing nurse and the surgeon, and then the surgeon fills in the pathological checklist for inspection and registers and hands over.

Refer to Baidu Encyclopedia-Nursing Technology