1. Nursing quality management system

2. Ward management system

3. Rescue work system

4. Hierarchical nursing system< /p>

5. Nursing handover system

6. Checking system

7. Medication system

8. Nursing rounds system< /p>

9. Patient health education system

10. Nursing consultation system

11. Ward general disinfection and isolation management system

12. Nursing safety management system

13. Nursing error and accident reporting system

14. Preoperative patient visit system

Nursing quality management system

1. The hospital has established a nursing quality management committee composed of the president in charge, the director of the nursing department (deputy director), and the head nurse of the department. It is responsible for formulating the hospital's nursing quality management objectives and various nursing quality standards and implementing nursing management. Control and management.

2. Nursing quality is controlled and managed at three levels: nursing department, department and ward.

1. Ward nursing quality control group (Level I): composed of 2~~3 people, with the ward head nurse participating and responsible. Implement comprehensive control over nursing quality in accordance with quality standards, promptly discover problems and deficiencies in the work, analyze emerging quality defects, and formulate improvement measures. Inspections are registered, recorded and timely feedback is provided, and the inspection registration form and nursing quality monthly report are filled out every month by the superior quality control team.

2. Department Nursing Quality Control Group (Level II): It consists of 3~~5 people, and the head nurse of the department participates and is responsible. Conduct monthly inspections in a planned manner or based on the weak links of the department's nursing quality, fill in the inspection registration form and the monthly nursing quality report to the nursing department control team, conduct timely research and analysis on the problems discovered during the inspection, formulate practical measures and implement them.

3. Nursing Department Nursing Quality Control Group (Level III): It consists of 8~~10 people, and the Director of the Nursing Department participates and is responsible. Carry out planned, purposeful and targeted inspections and evaluations of the nursing work in each ward according to the nursing quality control projects every month, and fill in the inspection registration form and comprehensive reports. Research, analyze and solve problems found during inspections in a timely manner. Feedback the inspection results at the head nurse meeting every month, put forward suggestions for rectification, and make rectifications within a time limit.

3. Establish a final quality control and inspection team for full-time nursing documents, with personnel above the supervisory nurse responsible for the quality inspection of nursing documents throughout the hospital. Check and evaluate the temperature sheets, medical orders, nursing records, surgical nursing records, etc. of discharged patients every month. Go to clinical departments to check the writing quality of nursing documents from time to time, fill out the inspection registration form and report it to the nursing department.

4. Track and monitor nursing quality defects and implement continuous improvement of nursing quality.

5. Quality control groups at all levels report inspection results on time every month. Departments and wards report to the Nursing Department before the 30th of each month. The Nursing Department is responsible for comprehensively evaluating the inspection results of the entire hospital, filling out reports and Feedback the inspection and evaluation results at the head nurse's regular meeting.

6. The Nursing Department reports the nursing quality control and management situation of the whole hospital to the director in charge at any time, holds a nursing quality analysis meeting every quarter, conducts an annual nursing quality control and management summary and reports it to the nursing staff of the whole hospital. .

7. The results of the quality inspection and evaluation of nursing work shall be used as the assessment content of nursing staff at all levels.

Ward management system

1. Under the leadership of the department director, ward management is the responsibility of the head nurse, with the active assistance of the department director and the participation of all medical staff.

2. Strictly implement the accompanying system, strengthen the management of accompanying personnel, and actively carry out health education and health education. The nurse in charge should promptly introduce hospitalization rules and hospital rules and regulations to new inpatients, conduct timely safety education, sign inpatient notification letters, and educate patients to participate in ward management.

3. Keep the ward clean, comfortable, quiet, and safe, avoid noise, and speak softly, walk lightly, operate lightly, and close the door lightly.

4. The ward furnishings should be unified. Indoor items and beds should be placed neatly and in fixed positions. They should not be moved without the consent of the head nurse.

5. Staff should abide by labor discipline and stick to their posts. Dress code must be followed during working hours. Smoking is not allowed in the ward, and no chatting, sitting around, or doing private matters during working hours. Personal belongings are not allowed to be stored in the treatment room or nurse station. In principle, we do not answer personal calls during working hours.

6. The patient's clothing and utensils are allocated to the patient based on the base number, and are collected and collected for final disposal when discharged.

7. The head nurse is fully responsible for the safekeeping of ward property and equipment, and assigns dedicated personnel to manage them, establish accounts, and conduct regular inventory. If anything is lost, find out the reason promptly and handle it according to regulations. When managers are transferred, handover procedures must be completed.

8. Regularly hold work-break symposiums to listen to patients’ opinions on medical care, nursing, medical technology, logistics, etc., provide opinions and feedback on issues reported by patients, and continuously improve work.

9. Non-hospitalized patients are not allowed in the ward and will not be treated as visitors. The doctors and nurses on duty promptly cleared away non-accompanying personnel and questioned suspicious persons. Personnel distributing various leaflets, advertisements and salespeople are strictly prohibited from entering the ward.

10. Pay attention to saving water and electricity, turn off lights and faucets on time, and avoid long running water and long-lasting lights.

11. Keep the ward clean and hygienic, pay attention to ventilation, clean at least twice a day and once a week. The ward bathroom is clean and odorless.

Rescue work system

1. Regularly provide first-aid knowledge training to nursing staff to improve their rescue awareness and level. When rescuing patients, the personnel must be in place, act quickly, orderly, and every second counts. .

2. During rescue operations, there should be a clear division of labor, close cooperation, obey orders, and stick to one's post.

3. Check the rescue items every day and hand them over every shift to ensure that the accounts are consistent. All kinds of emergency medicines, equipment and items should meet the "five requirements": fixed quantity and variety, fixed location, designated management, regular disinfection, sterilization, and regular inspection and maintenance. Rescue items are not allowed to be misappropriated or borrowed at will, and must be in an emergency state. Sterile items must be marked with the date of sterilization to ensure use within the validity period.

4. The rescue personnel must be proficient in various rescue techniques and rescue routines to ensure the smooth progress of the rescue.

5. Closely observe changes in the condition, fill in the patient care record accurately and timely, and keep the record complete and accurate.

6. Strictly implement the shift handover system and check-up system, and correctly implement medical orders during the process of rescuing patients. Oral medical orders are required to be accurate and clear, and the nurse must repeat them before executing them and confirm that they are correct before executing them; keep the ampoule for subsequent verification. Record the nursing record sheet in a timely manner. If there is no time to record, record it accurately and explain it within 6 hours after the rescue.

7. After the rescue, clean up various items in a timely manner and conduct preliminary processing and registration.

8. Earnestly provide basic care and daily care for rescuing patients. For patients who are agitated, comatose or delirious, add bed stalls and adopt protective restraints to ensure patient safety. Prevent and reduce the occurrence of complications.

Graded nursing system

Graded nursing is based on the priority of the patient's condition, and the level of care is assigned by the doctor in the form of a medical order. It is divided into special care, primary care, secondary care and tertiary care.

1. Special care

1. Applicable objects: patients who are in critical condition and need to be observed at any time for rescue, such as severe trauma, various complex and difficult major surgeries, organ transplants Transplantation, extensive burns, and “five-failure” patients.

2. Nursing requirements: (1) Set up a dedicated person for 24-hour care and closely observe changes in condition and vital signs; (2) Develop a nursing plan, strictly implement various technical operating procedures, implement nursing measures, and implement them correctly Complete the special care record form promptly and accurately according to the doctor's instructions. (3) Prepare emergency medicines and equipment for emergency use at any time. (4) Carry out all basic nursing work carefully and carefully to prevent complications and ensure patient safety. (5) Understand the various factors that affect the patient's psychological changes, provide necessary psychological care and guidance, and conduct timely health education

II. First-level nursing

1. Applicable objects: Condition Critically ill patients who absolutely require bed rest, such as after major surgery, shock, paralysis, coma, high fever, bleeding, liver and kidney failure, and premature infants.

2. Nursing requirements: (1) Visit the patient every 15-30 minutes and closely observe changes in condition and vital signs. (2) Develop a nursing plan, strictly implement various diagnosis, treatment and nursing measures, and fill in the nursing record in a timely manner. (3) Prepare rescue drugs and equipment as needed. (4) Carry out all basic nursing work carefully and carefully to prevent complications.

Third and secondary care

1. Applicable objects: patients with serious illness and unable to fully take care of themselves, such as those with stable condition after major surgery, as well as the elderly and infirm, young children , those with chronic diseases who should not be active, etc.

2. Nursing requirements: (1) Visit the patient every 1-2 hours and pay attention to the condition. (2) Provide necessary assistance in daily life, understand the patient's condition dynamics and psychological state, and meet their physical and mental needs. (3) Provide necessary assistance in daily life. (4) Record the nursing records on time, and record in time when the condition changes.

Fourth and third-level care

1. Applicable objects: patients with mild illness and basically able to take care of themselves, such as general chronic diseases, disease recovery period and pre-operative preparation stage.

2. Nursing requirements: (1) Visit the patient twice a day to observe the condition. (2) Follow routine nursing care. (3) Supervise patients to comply with hospital regulations and understand their condition and psychological needs. (4) Do a good job in health education.

Nursing handover system

1. Ward nurses implement a 24-hour three-shift duty system, and the duty personnel perform the duties of each shift to care for patients.

2. There is a collective shift handover meeting every morning, with all medical staff participating, which generally does not exceed 15 minutes. The night shift nurse reports in detail on the condition, diagnosis, care and other related matters of critically ill and newly admitted patients. The head nurse makes necessary summaries based on the report and briefly arranges the work for the day.

3. After the shift is handed over, the head nurse will lead the successor to inspect the ward and conduct bedside inspections of critically ill patients, post-operative patients, expectant mothers, postpartum patients, pediatric patients and patients with special circumstances. Shift handover.

4. Clearly hand over and sign the drugs, anesthesia, drama, restricted drugs, medical equipment, linens, etc. that are required for handover in person.

5. In addition to collective handover of classes every day, all classes must be handed over on time.

The successor should arrive at the department 10-15 minutes in advance, check the items to be received, and read the handover report and nursing record sheet. The successor will explain the patient's condition to the successor and conduct bedside handover for critically ill, surgical, pediatric patients and newly admitted patients. Before the handover is clear, the person taking over the shift shall not leave the post. Any problems that arise due to unclear handover will be the responsibility of the successor.

6. Before handing over to the shift, in addition to completing all the work of the shift, the person on duty must tidy up the items used, keep the treatment room and nurse station clean, and make necessary preparations for the next shift.

7. Shift handover content

The patient's psychological condition, changes in condition, preparations and precautions for patients undergoing surgery on the same day or the next day and patients undergoing special examinations. The total number of patients on the day, new admissions, discharges, surgeries, deliveries, critical illness, deaths, transfers to departments (hospitals), etc., as well as emergency medicines and equipment, special treatments and the collection of special specimens, etc.

8. Shift handover method

1. Written handover: each shift writes a nursing record sheet and carries out shift handover.

2. Bedside handover: patrol the ward with the successor ***, focusing on handing over critically ill and major surgery patients, elderly patients, pediatric patients and patients with special psychological conditions.

3. Verbal handover: Generally, patients adopt oral handover.

Checking system

1. When processing medical orders, copying medication cards, injection cards, nursing orders, etc., the patient's bed number and name must be carefully checked, and the patient's bed number and name must be carefully checked when executing medical orders. Indicate the time and sign. Doctors' orders must be checked every shift, every day, and once a week. The head nurse must attend and sign. After each check, registration will be carried out and the signatures of those participating in the check will be signed.

2. When executing medical instructions and various treatments, "three checks, eight pairs, and one attention" must be carried out.

Three checks: before operation, during operation, and after operation

Seven pairs: bed number, name, drug name, concentration, dosage, usage, time and validity period. 1. Attention: Pay attention to adverse drug reactions.

3. Oral doctor’s orders are generally not followed. During the rescue operation, the doctor can issue oral medical orders, and the nurse must repeat them when executing them, and then execute them after confirming that they are correct, and temporarily keep the used empty ampoules. After the rescue is completed, the doctor's instructions must be reissued in a timely manner (no more than 6 hours).

4. Blood transfusion: When taking blood, you should check with the person who received the blood in the blood bank.

Three checks: the validity period of the blood, the quality of the blood and whether the blood transfusion device is intact;

Eight pairs: name, bed number, hospitalization number, bottle (bag) number, blood type, cross Blood matching test results, blood type and dosage.

It can be retrieved only after it is confirmed to be correct. Before blood transfusion, two people will review it according to the above items. After blood transfusion, the blood bag should be kept for 12-24 hours for verification when necessary. The barcode on the blood bag is pasted on the cross-matching report form and stored in the medical record.

5. Before using the medicine, check the drug name, expiration date, batch number and drug quality on the label of the medicine bottle. Those who do not meet the requirements shall not be used. After dispensing the medicine, it must be checked by two people before execution.

6. Before taking various blood samples and injecting them into the container, check the contents on the label again to ensure that they are correct.

7. Surgery check-up system

1. Six checks and twelve pairs:

Six checks: (1) Check when picking up the patient in the ward (2) Check when the patient enters the operating room (3) before anesthesia (4) before disinfecting the skin (5) during surgery (6) before and after closing the body cavity.

Twelve pairs: department, bed number, name, gender, age, hospital number, operating room number, name of surgery, surgical site, items and medicines brought, history of drug allergies and whether there are special infections, Whether the sterilized instruments and dressings used in surgery are qualified and the quantity is consistent.

2. The specimens are removed during surgery and must be verified by the circulating nurse and the operator before being submitted together with the pathological examination.

3. During the process of submitting surgical specimens for inspection, all links must be strictly handed over and checked, and signed by both parties.

8. Supply Room Checking System

1. When recycling equipment and items: check the name, quantity, preliminary processing status, and the integrity of the equipment.

2. When cleaning and disinfecting: Check the effective concentration and preparation concentration of the disinfectant; the soaking and disinfection time, and whether the residual disinfectant is rinsed before washing.

3. When packaging: Check the name, quantity, quality, and humidity of the device dressing.

4. Before sterilization: Check whether the packaging specifications of the device dressing meet the requirements and whether the installation method is correct; whether the various instruments and program controls of the sterilizer meet the standard requirements.

5. After sterilization: Check whether the chemical indicator card of the test package changes color and whether there is a wet package. Whether biological monitoring of implanted devices is performed each time they are sterilized.

6. When distributing various sterilization items: check the name, quantity, appearance quality, sterilization label, etc.

7. Check at any time whether the various diagnostic and treatment packages in the supply room are within the validity period and whether the storage conditions meet the requirements.

8. Single-use sterile items: Check the batch inspection report and conduct sampling inspections.

9. Analyze nursing defects in a timely manner, find out the causes and make improvements.

Administration system

1. Nurses must strictly follow the doctor’s orders to administer medications and are not allowed to change them without authorization. For questions about the doctor’s orders, they should understand them clearly before administering the medication to avoid blind execution.

2. Understand the patient's condition and treatment purposes, be familiar with the performance, usage, dosage and side effects of various commonly used drugs, and introduce drug knowledge to patients.

3. Strictly implement the three checks and seven pairs system.

Three checks: before operation, during operation and after operation.

Seven pairs: bed number, name, drug name, concentration, dose, usage, and time.

4. Before treatment, nurses should wash their hands, wear hats and masks, and strictly abide by operating procedures.

5. Before administration, ask the patient whether he has a history of drug allergy (do an allergy test if necessary) and explain to the patient to obtain cooperation. After taking the medicine, you should pay attention to observe the drug reaction and treatment effect. If you have any adverse reactions, you should report to the doctor in time, record the nursing record, and fill in the adverse drug reaction registration book.

6. When taking medicine, check the validity period and whether the medicine has deteriorated. During intravenous infusion, check whether the bottle cap is loose, whether there are cracks on the bottle mouth, and whether there are any sediments or floc in the liquid. When multiple drugs are used together, attention should be paid to incompatibility.

7. Use medication safely and correctly, and reasonably control the time and method of administration. Drugs should be prepared and used immediately to avoid drug contamination or reduction in efficacy caused by long-term storage.

8. After preliminary cleaning of various items used after treatment, they will be recycled by the central supply room. Oral medicine cups should be cleaned and disinfected regularly.

9. If medication errors are discovered, they should be reported and dealt with promptly, and remedial measures should be actively taken. Do a good job of explaining things to patients.

Nursing ward rounds system

1. Ward rounds by the director of the nursing department

1. The director of the nursing department takes turns to make rounds at any time every day to check the labor discipline of the nurses. Aseptic technical operation and the implementation of the post responsibility system, with serious illness care, disinfection and isolation, service attitude, etc. as the main contents, and the results of ward rounds are recorded.

2. Conduct specialist nursing ward rounds once a month, with detailed ward rounds.

3. Select difficult cases, critically ill patients or special diseases for ward rounds. Inform the ward in advance about the contents of the ward rounds, and the ward head nurse designates the nursing staff to report the cases for preparation. During the ward rounds, the medical history, diagnosis, nursing problems, treatment and nursing measures, etc. must be briefly reported. After the ward rounds, there will be a discussion and the nursing plan will be revised in a timely manner. .

4. Carry out itemized ward rounds every month according to the nursing work requirements, strictly assess and evaluate, and ensure that the quality of nursing care reaches the standard.

2. Ward rounds by the head nurse of the department

1. Inspect the ward every morning to check the order of the ward and the implementation of the nurse's position responsibility system.

2. Conduct specialist nursing ward rounds every two weeks. The method is the same as the director of the nursing department’s ward rounds.

3. Regularly check the writing status of nursing forms and the registration status of various forms.

3. Ward rounds by the head nurse

1. The head nurse inspects the ward at any time to check the implementation of the duties, labor discipline, and aseptic operating procedures of each shift of nurses.

2. Nursing business rounds will be conducted every two weeks. Typical cases or critically ill patients will be checked at any time, and ward rounds should be recorded.

3. Organize teaching rounds with a purpose and plan. According to the teaching requirements, check typical cases, inform students in advance to familiarize themselves with medical records and patient conditions, organize discussions with everyone, and also ask questions. The head nurse will make a summary.

4. Participate in doctor’s ward rounds:

The ward head nurse or responsible nurse should participate in the director’s or department’s ward rounds every week to better understand the condition and the quality of nursing work.

5. Hospitals with qualified conditions will carry out three-level business rounds of director (deputy director) nurse, charge nurse and nurse.

Patient health education system

1. Nursing staff must provide general health knowledge and health education to inpatient and outpatient patients.

2. Health education methods

1. Individual guidance: The content includes general health knowledge, such as personal hygiene, public hygiene, dietary hygiene; common diseases, frequently-occurring diseases, seasons Knowledge on prevention of sexually transmitted diseases; knowledge on first aid, maternal and child health, infant health care, family planning, etc. When caring for patients, provide specific guidance based on the condition, family situation and living conditions.

2. Group explanation: Outpatients can use the waiting time, and inpatients can use the waiting time. It is carried out in the form of centralized explanation, demonstration, simulation operation and broadcasting of TV videos.

3. Text publicity: in the form of blackboard newspapers, bulletin boards, short articles, health education prescriptions, pictures, poems, etc.

3. Hygiene education to patients should be carried out throughout the entire process of medical treatment.

1. Outpatients should have corresponding health knowledge promotion in all aspects such as registration, triage, diagnosis and treatment.

2. Inpatients should be taught hygiene knowledge and disease prevention knowledge during the admission introduction, diagnosis, treatment and nursing process, and discharge guidance. Education for inpatients should be recorded in the health education registration form, and the effects should be evaluated in a timely manner, signed by the responsible nurse and the patient or family member.

Nursing consultation system

1. Any nursing problems and nursing operation techniques that are complex, difficult or cross departments and professions can apply for nursing consultation.

2. During inter-department consultation, the responsible nurse of the department requesting the consultation shall propose it. After the head nurse agrees, the consultation application form shall be filled in and sent to the invited department.

The invited department shall complete the consultation within two days after receiving the notification (emergency consultation should be completed in time), and write consultation records.

3. Internal consultation within the department shall be initiated by the responsible nurse, presided over by the head nurse or the nurse in charge, and relevant personnel shall be summoned to participate and a summary shall be made. The responsible nurse is responsible for summarizing consultation opinions.

4. In principle, the personnel participating in the consultation should be the deputy chief nurse or above, or the person designated by the head nurse of the invited department.

5. Group consultations are organized by the Nursing Department. The nurse in charge of the application department is responsible for introducing the patient's condition and carefully recording the consultation opinions.

Ward General Disinfection and Isolation Management System

1. Patients admitted to the ward should be treated separately according to infectious and non-infectious diseases. Patients with infectious diseases should be marked on the patient list card .

2. When medical personnel enter the room of an infected patient, they should strictly implement disinfection, isolation and protective measures for the corresponding disease, and wear isolation gowns and gloves when necessary.

3. Under normal circumstances, the ward should open windows regularly for ventilation, twice a day. Wet cleaning of the floor and air disinfection if necessary. When clear contamination is found, disinfect immediately. Terminal disinfection must be carried out after the patient is discharged, transferred to another hospital, transferred to another department, and died.

4. The patient’s clothes and sheets should be changed once a week. If contaminated by blood or body fluids, replace them promptly, and inventory the replaced clothing and bedding supplies at the designated location.

5. Medical staff should wash their hands or scrub with quick disinfectants before and after diagnosing, treating and caring for different patients.

6. Various medical and nursing supplies should be disposed of in accordance with hospital infection management requirements after use. Patients with special infections should use disposable supplies. After use, they should be put into yellow plastic bags with labels attached, and a dedicated person will be responsible for recycling.

7. Visitors and accompanying persons should be strictly restricted for patients with special infections, and isolation clothes, masks and hats should be worn when necessary.

8. Patients’ tableware and toilets must be used in a fixed manner, and excreta and leftover meals of patients with special infections must be disposed of in accordance with relevant regulations.

9. All kinds of medical waste should be collected, packaged and recycled according to regulations.

10. Mops and other sanitary cleaning utensils in the ward and bathroom must be used separately and clearly marked. Soak in disinfectant after use, clean and hang to dry for later use.

11. Wipe the patient’s bedside table with disinfectant, one table and one towel, 1 to 2 times a day. Wet cleaning of hospital beds should be done with one towel per bed, 1 to 2 times a day.

12. Key departments: such as operating rooms, central supply rooms, delivery rooms, intensive care units (ICU, CCU, NICU, etc.), catheter interventional treatment rooms, endoscopy rooms, dental departments, dialysis rooms, etc. Implement the disinfection and isolation requirements of the corresponding department.

13. Special diseases and infected persons shall be subject to relevant requirements.

Nursing Safety Management System

1. Strictly implement various rules, regulations and operating procedures to ensure the normal progress of treatment and nursing work. The Nursing Department conducts regular inspections and assessments.

2. Strictly implement the checking system, insist on checking the medical orders every shift, and check every day. The head nurse will check and register and sign once a week.

3. Poisons, anesthetics, restricted drugs, and dramatic drugs must be used safely, managed by dedicated personnel, and kept and locked in special counters. Maintain a fixed base, urge doctors to fill prescriptions in a timely manner after use, and hand over and register every shift.

4. Medications for internal and external use should be placed separately, and bottles should be labeled clearly.

5. All kinds of rescue equipment should be kept clean and in good performance; first-aid drugs should comply with regulations, be replenished promptly after use, be managed by dedicated personnel, and be counted and registered twice a week; sterile items should be clearly marked and stored in compliance with requirements. Make sure it is within the validity period.

6. Various sterile items supplied in the supply room can be released only after passing the inspection.

7. For nursing errors that occur, the department should promptly organize discussions and report them to the nursing department.

8. Monitoring and shift handover should be strengthened for patients with abnormal psychological conditions to prevent accidents.

9. Patients are strictly prohibited from using various electric stoves, induction cookers, rice cookers and other electrical appliances not provided by the hospital in the workplace and wards to ensure safe use of electricity.

10. Formulate and implement emergency response plans for emergencies and rescue and care plans for critically ill patients.

Nursing Error and Accident Reporting System

1. Each department shall establish an error and accident registration book, register the process, causes, consequences, etc. of errors and accidents and report them in a timely manner.

2. After an error or accident occurs, active remedial measures should be taken to reduce or eliminate the adverse consequences caused by the error or accident. The head nurse should conduct a timely investigation, organize relevant department personnel to discuss, and conduct an investigation of the reasons. Analyze and characterize, summarize experiences and lessons learned, and make detailed records.

3. Units and individuals who intentionally conceal and fail to report errors or accidents will be dealt with according to the severity of the circumstances.

4. The nursing department should regularly organize head nurses to analyze the causes of errors and accidents and propose preventive measures.

Preoperative patient visit system

1. In order to better enable patients to cooperate with medical staff to successfully complete the operation, operating room nurses must visit elective surgery patients one day before the operation. See.

Read the medical records, understand the patient's general information (name, gender, age, ethnicity, weight, education level, etc.), and collect the patient's clinical information (preoperative diagnosis, name of surgery, surgical approach, various test results; whether there are special infections, preparations, etc.) blood condition, allergy history, surgical history, etc.).

2. Understand the patient’s psychological state and provide necessary psychological counseling and care.

3. Do a good job in pre-operative education:

1. Explain relevant precautions to the patient, such as fasting and drinking before surgery, no makeup, removal of jewelry, dentures, replacement Surgical gown, etc.

2. Introduce the coordination methods and importance of surgery and anesthesia positions.

3. Introduce the operating room environment, precautions during surgery, etc.

4. Humanistic care should be reflected during the visit. The nurse should be enthusiastic, take the initiative to introduce herself and patiently answer the questions raised by the patient, so as to reduce or eliminate the patient's doubts and fears. Pay attention to protecting patient privacy, make necessary notifications according to the situation, and conscientiously implement the protective medical system.

5. The contents of the visit should be carefully recorded in the surgical nursing record sheet.