Three checks: before and after drug preparation, before drug distribution, injection and disposal, and after drug distribution, injection and disposal.
Eight pairs: name, bed number, drug name, dosage, concentration, time, usage and expiration date.
One note: pay attention to the reaction after taking the medicine.
Three checks and eight pairs is a term in clinic and nursing, which reminds medical staff to check carefully in their career. The implementation of this system has greatly reduced the occurrence of nursing errors and ensured the quality of nursing.
Extended material
Check the system:
1, clinical department
(1), check the patient's name, sex, bed number and hospitalization number (outpatient number) when prescribing or stopping the drug.
(2) Stop the "three checks and seven pairs" when executing the doctor's advice.
(3) The quality, label, expiration date and batch number should be reflected when counting drugs and before using them. If it doesn't reach the threshold, we won't use it.
(4) Before taking the medicine, pay attention to ask if there is any allergic history; When using toxic, hemp and physical drugs, it should be checked repeatedly; Intravenous administration should pay attention to whether there is denaturation, whether there is looseness or crack in the bottle mouth; When giving a variety of drugs, we should pay attention to the incompatibility.
(5), before blood transfusion, after two people check, can output; Pay attention to blood transfusion to ensure safety.
2, the operating room patient examination system
(1), pick up the patient, and check the subject, bed number, hospitalization number, name, sex, diagnosis, operation name and location (left and right) and its identification, preoperative medication, etc.
(2) Before the operation, the operator should check the subject, hospitalization number, name, sex, diagnosis, surgical site, anesthesia method and medication.
(3), the relevant personnel should check the sterilization goal in the aseptic package, whether the surgical instruments are complete, and whether the categories, specifications and quality of various supplies can reach the threshold.
(4), where the body cavity or deep tissue surgery, before suture, equipment nurses and visiting nurses should strictly check whether the number of large gauze pads, gauze, gauze rolls and equipment is consistent with the number before operation. After the examination, the surgeon can be told to close the surgical incision to prevent foreign bodies from leaking out of the body cavity.
3, pharmacy inspection system
(1), check the subject, bed number, hospitalization number, name, sex, age and prescription date before prescription.
(2) When preparing, check the content, dosage, content and compatibility of the prescription.
(three) when dispensing drugs, the implementation of "four checks and one description": check whether the name, specification, dosage, content and usage of drugs are consistent with the contents of the prescription; Check whether the label (medicine bag) is consistent with the prescription; Check whether the drug packaging is intact, whether there is deterioration, whether there are cracks in ampoules, whether all kinds of signs are clear and whether the validity period can be exceeded; Check the name and age; Explain the usage and precautions.
4, blood transfusion department check system
(1), blood type identification and interspersed blood matching experiments, two people should "double check and double sign" when they join the company, and one person will do it again when they join the company.
(2) If there is bleeding, check the subject, ward, bed number, hospitalization number, name, sex, blood type, consequences of interspersed experiment, blood bottle number, blood collection date and blood quality with the blood collector.
(3) After bleeding, the blood sample of the recipient should be kept for 24 hours for inspection when necessary.
5, clinical laboratory inspection system
(1), when taking the specimen, check the subject, bed number, hospitalization number, name, sex, age and purpose.
(2) When collecting specimens, check the subjects, bed number, hospitalization number, name, gender, number, quantity and quality of specimens.
(3) During inspection, check whether the inspection items, inspection sheets and test pieces are consistent.
(4) After inspection, review the consequences.
(5), send a report, check the patient, ward.
6, radiation (CT) inspection system
(1), check the subject, ward, name, age, film number, location and purpose during introspection.
(2) During treatment, check the patient, ward, name, location, requirements, time, angle and dosage.
(3), send a report, check the self-inspection project diagnosis, name, subject, ward.
7, acupuncture and physiotherapy inspection system
(1), various treatments, check subjects, wards, hospitalization numbers, names, sex, age, location, variety, dosage and time.
(2), low frequency processing, check the polarity, current, frequency.
(3) During high-frequency therapy, there are metallic foreign bodies inside and outside introspection.
(4) Before acupuncture treatment, reflect on the quantity and quality of needles. When you take the needle, reflect on the number of needles and see if there are any broken needles.
8, supply room inspection system
(1) When preparing a set, please check the name, quantity, quality and cleanliness.
(2) When delivering the set, check the name and disinfection date.
(3) When collecting sets, check the quantity, quality and cleaning.
9, special inspection departments (ECG, EEG, ultrasound) inspection system
(1), check the subject, bed number, hospitalization number, name, gender and purpose of introspection.
(2), diagnosis, check the name, number, clinical diagnosis, reflect on the consequences.
(3), when sending the report, check the department, ward, hospital number, bed number, name, gender, age, reflect the matters and consequences.
Other departments should formulate the occupational inspection system of undergraduate course according to the threshold.
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