1, doctor's advice checking system
1), the doctor's advice must be double checked, and the doctor's advice must be checked once a day.
2), copy the doctor's advice must indicate the date, time and signature, and checked by another person. The person who copied the doctor's advice and the person who checked it must sign.
3), temporary execution of the doctor's advice, need to be checked by the second person, before execution, and record the execution time, the executor's signature.
4) When rescuing patients, the doctor gives oral orders, and the executor must repeat them loudly, and then execute them. After the rescue, the doctor should fill in the orders and sign them. The ampoule should be checked again after the rescue.
5), the doctor's advice in question must be asked before execution and copying.
2, medication, injection, infusion inspection system
1), "three checks and seven pairs" must be strictly implemented before taking medicine, injection and infusion. Third inspection: inspection after drug release; Check before taking medicine, injection and disposal; Inspection after injection and treatment. Seven pairs: bed number, name, drug name, dosage, concentration, time and usage.
2) Check the quality of drugs before dispensing, pay attention to the deterioration of aqueous solution and tablets, and the cracks in ampoules and injection bottles; Whether the sealing aluminum cover is loose; Whether the infusion bag leaks; Whether the liquid medicine is turbid or flocculent. Expired drugs, expiration date and batch number do not meet the requirements or the label is unclear, and shall not be used.
3), after placing medicine must be checked by a second person, before execution.
4), allergic drugs, should ask whether there is a history of allergies before using; When using toxic, narcotic and psychotropic drugs, the Regulations on the Administration of Narcotic Drugs and Psychotropic Drugs of Class I in Medical Institutions (Wei Yao [2005] No.438) should be strictly implemented. Nurses should go through repeated checks and return ampoules to the pharmacy in time after use; When giving a variety of drugs, we should pay attention to whether there are compatibility taboos. At the same time, the nursing department should standardize and improve the drug operation guide and drug compatibility taboo list according to the drug instructions.
5), drugs, injections, patients, if in doubt, should be checked in time, check the rear can be executed.
6) After the infusion bottle is filled, the label should indicate the name and dosage of the medicine, and an ampoule should be left for another person to check before use.
7), strictly implement the bedside double check system.
3, surgical patients check system
1), when picking up patients in the operating room, check whether the subjects, hospitalization number, bed number, name, wristband, gender, age, diagnosis, name and location of operation (left and right) and their marks, preoperative medication, eight results before blood transfusion, drug allergy test results are consistent with the drugs and articles (such as ct and X-ray films) brought by the operation notice and operation doctor's advice. Evaluate the patient's overall situation and skin condition, and ask about allergic history.
2), surgical nurses check whether the surgical instruments are complete, and whether the categories, specifications and quality of various supplies meet the requirements. Whether the patient's posture is correct, expose the surgical field as much as possible to prevent bed fall and pressure sore.
3) Before the operation, the operator should check the department, hospital number, bed number, name, wristband, gender, age, diagnosis, surgical site, anesthesia method and medication, blood matching report, etc. When opening the aseptic bag, the hand washing nurse should check whether the chemical index card in the bag is up to standard. All hand-washing nurses and visiting nurses must strictly check the body cavity or deep tissue surgery before and after the operation, sing out the number of instruments, gauze pads, gauze and sutures in the operation bag, and the visiting nurses immediately record and sign the operation nursing record. Before and after the operation, the number of instruments and articles in the bag is consistent. After verification, the surgeon can be informed to close the surgical incision to prevent foreign bodies from staying in the body cavity.
4), surgical resection of biopsy specimens, should be checked by hand washing nurses and operators, establish a specimen registration system, the specialist is responsible for the examination of pathological specimens.
4, blood transfusion check system According to the requirements of the Ministry of Health's "Technical Specification for Clinical Blood Transfusion", the cross-matching check system, blood collection check system and blood transfusion check system were formulated.
1), blood cross matching examination system
(1), carefully check the cross matching list, patient blood type test list, patient's bed number, name, gender, age, disease area code and hospitalization number.
(2), blood should have two nurses (a nurse on duty, should be assisted by the doctor on duty), one blood, one person to check, after check.
(3), after blood (cross) must stick a bar code on the test tube, and write down the ward (number), bed number, patient's name, handwriting must be clear, easy to check.
(4), blood samples pump enough blood as required, can't be extracted from the veins of limbs, rehydration.
(5) when there is any doubt about the laboratory test sheet and the patient's identity during blood drawing, it should be checked with the competent doctor and the nurse on duty. Wrong papers and labels can't be modified directly, and correct papers and labels should be filled in again.
2), blood check system When taking blood from the blood bank, carefully check the name, gender, bed number, blood bag number, blood type, blood transfusion volume, blood validity period and preserved blood appearance, which must be accurate; Blood bags should be placed in a treatment tray or a clean container covered with sterile towels for recycling.
3), blood transfusion check system ①, patient check before blood transfusion: two medical staff must check the patient's bed number, name, hospitalization number, blood type and blood volume on the cross-matching report, and check the name and number of the blood donor and the results of the cross-matching test. Check whether the name, number and blood type of the label on the blood bag are consistent with the blood matching report. If they are consistent, proceed to the next step.
② Inspection materials before blood transfusion: Check the blood collection date of the blood bag, whether the blood bag has extravasation and the appearance quality of the blood, and ensure that there is no hemolysis, blood clot or deterioration before using it. Check whether the blood transfusion instruments and needles used are within the validity period. After the blood is taken out of the blood bank, do not shake it evenly, do not heat it, do not put it in the refrigerator for quick freezing, and do not leave it at room temperature for too long.
(3), blood transfusion, by two medical staff (carrying medical records and cross matching list) * * * to the patient's bedside to check the bed number, ask the patient's name, check the bedside card, ask the blood type, confirm the recipient.
(4) Before and after blood transfusion, flush the blood transfusion pipeline with intravenous saline. When the blood of different donors is continuously infused, after the first bag of blood is exhausted, the transfusion apparatus is washed with intravenous saline, and then another bag of blood is continuously infused. During blood transfusion, closely observe the transfusion reaction of patients.
(5) After the blood transfusion operation is completed, check the doctor's advice, patient's bed number, name, blood type, blood matching list, blood bag label, blood number, blood donor's name and blood collection date again, and sign after confirmation. Stick the record sheet (cross-matching report) in the medical record and send the blood bag back to the blood transfusion department (blood bank) for at least one day.
5, diet inspection system
1), after checking the doctor's advice every day, based on the diet list, check the patient's dietary signs before going to bed, check the bed number and diet type, and publicize the clinical significance of dietotherapy to patients.
2) Before distributing the diet, check whether the diet list is consistent with the type of diet.
3) Check again at the patient's bedside before meals.
4) For fasting patients, eye-catching signs should be set up at the end of eating and when staying in bed, and the patients or their families should be informed of the scheduled fasting time.
5) For patients who have restricted their diet due to illness, the food sent by their families must be checked by medical staff before they can be eaten.
Inheritance system
1, the personnel on duty should strictly abide by the nursing management system, obey the arrangement of the head nurse, stick to their posts, perform their duties, and ensure the accurate and timely treatment and nursing work.
2, before the succession, the main nurse should check the implementation of critically ill patients' doctor's advice and nursing records, focusing on patrolling dangerous and new patients, and arrange the nursing work during the succession.
3, each shift must be handed over on time, the successor to the department in advance 1.5 min, read the nursing records, don't pick up the handover (the number of patients is not allowed, the condition is unclear, the bed is unclean, the patient's skin is unclean, the pipe is blocked, the treatment is not completed, and the number of items does not match).
4. The personnel on duty must complete all the records and work of the class before taking over, handle the items and prepare materials for the successors, such as disinfection dressings, test tubes, specimen bottles, syringes, standing equipment, clothes, etc. In order to facilitate the work of the successor. In case of special circumstances, you must explain it in detail before leaving your job and get on well with your successor.
5, early shift, reported by the night nurse, all employees should listen carefully to the night shift * * * led by the head nurse with patrol ward, bedside handover condition and ward management.
6. The contents of the succession include:
(1) The total number of patients, the number of discharged patients, the number of people who changed careers, transferred to other hospitals, delivered babies, operated and died, and the changes of illness/human feelings and psychological state before and after the new hospital, patients, rescued patients, major surgery or special examination and treatment, abnormal behavior and suicidal tendency.
(2) The execution of doctor's orders, intensive care records, collection and disposal of various test specimens are completed, and the unfinished work should be explained to the successor.
(3) check the coma, paralysis and pressure ulcers and other critically ill patients, as well as the completion of basic nursing and the patency of various catheters.
(4) the quantity and technical status of precious, highly toxic, hemp, psychotropic drugs and rescue drugs, instruments and appliances. , full name
7, succession * * * cooperate with patrol to check whether the ward is clean, neat and quiet and the actual situation of each work.
8, the rest of the shift in addition to detailed succession, should be with ward * * * member, bedside succession.
9, such as found in the succession of illness, treatment, equipment, goods account is not clear, should immediately query. The successor shall be responsible for the problems found during the succession; After the succession, the successor shall be responsible for the mistakes, accidents or loss of articles caused by unclear succession.
10, hand-over report (nursing record) should be written neatly, clearly and emphatically. The contents of nursing records are objective, true, timely, accurate, comprehensive, concise and coherent, and medical terms are used. When training nurses or practicing nurses write nursing records, the teaching nurses are responsible for revising and signing them.
(3) Graded nursing system The doctor stipulates the nursing level according to the patient's condition. Grades are divided into super care and primary care, secondary care and tertiary care, and marked (primary care is red, secondary care is blue, and tertiary care is not marked).
1, special care
1), applicable to critically ill patients who need to be observed at any time; Patients who need absolute bed rest.
2), nursing content:
(1) Arrange special person to monitor and closely observe the changes of carbuncle eyes and vital signs.
(2) Make a nursing plan, strictly implement the diagnosis and treatment and nursing measures, and fill in the nursing records of critically ill patients timely and accurately.
(3) Prepare medicines and materials needed for first aid.
④ Basic nursing should be done well to prevent complications and ensure the safety of patients.
2. Primary health care
1), applicable to people who are seriously ill or critical, need strict bed rest and cannot take care of themselves.
2), nursing content:
① Closely observe the changes of the disease. Generally, the patient is visited once every 1 5~30 min, and his temperature, pulse, respiration and blood pressure are measured. Measure regularly according to the condition. Observe the reaction and effect after medication.
(2) Strictly implement diagnosis and treatment and nursing measures, and fill in nursing records timely and accurately.
③ Strengthen basic nursing, prevent complications and meet patients' physical and mental needs.
3. Secondary care
1) Applicable object: The patient is seriously ill and can't take care of himself in the living part.
2) Nursing contents:
① Visit the patient once1-2 h to observe the condition.
② According to the corresponding routine nursing.
③ Give necessary life care and psychological support to meet patients' physical and mental needs.
4, tertiary care
1) Applicable object: The patient's condition is mild and he can basically take care of himself.
2) Nursing contents:
(1) patrol the patients in each shift to observe their condition.
② According to the corresponding routine nursing.
(3) Give health care guidance, urge patients to abide by hospital rules and regulations, and meet patients' physical and mental needs.
(four) nursing defects, disputes registration and reporting system
1, in nursing activities, we must strictly abide by medical and health management laws, administrative regulations, departmental rules, diagnosis and treatment nursing norms and routines, and abide by the professional ethics of nursing services.
2, each nursing unit has a plan to prevent and deal with nursing defects and disputes, to prevent defects and accidents.
3, each nursing unit should establish a nursing defect register, timely and truthfully register the nursing defects in the ward.
4, nursing defects, accidents, should be reported in time, actively take rescue or rescue measures, try to reduce or eliminate the adverse consequences caused by defects and accidents.
5. After the defects and accidents, the relevant records, specimens, test results, drugs and instruments that caused the defects and accidents shall be properly kept, and shall not be altered or destroyed without authorization.
6. Reporting time after the occurrence of nursing defects: In case of defects, the parties concerned should immediately report to the doctor on duty, the head nurse of the department, the head nurse of the district and the head nurse of the department, who will report to the nursing department and submit a written statement.
7. Each department should fill in the nursing defect report form carefully, and register the process, causes and consequences of defects by myself, as well as my understanding of defects. The head nurse should investigate and study the defects in time, organize the department to discuss, and submit the discussion results to the head nurse, who will submit the handling opinions to the nursing department within 1 week.
8, in view of the nursing defects, organize the nursing defects appraisal committee to discuss the incident, and submit the handling opinions; When defects cause adverse effects, we should do a good job in the aftermath.
9. After the defect occurs, the head nurse should carefully analyze the causes, influencing factors and management of the defect, formulate improvement measures in time, track the implementation of the improvement measures, regularly analyze and discuss the nursing safety situation in the ward, and formulate relevant preventive measures for the weak links in the work.
10, departments or individuals with nursing defects and accidents, if they fail to report according to regulations and deliberately conceal them, must be dealt with according to the seriousness of the case if they are discovered by leaders or others afterwards.
1 1. The management of nursing accidents shall be implemented in accordance with the Regulations on Handling Medical Accidents.
(5) Nursing rounds system
1, nursing administrative rounds
1), presided over by the director of nursing department, attended by the head nurse and the director of nursing department, once a month or more, with special topics, focusing on the quality of nursing management, the implementation of post responsibility system, rules and regulations, service attitude, nursing work plan and the implementation of nursing teaching.
2), director of the nursing department regularly to ward or door, emergency examination department head nurse, ward head nurse job responsibilities to carry out the situation.
3) Nursing rounds: presided over by the head nurse, attended by the head nurses of all wards, once a month, cross-check the quality of nursing management, service attitude, implementation of nursing work plan and nursing teaching in all wards of undergraduate course.
2. Nursing ward round refers to the doctor's three-level ward round system, and the nursing ward round conducted by the superior nurse to the lower nurse is 1). The main targets of nursing rounds are critically ill patients who are newly admitted to hospital, and seriously ill/critical patients whose condition changes or are informed orally/in writing during hospitalization. Patients with pressure sore score exceeding the standard, patients with stage II pressure sore brought in from outside the hospital, patients with pressure sore in the hospital, patients with unclear diagnosis and poor nursing effect, and high-risk patients with potential safety accidents (such as falling, falling out of bed, getting lost, committing suicide, etc.). ).
2), the specific method:
(1) The head nurse, nursing team leader or specialist nurse of the department (district) shall organize a meeting for new people, critically ill patients or patients before and after major surgery every morning.
(2) The responsible nurse reports the patient's condition, nursing measures and implementation effect to the head nurse or superior nurse.
③ The superior nurses put forward nursing measures according to the patient's condition and nursing problems, and the junior nurses recorded the objective situation in the nursing records, and marked "head nurse's rounds" and "senior nurse's rounds".
(4) In the process of rounds, according to the needs of the illness, junior nurses can ask their superiors for nursing consultation.
⑤ The director of nursing department should take part in nursing rounds regularly to guide the nursing work of the department.
3, nursing teaching rounds 1), nursing skills rounds: to observe the technical operation demonstration of experienced nurses, the standardization of basic or specialized nursing operation procedures, and the skills of clinical application of operation skills. Through demonstrations, videos and on-site operations, nurses at different levels can become teachers, and the participants are nurses and nursing students. High-quality nursing case display and health education implementation methods. To achieve the role of teaching demonstration and transmission, help and guidance.
2) Clinical case teaching: nursing teaching activities organized by senior nurses or teachers in wards. Select typical cases and put forward the purpose and teaching objectives of rounds. Using the method of nursing procedure, through the study and discussion of collecting data, identifying nursing problems, making nursing plans, implementing nursing measures and feeding back nursing effect, it helps nurses to master the thinking method of using nursing procedure, further understand new professional knowledge theory, find problems and methods worthy of attention in clinical nursing work, standardize nursing process, understand new theories and master new progress in the process of teaching and learning.
3) Clinical teaching rounds: the teaching teacher is responsible for organizing, and nurses and practice nurses participate. The emphasis is on the basic knowledge and theory of nursing, and the content and form of ward round are determined according to the needs of practical nurses. According to the standards of nursing teaching rounds, clinical teaching rounds are conducted 1 ~ 2 times a month, such as operation demonstration, case review and case discussion.
(6) Nursing consultation system
1, specialist nursing consultation
1), senior responsible nurse and above have consultation qualifications.
2), in case of nursing problems that cannot be solved by this college, wards or departments should organize cross-ward and multi-professional nursing consultation. The nursing department is responsible for coordination when necessary.
3), nursing consultation presided over by a specialist nurse or head nurse, related professional nurses and ward related nursing staff to participate in, serious discussion, put forward the method to solve the problem or carry out investigation and study.
4) The consultation must be prepared in advance, and the responsible department should sort out the relevant materials, make a written summary as far as possible, and send it to the participants in advance to prepare for the speech.
5) During the discussion, the senior responsible nurse is responsible for introducing and answering the problems of illness, diagnosis, treatment and nursing, and the participants fully discuss the nursing problems and put forward consultation opinions and suggestions.
6) After the consultation, the specialist nurse or ward head nurse will summarize, record the consultation process and results, organize clinical implementation, and observe the nursing effect. For problems that are difficult to solve at the moment, special studies can be set up.
2. Nursing consultation for difficult cases
1), difficult cases admitted to the ward should be applied in time, and nursing consultation should be organized by the head nurse. The main content is to correctly evaluate patients, find correct nursing problems and judge the prognosis of diseases, put forward effective nursing measures and problems needing attention, conduct nursing consultation at any time according to clinical needs, and record them on the nursing consultation list as required.
2) special cases or typical cases, the nursing department is responsible for organizing the whole hospital nursing consultation. Full preparation should be made before consultation, and written advice should be provided at the end of consultation.
(seven) the rescue system for critically ill patients
1. Requirements: Maintain a serious, earnest, positive and orderly working attitude and race against time to rescue patients. Realize the implementation of ideas, organizations, drugs, instruments and technologies.
2, critical rescue, can enter the intensive care unit or intensive care unit.
3, all rescue items, equipment and drugs must be complete, special custody, positioning, quantitative storage, all rescue facilities in a state of emergency, and clearly marked, are not allowed to move or lend. Nurses count items once a day and hand them over one by one to ensure that the accounts are consistent.
4, the staff must be familiar with the performance of various instruments, the use of instruments and various rescue operation techniques, closely observe the condition, accurately and timely record the dosage, method and patient's condition.
5. When the patient's life is in danger, the nurse should give rescue measures within her power according to the condition, such as timely oxygen supply, sputum aspiration, blood pressure measurement, establishment of venous access, artificial respiration, heart compression, etc.
6, to participate in the rescue personnel must have a clear division of labor, close cooperation, obey the command, stick to their posts, and strictly implement the rules and regulations and rescue procedures for various diseases.
7, closely observe the condition changes in the process of rescue, for critically ill patients should be on-site rescue, stay in stable condition rear can move.
8, timely and correctly implement the doctor's advice. When the doctor gives a verbal order, the nurse should repeat it. After the rescue, the ampoule of the medicine used must be kept temporarily, and the two people should check the records and discard them, and remind the doctor to fill the doctor's order truthfully immediately.
9, illness changes, rescue process, all kinds of drugs, etc. , should be detailed, timely and correct records, due to the rescue of patients failed to write medical records in time, the relevant personnel should make up the record within 6 hours after the rescue, and make records.
10, contact the patient's family or unit in time.
1 1. After the rescue, do a good job of summarizing rescue records, do a good job of cleaning and disinfecting drugs and equipment, replenish drugs and articles of rescue vehicles in time, and keep rescue equipment on standby.
Second, blood transfusion and transfusion reaction processing and reporting system
(1) Handling and reporting system of transfusion reaction When transfusion patients are suspicious or have transfusion reaction, report to the doctor on duty in time and actively cooperate with symptomatic treatment. For example, people with chills should keep warm, people with high fever should apply ice, take oxygen when necessary, and take medicine according to the doctor's advice. At the same time, should do the following inspection work:
1, immediately stop infusion, start a new infusion set, maintain venous access by intravenous drip of normal saline, and notify the doctor on duty.
2, cooperate with the doctor on duty, symptomatic treatment and rescue.
3. Take samples and draw blood for culture.
4, check the liquid quality, whether there is a crack in the infusion bottle, whether the bottle cap is loose; Write down the name, dosage, manufacturer and batch number of the liquid medicine, infusion set and syringe used, wrap the infusion bottle (bag) with sterile towel and plastic bag and put it in the refrigerator for preservation, contact the pharmacy laboratory and fill in the ADR report. Drugs are handed over to relevant departments for sampling inspection by pharmacy department, and relevant bacteriological inspection is carried out by the bacteriological room of laboratory department.
5, above all should fill in the infusion reaction report form, report to the nursing department within 24 h, and do a good job of nursing records and succession.
6. Accurately record the changes of illness and treatment measures.
(II) Reporting and handling system of blood transfusion reaction: In the process of blood transfusion, it should be slow first and then fast, and then adjust the infusion speed according to the condition and age, and closely observe whether the recipient has any adverse reaction to blood transfusion, and handle it in time if there is any abnormality.
1, slow down or stop blood transfusion, and inject normal saline intravenously with a new infusion tube to maintain venous access.
2, immediately notify the doctor on duty and blood transfusion department personnel on duty, report to the medical department, nursing department, timely inspection, treatment and rescue, and find out the reason, make records.
3. If you suspect that the blood transfusion reaction is hemolytic or bacterial contamination, you should immediately stop the blood transfusion, use a new dropper to drip intravenous saline to maintain the venous access, and report to the superior doctor in time. At the same time of active treatment and rescue, the following inspections should be carried out: ① Check the blood application form, blood bag label and cross-matching test record.
② Test blood routine, urine routine and urine hemoglobin as soon as possible. If bacterial contamination is suspected, in addition to the above treatment, blood bacterial culture should also be done.
③ Wrap the blood bag with blood transfusion vessels and send it to the blood bank for bacteriological examination.
④ Make nursing records accurately.
Three. Nursing complaint handling system
1. All nursing complaints are caused by service attitude, service quality, defects in nursing work due to own reasons or technical reasons, which cause dissatisfaction of patients or their families. They are reflected to the nursing department or relevant departments in written or oral form and transferred back to the nursing department.
2, the nursing department designated personnel to accept nursing complaints, listen carefully to the complainant's opinion, let patients have the opportunity to state their opinions, patiently appease the complainant, and make a complaint record.
3. The complainant should be patient and meticulous, and do a good job of explanation to avoid triggering new contradictions.
4. The nursing department has a special nursing complaint record book to record the reasons, analysis, treatment and rectification measures of complaints.
5, nursing department after receiving nursing complaints, timely feedback, and investigation and verification, notify the head nurse to inform the relevant departments. The department should carefully analyze the cause of the incident, sum up experience, accept lessons and put forward rectification measures.
6. After the complaint is verified, the nursing department can give the parties corresponding treatment according to the seriousness of the incident.
7, nursing department in the hospital head nurse meeting every month to summarize and analyze, and formulate corresponding measures.
Four. Procedures for handling disputes and accidents
Strictly implement the Regulations on Handling Medical Accidents (the State Council No.351).
1, in case of disputes or accidents, nursing staff should actively participate in rescue and nursing. At the same time, report to the director and the head nurse in time, and strive to coordinate and solve it in the department. If it is invalid, it should be reported to the medical department and the nursing department.
2. Treatment of medical disputes or accidents: ① Hospital mediation.
(2) invalid, both doctors and patients have the right to apply to the higher authorities for medical appraisal.
③ Judicial procedure.
3. Procedures for sealing emergency medical records: ① After the patient's family members apply, the nursing staff should report to the department director and head nurse in time, and report to the medical department and relevant departments at the hospital level. If it happens on holidays or at night, directly notify the hospital medical staff on duty.
(2) In the case of complete documents, medical records (sealed copies) shall be sealed in the presence of full-time hospital managers (medical record room staff), medical attendants and patients' families.
(3) Under special circumstances, the original medical records need to be sent to the medical record room by the medical staff, and the nursing staff cannot directly give the medical records to the patients or their families.
4. What nurses should do before sealing medical records: ① Improve nursing records, which should be complete, accurate and timely; The contents of nursing records are comprehensive and consistent with the medical records, such as the time of death, the time of illness change, the diagnosis of disease, and all the original data in the treatment and nursing of patients.
(2) Check whether the temperature list and doctor's orders are complete, including whether the doctor's oral orders are recorded in time.
(3) After the medical records are sealed, the Medical Department shall designate full-time personnel to keep them.
5. Medical records can be copied: admission records, temperature sheets, doctor's orders, laboratory examinations (inspection reports), medical image examination data, special examination (treatment) consent, operation and anesthesia records, medical records, outpatient (emergency) and inpatient medical records in nursing records and discharge records.
Five. Medical waste classification management system
1. Medical staff in clinical departments should implement medical waste management in strict accordance with Regulations on Medical Waste Management, Measures for Medical Waste Management in Medical Institutions and related supporting documents.
2, the head nurse is responsible for undergraduate course room medical staff medical waste management knowledge training, guidance, supervision and management.
3, the head nurse to strengthen the management of medical waste in undergraduate course room, to prevent medical waste leakage, loss, trading events.
4. In the process of classified collection of medical wastes, medical personnel should strengthen self-protection to prevent occupational exposure.
5. Clinical departments should provide necessary occupational protection measures for personnel engaged in classified collection of medical wastes.
6. The color of the medical waste packaging bag (box) is yellow, and the domestic waste packaging bag is black.
7. Before putting medical waste, carefully check the medical waste packaging bag (box) to ensure no damage and leakage. A small amount of pharmaceutical waste can be mixed with infectious waste, but it should be indicated on the label.
8. The outer surface of each medical waste packaging bag (box) has warning signs. When the medical waste in the package or container reaches 3/4, the clinical hygienist should adopt effective sealing methods to ensure the tightness and tightness of the seal. Then, warning signs and Chinese labels of different types of medical wastes are affixed to each packaging bag (box), and the contents of Chinese labels are filled in: department, handover date, medical waste category and signature of the manager.
9. When the outer surface of the packaging bag (box) is polluted by infectious waste, the polluted place shall be disinfected or covered with a layer of packaging bag.
10. Medical wastes generated by isolated patients with infectious diseases or suspected patients with infectious diseases shall be packed in double layers and sealed in time.
1 1. The temporary storage point of medical waste in the department has a schematic diagram or text description of classified collection methods.
12, every day after the handover of medical waste, department personnel should clean and disinfect the temporary storage places of medical waste.
13. The staff of the department shall perform the handover and weighing procedures of medical wastes with the receiving staff of the health class in accordance with the specified time, and register.