A, the main nurse in the nurse station to deal with the doctor's advice, respectively, to establish or cancel the execution list (card), and then notify the pharmacy to take medicine, and notify the responsible nurse.

Second, the doctor's advice should be carried out on time. Do not blindly implement vague and questionable medical orders. The responsible nurse should first check with the doctor who issued the medical orders, and the doctor should correct the wrong medical orders in time.

If it is confirmed, the nurse must report to the head nurse in time, and the head nurse will communicate with the superior doctor. If the doctor's advice cannot be carried out for some reason, it shall be reported to the doctor in time and handled. When executing long-term doctor's orders, the contents, time and signature of the competent nurse shall be indicated on the doctor's orders.

Three, drug sensitivity test, by the nurse in the computer and fill in the results sheet.

Four, oral medicine is delivered on time, depending on the patient's situation after taking the medicine.

Five, need the next nurse to carry out the doctor's advice should do a good job of succession, and indicate on the handover record.

Six, nurses should strictly implement the check system, and the doctor's advice should be checked by two people before implementation.

Seven, in general, the doctor shall not give oral orders. When a doctor gives an oral order to rescue an emergency patient or in an emergency during the operation, the nurse should repeat it, and it can only be carried out after it is checked by the doctor. After the rescue or operation, the doctor should fill in the doctor's order and execution time, and sign it within 6 hours.

Eight, there is no doctor's advice, nurses are generally not allowed to symptomatic treatment of patients. However, in case of emergency rescue of critically ill patients, when the doctor is not on the scene, the nurse can temporarily give necessary treatment according to the condition, but should make records and report to the doctor in time to fill in the doctor's advice truthfully.

Extended data:

Requirements for issuing doctor's advice:

A, all kinds of drugs and inspection, operation project shall be issued a doctor's advice, each doctor's advice contains only one content.

Second, the doctor's advice content and start-stop time should be issued by the doctor on time, and the doctor's advice should generally be issued within 2 hours after work.

Third, the doctor's advice should be clear. Applied international common abbreviations.

Fourth, the items on the doctor's advice list should be filled in completely, and the date should be expressed diagonally, such as 16/5.

5. Time should be written in 24 hours, and after midnight the next day 12, such as 12: 05, it should be written as 005, and the time should be specific and accurate to the minute.

Six, the doctor's advice to use standardized drug chemical name or trade name, shall not be replaced by chemical element symbols.

Seven, a dose of drugs to accurately indicate the concentration and dose; No-dose drugs are used in tablets, pills and bags. Self-provided or purchased drugs should be marked as "self-provided".

Eight, drug usage and drug use times, can be expressed in Latin abbreviations or Chinese characters.

Nine, the doctor's advice shall not be altered, and if it is necessary to change or cancel the doctor's advice, the word "cancel" or "dc" shall be marked on the doctor's advice and signed.

Ten, stop using long-term doctor's advice should be marked by the doctor in the stop column date and time, and sign it.

Eleven, two or more drugs, such as stopping one of them, should stop all orders, and then write a new order.

Twelve, the doctor's advice prohibits the use of multiple drugs of the same mechanism at the same time; Poison, hemp and psychotropic drugs should be implemented according to the relevant management system.

Thirteen, doctors should be serious and responsible, it is forbidden to open the doctor's advice without looking at the patient; After the doctor gives the doctor's order, he should check it again and give it to the nurse for execution. Changes in doctor's orders and temporary doctor's orders must be explained to nurses in time; After issuing or changing important doctor's orders, the reasons for issuing or changing should be recorded in the course record in time, and the communication situation should be explained to the patients in time.

Official website, Cancer Hospital, China Academy of Medical Sciences —— Standards and procedures for issuing and executing medical orders.