(1) When dealing with long-term or temporary doctor's orders, the processing time shall be recorded, and the executor shall sign the full name. If in doubt, you must ask before execution. The doctor's orders for each shift should be checked by two nurses on duty.
(2) The nurse in charge and the night nurse should check the doctor's advice on the same day, check it regularly twice a week, and reorganize it as needed. After sorting out the doctor's advice, it must be checked by another person before implementation.
Second, the doctor's advice execution process
(1) medical advice handling nurses should read and check carefully after receiving medical advice.
(2) Check the doctor's advice and confirm it.
(3) The doctor's orders are treated according to the priority of the doctor's orders and assigned to nurses.
(4) After receiving the doctor's advice, the nurse should check it carefully, strictly follow the requirements of the content and time of the doctor's advice, and shall not change it without authorization.
Emergency oral medical advice system and its implementation process
1, in the case of non-rescue, nurses do not carry out rescue instructions and telephone instructions, and oral instructions can only be carried out during rescue or surgery.
2, in the process of critical rescue, after the doctor issued oral orders, nurses need to repeat, confirmed by the doctor rear can perform.
3. Please double-check the name, dosage and route of administration of the drug to ensure the safety of medication.
A, oral doctor's advice system
1, under normal circumstances, verbal orders are not executed, and verbal orders are limited to emergency rescue and operation.
2. In an emergency, the doctor can give oral orders, and the nurse must repeat them when they are executed, and then execute them after they are confirmed.
3. When giving medicine, be sure to check the name, measurement and usage of the medicine with the doctor again to ensure the safety of medication.
4. Keep the used empty ampoule for future reference.
5, the oral medical advice content timely registration in the rescue medication book.
6. Within 6 hours after the rescue, the doctor will fill in the doctor's advice according to the rescue medication record.
7. The nurse signs the doctor's advice.
8, in violation of the above provisions, be dealt with.
Second, the oral doctor's advice execution process
(1) Oral will issued by the doctor;
(2) the nurse repeats;
(3) Check drugs with doctors;
(4) implementation of treatment and nursing;
(5) Keep the empty ampoule;
(6) Record the contents of oral instructions;
(7) the doctor fills in the doctor's advice;
(8) signature of the nurse.
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