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Oral medical advice execution conditions?
Principles of oral medical advice execution

Oral medical advice execution process:

The doctor gives an oral will-the nurse repeats it-checks the medicine with the doctor-carries out nursing-keeps the empty ampoule-records the oral doctor's order-the doctor fills in the doctor's order-and the nurse signs it.

Second, what should I pay attention to when executing oral orders?

Repeat after the doctor opens his mouth, and repeat before administration. You can't give medicine until you hear the doctor's confirmation. Leave all the amps for examination, and finally let the doctor fill in the doctor's orders.

Three nurses should follow the "three clean-ups" when carrying out oral orders, namely

Nurses should follow the principle of "three clearness" when carrying out oral medical orders, that is, clear condition, clear usage and clear dosage.

Does the state stipulate that oral medical advice is not allowed?

Implement the regulations on the administration of dental orders.

A, oral doctor's advice scope standard:

1, when the doctor can't write the doctor's order because of aseptic operation and the patient is in urgent need of treatment;

2, rescue critical illness, too late to write doctor's advice;

Second, the way of oral medical advice

1, on-site oral medical consultation;

Three. Related measures:

1, hospitals should formulate strict management scope and standards for oral orders. In principle, making oral orders should

The least used and the best implemented should be listed as the rules and regulations (green channel) in hospital management.

2. The doctor is the key to making oral medical orders: the writing principle when giving medical orders must be observed. The doctor must clearly state the drug (including trade name), name, age, bed number, dosage, etc. When giving verbal orders. Pay attention to avoid using tablets, medicine bottles and other capacities to indicate the dosage of drugs used. In particular, it is necessary to specify the dose, such as g and mg, and repeat it twice.

3. Before leaving the scene, the doctor should fill in the doctor's advice in time and sign the doctor's advice list or the doctor's advice book;

The competent nurse can only leave after confirmation; Complete oral orders and copy them.

Fourth, nurses should be the direct executors of medical orders: they should do the last line of defense.

1, strictly implement the system of "three checks and eight pairs";

2, clearly repeat the doctor's advice and ensure that the doctor confirms;

3. There should be two people at the scene who heard the doctor's advice from the same dentist;

4, the scene can be directly recorded as oral medical advice as well;

5. Check the approved oral doctor's advice in time;

6, the implementation of oral doctor's advice written by nurses should be legible, accurate drug name and dosage;

7. When carrying out oral injection orders, don't abandon the liquid bottle and an incision as an oral examination.

Used when providing medical advice;

8, seriously implement the system of dental orders, to ensure that all dental orders signed in time;

9, establish a check system between the two sides, to ensure the correct implementation of oral orders, to ensure the safety of patients.

What principles should nurses follow when carrying out oral orders in emergency rescue of patients?

Critical patient rescue system

First, formulate emergency plans for public health emergencies in hospitals and technical specifications for rescuing common critical patients in various professions, and establish regular training and assessment systems.

Second, we should actively treat critically ill patients. Normal working hours should be the responsibility of the medical team of the third-level doctors in charge of patients, abnormal working hours or special circumstances (such as the operation of the competent doctor, outpatient duty or leave, etc.) ) should be the responsibility of the doctor on duty, major rescue events should be organized by the director of the department, the medical department or the hospital leadership.

Third, the competent physician should communicate with the patient's family (or entourage) in time according to the patient's condition, and inform the critically ill orally (in rescue) or in writing and sign it.

Four, in the rescue of critically ill patients, we must strictly implement the rescue procedures and plans to ensure that the rescue work is timely, fast, accurate and correct. Medical staff should cooperate closely, oral orders should be accurate and clear, and nurses must repeat them when executing oral orders. In the process of rescue, it is necessary to record while rescuing, and the recording time should be specific to minutes. Failing to record in time, the relevant medical personnel shall truthfully make up the record within 6 hours after the rescue and explain it.

Five, the emergency room system should be perfect, well-equipped, good performance. First-aid supplies must be "fixed", that is, fixed quantity, fixed location, fixed personnel management, regular disinfection and sterilization, and regular inspection and maintenance.

Under what circumstances can nurses perform oral medical advice short answer questions?

Nurses generally don't carry out verbal orders. Doctors give oral instructions during rescue or operation, and nurses repeat them, which can only be carried out after the two sides confirm it. After the rescue or operation, the doctor should complete the doctor's orders in time.

Under what circumstances can oral orders be executed, and how can they be executed correctly?

Under normal circumstances, oral orders are not carried out, but in the process of rescue or operation, the nurse must repeat the oral orders to the doctor, which can only be carried out after confirmation by both parties, and then the doctor will fill in the order list (this) in time.

How should nurses carry out eight oral orders from doctors?

Oral orders shall not be executed except during rescue or operation. If the doctor gives an oral medical order, our nurse needs to repeat it 1 time, and the medicine will be executed immediately after being accurately checked by two people. The used empty ampoule will be kept, and the doctor can only discard it after completing the medical order.

How should nurses make oral orders?

When carrying out oral orders, it must be repeated to the doctor, and it can only be carried out after both parties confirm it. After the rescue, please ask the doctor to fill in the doctor's orders and prescriptions in time.