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How often do you write a special care record?
It's usually good to write once every half an hour to an hour.

1, during the day: summarize patients every 2 hours.

2. Evening: Summarize every 4 hours.

Requirements for writing nursing records of critically ill patients;

1. deadline

In other words, it must be completed within 6 hours. The nursing records of critically ill patients should be recorded at any time according to the changes of their condition. If the rescue cannot be recorded in time, it should be completed within this shift or immediately after the patient is treated, which shall not exceed 6 hours.

2. Content and format of writing

The content and level of writing should meet the requirements of the specification; The format should be correct, the language should be fluent and the handwriting should be neat; Writing content should be objective and accurate, highlighting nursing content; The treatment, rescue and nursing measures and the items listed in the form should be recorded in detail, and the time and signature should be indicated.

3. Recording frequency

First of all, it should be recorded at any time according to the change of the condition; Secondly, it should be recorded according to the time limit required by the doctor's advice. For example, if the doctor's advice requires blood pressure to be measured every 2 hours, the nurse should record a critical record every 2 hours according to the doctor's advice; If the patient's condition is stable, the recording interval can be appropriately extended. It is not necessary to record every 15 ~ 30 minutes, but the interval should not be too long. You should still visit the patient once every 15 ~ 30 minutes, or stay with the patient for intensive care all the time, but the writing interval can be appropriately extended when the condition is stable.