Responsibilities of nurses in shift 8-4 1. Participate in the morning meeting of the department and listen to the shift report.

2. Follow up with the next night shift nurse to conduct verbal, bedside, and written shift handovers.

3. Assess the condition of patients in the ward, provide care and treatment according to the patient's condition, and assist doctors in various diagnosis and treatment tasks; communicate with patients, solicit their opinions, and provide necessary health guidance; Observe, regularly monitor and record blood pressure; collect various information in a timely manner, conduct discharge assessment, and conduct necessary health education; supervise nursing staff to conduct terminal disinfection of the bed units where patients are discharged or transferred out.

4. Make beds for newly admitted patients, conduct admission assessment and conduct health education.

5. Have lunch alternately with other nurses in shifts 8-4.

6. Distribute oral medicine at noon, complete all treatment and care work for patients in the noon ward, return patients from surgery at any time, and make observations and records in a timely manner.

7. Take the body temperature at 10AM and 2PM and mark it on the body temperature sheet, write the discharge record, check the discharge medical record, and submit it to the nursing supervisor for registration after checking.

8. Complete the dynamic record of the nursing record sheet and the seven-day summary of the second-level nursing care, write the first-level nursing shift record and write the grand handover record.

9. Complete the nursing work for patients in the afternoon ward, such as spectrum irradiation, atomized inhalation, strengthen inspections, and closely observe the condition.

10. Make preoperative preparations (skin test, blood draw, colon cleansing, etc.) and keep records, and copy the items that need to be handed over.

11. Night care at 15:30.

11. Conduct third shift handover with the night shift nurse.

Night shift (4PM-12MN) nurse responsibilities

1. Conduct oral, bedside, and written shift handovers with nurses from shifts 8-4 at 16:00. Inventory and register items.

2. Continue to complete the treatment and care of all patients in this class.

3. Measure the body temperature at 6pm and draw a temperature sheet, issue oral medication in the afternoon and evening, and notify the patient of surgery and examination again to fast.

4. Check whether the infusion order and preoperative supplies for the next day are complete.

5. Evaluate the condition of patients in the ward and complete all treatment and care for patients in the night ward according to doctor's orders. Strengthen inspections and closely observe the condition.

6. Monitor the body temperature of patients with high fever and write it on the temperature sheet.

7. Check and register afternoon medical orders, tidy up the office and treatment room, and keep the ward quiet.

8. Assess the patient's condition, write dynamic records, and complete the writing of the ward handover.

9. Handover the shift with the next night shift nurse.

Responsibilities of the night shift (12MN-8AM) nurse

1. 00:00 Conduct oral, bedside and written handovers with the night shift nurse. Inventory and register items.

2. Check the doctor’s orders last night and register. Organize used items and register sterile items and disposable materials in the supply room and input them into the computer for pickup.

3. Keep the ward quiet, observe and record the conditions of patients in critical care and general wards. Complete the next night's treatment and care work.

4. Check various inspection documents, draw blood and collect various specimens for computer confirmation.

5. Record various drainage bag fluids and count the patient’s 24-hour input and output.

6. Distribute surgical gowns and pants, and check whether the preoperative preparation of surgical patients has been implemented.

7. Evaluate the condition of critically ill patients and carefully write special care order handover records and ward handover records.

8. Work with the morning nurse to complete morning care and keep the ward, treatment room and office clean and tidy. Organize various documents from the previous day, bind them and place them uniformly, and issue 8AM oral medicine.

Conduct third shift at 9. 08:00.

Responsibilities of nurses in the medical order shift

1. Attend morning meetings, print reminder notices, and notify family members of patients to pay promptly if they are in arrears.

2. Count the items in the rescue vehicle and the number of valuable medicines, check the number of medicines in the refrigerator, and hand over the night shift.

3. After the doctor's orders are entered into the computer, proofread the orders, accurately copy the long-term and short-term medical orders and nursing orders according to the nature of the orders, print the infusion card, and urge the 8-4 shift nurses to implement the medical orders according to the urgency and write the orders in the order book. Sign the form with your full name.

4. After successfully generating the medicine order, go to the pharmacy to collect the medicine. Responsible for sorting out the medicine after getting it back.

5. Prepare the patients for surgery the next day to bring surgical supplies.

6. Check the doctor's orders with the dressing nurse *** and settle the expenses incurred by the inpatients on that day.

10. Go to the blood bank to get blood (for urgent blood transfusion, the treating nurse will do it).

11. Check the expiration date of refrigerator drugs and organize and register the refrigerator temperature.

Monday Organize the drawers of valuable drugs, poisons and anesthetics and take inventory.

Tuesday Check the expiration date and base number of emergency vehicle drugs.

On Saturday, review general medical orders with the head nurse.

l Responsibilities of positive treatment nurses

1. After attending the shift handover, check whether the concentration of disinfectant solution in various plastic buckets and containers in the treatment room is qualified.

2. Check whether various types of medicines are placed in categories, whether they are mixed, and their expiration dates.

3. Check the infusion card, prepare the patient's infusion and medication on the day, and put all the unfilled medicines into the spare box. Go to the blood bank for emergency blood collection.

4． No infusion medicine will be prepared on the day of execution, and the check mark and signature on the execution form will be required.

5. Organize various used items in a timely manner and enter them into the computer for exchange with the supply room.

6. Assist doctors and nurses to organize and collect medicines on the same day.

7. Print the barcode for the blood test the next day and attach the test tube. If you need to fast for the blood test or blood test the next day, please inform the patient. Distribute urine and stool specimen bottles.

8. Assist the night nurse to receive bottles in the afternoon.

8-4 Responsibilities of therapeutic nurses

1. Carefully count the items and record them after checking if they are intact, check whether various sterile packages have expired, check the items that need to be replenished in the ward, and replenish them to the warehouse in a timely manner.

2. Check the infusion again and prepare the liquid.

3. Complete the liquid preparation for the day together with the treating nurse***.

4.11:30-12:00 Lunch.

5. Continue to prepare the infusion solution at noon, print the infusion solution for the next day, check and stick it on the bottle for later use.

6. Arrange the medicines and put them in their boxes. Hand over items to the nurse on duty from 4-12PM.

Morning assistance (6AM-8AM) nurse responsibilities

1. Assist the night nurse to complete morning work.

2. Take the temperature at 6AM and record it on the temperature sheet.

3. Record the various drainage amounts and pour them, and record them on the body temperature sheet.

4. Assist critically ill patients to complete daily care.

5. Work with the nursing staff and night nurse to organize the ward and provide morning care.

Nurse Responsibilities of Night Assistance (4PM-10PM)

1. At 16:00, conduct oral, bedside, and written shift handovers with nurses in shifts 8-4.

2. Assist the night nurse to complete the treatment and care of all patients in the class (mainly responsible for 2 groups).

3. Measure the body temperature at 6pm and draw a temperature sheet, issue oral medication in the afternoon and evening, and notify the patient of surgery and examination again to fast.

4. Check whether the infusion order and preoperative supplies for the next day are complete.

5. Take turns having dinner with the night nurse.

6. Evaluate the condition of patients in the ward and complete all treatment and care for patients in the night ward according to doctor's orders. Strengthen inspections and closely observe the condition.

7. Monitor the body temperature of patients with high fever and write it on the temperature sheet.

8. Check and register afternoon medical orders, tidy up the office and treatment room, and keep the ward quiet.

9. Assess the patient's condition and write dynamic records.

10. Handover with the night shift nurse at 22:00.