nurse's shift system

The shift system is an important measure to ensure the continuous clinical medical and nursing work day and night. Therefore, a strict system should also be formulated to ensure that there are no problems. This article is the nurse's shift system that I compiled. Welcome to read it.

nurse handover system 1

1. Objective

To ensure the continuity of clinical medical care and prevent accidents.

second, the scope of application

clinical departments need to shift the nursing units.

III. Requirements

1. Requirements for shift change

(1) The personnel on duty must stick to their posts and perform their duties to ensure that all treatment and nursing work are carried out accurately and timely. Each shift must be handed over on time, and the person who is handed over should complete all the work of the shift before the shift, and make nursing records according to the requirements of the writing standard of nursing documents.

(2) The shift-taker arranges and supplements the articles for routine use, and prepares the necessary articles for the next shift. In case of special circumstances, you should explain in detail, and you can leave with your successor.

(3) The successor shall arrive at the department 5-1 minutes in advance, complete the inventory, handover and signature of various items, read the log book, and record the illness of key patients (such as critical patients, surgical patients and new patients).

(4) The shift change must be made clear in writing, orally and before bed. If the successor finds that the illness, treatment, equipment and articles are unclear, he should ask immediately. If problems are found during the succession, the succession person shall be responsible, and the successor shall be responsible for the problems that occur after the succession.

(5) Hand over both parties to patrol the ward, and check the cleanliness, neatness, quietness and safety of the ward. Pay attention to check whether the patient's condition is consistent with the shift, and whether the basic nursing and specialist nursing of patients are in line with the requirements.

(6) In case of special circumstances, such as abnormal mood and behavior and patients who have not gone out on leave, they should contact the competent doctor or the doctor on duty in time, take corresponding measures and report to the hospital department when necessary. In addition to oral succession to the nurses, records should also be made.

2. Shift mode

(1) Shift in writing. (2) oral succession. (3) bedside shift

3. content of shift

(1) patient dynamics: including the total number of patients, the number of people entering and leaving the hospital, changing departments, transferring hospitals, giving birth, surgery, new patients, critically ill patients, rescuing patients, first-class nursing patients, patients with special changes before and after major surgery, and deaths.

(2) patient's condition: including the patient's consciousness, vital signs, symptoms and signs, examination results closely related to the disease, treatment and nursing measures and effects (such as whether all kinds of drainage tubes are unobstructed, color, character and quantity of drainage fluid; Content and dropping speed of infusion; Whether the injection site is red, swollen and leaking); Psychological changes of patients, patients' attitudes towards diseases, attitudes and support of families and units, etc.

(3) articles: including standing poisonous and narcotic drugs, rescue articles, instruments, instruments, etc. in quantity and in good condition.

4. personnel attending the shift

head nurse, shift nurse, duty nurse, succession nurse and main shift nurse.

nurse shift system 2

1. Nurses in each class should strictly abide by the nursing management system, obey the arrangement of the head nurse, stick to their posts and perform their duties to ensure that all treatment and nursing work is carried out accurately and timely.

2. Before the succession, the responsible nurse on duty should check the implementation of doctor's orders and nursing records of critically ill patients, focusing on patrolling critically ill patients and new patients.

4. Each shift must be handed over on time, and the successor must arrive at the department 15 minutes in advance to hand over patients, nursing records, doctor's orders and articles (ambulances, narcotic drugs, etc.). The patient's condition and condition observation and nursing should be handed over clearly.

5. The nurse in charge of the last shift must try to finish all the nursing work of the class before the shift change. In case of special circumstances, she must make a detailed account and do a good job with her successor before leaving.

6. bedside handover is carried out for critically ill patients during shift change.

7. The handover contents include: ① the total number of patients, the number of people who were discharged from hospital, transferred to another department, transferred to another hospital, delivered, operated and died, the number of people who took leave and went out, as well as those who were newly admitted to hospital, critically ill patients, rescued patients, or had special examination and treatment before and after major surgery.

7. If the illness, treatment, equipment and articles are unclear during the succession, you should immediately inquire.

8. The writing requirements are neat, clear and focused. The contents of nursing records are objective, true, timely, accurate, comprehensive, concise and coherent, and medical terms are used.

nurse handover system 3

1. The personnel on duty should strictly abide by the nursing management system, obey the arrangement of the head nurse, stick to their posts and perform their duties to ensure that all treatment and nursing work are carried out accurately and timely.

2, before the succession, the main nurse should check the implementation of the doctor's advice and nursing records of critically ill patients, focusing on patrolling critically ill patients and new patients, and arrange nursing work during the succession.

3. Each shift must be handed over on time, and the successor must go to the department 15 minutes in advance to read the nursing records, and the handover items should be seven times (the number of patients is not allowed, the condition is unclear, the bed is unclean, the patient's skin is unclean, the pipes are blocked, the treatments are not completed, and the number of items does not match).

4. The person on duty must complete all the records and work of the class before the succession, handle the good items and make good preparations for the successors, such as disinfection dressings, test tubes, specimen bottles, syringes, standing equipment, clothing, etc., so as to facilitate the successors' work. In case of special circumstances, you must make a detailed account and do a good job with your successor before you leave.

5. During the early shift, the night shift nurse reports the illness, and all staff should listen carefully to the day shift nurse led by the head nurse to patrol the ward and hand over the illness and ward management at the bedside.

6. The contents of handover include:

① The total number of patients, the number of people who were admitted to hospital, transferred to another department, transferred to another hospital, delivered, operated and died, as well as the emotional changes and psychological state of patients who were newly admitted to hospital, rescued patients, had special examination and treatment before and after major surgery, had abnormal behavior and were suicidal.

(2) the implementation of doctor's orders, intensive care records, the completion of various inspection specimens collection and disposal, and the unfinished work should be explained to the successor.

③ Check whether there are pressure sores in coma, paralysis and other critical patients, as well as the completion of basic nursing, various catheters and patency.

④ the number and technical status of precious, poisonous, hemp, psychotropic drugs and rescue drugs, instruments and instruments, etc., with full names.

7. * * * The shift-changers patrol to check whether the ward meets the requirements of cleanliness, neatness and quietness and the actual situation of each work.

8. In addition to detailed shift changes, the rest shifts shall be * * * with the patrol ward for bedside shift changes.

9. If the illness, treatment, equipment and articles are unclear during the succession, you should immediately inquire. If problems are found during the succession, the person in charge of the succession shall be responsible; After the succession, the successor shall be responsible for any error, accident or loss of articles due to unclear succession.

1, succession report (nursing records) should be written neatly, clearly, and focused. The contents of nursing records are objective, true, timely, accurate, comprehensive, concise and coherent, and medical terms are used. When a nursing record is written by a training nurse or a practice nurse, the teaching nurse is responsible for revising and signing it. Finally, both the succession and the successor sign. ;