A, the application of oral orders execution list:
Scope of use of oral medical advice: doctors have no time to write medical advice when rescuing critically ill patients or encountering sudden changes in their condition.
Doctors should standardize oral orders: when giving oral orders, doctors should clearly indicate the patient's bed number, name, sex, drug name, dosage, concentration and usage, and nurses should repeat them twice before implementing them.
Second, the nurse to perform oral orders process:
The department bound the oral doctor's orders and put them in the ambulance. In case of emergency, the doctor gives the oral doctor's advice, the nurse listens first, and then quickly fills in the record on the oral doctor's advice execution list, repeats it, and executes it after being verified by the doctor.
The nurse will execute the serial number in this book according to the serial number on the medicine box and the oral doctor's order (the serial number is the same), and urge the doctor to fill in the doctor's order immediately after the rescue or treatment. The process is as follows:
(1) Single doctor's advice: listen → repeat → record → take medicine → review → look at the time → execute → supplement the doctor's advice;
(2) Multiple orders: listen → write down → repeat → take medicine → review → look at the time → execute → make up the orders.
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Extended data
The role of oral medical advice:
To provide evidence for nurses to carry out oral orders;
The Oral Medical Order Execution Form records the patient's bed number, name, gender, age, drug name, dosage, usage, dosage, execution time, and the signatures of the person who issued the medical order and the executor. And the information is complete,
Nurses can take medicine according to the serial number on the medicine box and the oral doctor's advice, and then check it. There is no need to check after looking for medicine in the past, which will delay the treatment and rescue time. And you don't need to write the name of the drug, just fill it in the back of the drug, record it, store it and keep it properly, and provide a check basis when you encounter problems.
It won valuable time for saving patients.
As a form of doctor's advice, oral doctor's advice execution form fully embodies the race against time in the rescue process, increases the nurses' sense of responsibility and medical rescue spirit, ensures the accurate and timely use of drugs by medical staff, wins valuable time for rescuing patients, and avoids the unsafe hidden dangers caused by medication errors, thus improving the success rate of rescue.