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1 11, the Ministry of Health Web site, today announced \The folloearng is the full text

basic nursing services specification (draft)

First, the bed unit

(a) objectives

bed unit to keep clean, enhance patient comfort.

(b) of the main points of work norms

1. follow the standard precautions, section force, the principle of security.

2. inform the patient and be prepared. According to the patient's condition, age, weight, awareness, behavior and ability to cooperate, with or without drainage, the wound, with or without urinary incontinence, etc., using the bed consistent with the sickness by way of unit.

3. by using materials and the environment need to be prepared to protect patient privacy.

4. nurses to assist patients with activities of inconvenience to turn over or get out of bed, clean and the bed unit.

5. manner, the drainage tube or catheter to avoid distraction, closedown observation of patient's condition, insane timely treatment. Communicate with patients, understand their ideas and requisition, to ensure patient safety.

6. restlessness after operation, patients prone to falling bed lay the bed rails or take other safety measures to help patients take comfortable rank.

7. follow the regulations and replace the pollution-bed units.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. clean bed unit, the patient lying comfortably in line with condition requirements.

3. operational mode specifications, accusize, and patient safety.

Second, facial cleanliness and hair

(a) objectives

so that patients face clean, hair neat, feel comfortable.

(b) of the main points of work norms

1. follow the section of power, the principle of security.

2. inform the patient and be prepared. According to the patient's condition, consciousness, self-care ability and personal hygiene, cleaning and hair choose to implement the face of time.

3. by using materials need to be prepared.

4. to help patients get comfortable position, Zhu Huanzhe if it does not inform nurses.

5. operation, to communicate with patients, understand their needs, and closely observe the patient's condition, abnormal timely treatment.

6. respect for the patient's personal habits, if necessary, coated with moisturizer.

7. to keep bed unit clean and dry.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. patients face clean, hair neat, feel comfortable.

3. abnormal patients, nurses timely manner.

Third, oral care

(a) objectives

mouth odor and residue removal,[link widoczny dla zalogowanych], maintaining patient comfort, prevention and treatment of oral infections.

(b) of the main points of work norms

1. follow the check system, in line with standard precautions, safety principles.

2. inform the patient and be prepared. Assess the patient's mouth, including the availability of surgery, intubation, ulcer, infection, bleeding, assess the patient's daily living.

3. chemotherapy, radiation therapy, the use of immunosuppressive agents can be used in patients with mouthwash clean mouth, if necessary, nursing assistance. Mouth in patients with the right guide ways to avoid choking or aspiration.

4. nurses to assist patients with fast clean the mouth, to encourage and help their own self-care ability of patients brush their teeth.

5. to help patients obtain comfortable position, if not immediately informed.

6. Select the appropriate oral care solutions and equipment. According to oral pH, or as directed, select the appropriate oral care solution. Cotton balls on comatose patients should be noted that humidity is prohibited mouth. On the unconscious, uncooperative, trismus patients, the use of open devices, tongue forceps, spatula. When using the chance device, should be placed at the molars.

7. cotton ball before and after operation to check the amount of inventory to avoid cleaning, cross contamination confusion.

8. If there is activity in patients with dentures, should be removed before proceeding.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. to improve oral health of patients, mucous membranes, teeth, no harm.

3. patients with abnormal situation, the nurse timely manner.

IV perineal care

(a) objectives

help clean the perineum female patients, increase comfort, prevent or reduce infection.

(b) of the main points of work norms

1. follow the standard precautions, disinfection and isolation, the principle of security.

2. inform the patient and be prepared. Assess whether patients with perineal wound, with or without incontinence and indwelling catheter, etc., to determine methods of perineal care.

3. by using materials and the environment need to be prepared to protect patient privacy.

4. winter is cold, the attention to the patient warm. Perineal wash, note the water temperature appropriate.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. patients perineum clean.

3, patients with abnormal situation, the nurse timely manner.

five feet clean

(a) objectives

to keep the patient's feet clean and increase comfort.

(b) of the main points of work norms

1. follow the section of power, the principle of security.

2. inform the patient and be prepared. Assess the patient's condition, foot skin conditions. The assessment results to choose the appropriate cleaning methods.

3. by using materials and the environment need to be prepared, the water temperature appropriate.

4. to help patients get comfortable position, if it does not inform the nurse.

5. to communicate with patients during the operation, understand their feelings and needs, and closely observe the patient's condition, abnormal timely treatment.

6. respect for the patient's personal habits, if necessary, coated with moisturizer.

7. to keep bed unit clean and dry.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. feet clean.

3. patients with abnormal situation, the nurse timely manner.

six, to help patients with eating

(a) objectives

section to help take care of themselves or the patients themselves to eat, to ensure food and safety.

(b) of the main points of work norms

1. follow the principle of security.

2. inform the patient and be prepared. Assess the patient's condition, and diet, eating their own ability, with or without paralysis, difficulty swallowing, vision loss and so on.

3. assess whether patients fasting, meal medication to ensure treatment.

4. in patients with eating process, nurses should pay attention to food temperature, roughness and chewing ability of patients to observe whether the arduousy in swallowing, cough, nausea and vomiting.

5. nursing process, communication with patients offern dietary guidance and, if the treatment diets, special dietary guidance by your doctor.

6. meal fulfilled, clean the bed with the materials and halting units, assert a proper position.

7. need to record intake and output of the patient, accurate records of patients with eating time, type, food and water content.

8. patients with eating late, the nurse shift change.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. patients with abnormal situation, the nurse timely manner.

seven, to help patients stand up and effective expectoration

(a) objectives

help patients deviate are not self-moving supine, to abate the pressure on local tissue to prevent complications. Sputum of patients can not impactively shoot back, and promote mucus discharge, keep the airstep open.

(b) of the main points of work norms

1. follow the section of strength, the principle of security.

2. inform the patient and be prepared. Before turning to assess the patient's age, weight, disease, physical activity, with or without surgery, drainage tubes, fractures, and traction. Take back the situation before the assessment of cardiac function, there hemoptysis, pneumothorax, rib fractures, pulmonary edema, hypotension, contactping against the back.

3. based on the assessment and decided to turn over the frequency of patients, position, mode, choose the right skin and decompression equipment.

4. fixed foot of the bed the brakes, proper disposal of various lines.

5. turning attention to the process of patient safety, to avoid dragging patients, local skin protection, proper use of bed file.

6. stand up after the patient position should meet the condition of patients. Appropriate use of skin decompression equipment.

7. stand up when the condition of patients, patients had to burp, to promote expectoration. Call-back principle: from the bottom, from outside to inside, back from the tenth intercostal space, chest percussion from the sixth intercostal space to start up the shoulder, the intensity appropriate.

8. nursing process, the close observation of changes in condition, promptly notify the physician and unusual treatment.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. recumbent position is correct, smooth pipe; effectively clear up mucus.

3. nursing process safety, local skin abrasions, no other complication.

eight, to help patients move in bed

(a) objectives

assist patients to move their own bed can not move, keep the patient comfortable.

(b) of the main points of work norms

1. follow the section of power, the principle of security.

2. inform the patient and be prepared. Move to assess the patient's condition before, physical activity, age, body weight, with or without surgery, drainage tubes, fractures, and traction.

3. fixed foot of the bed the brakes, handle drainage.

4. attention to patient safety, avoid procrastistate and conserve the local skin.

5. nursing process, the close observation of changes in condition, promptly notify the physician and unusual treatment.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. supine right, pipeline open.

3. nursing process safety, the patient no local skin abrasions, no other complication.

nine, pressure sore prevention and care

(a) objectives

prevention in patients with pressure ulcers, pressure ulcers as patients suffering from the implementation of appropriate nursing measures to promote pressure ulcer healing.

(b) of the main points of work norms

1. follow the standard precautions, disinfection and isolation, aseptic technique, the principle of security.

2. under the \

3. for the occurrence of pressure ulcers in patients with pressure sore assessment of the location, size, stage, with or without infection, analysis cause the risk factors of pressure ulcers and to inform patients / family members, for pressure sore treatment.

4. in the care process, such as pressure sores appear red, swollen, pain and other signs of infection, the timely processing of communication with the physician.

5. with patients, providing psychological support for patients and pressure ulcer care and health guidance.

6. record of the case of pressure ulcers, nursing measures and results.

(c) the results of the standard

1. patients / families to know the risk factors of pressure ulcers on nursing satisfaction.

2. the measures in place to prevent pressure sores.

3. to promote pressure ulcer healing.

ten, incontinence care

(a) objectives

care of patients with incontinence, to maintain the cleanliness of local skin, increasing patient comfort.

(b) of the main points of work norms

1. follow the standard precautions, disinfection and isolation, the principle of security.

2. assess the situation of patients with incontinence, for the corresponding items.

3. the nursing process, communication with patients, clean place, to keep warm and protect patient privacy.

4. the condition of patients, was prescribed to take appropriate protective measures, such as urinary incontinence, indwelling catheter to render, the urine of male patients sets of technologies can be used.

5. to encourage and guide patients with bladder function and pelvic floor muscle training.

6. to keep clean and dry bed unit.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. patients with skin clean and comfortable.

XI bed with toilet

(a) objectives

ambulatory patients on the toilet, to meet their basic needs.

(b) of the main points of work norms

1. follow the standard precautions, disinfection and isolation, the principle of security.

2. evaluation of patients with activities of daily living and to help patients use the toilet or assisting to meet their needs.

3. Prepare and check the toilet, toilet surface without injure, cracks, etc., to keep warm, protect patient privacy.

4. the nursing process, communication with patients, asking whether patients complained of discomfort, timely manner.

5. we observed after sacrococcygeal bit of the skin, if there are any timely manner.

6. correct handling of waste, cleaning the toilet, kept clean and dry bed unit.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. patients with the skin clean.

XII nursing indwelling catheter

(a) objectives

of patients on indwelling catheter care, prevention of infection, increase patient comfort, and promote functional exercise.

(b) of the main points of work norms

1. follow the proclamation precautions, disinfection and isolation, aseptic technique, the principle of security.

2. inform the patient and be prepared. Assessment of patient's condition, catheter indwelling time, urine color, character, urine output, bladder function, with or without urinary frequency, urgency, abdominal pain and other symptoms.

3. based on the assessment results, ready to use material.

4. indwelling catheter in patients on perineal care, maintenance of catheter patency was observed in urine color, shape, urine volume, transparency, smell, and listening in patients with chief complaint.

5. indwelling catheter during the height of not higher than the bladder urine bag, timely discharge of urine, properly fixed catheter and urine bag, leaving sufficient length to facilitate the patient turn over activities. Assist in long-term indwelling catheter in patients with bladder function training.

6. Depending upon the patients, encoufury patients to the appropriate fluid intake. Regular replacement of catheter and urine bag.

7. extubation after-care: the water after extubation encourage patients to observe the situation of patients with self-urination, urination difficulty in a timely manner.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. indwelling catheter in patients with perineal cleaning period, catheter patency.

3. patients with abnormal situation, the nurse timely manner.

XIII, warm sponge bath

(a) objectives

help patients with bathing can not keep the body clean and comfortable.

(b) of the main points of work norms

1. follow the standard precautions and safety principles.

2. inform the patient and be prepared. Assessment of patient's condition, skin loyalty, self-care ability and so on, select the appropriate time to warm sponge bath.

3. ready to use material, suitable for room temperature, protect patient privacy, to minimize exposure, keep warm.

4. keep the water temperature suitable methods and scrub the correct order.

5. Care of patients observed during the reaction, chills, pale complexion, shortness of breath should immediately stoppage sponge bath, with proper treatment. To protect the wound and the various lines.

6. sponge bath the reaction was observed in patients, inspection and proper fixation of various pipeline, to assert its patency.

7. to keep clean and dry bed unit.

(c) the results of the standard service

1. patient / family issues to inform the nurses know, the service satisfaction.

2. nursing process, safety, patients with abnormal situation, the nurse timely manner.

fourth, to help change clothing

(a) objectives

clean clothes to help patients change to meet the comfort needs.

(b) of the main points of work norms

1. follow the standard precautions and safety principles.

2. inform the patient and be prepared. Assessment of patient's condition, awareness, strength, mobility, with or without limb paralysis, surgery, drainage tubes and co-operation capability.

3. according to the patient's body, choose a suitable, clean clothing, to protect patient privacy.

4. Depending upon the patients changing to take a deviateent approach in a stable condition can be taken to replace the semi-sitting and lying or sitting position; surgery or bed rest can be taken to replace the axle stand method.

5. changing principles are:

(1) strip method: No obstacles to physical activity, the first proximal, then distal; side of the limb movement disorder, the first healthy side, after the affected side;

(2) wearing method: No obstacles to physical activity, the first distal, then proximal; side of the limb movement disorder, the first affected side after contralateral;

6. changing the process, to protect the wound and various pipes, to keep warm. 7. Dressing with warm sponge bath, perineal care,[link widoczny dla zalogowanych], at the same time.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. nursing process, safety, patients with abnormal situation, the nurse timely manner.

fifth, shampoo bed

(a) objectives

hair to keep patients clean, tidy and comfortable.

(b) of the main points of work norms

1. follow the standard precautions, section force, the principle of security.

2. inform the patient and be prepared. According to the patient's e673eb014d71c01676c7b22f88dc2baneful evil, consciousness, self-care ability and personal hygiene, hair cleanlengthss, time for bed, choose a shampoo.

3. ready to use objects, the room temperature is appropriate, select the appropriate position.

4. operation, with that belly rub the scalp and hair, moderate forces, to avoid scratching the scalp. Observed in patients with response and communication, understanding the needs of patients.

5. to protect the wound and the various lines.

6. After cleaning, promptly dry or dry hair, prevent the patient from cold.

7. to keep clean and dry bed unit.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. nursing process, safety, patients with abnormal situation, the nurse timely manner.

XVI refers to the / nail care

(a) objectives

refer patients to maintain / clean nail, the length appropriate.

(b) of the main points of work norms

1. follow the standard precautions, section force, the principle of security.

2. inform the patient and be prepared. Assess the patient's condition, consciousness, self-care and personal hygiene practices, means / nail length.

3. Select the appropriate nail clipper.

4. refers to the / nail care, including: cleaning, trimming, filing level refers to the / nails.

5. pruning process, communication with patients, to avoid hurt the nail bed and surrounding skin, for special cases (such as diabetes or a circulatory disturbance of patients) to be especially careful; the manner / nail mark, may be soak in warm water for 10-15 minutes, to soften and then to prune.

6. is done to keep clean bed unit.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfaction.

2. nursing process, safety, patients with abnormal situation, the nurse timely manner.

seventh, security management

(a) objectives

assess the risk factors of hospitalized patients, to take appropriate measures to prevent unsafe events.

(b) of the main points of toil norms

1. follow the standard precautions and safety principles.

2. assessment of hospitalized patients, the existence of risk factors and to take appropriate preventive measures to guide patients, such as falls, falling bed, burn prevention.

3. Based on the assessment of patient safety guidance, Zhu Huanzhe attention to their own safety, improve self-awareness.

4. to supply a safe hospital environment, to take effective measures to clear unsafe factors and reduce risk.

(c) the results of the standard

1. patient / family issues to inform the nurses know, the service satisfactionion.

2. were no adverse events during hospitalization.