What Does an Inpatient Nurse Do?

With the change of the medical model from the past biomedical model to the biological, psychological, and social medical model, and the improvement of people's living standards, people's requirements for health have become higher and higher. Patients come to the hospital for treatment, and the requirements for our treatment and care are getting higher and higher. So, what are the requirements for a responsible nurse? How can I be a good nurse?

Nurse in charge

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Responsible nursing is a new clinical nursing system and a major reform of nursing. Responsible nursing began to rise abroad in the 1950s, and was only promoted in China in the 1980s. It is a patient-centered, comprehensive, systematic and holistic care for the patient's overall health. The responsible nurse, from the day the patient was admitted, was responsible until the patient was discharged. Responsible nurses not only take care of the patient's body, but also have a comprehensive understanding of the patient's psychology, social relations and family life, etc., and provide the best care to the patient's rehabilitation needs. Responsibility nurses also cooperate with doctors to find out the biological and social and psychological factors of patients in order to eliminate the cause completely and obtain the best treatment effect. The nurse in charge, like the doctor in charge, can be called the patient's nurse in charge. In general, a nurse is responsible for the care of 3 to 7 patients. Any difficulties and problems of the patient can be solved by a responsible nurse. Therefore, responsible nursing is an advanced nursing system. However, due to the large number of nurses required for responsibility-based nursing and the high quality requirements for nurses, China is currently under trial due to conditions and is not yet fully implemented. Most hospitals only operate in some departments or wards.

Responsible nurses have their own work procedures. When the patient is admitted to the hospital, the responsible nurse is designated by the head nurse. Responsible nurses work in the following order: first ask the situation, put forward the nursing problems that need to be resolved, and determine

1. During hospitalization

From the first day of the patient's admission, the nurse in charge must be familiar with and understand the patient under her control as soon as possible. When the responsible nurse fails to make contact with the new patient for the first time on vacation or night shift, the general situation of the patient must be known from the shift nurse during the transfer process, such as: name, gender, age, occupation, disease name, No surgery etc. were recorded.

Make the first communication with the patient, make a complete self-introduction, and strive to make a good first impression for the patient (it is said that the first impression refers to the first 7 seconds after the meeting). And to do a good job of admission education for patients, the content of the mission is as follows: [1] Introduction to the hospital environment: the purpose of introducing the hospital environment to patients is to prevent patients from psychological and physical discomfort after changes in living environment. Introduce the general environment of the hospital to the patient, such as the canteen, toilet, medical office, dressing room, and introduce the patient to the regular schedule after hospitalization, such as meal time, rest time, rounds time, treatment time, etc., so that the patient is gradually familiar with and Adapt to the environment. Collection of medical education network

[2] Introduction of medical staff: Introduce the phone of the doctor in charge, the nurse in charge and the office of the doctor (nurse) to the patient, and inform the patient to contact the doctor (nurse) in a timely manner.

[3] Introduction of hospital rules and regulations: If you want to keep your valuables during the hospital stay, pay attention to keeping the ward quiet, and the doctor must not stay with you during the rounds (except for those who cannot take care of themselves and other special circumstances) After leaving, you can leave the hospital, etc. to ensure the safety of the patient's personal and property during the hospital stay.

[4] Introduce disease knowledge: introduce the patient's knowledge about the disease to alleviate the patient's fear of the disease itself, treatment, surgery, etc. due to lack of information.

[5] Do well in time for missions: for example, admissions to hospitals, pre- and post-operative missions, and health knowledge missions.

As a responsible nurse, all you need to do is run more, talk more (question and answer more), watch more and smile more. Feedback the patient's condition to the doctor in time, resolve the patient's misunderstanding in the medical work in time, and build a bridge between the doctor and the patient.

Multi-run: that is, when working hours permit, you can go to the patient's bed for multiple and short exchanges to understand the patient's psychology (adaptation to the hospital environment, understanding of the disease, satisfaction with the work of the medical staff, and Existing problems, etc.) will not only help the patient's physical and mental recovery, but also enhance the relationship between the nurse and the patient.

Speak more: that is, whether in any treatment or

How to be a good nurse ^[1]

1. Work under the leadership of the head nurse, review relevant medical and nursing records, and understand the patient's condition and treatment.

2. Listen to the shift report. Participate in the bedside handover of the patient.

3. Perform morning and evening care according to the level of patient care and evaluate the patient.

4. Responsible for the treatment of patients (injection, drug administration, infusion, aerosol inhalation, etc.), observe the effect of medication and adverse reactions, and conduct health education.

5. Receiving new patients, doing admission evaluation and admission education, and completing nursing medical records within 24 hours.

6. Implement nursing measures according to the nursing plan and conduct nursing evaluation. Implement measures to promote breastfeeding.

7. Perform graded nursing, inspect the ward, observe the condition, and make good nursing records in time. .

8. Do perioperative nursing in time.

9. Do a good job of clinical training for trainee nurses, guide nursing students to write nursing records and modify them.

10. Supervise the nursing staff to do a good job. ^[2]