What Are the Best Tips for Following Nursing Procedures?

Nursing process is to guide the nursing staff to meet the physical and mental needs of the care recipients, to restore or improve the health of the care recipients, to scientifically confirm the health problems of the care recipients, and to use a systematic approach to implement planning, continuity and comprehensiveness. A theory and practice model of nursing.

Nursing Procedure

Nursing process is to guide the nursing staff to meet the physical and mental needs of the care recipients, and to restore or improve the health of the care recipients as the goal. Scientifically confirm the health problems of the care recipients and use them.

Nursing procedures mainly include the four basic concepts of people, environment, health, and nursing . Nursing procedures are built on these four basic concepts. in different

Evaluation is a systematic, purposeful, and systematic process of collecting patient data. Based on the collected information, make general inferences about the nursing object and related things, so as to provide basic basis for nursing activities. Evaluation is the basis of the entire nursing process. It is also the most critical step in the nursing process. If the estimate is incorrect, it will result in

Making a care plan is a decision-making process on how to solve care problems, the purpose of which is to confirm the goals of the nursing target of the care target and the nursing measures that the nurse will implement.

1. Arrange the order of care (that is, determine the focus of care). A patient can have multiple care issues at the same time. When making a plan, it should be ranked according to its importance and urgency. Generally, the most threatening issues are given priority, and the rest are listed in order. Arranged so that nurses can work according to light, heavy, slow, urgent urgently, usually in the following order;

(1) First problem: refers to a problem that will threaten the patient's life and requires immediate action to solve it. Such as cleaning the respiratory tract ineffective, potential violence and so on.

(2) Moderate problem; refers to problems that do not threaten the life of the patient, but can cause unhealthy or emotional changes in the body, such as inability to move and impaired skin integrity.

(3) Second-best problem : refers to people's response to development and life issues. Such as

Implementation is the implementation of plans. Theoretically, the implementation is implemented after the nursing plan is formulated, but in actual work, especially in critical and critically ill patients, the implementation is usually started before the plan is formulated, and then the plan is supplemented. Writing section.

Evaluation is a systematic and systematic comparison of a patient's health status with expected care goals. In the implementation of nursing procedures, the focus of evaluation is the health status of the patient.

In the application of nursing procedures, the patient's relevant information, nursing diagnosis, expected goals, nursing measures, and effect evaluation should all be

Recording in writing constitutes a nursing case. content include:

1. Patient Admission Care Evaluation Form

2. Care plan form

3 Nursing records can be written in PIO format when writing:

P (problem): Patient's health problem.

I (intervention): Nursing measures taken in response to a patient's health problems.

O (outcome): Effect after nursing.

4 Inpatient patient care evaluation form

5. The patient discharge care evaluation form includes two main contents:

(1) Health education

1) Standard education plan for the disease.

2) Discuss beneficial or harmful hygiene habits with the patient.

3) Instruct patients to actively participate and find existing or potential health problems.

4) Discharge guidance: According to the current situation of the patient, put forward precautions in aspects of living habits, diet, medication, functional exercise, and regular review.

(2) Nursing summary: It is a summary record of the nursing activities performed by the nurse during the hospitalization of the patient, including whether the nursing goals have been achieved, whether the nursing problems have been solved, whether the nursing measures have been implemented, and whether the nursing results are satisfactory.