Inpatient safety knowledge

1. What safety issues should you pay attention to during hospitalization?

To avoid safety problems during hospitalization, first of all, you must strictly abide by the hospital's "Admission Instructions" or related rules and regulations.

Under normal circumstances, do not go out without the doctor's permission. Even if the patient is able to move and needs to bask in the sun, he should not go too far from the ward, let alone go to the street, to avoid accidents. In addition, special attention should be paid to some special groups among inpatients.

For example: an elderly person has difficulty walking and is emotionally unstable. When accompanying such patients, care should be taken to prevent them from falling or having accidents. Children are naturally active. For these small patients, parents should pay attention to prevent their children from taking the elevator alone, going to the toilet alone, and running in the corridors of the ward.

Parents should place hot water bottles and sharp instruments properly to avoid accidents.

2. How to ensure the safety of inpatients

Our hospital has been piloting unaccompanied wards in the Department of Neurology since January 2005. As of June 2005, in addition to obstetrics and pediatrics, All wards of the hospital have implemented the system of unaccompanied by family members.

Since the implementation of the unaccompanied system for inpatients, a series of nursing reforms have been implemented to ensure the quality of nursing work in the unaccompanied ward with the patient as the center, and a new model of modern nursing management has been explored. Timely and in-place treatment and care; standardized work processes with clear responsibilities; thoughtful daily care, personalized psychological counseling, and good communication between nurses and patients, so that patients can gain a sense of security, satisfaction, and good therapeutic effects both physically and mentally, truly embodying the physiological and psychological aspects to comprehensive holistic care of the psyche.

1. Carry out preliminary research 1.1 Distribute questionnaires. Distribute 500 copies of the "Patients and Family Questionnaires" and 200 "Medical Staff Questionnaires" throughout the hospital. Statistics show that most patients, their families and medical staff agree with the cancellation of family companionship, which lays a good foundation for the next step of work.

1.2 Convene a special seminar attended by hospital leaders to understand the ideological concerns of medical staff, and jointly analyze possible problems and countermeasures that may arise after patients cancel their companionship. Fundamentally change the ideological concepts of nursing staff and enhance their awareness of proactive service.

1.3 Convene a symposium on public holidays. Before canceling the accompaniment of family members, a symposium on work holidays should be held. Introduce the relevant regulations for canceling the companionship system to patients and their families, including specific visiting hours, the time for doctors to explain their condition, how to contact their families, etc., and answer their questions and eliminate their concerns.

2 Strengthen nursing quality management 2.1 Reasonable staffing and hierarchical training. Compete for positions based on ability, so that responsible nurses, technical nurses, daily nurses, and rehabilitation assistants form groups to divide areas of responsibility. The new wards are divided into three categories based on their workload and the number of critically ill patients.

Nursing staff are allocated based on department category, actual nursing workload and working hours. The Nursing Department and the Human Resources Department recruit rehabilitation assistants from the public through the Municipal Labor Bureau, and jointly organize interviews. Those who pass the interview will participate in physical examination and systematic training.

Each ward has added 6 to 8 rehabilitation assistants, and the hospital has added 158 rehabilitation assistants and 29 nurses. To maximize the subjective initiative of nursing staff and ensure the quality of care in unaccompanied wards.

Carry out job responsibilities and work process training to nursing staff at different levels according to their positions. In particular, rehabilitation assistants from different cultural backgrounds are given comprehensive training in service concepts, rules and regulations, basic care and other aspects.

At the same time, the content and frequency of professional training will be increased according to the needs of nursing staff. For example, the head nurse of the ICU went to the unaccompanied ward to explain the use of restraint belts to enhance the nursing staff's awareness and ability of safety protection.

2.2 Improve the nursing reform and implement networked material distribution, and deliver required materials to the ward every day; cotton fabrics are kept uniformly throughout the hospital and delivered on demand; in order to facilitate patients to handle discharge procedures, they are collected by the transportation center Bring medicine after discharge; at the same time, the disinfection supply center collects waste and delivers cleaning according to clinical needs; establishes an intravenous drug dispensing center to centrally distribute clinical long-term intravenous liquids; the transportation center is responsible for patient examinations, tests, medicine collection, and material transportation throughout the hospital, through a A series of measures to truly return time to nurses and nurses to patients. 2.3 Improve the nursing system 2.3.1 Detail the work process of job responsibilities and readjust job responsibilities.

Adjust daily care such as daily disinfection, morning and evening care, face and foot washing, water feeding, toileting and defecation to the responsibilities of the rehabilitation assistant. The daily life nurse mainly completes basic nursing work such as vital sign monitoring, oral care, functional exercise, admission and admission, etc., and assists the rehabilitation assistant to provide patients with daily life and dietary assistance.

Technical nurses comprehensively assess changes in the patient's condition, complete the patient's clinical care according to nursing procedures, guide and participate in the work of subordinate nursing staff, and supervise and inspect the completion. On the basis of a clear division of labor, each nursing team strengthens mutual cooperation.

Before meals, nursing staff at all levels should make all preparations for meals together, and all go to the ward to assist patients with meals and understand the patient's eating situation. By clarifying responsibilities and refining work processes, we ensure that patients receive efficient and comprehensive care.

2.3.2 Standardize various handover procedures in the unaccompanied ward. During the implementation of the unaccompanied ward, in order to prevent patients from having accidents during department handover, we have established procedures for patients before and after examination, for patients returning to the ward after surgery, and for newborns. Handover record form for transfer out, ICU patient transfer out, etc. Refine handover procedures, standardize handover content, reduce potential dangers during the handover process, and ensure the quality of nursing work.

Reform the morning shift handover procedure. In addition to the previous nurse handing over the patient's condition and the head nurse checking the completion of the night shift, the responsible nurse is responsible for assigning the responsibility group for the day and briefly explaining the main nursing issues of the critical patients that day, the nursing measures that need to be taken, and the key contents of disease observation.

Finally, the head nurse made a supplementary explanation, and the nursing staff and rehabilitation assistant *** visited the ward together to make bedside handovers to ensure the implementation of various nursing measures.

3. What should you pay attention to when you are just hospitalized?

For patients who have just been hospitalized, it is very necessary to first read the hospital's "Admission Instructions".

Secondly, you must actively understand the basic situation of the department and hospital where you live. For example: the location and layout of nursing stations, wards, inpatient pharmacies, payment offices, accounting offices, bathrooms, fire escapes, etc.

At the same time, you must also know the doctors, nurses, and professors in charge of you, and actively establish contact with them. Thirdly, hospitals have some special regulations that inpatients must understand clearly in advance, such as: no smoking in the ward, no open flame appliances; no loud noises; no use of mobile communication devices in ward areas where monitoring equipment is used, etc.

In addition, after all, the hospital is a public place with a large number of mobile people and mixed personnel, so you must take good care of your valuables and money to avoid loss or theft.

4. What should you pay attention to when you are hospitalized?

What items should you prepare when you are hospitalized? Nowadays, hospitals generally provide common items for accommodation, such as sheets, bedding, hot water bottles, etc. Patients and accompanying family members only need to prepare personal items.

It is recommended to bring the following supplies: clothes, water cups, toiletries (soap, toothbrush, toothpaste, washbasin, towels), daily tableware, paper towels, and slippers. Being hospitalized for a child means that the daily life environment has changed.

Therefore, try to use the items your child originally used during the hospitalization, and bring a few of his favorite toys or books. How to go through the hospitalization procedures? The patient first goes to the outpatient clinic or ward to get a hospitalization certificate, and then pays a certain fee.

With the hospitalization certificate, go to the nursing station of the department where you live to process hospitalization medical records, measure body temperature, pulse, respiration, blood pressure, etc., listen to the nurse's introduction to the ward situation and hospitalization precautions, collect the items used for hospitalization, and pay Item deposit. What should you pay attention to when you are newly hospitalized? It is necessary to actively understand the basic situation of the department and hospital where you are staying.

The layout of the inpatient pharmacy, payment office, accounting office, shower room, fire exit, etc.; at the same time, you must know your own bedside doctors, nurses, and professors in charge, and establish contact with them. The hospital is a public place with a large number of people, so valuables and money must be properly taken care of.

Each hospital has its own set of "Admission Instructions" which should be read. What special regulations do hospitals generally have? The hospital is a public place, so it must abide by social ethics.

In addition, there are some special regulations. No smoking or open flame appliances can be used in the ward; no loud noises are allowed; and mobile communication devices are not allowed in the ward area where monitoring equipment is used.

What treatment tests will be performed during hospitalization? During hospitalization, some examinations will be done to confirm the diagnosis, usually on the day or the next day of hospitalization.

For large and expensive examinations, doctors usually seek the patient’s opinion. If you don't agree, you can tactfully express that you want to "consider it" or "discuss it with your family members" to leave yourself some room.

Generally, after 3 days of hospitalization, the hospital will give a preliminary opinion on diagnosis and treatment, and make a preliminary judgment on the effect of treatment. At this time, the patient can clearly raise his questions: why should he use this drug, is there any drug with similar effects and low price, how long does he need to stay in the hospital, etc.? How to arrange meals for patients? For diseases with high dietary requirements, such as diabetes, kidney disease, diarrhea, etc., doctors and nutritionists generally arrange specific diets. Patients and their families are not allowed to change the food at will without the doctor's permission.

Ordinary patients can eat foods that are easy to digest and rich in nutrients. Western medicine generally does not pay attention to taboos. If your condition suddenly changes while you are hospitalized, who should you contact? During hospitalization, each patient has a fixed bedside doctor and responsible nurse to provide diagnosis and treatment services. When the condition changes, he can report it to them. In the evening, he can report it to the doctor and nurse on duty.

What are the requirements for companions and visitors in hospital wards? In order to ensure normal treatment order, most hospitals stipulate that no visitors are allowed during morning treatment rounds. Visiting hours are mostly scheduled in the afternoon and evening.

What safety issues should we pay attention to when hospitalized? Older people have difficulty walking and are emotionally unstable. When accompanying them, they should pay attention to the patient's falls or accidents. Children are naturally active, so parents should be careful not to let their children take the elevator alone, go to the toilet alone, or run in the corridors of the ward.

Parents should place hot water bottles and sharp instruments properly to avoid accidents. How to check and pay hospitalization expenses? Prepayment is required upon admission; inquiries can be made at the inquiry counter set up in the hospital during treatment.

When you find any questions, actively report them to the ward nurse. What rights do patients have when hospitalized? The bedside doctor makes rounds every day, conducts physical examinations, informs patients of various examination results, formulates treatment plans and explains the condition, arranges ward rounds for superior doctors, handles discharges, and provides health education to patients.

What should I do if I am not satisfied? Complaints can be made to the hospital party committee's conduct evaluation department, medical office, department director, and department head nurse. How do patients sleep after surgery? Active treatment and care after surgery, as well as proper and careful wound management, are crucial to the therapeutic effect.

When patients under general anesthesia are not awake, they should lie flat without pillows and turn their heads to one side to prevent saliva or vomitus from being inhaled into the respiratory tract and causing respiratory infections. Patients with epidural anesthesia or spinal anesthesia should lie flat for 6-12 hours after surgery to prevent postoperative headaches.

After chest surgery, you should usually stay in a semi-sitting or semi-recumbent position. Patients after spinal surgery must sleep on a hard bed.

Patients after limb surgery must elevate the operated limb or use traction. How do companions observe postoperative patients? Assist medical staff to observe body temperature, pulse, complexion, breathing, blood pressure, urine, etc.

If the patient feels unwell, has a fever, has a fast heartbeat, etc., he should report it to the doctor or nurse. At this time, some common sense should be told. Within 3-5 days after surgery, the body temperature is often around 38°C. This is called postoperative reaction fever. There is no need to be nervous about this.

How soon can I eat after surgery? For general surgeries, you cannot eat until 6 hours after the surgery. Patients undergoing abdominal surgeries must have abdominal ventilation before taking fluids. How soon can I move around after surgery? Be active early after surgery.

According to the size of the operation and postoperative condition, and with the doctor’s permission, strive to get out of bed early. For example, after abdominal surgery, you can get out of bed or do activities in bed after waking up from anesthesia to prevent abdominal distension and intestinal adhesions.

Obese patients should move their limbs more to prevent venous thrombosis. What preparations should be made before leaving hospital? The doctor in charge should be asked to write a discharge summary - the summary generally records in detail the important examination results and treatment methods of this hospitalization, which is crucial to the patient's recovery and further treatment.

If you need to take medicine with you after leaving the hospital, you must also explain it to the doctor. How to copy medical records? Provide the patient's ID card and the agent's ID card to the medical record room staff, or apply to the hospital's medical office. After approval, the objective parts of the medical record can be copied, including examination results and medications.

What should I do if I find a problem after being discharged from hospital? In order to save costs, some patients are discharged after their condition is controlled, and there is still a recovery process at home.

After discharge, of course you will need to see a doctor again for serious problems; for minor problems, you can actively consult the doctor over the phone.