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Standard Protocols for All Nursing Interventions |
護(hù)理介入標(biāo)準(zhǔn)儀式 |
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Before the skill: |
操作前： |
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1. Verify nursing intervention using physician’s order or nursing care plan. 2. Identify client (arm band and state name). 3. Introduce yourself to client. 4. Explain procedure and rationale. 5. Assess client’s current health status and possible contraindications to specific intervention. 6. Gather appropriate equipment. 7. Wash your hands for at least 10 to 15 seconds. 8. Apply clean gloves as indicated. 9. Adjust bed height and side rails. 10. Provide privacy for client. |
1. 對照醫(yī)囑或護(hù)理計(jì)劃確認(rèn)護(hù)理介入內(nèi)容。 2. 確認(rèn)病人（檢查手牌、報(bào)名字)。 3. 向病人作自我介紹。 4. 解釋程序及注意事項(xiàng)。 5. 評估病人當(dāng)前健康狀況及對特定護(hù)理介入的可能禁忌。 醫(yī)學(xué) 全在.線提供 6. 準(zhǔn)備適當(dāng)用品。 7. 洗手至少10至15秒鐘。 8. 需要時(shí)帶上手套。 9. 調(diào)整床鋪高度與圍欄。 10. 保護(hù)病人隱私。 |
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During the skill: |
操作時(shí)： |
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1. Promote client involvement if possible. 2. Assess client’s tolerance. |
1. 可能時(shí)鼓勵病人參與。 2. 評估病人耐受程度。 |
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Completion protocol |
完成儀式： |
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1. Ensure client’s comfort and safety. 2. Raise side rails and lower bed. 3. Store or dispose of equipment properly. 4. Remove gloves (if used). 5. Wash your hands for at least 10 to 15 seconds. 6. Report and record nursing intervention and client’s response to the procedure. |
1. 確保病人舒適安全。 2. 放置圍欄，降低床鋪高度。 3. 正確保存或處理用過的物品。 4. 脫去手套（如有使用)。 5. 洗手至少10至15秒鐘。 6. 報(bào)告并記錄護(hù)理介入實(shí)施情況及病人反應(yīng)。 |
