After diagnosis, register. Through triage, organize patients to register in different departments (except emergency patients), and flow reasonably to prevent the spread of infectious diseases and shorten the waiting time of patients.

Second, wait for care.

Nurses in the waiting room should check the patients according to the order of outpatient number, briefly understand the condition, and check the previous medical records when necessary to maintain the continuity of diagnosis and treatment.

1. Measure temperature, pulse, respiration and blood pressure when necessary. In case of high fever, severe pain, dyspnea, bleeding, shock, etc. You should immediately arrange to see a doctor in advance or send them to the emergency room for treatment.

2. For the general waiting list, provide necessary checklists such as blood routine, stool, urine routine and chest X-ray according to the situation. Patients should be instructed to collect laboratory specimens and take medicine at their convenience.

3. Patiently, meticulously, enthusiastically and thoughtfully answer patients' questions and doubts and help them solve problems.

4, in strict accordance with the doctor's advice and operating procedures for patients with injection, dressing change, enema, actively cooperate with doctors to carry out various puncture and special inspection, to ensure the safety of treatment and inspection.

5, make full use of the waiting time, through galleries, pictures, audio, video and other forms to carry out health science, disease prevention, health care knowledge education.

6, physical examination to determine the need for hospitalization, the nurse should guide the patient to go through the hospitalization procedures.

Third, emergency care.

The emergency room (department) is an outpost to save lives. Nurses are required to stick to their posts and do their best to assist doctors in first aid, diagnosis and treatment at any time. In case of critically ill patients, when doctors are not present, nurses have the responsibility to take necessary first-aid measures, such as oxygen inhalation, sputum aspiration, hemostasis, establishment of intravenous infusion channels, artificial respiration, chest massage, etc.

1. Use skilled first-aid knowledge and technology, take first-aid nursing countermeasures, and try your best to save patients' lives.

2. Observe the changes of illness in detail, report the abnormal findings in time, and accurately record the illness and related disposal.

3, responsible for escorting critically ill patients into the ward or operating room, and strengthen escort monitoring.

4. Prepare first-aid medicines, instruments, sanitary clothes, etc. According to the Standard for Necessary Facilities of Emergency Rescue Room, be responsible for application, storage and reimbursement, and do a good job in registration, statistics and data storage.

5, constantly learning new business, new technology, master.

6, for patients who temporarily stay in the outpatient observation room (emergency observers generally do not exceed 24-48 hours), we should strengthen the monitoring of patients, closely observe and record their illness changes.

Fourth, medical and health care work

Health care is an important part of outpatient nursing work, which includes preventive health care for troops in the prevention and control system; Prevention and health care of hospital staff are two parts.

1. Health consultation, regular physical examination, premarital examination, perinatal care guidance, cardiovascular and cerebrovascular diseases, cancer screening, etc.

2, infant health care guidance, breastfeeding education, vaccination work.

3, hospital staff disease prevention, health care and family sickbed visit nursing.

Extended data

1, nurse's instrument

Nurses' clean white work clothes and hats not only play a role in prevention and isolation, but also represent the dignity and responsibility of nurses. So there are strict rules for nurses to wear clothes. For example, the nurse's clothes should be buckled, and the skirt should not be exposed outside the white overalls. For example, when wearing A Dai Yan hats, they should have a generous hairstyle and keep their hair neat. When you go to work, you can wear accessories consistent with environmentally-friendly clothing on the principle of less but better, and you can wear light makeup. This kind of light makeup is consistent with the elegant overall tone of the hospital based on the needs of patients, so as to show the overall quality and aesthetic feeling of nurses today.

2. Attitude of nurses

The basic attitude of nurses should be elegant, healthy and energetic, and every move, word and deed should be steady, accurate, soft and energetic. They should be serious, stand and sit, be natural and graceful, and be decent everywhere during the shift change and meeting. The nurse's expression is the nurse's instrument, and the behavior concentrated on the face has the greatest influence on the patient's psychology. The nurse's kind and natural expression, especially the smiling service, can make the sick patients feel calm, friendly, happy and safe, let the patients feel the true feelings and beautiful life in the world, actively cooperate with the treatment and help the patients recover. The nurse's expression should also be consistent with the environment and place, otherwise it will have the opposite effect. For example, the patient is in pain, and the nurse is still smiling. This is a sign of lack of sympathy, which will arouse the patient's disgust and make it difficult to gain the patient's trust.

References:

Baidu encyclopedia-nurse