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How to fix the patient's indwelling needle easily?
Hello, 1. Keep away from the joint as much as possible during the puncture of the patient's indwelling needle.
2. All the catheters should be sent into the blood vessels after puncture.
3. Keep the skin clean and dry for fixation. Before puncture, iodophor should not be used too much to avoid stimulating blood vessels.
4. It is better to observe frequently and fix the indwelling needle in time. If sweat causes the film to curl, replace it immediately to prevent infection.
5. Strengthen the health education of patients and their families. Teach patients the necessary common sense of maintenance to ensure seamless management.
6. The catheter should be fixed firmly after puncture. The application should be fixed firmly and the movement of trocar should be reduced during puncture.
Hello, Xiaobian. How to avoid the fracture of the retaining needle sleeve in the work?
Hello! Although the incidence of the fracture of indwelling needle and casing is low, once it happens, the consequences are serious. In view of this, our nurses should receive standardized training before use. When using the indwelling needle, it should be used in strict accordance with the operation specifications; before use, check whether the indwelling needle sleeve is intact without crease, and whether the sleeve matches the puncture needle well; select the venipuncture site reasonably, and try not to select the joint activity site, if it cannot be avoided, it must be fixed at the place where the indwelling needle is placed; strictly limit the disposable use, and replace the new indwelling needle if the puncture is not successful. It is forbidden to use it again after the second puncture or the puncture needle is inserted into the hose! Because the clinical phenomenon exists. Don't be afraid to waste the indwelling needle because your puncture is not successful, and bury the hidden danger for yourself and your partner!
Nurses should do a good job in the propaganda and education of patients. During the period of infusion and catheter retention, they should guide patients to exercise reasonably, not to exercise violently, so as to prevent them from bending and falling off.
Remind patients to strengthen self-protection awareness and report problems to medical staff in time.
In addition, nurses should actively collect the possible adverse events related to intravenous indwelling needle, and actively report to promote the improvement of product quality of corresponding product manufacturers.
Small edition, upgraded nursing examination subjects?
Hello! 1. Nursing specialty should be upgraded to nursing. Belong to the category of Medicine
2. Subjects: politics, English and medicine.
3. 150 points for each subject, 450 points in total.
4. In the past years, the score line of medical examination is relatively high, which can reach about 320-350, which is relatively difficult to test.
There are two types of promotion:
The first category is the upgrading of General Higher Education (see: upgrading of unified enrollment) and the selection of full-time college graduates from all provinces.
The second is the upgrading of adult higher education. There are four ways: self-study, adult college entrance examination, distance education and open education.
Hello, Xiaobian. How to clean and maintain the ventilator?
Hello! 1. The mask shall be cleaned in time, and the relatively good silica gel requires the use of neutral detergent, which is dry in the shade and cannot be dried. 2. The filter membrane after the machine shall be replaced or cleaned in time. 3. The pipeline shall be cleaned in time. 4. A pressure calibration can be made at the seller's place in about 3 years.
Match
Small edition, clinical blood transfusion process?
Hello, 1. Blood transfusion process
(1) blood preparation: 2ml blood samples of patients shall be taken according to the doctor's instructions, and the completed blood transfusion application form and blood matching form shall be sent to the blood bank for blood type identification and cross matching test.
(2) blood collection: collect blood from the blood bank according to the blood collection form, and "check three times and eight pairs" with the blood bank personnel. ① "three checks": Blood validity period, blood quality and whether the blood transfusion device is in good condition. "Eight pairs": patient's bed number, name, hospital number, blood bag number, blood type, cross matching test results, blood type and blood volume. After checking, the nurse can take blood only after signing the blood distribution sheet. ② blood quality: check whether the blood bag is complete without damage; whether the blood is discolored, turbid, blood clot, bubble, etc.; generally, the stored blood can be divided into two layers, the upper layer is light yellow plasma, the lower layer is dark red red red red blood cells, the boundary is clear, and there is no red cell dissolution.
(3) after taking blood: ① do not shake violently; ② do not heat, input as soon as possible, and input again after 15-20 minutes at room temperature.
(4) check: two persons are required to check and input only after confirming that there is no error.
2. Precautions for blood transfusion
(1) before and after blood transfusion, normal saline should be input, and between two bags of blood.
(2) no other drugs, such as calcium agent, hypertonic or hypotonic liquid, shall be added to the blood to prevent blood from agglutinating or dissolving.
(3) at the beginning, the dripping speed should be slow, 20 drops / min; after 15 minutes of observation, 40-60 drops / min for adults and children.
(4) during blood transfusion, inspection should be strengthened to observe whether there are signs of blood transfusion reaction. Once blood transfusion reaction occurs, blood transfusion should be stopped immediately.
(4) the blood bag after blood transfusion should be kept for 24 hours, so as to find out the cause in case of blood transfusion reaction.
Hello, how to deal with the wrong medicine delivered by the nurse?
Hello! It mainly depends on the wrong drug. If it is a common drug, it can be reissued according to the doctor's order. However, if it is a strong drug, it is necessary to consult with the doctor in charge to study remedial measures to avoid the situation from expanding. If the nurse's negligence leads to the death of the patient, the crime of causing death due to negligence refers to the act that the actor, due to negligence, did not foresee or had foreseen, credulously believed that he could avoid the death of others and deprived others of their right to life. Article 233 whoever causes death through negligence shall be sentenced to fixed-term imprisonment of not less than three years but not more than seven years; if the circumstances are relatively minor, he shall be sentenced to fixed-term imprisonment of not more than three years. If there are other provisions in this law, they shall prevail.
Hello, editor, some tips and precautions for nurse interview? It's my first time to apply.
Hello! Xiaobian thinks that he should pay attention to the following points: 1. Dress up in a dignified and steady manner, not fancy, not hair dye or make-up; 2. Talk and act calmly and gracefully, think and answer questions without extreme, and do not serve well from personal interests; 3. Master professional knowledge, and be proficient in terminology and operation process; 4. Treat people and things in a proper way and strictly observe discipline. 5. Other details. wish you success!
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Wonderful past
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Notice to nurses! Do you know the precautions and dripping speed of blood transfusion as a nurse?