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1、安徽省护理文书书写要求[Anhuinursingdocumentwritingrequest]!!!ReprintedfromheartbreakUtopia.Reprintedin2010,06,30,23:39,read(5)comment(0)Category:personaldiaryReportSection1basicrequirements1.thewritingofnursingdocumentsshouldbeobjective,truthful,accurate,timelyandcomplete.2.nursingdocumentationshouldusebl
2、ackink,recordmustsign.Thenursingdocumentswrittenbythenurseswhohavebeenengagedinpractice,furtherstudiesandthosewhohavenotobtainedthepracticepermitshallbereviewedimmediatelybythelegalnursesdesignatedbythemedicalinstitution,andtheirrevisedopinionsandsignaturesshallbewritteninredinkpens.3.nursingdo
3、cumentsshouldbewrittenneatly,clearlywritten,accurateexpression,punctuationmarksappliedcorrectly.4.typointhewritingprocess,shouldusethedoublelinespaintedonthetypo(recordhimselfwithablueblackstrokedoublelines,modifiedwithredinkstrokes,andcorrectthedoublelines),shallnottakescraping,viscosity,coati
4、ng,stickersandothermethodstoconcealorerasetheoriginalhandwriting.5.casesshouldbewritteninArabiadigitalwritingdateandtime,using24hoursystemrecord.6.nursesneedtofillinorwritethenursingdocuments,including:temperaturelist,medicalorders,recordsofthecourseofsurgery,inventoryrecordsandcriticalcarereco
5、rds.Secondtemperaturesheets1.temperaturetableformat,including:weeknumber,dateofadmission,hospitalizationdays,hospitalizationdaysafteroperation,bodytemperature,pulse,respiration,bloodpressure,stoolfrequency,andliquidvolume,weight,drugallergyandpatientrecordsthelintelcolumn.2.inblueorblackinkpent
6、ofilloutthelintelcolumnofthename,dateofadmission,Department,bed,hospitalnumber,dateofhospitalizationandhospitalization.Thedateofhospitalization,thefirstdayofthehomepageandthefirstdayofthenextyearshouldbewritteninyears,monthsanddays.Thefirstdayofeachthermometerandthefirstdayofthemonthshouldbewri
7、ttenonthemonthandtheday,andtherestwillonlybefilled.Fillinthenumberofdaysaftertheoperationwithredink.Thedayaftertheoperation(firstdaysaftertheoperation)isfilledupuntil14days.Thesecondoperationinwritingdatecolumn,fillinthenumberofda
