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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.nursingdocu
2、mentationshoulduseblackink,recordmustsign.Thenursingdocumentswrittenbythenurseswhohavebeenengagedinpractice,furtherstudiesandthosewhohavenotobtainedthepracticepermitshallbereviewedimmediatelybythelegalnursesdesignatedbythemedicalinstitution,andtheirrevisedopinionsandsignatur
3、esshallbewritteninredinkpens.3.nursingdocumentsshouldbewrittenneatly,clearlywritten,accurateexpression,punctuationmarksappliedcorrectly.4.typointhewritingprocess,shouldusethedoublelinespaintedonthetypo(recordhimselfwithablueblackstrokedoublelines,modifiedwithredinkstrokes,an
4、dcorrectthedoublelines),shallnottakescraping,viscosity,coating,stickersandothermethodstoconcealorerasetheoriginalhandwriting.5.casesshouldbewritteninArabiadigitalwritingdateandtime,using24hoursystemrecord.6.nursesneedtofillinorwritethenursingdocuments,including:temperatureli
5、st,medicalorders,recordsofthecourseofsurgery,inventoryrecordsandcriticalcarerecords.Secondtemperaturesheets1.temperaturetableformat,including:weeknumber,dateofadmission,hospitalizationdays,hospitalizationdaysafteroperation,bodytemperature,pulse,respiration,bloodpressure,stoo
6、lfrequency,andliquidvolume,weight,drugallergyandpatientrecordsthelintelcolumn.2.inblueorblackinkpentofilloutthelintelcolumnofthename,dateofadmission,Department,bed,hospitalnumber,dateofhospitalizationandhospitalization.Thedateofhospitalization,thefirstdayofthehomepageandthef
7、irstdayofthenextyearshouldbewritteninyears,monthsanddays.Thefirstdayofeachthermometerandthefirstdayofthemonthshouldbewrittenonthemonthandtheday,andtherestwillonlybefilled.Fillinthenumberofdaysaftertheoperationwithredink.Thedayaftertheoperation(firstdaysaftertheoperation)isfi
8、lledupuntil14days.Thesecondoperationinwritingdatecolumn,fillinthenumberofda
