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1、安徽省护理文书书写要求（RequirementofnursingdocumentwritinginAnhui）[Anhuinursingdocumentwritingrequest]!!!ReprintedfromheartbreakUtopia.Reprintedin2010,06,30,23:39,read(5)comment(0)Category:personaldiaryReportSection1basicrequirements1.thewritingofnursingdocumentsshouldbeobjective,truthful,accurate,timelyandc
2、omplete.2.nursingdocumentationshoulduseblackink,recordmustsign.Thenursingdocumentswrittenbythenurseswhohavebeenengagedinpractice,furtherstudiesandthosewhohavenotobtainedthepracticepermitshallbereviewedimmediatelybythelegalnursesdesignatedbythemedicalinstitution,andtheirrevisedopinionsandsignatures
3、shallbewritteninredinkpens.3.nursingdocumentsshouldbewrittenneatly,clearlywritten,accurateexpression,punctuationmarksappliedcorrectly.4.typointhewritingprocess,shouldusethedoublelinespaintedonthetypo(recordhimselfwithablueblackstrokedoublelines,modifiedwithredinkstrokes,andcorrectthedoublelines),s
4、hallnottakescraping,viscosity,coating,stickersandothermethodstoconcealorerasetheoriginalhandwriting.5.casesshouldbewritteninArabiadigitalwritingdateandtime,using24hoursystemrecord.6.nursesneedtofillinorwritethenursingdocuments,including:temperaturelist,medicalorders,recordsofthecourseofsurgery,inv
5、entoryrecordsandcriticalcarerecords.Secondtemperaturesheets1.temperaturetableformat,including:weeknumber,dateofadmission,hospitalizationdays,hospitalizationdaysafteroperation,bodytemperature,pulse,respiration,bloodpressure,stoolfrequency,andliquidvolume,weight,drugallergyandpatientrecordsthelintel
6、column.2.inblueorblackinkpentofilloutthelintelcolumnofthename,dateofadmission,Department,bed,hospitalnumber,dateofhospitalizationandhospitalization.Thedateofhospitalization,thefirstdayofthehomepageandthefirstdayofthenextyearshouldbewritteninyears,monthsanddays.Thefirstdayofeachthermometerandthefir
7、stdayofthemonthshouldbewrittenonthemonthandtheday,andtherestwillonlybefilled.Fillinthenumberofdaysaftertheoperationwithredink.Thedayaftertheoperation(firstdaysaftertheoperation)isfilledupuntil14days.Thesecondoper
