护理临床护理核心制度,应急预案及程序

《护理临床护理核心制度,应急预案及程序》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、目录第一章临床护理核心制度···············（一）护理质量管理制度······················（二）术前患者访视制度······················（三）病房管理制度··························（四）抢救工作制度··························（五）护理不良事件报告制度··················（六）护理安全管理制度······················（七）分级护理制度··························（八）病房一

2、般消毒隔离管理制度··············（九）护理会诊制度··························（十）护理交接班制度························（十一）查对制度······························（十二）患者健康教育制度······················（十三）护理查房制度··························（十四）给药制度······························（十五）患者身份识别制度与程序················

3、（十六）医嘱制度与执行流程····················20第三章应急预案及程序·················（一）停水和突然停水的应急院预案及程序······（二）泛水的应急预案及程序··················（三）停电和突然停电的应急预案及程序········（四）失窃的应急预案及程序··················（五）住院患者出现输液、输血反应的应急预案及程序································（六）患者发生空气栓塞的应急预案及程序······（七）急性消化道大出血患者

4、的应急预案········（八）创伤性休克的应急预案及程序············（十）子痫的应急预案························（十一）羊水栓塞的应急预案····················（十二）火灾的应急程序························（十三）地震的应急程序························（十四）患者坠床/摔倒时的应急程序·············（十五）有毒气体泄漏的应急程序················（十六）患者发生化疗药外渗时的应急程序········（十七

5、）患者发生躁动时的应急预案及程序········（十八）急性心包填塞的应急预案················（十九）脂肪栓塞综合征应急预案················20（二十）急腹症应急预案························(二十一)窒息的应急预案························（二十二）误吸的应急预案························（二十四）患者外出不归的应急预案················（二十五）休克的应急预案及程序···················（二十六）脑疝患

6、者的应急预案及程序···············（二十七）突然发生猝死应急预案及程序·············（二十八）患者自杀的应急预案及程序···············　第一章　临床护理核心制（一）护理质量管理制度一、医生成立由分管院长、护理部主任、护士长组成的护理质量管理委员会，负责全院护理质量管理目标及各项护理质量标准的制定并对护理质量实施与管理。二、护理质量实行护理部、病区二级控制与管理。1、病区护理质量控制组：（Ⅰ级）由2-3人组成，病区护士长参加并负责，按照护理质量标准对护理质量实施全面控制，及时发现工作中的问题与不

7、足，对出现的质量缺陷进行分析，制定改进措施。检查有记录、登记并及时反馈，每月填写检查登记表及护理质量月报表上报护理部。2、护理部护理质量控制组，（Ⅱ级）由8-10人组成，护理部主任参加并负责。每月按照护理控制项目有计划、有目的、有针对性的对各病区护理工作进行检查评价，填写检查登记表及综合报表。及时研究、分析、解决、检查中发现问题。每月在护士长会议上反馈检查结果，提出整改意见，限期整改。三、各科建立护理文书终末质量控制小组，由各种护士长及责任护士负责。每月对新入院、出院患者的护理文件及医嘱等进行检查评价，填写检查登记表上报护理部。四、

8、对护理质量缺陷进行跟踪监控，实现护理质量的持续改进。五、各级质控组每月按时上报检查结果，科及病区于每月30日以前报护理部，护理部负责对全院检查结果进行综合评价，填写报表并在护士长例会上反馈检查评价结果。六、护理部随时向主管院长汇报全院