Prevention of nursing disputes in operation room
In recent years, with the improvement of people's living standards, the concept of decrees and the consciousness of self-protection have been gradually strengthened, and higher requirements have been put forward for medical quality and safety. With the deepening of medical and health system reform, reducing the incidence of medical disputes has become the top priority of hospital operations, and the operating room is the prone place for medical disputes, assuming a higher risk. As an operating room nurse, the author summarized several causes of disputes and preventive measures during her years of work. The report is as follows.
2. precautionary measures
2., strengthen sense of responsibility.
Operating room nursing is necessary to have a high sense of responsibility, rich professional nursing knowledge, skilled operation skills, nursing operations should be strictly in accordance with the "three checks" and "seven pairs" operating standards, strict disinfection and barrier criteria, time to remember the concept of asepsis, a solid grasp and skilled use of aseptic technology operation _3]. Strictly enforce the nursing operation guidelines, through various training, constantly improve the level of professional knowledge, ensure intraoperative automation, timely and tacit cooperation, to overcome the contradiction between the operation and cooperation.
2. standard writing nursing record sheet
Record sheets should be standard in writing, with clear handwriting rules. They should not be vague or smeared. They should be in line with anesthesia records. Intraoperative special conditions need to be noted in other columns and signed by surgeons.
As a written document, the operation nursing record sheet has the legal effect. Timely, perfect and accurate record is the most powerful basis. The contents of operative nursing record are three:
It is inappropriate to depict the operation process of the patient too concretely, reduce the repetition of medical records and prevent the occurrence of human errors in the writing process; it is inappropriate to duplicate the contents of the anesthesiologist's investigation of the patient and the materials recorded by the anesthesiologist, overly duplicate and simply present human errors; it is inappropriate to go beyond the operation room nursing operations. Materials outside the scope are classified.
2. speech act should be standard.
Operating room should be quiet, strict, careful local, all involved in the operation should not ask loud jokes and talk about topics unrelated to the operation, treat patients should be warm and thoughtful, establish a people-oriented, patient-centered thinking, sincere and careful treatment of patients, to build a comfortable and safe for patients Full, warm environment, so that patients and medical staff will be close to the interval, so that patients safe and smooth through the operation. Pay attention to their own image, not to the patient cold, blame, or even insult, and all communication should be adjusted to the state of vibration, not in the operation of the phone.
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