(完整word版)100项护理安全隐患及防范措施.pdf
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1、1 100 项护理安全隐患林州市第二人民医院护理部二 00 九年十二月精品资料-欢迎下载-欢迎下载 名师归纳-第 1 页,共 28 页 -2 100 项护理安全隐患协助患者进食、水中易出现的问题1、饮水呛咳防范措施:喂水时注意速度不可过快且每次少量喂食。喂水时注意观察患者的反应,发现呛咳立即将头偏向一侧,以免误入呼吸道。对于频繁发生呛咳的患者,护士应提示医生留置胃管。2、吞咽困难防范措施:喂食速度宜慢且少量,确认病人已吞咽再继续。给予患者便于吞咽的食物。嗜睡的患者喂食时必须把病人完全叫醒,喂食后确认口中无食物方可离开。进食时注意与患者沟通并密切观察患者反应,如发生吞咽困难,应立即停止进食并取出
2、口中食物,将头偏向一侧。吸氧中易出现的问题3、气压伤防范措施:先调节好氧流量再将吸氧管插入患者鼻孔。改变氧流量时先将导管撤出,待调节好后再插入导管。4、氧中毒精品资料-欢迎下载-欢迎下载 名师归纳-第 2 页,共 28 页 -文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5
3、R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H
4、7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5
5、U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8
6、D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q
7、7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:C
8、F5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S43 防范措施:根据医嘱正确调节氧流量。
9、高流量吸氧时应注意吸入时间不宜过长。定期检查氧流量表是否准确。5、管道脱落防范措施:使用双腔吸氧管,以便于固定。经常巡视吸氧患者,发现管道脱落及时插好、固定。清醒病人嘱其不要自行拿下吸氧管。口服药发放中常见的问题6、同病室的人交叉发药错发防范措施:严格三查七对,发药时叫病人至答应为止。不得一次拿两个以上药杯进病房给病人,须将药车推至病床旁一对一发放。每个药杯上面须有贴着醒目床号的药盖,不得遗漏。口服药应由双人核对后由其中一人发放。7、药物剂量有误防范措施:正确抄写口服卡。核对药物时要认真,避免边核对边说笑,禁忌单人核对。避免思维定势,个别病人所服药物剂量比常规剂量多或者少,不能按常规量发放。(
10、如开博通每片12.5mg,有些患者服 6.25mg,不能按常规给予一片。)有些药物剂量发生改变时,外勤护士应及时通知大家,提起注意。精品资料-欢迎下载-欢迎下载 名师归纳-第 3 页,共 28 页 -文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W
11、9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5
12、K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J
13、4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P
14、1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:C
15、X5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN
16、1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N44 有的一种药物两种剂量,要核对清楚,心中有数。8、漏发(多为病
17、人不在)防范措施:准备一个卡片,病人未在时床号、姓名要登记。对班二人互相提醒,病人回房时及时发放。如本班未发放则严格向下一班交班。9、重发(多为定点药物)防范措施:建立定点药物发放登记本,发药前及时填写。发药前填写药袋,发药时须携带执行卡及药袋。分工明确,认真执行各班岗位职责。10、药品失效防范措施:发药前检查药物的有效期。检查片剂药品有无变色、变质。检查水剂、油剂有无混浊、沉淀、变色。11、发药后未及时服用防范措施:向患者讲解按时服药的重要性。发药后督促患者按时服药,待患者服药后方可离开。下次发药前检查患者是否已经服药。12、服药方法不正确防范措施:向患者讲解服用药物的药理作用及注意事项。护
18、士发药时要正确指导患者并服药到口。精品资料-欢迎下载-欢迎下载 名师归纳-第 4 页,共 28 页 -文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编
19、码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4
20、 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9
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22、档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4
23、X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8
24、I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N45 肌肉注射易出现的问题13、注射部位不当防范措施:协助病人取正确体位。准确选择注射部位。对于体型消瘦的病人进针不宜过深。小儿应选择臀小肌注射。14、注射部位出血
25、防范措施:注射时应避开大血管。推注药液前抽吸有无回血。注射后按压注射部位时间不可过短。凝血功能差者按压时间应延长。15、注射部位硬结防范措施:注射时要避开原有硬结。如需长期注射时要多部位交替注射。特殊药物要深部注射,如氯丙嗪、油剂、铁剂、硫酸镁等。每次注射前检查注射部位情况,如有异常及时处理。每日热敷注射部位。16、注射部位感染防范措施:注射时严格执行无菌技术操作规程。不易吸收的药物应深部注射,防止吸收不良引起感染。每日热敷过程中需保持清洁。精品资料-欢迎下载-欢迎下载 名师归纳-第 5 页,共 28 页 -文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档
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