隆康医养 发表于 2022-12-26 09:34:49

隆康医养中心护理员夜班查房干什么?

<section style="margin-bottom: 8px;padding-right: 6px;padding-left: 6px;max-width: 100%;box-sizing: border-box;text-indent: 0em;white-space: normal;text-align: center;max-inline-size: 100%;color: rgb(89, 89, 89);font-size: 14px;letter-spacing: 2px;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255);vertical-align: inherit;line-height: 2em;font-family: PingFangSC-light;visibility: visible;outline: none 0px !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 16px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;text-align: left;text-indent: 2em;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.5px;color: rgb(255, 255, 255);background-color: rgb(255, 172, 170);visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">区民政局、</span><span style="outline: 0px;max-width: 100%;text-align: left;text-indent: 2em;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;background-color: rgb(255, 172, 170);color: rgb(255, 255, 255);letter-spacing: 0.5px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">财政局</span></span></section><p></p><section style="margin-bottom: 8px;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;line-height: 1.5em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;letter-spacing: 0.5px;color: rgb(255, 255, 255);background-color: rgb(255, 172, 170);font-size: 16px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">指定</span></section><section style="margin-bottom: 8px;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;line-height: 1.5em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;letter-spacing: 0.5px;color: rgb(255, 255, 255);background-color: rgb(255, 172, 170);font-size: 16px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">低保、特困人员定点医疗机构</span></section><section style="margin-bottom: 8px;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;line-height: 1.5em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;background-color: rgb(255, 172, 170);color: rgb(255, 255, 255);letter-spacing: 0.5px;font-size: 16px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">失能、半失能、特困人员定点护理机构</span></section><p></p><h2 style="outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 2em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></h2><h2 style="outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 2em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">养老院夜班护理员上夜班查房不知道干什么?隆康医养失能照护中心总结了夜间查房工作规范--望、触、闻、听。</h2><p style="text-align: center;margin-bottom: 0em;"></p><p></p><section style="margin-bottom: 24px;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section data-color="#d82821" style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section data-color="rgb(216, 40, 33)" style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;line-height: 2em;text-align: center;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;text-align: center;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(0, 122, 170);visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">一是望&nbsp;</span></strong></span></section><section style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">1、看老年人睡眠时的身体姿势、面部表情,有无不自然、痛苦等。(可能为躯体疾病所致)。</span></section><section style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">2、看老年人是否蒙头睡觉,或气温下降后患者未盖被子。(蒙头睡觉需揭开被子暴露患者头部便于观察相应风向;老年人用药物后过度镇静,后半夜气温下降,老年人难以自然冻醒自行盖被)。</span></section><section style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><h2 style="outline: 0px;max-width: 100%;line-height: 2em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">3、看老年人暴露部位的肤色,有无面部潮红及出汗,如有需用手触摸初步判断体温是否上升,必要时体温计测体温;<span style="letter-spacing: 0.544px;font-size: 17px;">看嘴唇颜色,有无发绀,如有,触诊老年人脉搏,看有无心率低于正常或停搏。</span></h2><section style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">4、看老年人是否入睡(入睡是真睡,还是假睡),如未眠,评估老年人是否有意识清晰度下降(谵妄等)、有无其他伤人、自伤等风险。对夜间睡眠时间、质量、持续性等差的患者,给予监测24小时睡眠(24小时睡眠记录表)。</span></section><section style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">5、看老年人是否流涎,尤其是早上起床时发现枕头部位大片流涎的患者,夜间尤其注意查看是否流涎多及呛咳,如有,让老年人侧卧位睡觉。</span></section><section style="outline: 0px;max-width: 100%;line-height: 2em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></span></section><p style="text-align: center;margin-bottom: 0em;"></p><section style="outline: 0px;max-width: 100%;line-height: 2em;text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(0, 122, 170);box-sizing: border-box !important;overflow-wrap: break-word !important;">二是触&nbsp;&nbsp;&nbsp;&nbsp;</span></strong></section><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">1、可疑发热的老年人要触摸病人体温,必要时给予测体温。</span></section><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></section><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="letter-spacing: 0.544px;">2、&nbsp;心率:</span><span style="letter-spacing: 0.544px;">白天心率低的老年人(体检或心电图检查发现),晚上的心率比白天的更低,根据情况监测老年人心率、心律。</span></section><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">3、 约束老年人,除定时查看约束带老年人自行解开,也要伸手指进约束带看是否约束过紧,触摸老年人肢体末端皮温是否发凉,如有发凉需触摸脉搏(腕部、足背)。如约束老年人诉要解大小便,排除老年人是否要在被解开时发生其他风险。</span></section><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><p style="text-align: center;margin-bottom: 0em;"></p><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></section><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(0, 122, 170);box-sizing: border-box !important;overflow-wrap: break-word !important;">三是闻&nbsp;</span></strong></section><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">在查房过程要注意被约束老年人和癫痫老年人,闻有没有尿味和大便味,及时发现大小便失禁(癫痫老年人可能夜间睡眠时发作癫痫)、被约束老年人或因为长时间不能解便而解到床上。</span></section><section style="outline: 0px;max-width: 100%;line-height: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></span></section><p style="text-align: center;margin-bottom: 0em;"></p><section style="outline: 0px;max-width: 100%;line-height: 2em;text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(0, 122, 170);box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></span></strong></section><section style="outline: 0px;max-width: 100%;line-height: 2em;text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(0, 122, 170);box-sizing: border-box !important;overflow-wrap: break-word !important;">四是听&nbsp;</span></strong></section><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">1、听到打鼾声比较大的老年人,如打鼾(主要是呼吸)有停顿,需记录时间停顿时间是否达到风险(超过10秒)。</span></section><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">2、听咳嗽声,有咳嗽的老年人要观察咳嗽过程中有没有痰,痰的颜色。白天不咳嗽,只夜间咳嗽,甚至咳醒,需注意患者心功能情况。</span></section><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"/></section><section style="outline: 0px;max-width: 100%;line-height: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">3、听房间内的各种异响,视线会被阻挡,听觉不会,如有吵闹、哭泣、跌倒声等等,第一时间查看。</span></section></section></section></section></section></section></section><p></p><p style="text-align: center;margin-bottom: 0em;"></p><p></p><section powered-by="xiumi.us" style="outline: 0px;max-width: 100%;box-sizing: border-box;font-size: 16px;letter-spacing: 0.544px;line-height: 1.8;visibility: visible;overflow-wrap: break-word !important;"><p style="outline: 0px;max-width: 100%;text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important;">预约参观热线 :023-77779520、17729680222</p><p style="outline: 0px;max-width: 100%;text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important;">院址:武隆区凤山街道城东村隆康医养中心</p><p style="outline: 0px;max-width: 100%;text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important;">公交:乘坐205路或江口公交车至隆康医养站(下车即到)</p></section><p></p><p><br/></p><link rel="stylesheet" href="//www.aiwulongrencai.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_lBp" id="wcn_editor_css"/>

幽风 发表于 2022-12-26 16:23:33

服务可以

流浪的浪子 发表于 2022-12-26 12:28:12

{:7_373:}{:7_373:}

~难得糊涂~ 发表于 2022-12-26 09:50:49

可以可以

农村三哥 发表于 2022-12-26 23:32:41

不晓得
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