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Jingdong book

护士临床实习手册

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护士临床实习手册

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护理学是整个医学教育的一个组成部分,承担着维护健康、延长生命的任务,在整个医疗工作中发挥着不可替代的作用。改革开放以来,我省护理教育取得显著的成绩,护理专业招生人数有了大幅度提高,学生素质也有一定的提高,为满足医疗需求做出了贡献。但是随着社会经济的发展、医学科学的进步、人民群众健康需求的不断提高以及日益扩大的国际合作与交流,凸现出护理学生不适应的问题,因此提高护理教育的质量,加大护理学生实践能力的训练尤为必要。
Catalogue

第一篇 实习须知
第一章 实习计划
第一节 实习目标与安排
一、实习目标
二、实习安排
第二节 组织领导
第三节 实习内容及要求3.
一、大、中专实习内容及要求
二、本科实习内容及要求

第二章 临床实习管理规范
一、实习教学流程及要求
二、各级人员职责
三、实习学生守则
四、实习生安全责任承诺书
五、请销假管理规定
附1 走读实习学生安全协议
附2 自主联系实习单位的学生管
理规则

第三章 实习前培训方案
一、院校培训方案
二、医院培训方素

第二篇 常用护理技术
第一章 常用基础护理服务技术
一、整理床单位
二、面部清洁和梳头
三、口腔护理
四、会阴护理
五、足部清洁
六、协助患者进食、水
七、协助患者翻身及有效咳痰
八、协助患者床上移动
九、压疮预防及护理
十、失禁护理
十一、床上使用便嚣
十二、留置尿管的护理
十三、温水擦浴
十四、协助更农
十五、床上洗头
十六、指、趾甲护理
十七、安全管理

第二章 常用临床护理技术
一、患者入院护理
二、患者出院护理
三、生命体征监测技术
四、导尿技术
五、胃肠减压技术及护理
六、鼻饲技术
七、灌肠技术
八、氧气吸入技术(单侧鼻导管吸氧法)
九、雾化吸入技术(超声雾化吸入疗法)
十、血糖监测
十一、口服给药法
十二、密闭式静脉输液技术
十三、密闭式静脉输血技术
十四、静脉留王针技术
十五、静脉血标本的采集技术
十六、静脉注射技术
十七、肌内注射技术
十八、皮内注射技术
十九、皮下注射技术
二十、物理降温法
二十一、经鼻、口腔吸痰法
二十二、经气管插管、气管切开吸痰法
二十三、心电监测技术
二十四、输液泵微量注射泵的使用技术

第三篇 疾病护理常规
第一章 内科疾病患者护理
第一节 内科常用护理技术
一、氧气吸入法
二、动脉穿刺法
三、气管插管吸痰法
四、胸腔闭式引流管术
五、纤维支气管镜护理技术
六、机械通气的护理
七、心电图检查
八、心电监测术
九、心脏电除颤术
十、肝脏活体组织穿刺术
十一、腹腔穿刺术护理
十二、三腔两囊管压迫止血术护理
十三、胃肠道内镜检查护理
十四、血液透析护理技术
十五、腹膜透析操作技术
十六、连续性肾脏替代治疗(CRRT)操作技术
十七、血浆置换术护理常规
十八、血糖监测技术
十九、胰岛素注射技术
二十、胰岛素泵的使用
二十一、腰椎穿刺术后护理
第二节 呼吸系统疾病患者护理
一、常见症状体征的护理
二、急性上呼吸道感染
三、慢性阻塞性肺疾病
四、哮喘
五、支气管扩张
六、肺炎球菌性肺炎
七、肺结核
八、原发性支气管肺癌
九、慢性肺原性心脏病
十、呼吸衰竭
十一、急性呼吸窘迫综合征
第三节 循环系统疾病患者护理
一、常见症状体征的护理
二、心力衰竭
三、心律失常
四、心搏骤停
五、人工心脏起搏器术患者的护理
六、冠状动脉粥样硬化性心脏病
(急性心肌梗死)
七、高血压痛
八、心肌病
九、心血管病介入治疗术患者的护理
第四节 消化系统疾病患者护理
一、常见症状体征的护理
二、消化性溃疡
三、胃癌
四、肝硬化
五、原发性肝癌
六、肝性脑病
七、急性肝功能衰竭
八、急性胰腺炎(内科治疗)
九、上消化道大出血
十、炎症性肠病
第五节 泌尿系统疾病患者护理
一、常见症状体征的护理
二、肾小球肾炎
三、肾病综合征
四、尿路感染
五、急性肾衰竭
六、慢性肾衰竭
第六节 血液及造血系统疾病患者护理
一、常见症状体征的护理
二、缺铁性贫血
三、再生障碍性贫血
四、特发性血小板减少性紫癜
五、血管内弥散性凝血(DIC)
六、急性白血病
七、淋巴瘤
八、造血干细胞移植患者的护理
九、全环境保护患者的护理
第七节 内分泌及代谢疾病患者护理
一、甲状腺功能亢进
二、原发性慢性肾上腺皮质功能减退症
三、腺垂体功能减退症
四、糖尿病
第八节 风湿性疾病患者护理
一、系统性红宽狼疮
二、类风湿关节炎
三、皮肌炎患者的护理
第九节 神经系统疾病患者护理
一、常见症状体征的护理
二、急性感染性多发性神经根神经炎
三、脑梗死
四、脑出血
五、癫痫
六、疱疹病毒性脑炎

第二章 外科疾病患者护理
第一节 外科一般护理常规
一、手术前一般护理
二、手术后一般护理
第二节 外科常用护理技术
一、备皮
二、切口换药
三、包扎
四、胸腔闭式引流的护理
五、更换一次性引流袋
六、T形管引流护理
七、更换肠造口袋
八、膀胱冲洗
九、石膏固定护理
十、骨牵引护理
十一、脑室引流的护理
十二、全胃肠外营
第三节 外科感染患者护理
一、脓肿
二、破伤风
第四节 烧伤患者护理
第五节 颅脑疾病患者护理
一、颅内压增高
二、颅脑损伤
三、颅内肿瘤
四、脑血管疾病
五、功能性脑疾病
第六节 颈部疾病患者护理
一、甲状腺腺瘤
二、颈部肿块
第七节 胸部疾病患者护理
一、急性乳腺炎
二、乳腺癌
三、胸部损伤
四、肺癌
五、食管癌
六、心脏手术患者的护理
七、纵隔肿瘤
第八节 腹部疾病患者护理
一、腹外疝
二、急性化脓性腹膜炎
三、腹部损伤
四、胃、十二指肠疾病
五、肠梗阻
六、急、慢性阑尾炎
七、大肠癌
八、门脉高压症
九、肝癌
十、急性胆囊炎
十一、急性胰腺炎
……

第三章 妇产科疾病者护理
第四章 儿科疾病护理
第五章 肿瘤患者护理
第六章 眼科疾病患者护理
第七章 耳鼻咽喉科疾病患者护理
第八章 口腔颌面外科疾病患者护理
第九章 急症患者护理
第十章 传染科疾病患者护理
第十一章 手术室护理常规
第十二章 消毒供应中心
Book Abstract

第二章 临床实习管理规范
临床实习,是理论联系实际、培养合格人才的重要途径,是教学过程的重要组成部分。为了使学生能将所学的理论知识应用于实践,圆满地完成临床实习任务,特制定以下规范。
一、实习教学流程及要求
1.入科教育学生入科后,应由该科护士长或教学组长向学员介绍科室环境、布局,同时向学员下达本科实习计划。
2.实习安排每轮学员入科后按照教学大纲安排教学活动,安排一定班次,与带教老师一起分管一定数量的患者。每周安排小讲课1次,操作培训1次,每轮组织教学查房1次,每4周带教科室应对学员进行出科考试,并经评议对其个人鉴定。
3.出科评价
(1)实习学员出科考核办法:理论考试含整体护理病历书写、基础专科理论笔试。每名学员出科前必须完成1份完整的护理病历,由科室参照评分标准评分。理论试题由护士长出题,考试在每轮实习的最后一周进行。操作考试由护士长和教学组长监考,考试项目为教学计划规定的本科室必须完成的操作项目。
(2)各带教科室定期召开实习学员座谈会,每轮不得少于1次。以了解情况,征求意见,并对教与学进行评估,及时改进教学工作。
(3)护理部每季度进行1次评教评学活动,召开组长、带教老师、实习学员座谈会和教学讲评,目的是收集情况,征求意见,及时改进,学员每轮实习结束,护理部将进行问卷调查,对学员、教员、科室进行综合量化评定。
二、各级人员职责
(一)学院教务处职责
1.在主管校长的领导下,选择符合实习条件的医院作为实习医院。
Introduction

护理学是整个医学教育的一个组成部分,承担着维护健康、延长生命的任务,在整个医疗工作中发挥着不可替代的作用。改革开放以来,我省护理教育取得显著的成绩,护理专业招生人数有了大幅度提高,学生素质也有一定的提高,为满足医疗需求做出了贡献。但是随着社会经济的发展、医学科学的进步、人民群众健康需求的不断提高以及日益扩大的国际合作与交流,凸现出护理学生不适应的问题,因此提高护理教育的质量,加大护理学生实践能力的训练尤为必要。
《中国护理事业发展规范纲要》指出:我国护理事业的发展仍不平衡,地区之间、城乡之间存在较大差异;护理技术水平相对滞后于医学技术的发展;护理服务不能完全满足人民群众不断增长的健康需求。因此,加强临床实习护士的规范管理和业务指导极为重要。为此,我们通过调研,组织省内一批活跃在临床和教学一线的护理骨干和教师共同编写《护士临床实习手册》作为护理学生临床阶段学习指导,想以此提高护理专业学生临床实习环节的实践技能知识和临床实践能力。

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