| Standard Protocols for All Nursing Interventions |
护理介入标准仪式 |
| Before the skill: |
操作前： |
1. Verify nursing intervention using physician's order or nursing care plan.
2. Identify client （arm band and state name）.
3. Introduce yourself to client.
4. Explain procedure and rationale.
5. Assess client's current health status and possible contraindications to specific intervention.
6. Gather appropriate equipment.
7. Wash your hands for at least 10 to 15 seconds.
8. Apply clean gloves as indicated.
9. Adjust bed height and side rails.
10. Provide privacy for client. |
1. 对照医嘱或护理计划确认护理介入内容。
2. 确认病人（检查手牌、报名字）。
3. 向病人作自我介绍。
4. 解释程序及注意事项。
5. 评估病人当前健康状况及对特定护理介入的可能禁忌。
6. 准备适当用品。
7. 洗手至少10至15秒钟。
8. 需要时带上手套。
9. 调整床铺高度与围栏。
10. 保护病人隐私。 |
| During the skill: |
操作时： |
1. Promote client involvement if possible.
2. Assess client's tolerance. |
1. 可能时鼓励病人参与。
2. 评估病人耐受程度。 |
| Completion protocol |
完成仪式： |
1. Ensure client's comfort and safety.
2. Raise side rails and lower bed.
3. Store or dispose of equipment properly.
4. Remove gloves （if used）.
5. Wash your hands for at least 10 to 15 seconds.
6. Report and record nursing intervention and client's response to the procedure. |
1. 确保病人舒适安全。
2. 放置围栏，降低床铺高度。
3. 正确保存或处理用过的物品。
4. 脱去手套（如有使用）。
5. 洗手至少10至15秒钟。
6. 报告并记录护理介入实施情况及病人反应。 |
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