| Standard Protocols for All Nursing Interventions |
护理介入标准协议 |
| Before the skill: |
实施前： |
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. 根据医嘱或护理计划确认护理介入
2. 确实病人（腕牌或说出姓名）
3. 向病人作自我介绍
4. 说明程序及原理
5. 评估病人当前健康状况及特定护理介入的可以禁忌
6. 收集相应器械
7. 洗手10至15秒
8. 需要时带上清洁手套
9. 调整床高度及床边护栏
10. 保护病人隐私 |
| During the skill: |
实施时： |
- Promote client involvement if possible.
- Assess client's tolerance
|
1. 可能时鼓励病人参与护理实施
2. 评估病人耐受度 |
| Completion protocol: |
实施完毕： |
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. 竖起床边护栏，降低床高
3. 正确存放或处置器械
4. 除去手套（如使用）
5. 洗手至少10至15秒钟
6. 报告并记录护理介入及病人对护理操作的反应 |
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