1.麻醉恢复室工作制度.pdf

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1、1/26 封面2/26 作者：PanHongliang 仅供个人学习目录一、麻醉恢复室工作制度（2）文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7

2、R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 Z

3、X2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7

4、R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 Z

5、X2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7

6、R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 Z

7、X2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V33/26 二、麻醉恢复室（PACU）交接班制度（4）三、业务学习及继续教育管理制度（6）四、麻醉恢复室劳动纪律（7）五、麻醉恢复室患者准入标准（8）六、麻醉恢复室入室流程（9）七、麻醉恢复室患者出室标准（10）八、麻醉恢复室患者转出流程（12）九、口头医嘱执行

8、制度及执行流程（13）十、输注药品安全管理制度（15）十一、输血管理制度（17）十二、危重患者护理质量管理制度（19）十三、麻醉恢复室护士各班职责（20）文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C

9、9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编

10、码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C

11、9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编

12、码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C

13、9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编

14、码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V34/26 十四、麻醉恢复室护士长职责（21）十五、主任（副主任）护师职责（22）十六、PACU 主管护师的岗位职责（23）十七、PACU 护师的岗位职责（24）十八、PACU 护士的岗位职责（25）十九、P

15、ACU 病历管理规定（26）二十、毒、麻限制药品管理制度（27）二十一、仪器设备保管制度（28）二十二、医疗器械使用、消毒和保养制度（29）二十三、外来人员参观制度（30）麻醉恢复室工作制度一、目的密切观察麻醉病人的苏醒，对手术麻醉后危重病人进行监测治疗，及时观察病情变化，提高手术麻醉后病人的安全性，特制定本制度。文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8

16、C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档

17、编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8

18、C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档

19、编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8

20、C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档

21、编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V35/26 二、标准2.1 麻醉恢复室的工作人

22、员在麻醉科主任领导下，由麻醉科医师主持日常工作；护士长具体负责行政管理工作，日常监护及各种治疗工作由护士来完成。2.2 患者在麻醉恢复室内应进行密切的监测和治疗，并记录。及时观察患者病情变化，提高手术麻醉后患者的安全性。2.3 严格执行麻醉恢复室管理规定。2.4 恢复室患者常规监测一般工程包括：血压、呼吸、脉搏、血氧饱和度、心电图、尿量、补液量及速度和引流量等，并做好记录。2.5 全麻患者应在手术间拔管后送入恢复室。2.6 麻醉医生、主麻医生、巡回护士、恢复室护士对入室患者交接班及评估。在恢复室内应给予患者充分的镇静、镇痛以减轻各种并发症。2.7 病人离开恢复室应符合下列标准：2.6.1 全麻

23、病人：神志清醒，定向力恢复，平卧抬头5 秒钟，能正确回答问题；呼吸道通畅，保护性吞咽、咳簌反射恢复；血压、心率改变不超过术前 20%，且维持稳定 30 分钟以上，血氧饱合度下降不超过术前的 3-5。Steward 评分 4 分且清醒程度分级 3 级方能离开麻醉恢复室。2.7.2 椎管内麻醉病人：神志清楚，通气量满意，一般状况稳定。2.8 患者离开麻醉恢复室前，须经麻醉医生同意，由麻醉护士亲自送回病房，如转 ICU的患者，则由麻醉医生、手术医生和护士转送，并携带相关急救设备（如氧气袋、呼吸气囊等），并做好相应的交接工作。文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1

24、V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 H

25、F7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1

26、V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 H

27、F7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1

28、V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 H

29、F7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1

30、V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V36/26 三、基本工作流程3.1 上班时间：A 班：8:0015:30 B班：10:00 17:30 C班：13:0020:30 D班：12:00 19:30 3.2 A 班护士：负责检查恢复室各个设备、药品及用物等，保证各个仪器处于备用状态，查看药品数量及有效期，备齐各种检查抢救车物资并清点恢复室接班物资、检查抢救仪器和设备性能、检查药品（包括数量及有效期）并进行恢复室环境及各个物品的表面清洁和消毒，配好常用抢救药物，等待接受术后

31、患者。3.3 患者有手术室护士和麻醉医生推入麻醉恢复室，做好交接工作。3.4 患者入室给予吸氧、进行心电监护，对于躁动患者给予适当的保护性约束；寒战患者注意保暖。3.5 护士观察记录患者生命体征及其他治疗护理措施。3.6 患者神智清醒，生命体征平稳后，有恢复室麻醉医生及护理组长查看并有麻醉医生签字后，由恢复室护士送回病房。3.7 护士登记转出患者的计费工程。3.8 B班、D班护士坚守自己所分管床位的患者并及时查看所管床头柜物品。3.9 C班护士上班前做好接班工作，并负责当天的费用录入，下班前负责清点物资并关闭所有设备电源并断开。3.10 当月消毒班护士负责本月手术间麻醉机、心电监护仪、除颤仪及

32、恢复室各种设备的清洁消毒工作。麻醉恢复室（PACU）交接班制度一、PACU 护士与麻醉医师交接文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z

33、8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L

34、4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z

35、8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L

36、4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z

37、8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L

38、4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V37/26 1.询问手术名称及麻醉方法，有无插管困难。2.肌松药用量、追加时间及量，是否拮抗。3.术前主要合并症及入PACU 的观察重点。4.术中主要病情变化、出血情况。5.入 PACU 后生命体征交接。二、PACU 护士与手术室护士交接1.核对病人腕带、病历、床号、

39、姓名、性别、手术名称。2.检查静脉通路是否通畅、注射部位有无渗漏、输液速度。3.核对输液药品名称、输血者需两人再次核对。4.检查各种引流管是否通畅、手术部位敷贴有无渗血渗液、皮肤有无破损。5.交接病人物品如病例、衣服、X片，并记录、签字。三、PACU 护士与病房护士（ICU护士）交接1.交接病人神志、呼吸、生命体征的变化。2.静脉通路及液体种类、特殊用药。3.各种引流管是否通畅及量的交接。4.交接皮肤情况。5.麻醉恢复期特殊病情变化及处理。6.术后应重点观察的特殊病情变化。7.交接病人的全部物品并签字。四、麻醉恢复室转入标准1.凡麻醉后患者未清醒，自主呼吸未完全恢复或肌肉张力差，均应送恢复室。

40、2.凡各种神经阻滞发生意外情况，手术后需要继续监测治疗者。文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX

41、2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R

42、5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX

43、2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R

44、5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX

45、2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R

46、5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V38/26 五、麻醉恢复室转出标准1.中枢神经系统：神志清楚，有指令性动作；定向能力恢复，能辨认时间和地点。肌张力恢复，平卧抬头能持续5 秒以上。2.呼吸系统：能自行保持呼吸道通畅，吞咽及咳嗽反射恢复；通气功能正常，呼吸频率为12-30 次/min，PaCO2 在正常范围或达到术前水平，面罩吸氧时PaO

47、2高于 9.33KPa（70mmHg),SpO2 高于 95%。3.循环系统：心率、血压不超过术前值的 20%并稳定 30min 以上；心律正常或与术前无明显变化。4.椎管内麻醉后，感觉及运动神经阻滞已有恢复，交感神经阻滞已恢复；循环功能稳定，不需用升压药。5.术后用麻醉性镇痛药或镇静药后，观察30min 无异常反应。6.无急性麻醉或手术并发症，如气胸、活动出血等。业务学习及继续教育管理制度1.平时以自学为主，每周四参加科室内业务学习。2.每月第二周的周二组织集体业务学习，由年资较高的护士承担讲课，做好记录。3.对科室出现的疑难重病，事后应组织认真的讨论，提高护理技术水平。4.护士长根据情况，

48、安排科室护士参加医院组织的各个业务学习会议，并做好记录。5.积极参加院内外各种继续教育学术活动。6.由科室统一安排岗位培训、参观学习、开会进修。麻醉恢复室劳动纪律文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF

49、7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V

50、3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF7P8C9B8C1 ZX2L4T3V1V3文档编码:CF7F7R5Z8D2 HF