Hospital nursing work shift system

The shifting system is an important guarantee for the continuity of nursing work.

Nurses in each class should strictly abide by the nursing management system, obey the arrangement of the head nurses, stick to their jobs, perform their duties, and ensure that all treatment and care work is carried out accurately and in a timely manner.

Before the shift, the team leader and the responsible nurse on duty should check the implementation of the doctor's orders and the nursing records of critical patients, focus on the critical patients and new patients, and arrange the nursing work during the shift.

Each shift must be handed over on time, and the successor is 15 minutes ahead of the department to hand over the patient, care record, medical order execution and items. Observe the patient's condition and condition observation and care.

The last class of responsible nurses must complete the nursing work of the class as much as possible before the shift, handle the used equipment items and various drainage items at the bedside, and provide convenient conditions and materials preparation for the successor, such as disinfecting dressings. Test tubes, specimen bottles, syringes, standing equipment, clothing, etc., to facilitate the succession of the work. In case of special circumstances, it is necessary to make a detailed account, and work well with the successor before leaving.

In addition to the detailed handover, the rest of the shifts should be jointly inspected to the ward for bedside handover.

Handover content.

1) The total number of patients, the number of patients, transfer, transfer, childbirth, surgery, death, and newcomers, patients, rescue patients, before or after major surgery or special treatment, behavioral abnormalities, suicidal tendencies and Mental state.

2) The implementation of medical orders, the records of intensive care, the collection of various examination specimens and the completion of various treatments, and the unfinished work should be clearly explained to the successors.

3) View key patients, such as new entry, surgery on the same day or 3 days after surgery, critically ill patients, patients with special examination and treatment, patients with multiple drug-resistant infections, coma, sputum and other critically ill patients with or without pressure ulcers, and basic nursing completed Situation, various catheters and patency.

4) Valuable, poisonous, hemp, psychotropic drugs and the number of rescue drugs, instruments, instruments, technical status, etc., and sign the full name.

5) The handover operator will inspect the ward to check whether the ward is clean, tidy and quiet, and check the implementation of each work.

If you find that the condition, treatment, equipment, and articles are unclear during the shift, you should immediately ask questions. If the problem is found during the succession, it should be the responsibility of the shifter; if the shift is unclear after the shift, the accident or the loss of the item shall be the responsibility of the successor.

The responsible nurse or team leader fills in the “patient care handover log”. The writing of the "patient care handover log" should be

The writing is neat, clear and focused. The content of the nursing record is objective, true, timely, accurate, comprehensive, concise, coherent, and uses medical terminology. When the nursing nurse or the intern nurse writes the nursing record, the teaching nurse is responsible for the modification and signature.