凡涉及特殊傳染病按院感要求執(zhí)行?？諝饧帮w沫（結(jié)核菌陽、水痘、麻疹、流行性腮腺炎、流感等）患者轉(zhuǎn)運時須戴外科。Allthespecialinfectiousdiseases patientsarerequiredtotransferaccordingtothehospitalinfectionrequirements.Surgicalmasksshouldbewornwhentransferpatientswithinfectiousdiseaseswhichcanspreadthroughtheairordroplets(tuberculosispatients,chickenpox,measles,mumps,influenza,etc.).普通轉(zhuǎn)運Transferofcommon所有待轉(zhuǎn)運應(yīng)由責(zé)任護士或主管醫(yī)生評估后決定合適的轉(zhuǎn)運方式，Theresponsiblenurseanddoctorshallassessconditionsofthepatienttobetransferredanddecidepropermethodoftransfer,suchasonfoot,wheelchair,trolleyorbed.普通從轉(zhuǎn)運至檢查科室由工勤人員單獨負責(zé)。Transferofcommonpatientstotheexaminationdivisionsshallbeescortedbyodd-jobman.普通轉(zhuǎn)科時由護士和工勤人員共同負責(zé)轉(zhuǎn)運Transferofcommonpatientstootherwardsshallbeescortedbyresponsiblenurseandodd-jobman.責(zé)任護士陪同轉(zhuǎn)運時，護士長/護理組長安排人員該責(zé)任護士負責(zé)其分管的其他的護理工作。Whenresponsiblenurseescortstransferofpatient,headnurseshallarrangeanursetotakeoverherduty.工勤人員轉(zhuǎn)運前以及將送回后，須通知責(zé)任護士transferandafterreturningtoward.檢查科室在檢查過程中以及工勤人員 前，負 的安全Theexaminationdivisionshallberesponsibleforpatientsafety院外轉(zhuǎn)運需在獲得/家屬同意以及床位醫(yī)生開具醫(yī)囑后方可轉(zhuǎn)運。Patient/familymembermustagreetobetransferredtootherhospitalandtheresponsibledoctorshallprescribeordersbeforetransferstarts.危重轉(zhuǎn)運Transferofcriticallyill轉(zhuǎn)運下列危重時要按本規(guī)定進unstablevitalconsciousconvulsion氣管內(nèi)插管tracheal使用藥物后有意識抑制等改consciousinhibitionafterusinginvasivebloodpressuremonitoringvenousinfusiontoregulatebloodpressure,heartrateandmonitorornon-invasive醫(yī)生應(yīng)評估病情，以判斷是否可以轉(zhuǎn)運以及是否必須立即轉(zhuǎn)Doctorsshallevaluateconditionsofthepatient,determineifthepatientcanbetransferredandshouldbetransferredatonce.Ifapplicable,selectpropertransfertimeandmakepreparations.Followingpatientsshallnotbecardiapulmonarywithindicationofurgentintubation,butnotveryunstablehemodynamic,butmedicationsarenotusedtocontroltheconditionoxygenmountoroxygen開通靜脈通道，大至少保持以上的靜脈通道preparevenouspathway,maintainatleasttwovenouspathwaysforpatientwithhugebloodlossmonitoringPulseoxygensimpleartificialrespiratororportableventilatorforfirstaidkitfor必須由護士和工勤人員共同負責(zé)轉(zhuǎn)運，護士要求至少具有CPR，ThenursewithCPRandodd-jobmanshallberesponsibleforpatienttransfer,doctorshallescortpatientwithtrachealintubation,invasivebloodpressuremonitoringtube,monitor,ventilatorandvasoactivedrugs.轉(zhuǎn)運前須向家屬告知并 中記錄轉(zhuǎn)運的必要性及風(fēng)險，請家屬Beforepatienttransfer,notifyfamilymembersthenecessityandriskoftransferandwriteitincasehistory.Familymembershallsignhis/hername.Informthedepartmenttogetreadyforreceivingthepatienttobetransferred,lthemtimeofarrival,contacttheliftforPointsforattentionduring密切觀察的神志、瞳孔、呼吸、心率（律）及血氧飽和度等指標保持靜脈通路通暢以及各種管的固定及情況。機械通氣注意觀察氣道、呼吸機參數(shù)及氧供情況。Watchcloselyconsciousness,pupils,respiration,heartrateandpercentofoxygensaturationofthepatient,keepvenouspathwayfree,observefixationofdraintubesanddrainage.Observeairway,parametersofventilatorandoxygensupplyofpatientwithmechanicalventilation.Prepareforconditionchangeonthewayoftransfer,incasearrestofrespirationandheartbeatappear,carryoutcardiopulmonaryresuscitationatonce.轉(zhuǎn)運及檢查過程中，護送人員不得離開患者，病情變化及搶救，應(yīng)記錄在中。Theescortshallnotleavethepatientaloneduringtransferandexamination.Whenthereischangeofconditionandrescue,writeitincasehistory.非手 交接Handoverofnon-surgicalThenurseescortsthepatientandthenursereceivesthepatientshallhandlehandoverandtakeover.Ifdoctorpaniesthetransfer,heandthedoctorreceivingthepatientshallhandlehandoverandtakeover.的基本信息，明確的醫(yī)療和護理需求。Thenursereceivingthepatientshallfirstevaluatethepatient,thenhandletakeoverwiththenurseescortingthepatient,obtainbasicinformationofthepatient,includingmedicalandnursingThenurseshallfillin“Patienttransferhandoverform”beforetransferringthepatientandthenursereceivingthepatientshalltakeoverthepatientasperitemsoftheform,thenbothnursesshallsigntheirnamesontheform.《患者轉(zhuǎn)運交接單》隨到接收科室，由接收科室保存（室一式兩份，科保留一份）Thedepartmentreceivingthetransferredpatientshallkeepthehandoverform(emergencyroomkeepsoneofthetwocopies).手術(shù)轉(zhuǎn)運交接HandoversurgicalPreoperative手術(shù)當天手術(shù)室護士打印手術(shù)通知單，內(nèi)容包括科室、床交由手術(shù)室工勤人員提前30分鐘到接手術(shù)。printnoticeofthesurgicalpatient,includingdepartment,bednumber,admissionnumber,name,sex,age,theodd-jobmaninoperationtheatreshallgototheward30minutesinadvancetobringthesurgical4.2.1手術(shù)室工勤人員與責(zé)任護士核對手術(shù)通知單信息，雙方簽字確Theodd-jobmanshallchecktheinformationonthesurgicalnoticetogetherwiththeresponsiblenurse,aftersigningtheirnames,sendthepatienttotheoperationtheatreandbringcasehistory,imaging4.3.1責(zé)任護士和手術(shù)室護士根據(jù)《手術(shù)交接單》逐項進行交接，Theresponsiblenurseandthenurseinoperationroomshallhandoverthepatientasperitemsonthe“Surgicalpatienthandoverform”,bothnursesshallsigntheirnamestoconfirm.Postoperative經(jīng)PACU復(fù)蘇的符合轉(zhuǎn)出指征時，由麻醉醫(yī)生開具轉(zhuǎn)出醫(yī)WhenthepatientconformstodischargeindicationsofPACUrecovery,theanesthetistshallwriteanordertotransferthepatienttotheward.復(fù)蘇室護士通知，告知回時間及需準備的物品。Thenurseinrecoveryroomshallnotifythewardabouttimeofreturningandarticlestobeprepared.PACU送至ThenurseinPACUandodd-jobmanshallescortthepatienttotheward.責(zé)任護士和PACU護士根據(jù)《手術(shù)交接單》逐項進行交接，TheresponsiblenurseandthenurseofPACUshallhandoverasper“Surgicalpatienthandoverform”andsigntheirnamesontheform.術(shù)后轉(zhuǎn)ICU交接Handoverofpostoperativepatientto手術(shù)醫(yī)生與ICU醫(yī)生聯(lián)系，確定床位，并告知ICU醫(yī)生病ThesurgicaldoctorshallcontactdoctorinICUtoappointabedandlhimaboutconditionsofthepatient.手術(shù)室護士通知ICU護士到達時間及需要準備的物ThenurseinoperationroomshallnotifythenurseinICUtimeofpatientarrivalandarticlestobeprepared.Thesurgicaldoctor,anesthetist,nurseandodd-jobmanshallescortthepatienttoICU.由麻醉醫(yī)生按PACU復(fù)蘇的要求在ICU負責(zé)術(shù)后復(fù)蘇。TheanesthetistshallberesponsibleforpostoperativerecoveryofthepatientinICUasperPACUrequirements.ICUThesurgicaldoctorandanesthetistshallhandoverthepatienttodoctorinICUorally/atbedside.手術(shù)室護士與ICU護士按《手術(shù)交接單》逐項進行交接，ThenurseinoperationroomshallhandoverthepatienttothenurseinICUasperitemson“Surgicalhandoverform”andsigntheirnamesonDSA轉(zhuǎn)運交接TransferandhandoverDSAPreoperative手術(shù)當天DSA護士打印手術(shù)通知單，內(nèi)容包括科室、床號、住院號、、、、診斷、手術(shù)名稱、手術(shù)間號，交由DSA工勤人員提前30分鐘到接。Onthedayofoperation,thenurseinDSAshallprintanoperationnotice,includingdepartment,bednumber,admissionnumber,name,sex,age,diagnosis,nameofoperation,numberofoperationtheatre,theodd-jobmaninDSAshallarriveattheward30minutesinadvancetobringthepatient.并由責(zé)任護士填寫《手術(shù)交接單，由DSA工勤人員將手術(shù)送至DSA室，并帶好、影像資料、書中所用藥品和相Theodd-jobmanandtheresponsiblenurseshallcheckinformationonthenoticeandsigntheirnamesonit.Theresponsiblenurseshallfillin“Surgicalpatienthandoverform”,theodd-jobmanofDSAshallbringthepatienttoDSAroom,bringcasehistory,imagingmaterials,necessarydrugsandrelatedobjects.“Surgicalpatienthandoverform”andsignherPostoperative 員將送至ThenurseinDSAshallfillin“Surgicalpatienthandoverform”,signhernameandgiveittotheodd-jobmanofDSA,heshallescortthepatienttotheward.責(zé)任護士根據(jù)《手術(shù)交接單》逐項進行核對，簽字確認《手術(shù)交接單》存放在中Theresponsiblenurseshallcheckitemsof“Surgicalpatienthandoverform”,signhernameandputitincase如在手術(shù)過程中出現(xiàn)惡性心律失常、血流動力學(xué)不穩(wěn)定等危急情況，術(shù)后應(yīng)由手術(shù)醫(yī)生陪同將送至。Incasethepatienthadsuchcriticalconditionsasseverecardiacarrhythmiaorunstablehemodynamicsinoperation,thesurgicaldoctorshallescortthepatientbacktotheward.術(shù)后轉(zhuǎn)CCU交接Postoperativehandoverat手術(shù)醫(yī)生與CCU醫(yī)生聯(lián)系，確定床位，并告知CCU醫(yī)生病ThesurgicaldoctorshallcontactthedoctorinCCU,appointabedandinformthedoctorinCCUconditionsofthepatient.DSA護士通知CCU護士到達時間及需要準備的物品。ThenurseinDSAshallnotifythenurseinCCUtimeofpatientarrivalandarticlestoprepare.無錫市第五人民醫(yī)院WuxiNo.5People’s患者轉(zhuǎn)運交接單Patienttransferhandoveradmission/OPDvitalsignsupon pain：□No□Yes（□FPS.R□NRS□FLACC□ OT＿＿min）position＿＿＿＿＿＿＿＿nature：＿＿＿＿＿＿＿＿consciousness：□sober□somnolence□disturbed□lethargy□superficialcoma□deepcoma□（filledbyneurologicalVarioustubesuponArtificialventilation：□intubation（□mouthdepth＿cm，□noseinfusion：□No□Yes（□PICC□CVC□venousinfusionset□others：＿＿＿＿Drainagetube：□No□Yesnumber＿（□urethralcatheter□gastrictube□thoracic markofdrainageOtherconditionsuponAllergichistory：□NoSkintest：□penicillin＿＿□cefaBloodreserve：□No□Yes（amount：＿＿ml）Bloodproduct：□No□Yes（total＿bag）Testreport：□blood＿piece□ECG□X-ray□ultrasonicsize&others：□OPDcasehistory□wardcase□wristTransfermethod：□onfoot□wheelchair□stretchercart□rescuebedBraden2,special3,SignatureofnurseintransferringSignatureofnurseinreceiving

無錫市第五人民醫(yī)院WuxiNo.5手 交接單surgicalpatienthandoveradmission/OPDDateofNameofplannedPlannedanesthesia1,vitalT：＿＿℃；P：＿＿times/min；R：＿＿times/min；Bp：＿＿＿＿mmHg；pain：□No□Yes（□NRS□FPS.R□FLACC□ OT＿＿）consciousness：□sober□somnolence□disturbed□lethargy□superficialcoma□deepcoma□sedative；pupil：diameter：left＿mm,right＿mm；light□disappear（filledbyneurological2,wristband：□NoIDconfirmation：□No3,markatoperationsite：□Noconsent：□NoSafetychecklist：□No4,fasting：□No□Yesstart5,removedobjects（falsetooth,contactglasses,ornamentsandvaluablesec.：□No＿＿＿＿＿＿＿6,allergichistory：□No7,skin：□intact□damagedposition&area：＿＿＿＿＿＿＿＿＿＿＿Braden8,surgicalgown：□No＿＿）medicationduringoperation：□No□Yes（name：＿＿＿＿＿＿＿broughtinto□X-rayfilm/CT/MRI（total＿pieces）□casehistoryInfusiontube：□No□Yes（□superficialvenousneedle□PICC□Bloodproduct：□No＿Bloodreceivingform：□NoDrainagetube：□No□Yestotal＿pieces（□urethra