产房护理质量评价标准

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1、Building industry opens up new world of entrepreneurial struggle to build a three provinces of regional central cities-in the Communist x counties the six plenary session members and comrades: today, I was commissioned by the County party Committee Standing Committee, reports to the General Assembly

2、. Consideration of all members and alternates, and comrades attending advice. A, and this year yilai of work recalled this year yilai, in municipal of right led Xia, County solidarity led County people, to science development views for guide, to good activities for mainline, according to a city four

3、 modernizations three more of development thought, concentrated poly force, work hard, political, and economic, and culture, and social and party of construction are made has new progress, County rendering out wind fresh are, and career prosperity, and social settled, and people mind into of good si

4、tuation. (A) facilitating the construction of the project. Firmly establish the scratch project is economic, grasping development project is to hold philosophy, to extraordinary efforts to promoting the construction of key projects. Plot 108 key projects for the year, with a total investment of 29.3

5、 billion yuan, iron plate, Josh stone cement waste heat power generation and 13 projects completed, worship of 1.2 million tons of pellets, Hua Yu 80,000 sets of grandparent chicken farming, 47 projects under construction, completed investment of 3.95 billion yuan, annual plan of 69.3%. The first ha

6、lf of the Countys gross domestic product is expected to reached 8.5 billion yuan, and total revenue of 943 million Yuan. (B) structural adjustment achieved remarkable results. Actively transforming the pattern of economic development, industrial ecology, and agricultural modernization and industrial

7、ization of services. High x-County • Tin iron circular economy demonstration area, and further expand economic development zone Jing Dian recycle economy ecology industry Park, Park, circular economy and rapid economic development. Focus more on the dialectical relationship between development

8、 and environmental protection, energy saving and emission reduction projects play an important role. Vigorously developing agriculture, ecological agriculture, agriculture, modern agricultural clearing along the River Promenade begins to take shape. Key tourism projects is going well, WA Palace area

9、 was named top ten most influential cultural relics in Hebei province landscape. Develop new services, and services with new developments. (C) urban-rural integration process. Promoting three-year difference campaign, battle of two large demolition completed 32 days of 530,000 square meters, exceede

10、d the annual Task 7 months in advance. General big building jiangjun road, bridge and highway bridges, the green heart of the city and other urban construction projects, and focus on building new countryside and new housing model villages, urban and rural areas improve. Highway opened to traffic, Li

11、u Zhang, Qing LAN high-speed x-County section completed by the end of August. Urban and rural产房护理质量评价标准(100分)项目内容标准要求分值评分方法计分护理 管理质量 (60分)护理 管理质量 (60分)布局 设施 (15分)1.设立独立产房或在VIP病房内设立产床，感染产房与非感染产房分开。有向手术室迅速转移的通道，有条件者可在产房设立产科手术室。1查看现场，一项不符合要求扣0.5分2.布局合理，流程符合要求，按无菌-清洁污染原则流向，严格划分非限制区、半限制区、限制区，分区明确，并设分区隔断门

12、，设置双通道，污洁分流。标识齐全、规范、醒目。保持产房内安静，定时通风，无异味、地面整洁无污物。2查看现场，布局不符要求扣1分，流程不合理扣1分，三区划分不清扣1分，其余一项不符要求扣0.5分3.普通待产室：设可调式待产床24张，每床使用面积不少于6 m2，两床距离1m ；室内设卫生间（洗手池、沐浴设施、坐式便器）；有氧气及负压等设备带、空调设施及空气消毒设备；安装纱窗、活动式窗帘、隔帘或屏风；房门宽度以“待产床”出入为标准，其它配置同病房要求。2查看现场，不符合要求一项扣0.5分4.普通分娩室：床位设置合理，每张产床使用面积不少于16m2。安装固定无影灯、多功能设备带、空气消毒设备，有无菌物

13、品存放柜、药物柜，摆放符合要求；室内有壁挂钟（带秒针）、新生儿体重电子秤；治疗操作台、远红外幅射新生儿抢救台、记录台；治疗车、冲洗车、仪器车、抢救车、可移动式污物桶；常用助产器械（产钳、胎头吸引器、阴道牵拉器、大窥阴器、穿颅钳、宫颈钳等）、心电监护仪、胎心监护仪、多普勒胎心听诊仪、软皮尺、骨盆测量仪；新生儿复苏器械（新生儿复苏囊、大小复苏面罩、各种型号气管导管、婴儿低压吸引器、吸痰管、新生儿喉镜）；静脉切开专用盘、电动吸引器及吸引专用盘。墙上挂产后大出血、产时子痫、羊水栓塞、新生儿窒息等抢救程序图。除必备药品和常用抢救包之外，另配置产后出血抢救专用药盘或包、产时（产后）子痫抢救专用药盘或包、羊

14、水栓塞抢救专用药盘或包、新生儿窒息抢救专用药盘。5查看现场，不符合要求一项扣0.5分16.隔离待产室与隔离分娩室：配置与普通待产、分娩室一致，应利于消毒隔离。备有隔离衣、防护衣或围裙及袖套（防水材质）、防护眼罩；尽可能使用一次性物品，如一次性无菌产包、无菌衣、产床单、枕套及小被套等。1查看现场，不符合要求一项扣0.5分7.外科洗手间：设于限制区，洗手池设非手触式水龙头及冷、热水系统，并配干燥手装置，有完善的外科消毒手的设施。1查看现场，不符合要求一项扣0.5分8.准备室：根据需要配立式储物柜或台式储物柜、操作台等，存放各种日常待用医疗仪器与设施。1查看现场，不符合要求一项扣0.5分9.料理间：

15、设洗涤池、器械浸泡清洗池（分普通器械与感染器械）、分区拖把清洗池（分非限制区、半限制区、限制区、隔离），卫生工具挂放处（分非限制区、半限制区、限制区、隔离），各种用物初步消毒处理的设施等。 2查看现场，不符合要求一项扣0.5分人员配备 （15分）1.护士配备按助产士与产床之比为3:1，爱婴病房按每对母子配1名护士，知识、职称、年龄结构形成梯队，层次合理。有紧急状态下科室护士调配方案。3查看现场和资料，不符合要求一项扣0.5分2.产房为独立护理单位的，设护士长12名；如产房由产科统一管理，应设一名副护士长或组长专职负责履行产房护士长职责，实行岗位准入管理。2查看资料，一项不符要求扣0.5分3.专

16、职护士长需专科以上学历、主管护师或护师三年以上职称、获省级以上专科护士培训资质。2查看资料，一项不符要求扣1分4.在产房工作的助产士必须经过专科培训和急救技能培训，并有培训内容、培训考核合格记录。3查看资料，不符要求一项扣1分5.护士熟练掌握各种应急预案和抢救程序，掌握急救复苏技术、抢救药品的剂量与药理作用，掌握常用仪器操作规程、专科技术操作规程及护理常规，并能积极主动配合医生抢救。3现场考核、查看人员素质，不符合要求扣1分6.护士仪表行为规范、佩带服务卡上岗，服务态度热情，知晓工作职责，上班做到“四轻、十不、十不交接”。无推诿患者现象，不和患者家属发生争执。2现场查看和询问，一人一项不符合要

17、求扣0.5分质 量 安 全 （25 分）1.建立健全各项制度及岗位职责；严格执行产房查对制度、患者交接制度、参观制度、消毒隔离制度、药品管理制度、操作技术规范、设备保养及维修制度等。4查看资料，提问护士，一项不符要求扣0.5分2.加强护理风险管理，科室制定并实施安全管理应急预案与处理程序，有停水、停电、停冷、暖气、医用气体泄漏和失火等突发意外事件应急预案及应急措施，定期培训，人人熟悉。3查看资料，提问护士，一项不符要求扣0.5分2.落实药品管理制度，各类药物标签清晰，保存、保管方法正确，定期清理。外用、口服、注射、静脉用药分开放置，注射药用原包装盒盛装。高危药品单独存放，标识醒目。药物过敏试验

18、阳性者按要求标识，有过敏药物抢救盒。4查看现场，一处不符合要求扣0.5分3.急救物品齐全,管理做到“四定、三及时”，保持完好备用，仪器设备专人负责检查保管，有使用说明、定期保养和使用记录。每班接班时应检查仪器设备运行状态、产房温度、湿度是否符合要求，发现异常及时维修。抢救车有急救物品基数表，摆放有序，每周清点，帐物相符，并按要求封存。4查看抢救车、仪器，一处不符合要求扣1分4.依法进行毒、剧、麻醉类药品及精神一类药品的管理和登记，做到“五专”， 每班清点，交接班记录和使用登记符合要求。4查看资料，一处不符合要求扣0.5分5.做好分娩前各项准备。新生儿娩出后按脚印及母亲大拇指印各一只于新生儿记录

19、单上，新生儿系写有产妇床号、姓名和新生儿性别的腕（脚）带和胸卡（信息卡），胸卡还应标明新生儿出生时间、体重、身长。5查看新生儿和记录单，缺一项扣1分6.经常巡视婴儿、检查辐射台热水袋温度，根据产妇需要放置安全防护工具（床栏、约束带），防坠床、烫伤。1查看现场， 一项不符合要求扣1分护士长工作（5分）1.有年计划、月安排、周小结、半年总结、年终总结。每日检查护理工作有记录、每月有上级汇报、下级沟通。重要部门协调记录；每月开核心组会、护士会、业务学习各一次，完成及时。3查看现场和记录， 一项不符合要求扣1分2.有质控小组，每月有护理缺陷登记、质量安全分析、质量讲评及全科质量分析会议记录，有追踪、持

20、续改进措施。有护理教学与培训组织、培训计划、进修实习带教计划，定期查房。护士技能考核每年2次，三基操作考核及理论考核合格率达到90%，实施有记录可查。2查看护士长管理手册和记录本，缺一项扣0.5分工 作 质 量 管 理 （40 分）病情 观察 与 治疗 护理（20分）1.做好产前健康教育和母乳喂养指导，按要求落实基础护理措施。2查看现场，询问患者， 一项不符合要求扣1分2.严格交接班，分娩前交接班内容包括产妇血压、胎心、宫缩、宫口、阴道流血、用药情况。产后2小时产妇无异常，护送产妇回病房，详细交接血压、宫缩、阴道流血、会阴伤口、病情等，有记录和双方签名。4查看护理记录单，交接不全面、无交接人签

21、名扣12分3.准确执行医嘱，各种药物应用及时，顺序得当，输液（血）定时观察，无外漏、肿胀，执行单按要求填写并保存一周。3查看现场，一处不符要求扣0.5分4.密切观察产程进展，掌握专科护理观察指标，包括宫缩、胎心音、胎位、羊水性状，检查宫颈扩张情况，产程观察和处理及时，如有异常及时报告医生。3查产程图和记录单，一项不符合要求扣1分5.分娩后密切观察产妇阴道流血量、宫缩、胎盘娩出是否完整等，填写分娩记录及各种表格登记做到准确、客观、真实、及时。3查看护理记录单，未及时记录扣12分6.产后在产房及时做好产妇与新生儿的早接触、早吸吮并有记录。3查看护理记录单，未及时记录扣12分7.做好产妇心理护理，开

22、展与落实产前访视、产后回访。2询问产妇，未做全扣，不全面扣1分消 毒 隔 离 （20 分）1.设立科室院感监控小组及兼职监控员，负责产房院感管理有书面资料备查。2查看资料，无监控小组及兼职监控员扣0.5分，未履行职责扣0.5分2.环境、物品台面整齐，清洁无尘、无杂物、无污迹，物品定位放置，标识明显，无过期。2查看现场和记录，一项不符合要求扣1分3.工作人员进产房需更入室衣、裤、帽、鞋，洗手；外出需更换外出衣、裤、帽、鞋；进限制区或治疗室戴好口鼻罩。2查看现场和记录，一项不符合要求扣1分4.治疗、护理、处置前后常规洗手。严格遵守无菌操作原则及洗手程序，减少进出分娩间的频率，保持分娩间相对无菌。2

23、查看现场，一项不符合要求扣1分5.一次性无菌物品与灭菌物品分开放置，所有用于接生的物品和器械（产包里的扎脐圈、医用缝合丝线、吸引球和胎头吸引器、产钳）必须灭菌处理，有条件可使用一次性的产包。2查看现场，一项不符合要求扣1分6.凡是急诊、无肝功能测定结果、有传染病的孕妇必须在隔离待产室和隔离分娩间进行待产和分娩，并按照隔离技术规程进行接生和护理。有强致病微生物感染的孕产妇使用过的隔离待产室和隔离分娩室，应该严格执行终末消毒，达到无致病菌要求方可使用。3查看现场和记录，一项不符合要求扣1分7.按要求做好产房空气消毒，消毒剂保持有效浓度，各项监测结果符合院感要求，有记录可查，结果异常有整改有追踪。3

24、无监测资料扣1分，不达标的监测结果未查找原因1处扣1分8.工作人员每年体检1次，每半年做1次鼻咽拭子培养，凡健康带菌者及皮肤化脓感染者应调离产房工作。2查看现场，一项不符合要求扣1分9.医疗废物分类、处置符合院感要求，按医院废物处理卫生防护标准对患者的血液体液、敷料、排泄物等医疗废物进行正确处理。2查看现场，一项不符合要求扣1分短期启动为脱硝氨区系统因故停运24小时以上72小时以内的重新启动。在短期启动前，有液位容器的处于连续运行状态，其他机械设备处于停用状态。development work steadily in the pilot counties, to build peace nei

25、ghborhood offices approved, change, urban and rural communities (Center), immigrant communities, pilot projects such as integrated management of urban and rural sanitation in order. (D) maintain social harmony and stability. In the case of tight financial situation, continue to increase the input of

26、 people, happy people battle. Urban central heating and upgrade rural power grids, rural reconstruction of shabby housing ten major projects being delivered, has been overfulfilled ahead. Strengthening of social programs, college entrance examination to record heights; new rural insurance coverage r

27、ate of the citys first, launched in new rural cooperative medical clinic co-ordination; . Perfect Park catering, accommodation, education, recreation and other tertiary industries supporting, improving socialization service level, for industries, businesses and create a good environment for developm

28、ent. 3, flexible investment, enhance the industry. Construction of industrial parks, just set up a platform for the development of only attract more projects into the district, to form agglomeration advantages. A innovation project. To be purposeful, targeted investment, will have a basis of the Cou

29、ntys industrial packaged bundles, overall publicity and promotion. Initiative going, please come in and carry out all-round, multi-level and wide-range of investment activities. The Township industrial projects, in principle, to put to the West industrial parks. What town project, is that the output

30、 value of the Township. Second, we must grasp the standards selected items. Full account of extend the industry chain and the integration of factors of production, not only efforts to introduce a number of scientific and technological content and high added value, growth and strong driving force of

31、large projects and large enterprises, but also on domestic-funded enterprises and in accordance with the direction of industrial development of small and medium projects, project man, small project overwhelming. Meet the area of the Countys new industrial projects and city back into rural enterprise

32、s, in principle, all stationed in industrial parks. Meanwhile, strict control of excess capacity and high energy consumption, high emission enterprises to enter. Thirdly, increased incentives on the project. Investment of the whole society, the Township and County units go out and draft project. To

33、establish investment incentives for successful introduction of significant project gives awards to units and individuals, the introduction of tax for the implementation of the project, to introduce organization into rewards. 4, preferential policies, and security industries. In terms of project exam

34、ination and approval, by area Administrative Committee in conjunction with the development, planning, land, industry and commerce, quality control and other departments, one-stop reception, one-stop service, the simplified procedures, the time limit originally. In the management of EIA in accordance with the