The nurse should not carry out the doctor's order passively

The nurse should not carry out the doctor's order passively
The nurse should not carry out the doctor's order passively
Wang XiaoMei carries out the base that the doctor's order is the nursery work, everything treat, attends to and needs to put in force according to the doctor's order strictly. Therefore, the clinical previous part nurse has formed a kind of habit gradually: Only the doctor's order does, it. Cause on it is in addition nervous in relationship between doctors and patients,some doctor would rather " the left " Don't be " right " . Actually the patient's condition only needed to observe blood pressure two times every day, the doctor's order drawn was once every two hours, thus has increased some meaningless work load for the nurse. This facilitates the nurse to be busy with carrying out the situation of the doctor's order passively all day further, and lost the subjective initiative that the nursery work has gradually. Condition of patient changeful, and nurse whether condition change observers, providers of message, carry out doctor's order, certainly will lead to the fact, can go, catch message these voluntarily passively, thus influence the correct judgement to disease. I, while working in the department of general surgery, our department accepted a young woman patient of trouble and simple appendicitis for medical treatment one evening in the year before last. This disease is a kind of common disease that our department accepted for medical treatment, the doctor draws fasting, fluid infusion, doctor's order solving convulsion and resisting infection conventionally according to making a diagnosis. Find half an hour later the patient's abdominal pain and symptom not only has not lightened when I go to the ward to inspect the patient's therapeutic effect, and spirit is dispirited, complexion is a bit pale. I have measured physical sign of life for her at once, find its blood pressure is much lower when relatively admitted to hospital, pulse rate is obviously accelerated too. The experience tells me, simple appendicitis will not present the physical sign that this kind is like losing blood, losing the liquid, I search various diseases in conformity with above-mentioned physical sign in the brain carefully. Knowing a patient in near months after obvious reduced information of quantity, I suspect a patient may be ectopic pregnancy. Then report to a doctor and propose the suspicion of me at once. It proves my suspicion is correct to hold a consultation and relevant and check. We will implement urgent blood transfusion, operation,etc. and rescue the measure to the patient at once, the patient pulls through finally. Later, doctors on duty have sighed with deep feeling: The patient has denied having menopause history in the inquiries test, have just got rid of the possibility of ectopic pregnancy. Thank to nurse's work to take the initiative, diligently, if otherwise the consequence is too ghastly to contemplate. Here, I do not intend to brag about oneself. The reason why can find the clues that patient's condition changes in time, it would be that I point out me in the working experience for many years of the gynaecology if I want; 20 more than clinical nursery work of year make I to some too sensitive to help me about life detail perhaps. I only wanted to say, though nursery work needed implementing according to the doctor's order strictly, but there are many clueses of treating disease search some information, think to the depths voluntarily more, maybe can urge a valuable life to stay.


|