Should the nurse check on the doctor's order

Should the nurse check on the doctor's order
Should the nurse check on the doctor's order
The intersection of staff reporter and good " the the intersection of nurse and regulations " Tan, issue, many people suspect to the intersection of chapter three and the intersection of article 17 and provision that the nurse must give first aid in advance in urgent cases, this newspaper was once reported to this. The reporter finds in the interview, it caused the extensive concern that another provision on carrying out the doctor's order is attending to the circle too in article 17 of " nurse's regulations " at the same time. Why does doctor's order wants us to be responsible for except that the emergency must be given first aid in advance wrong, article 17 of chapter three of " nurse's regulations " still stipulate, the nurse should also perform duty of checking, carrying out the doctor's order correctly, otherwise bear corresponding legal liability. " nurse's regulations " stipulate, the nurse finds that the technical specification is fixed to violate the laws and regulations, rule or make a diagnosis in doctor's order, should propose to the doctor who opens the doctor's order in time; If necessary, should report to person in charge of this doctor's department or medical personnel responsible for management of medical care of health organ. If the nurse finds the doctor's order infringes the provisions of laws and regulations, rule or technical specification of making a diagnosis, have not proposed the report according to the regulation, is ordered to correct according to the division of duty by the local people's government hygiene responsible institution above county level, warn; Of a serious nature, suspend its operation activity not less than 6 months and not more than 1 years, the department revokes its nurse's practising certificate until being issued licence originally. "The doctor's order was opened by doctor, the nurse has no right to make the doctor's order, just carry out the doctor's order, why also want us to check on correctly or not the doctor's order, in case is it the wrong doctor's order that also want a nurse to responsible for this? " Does a nurse complain to the reporter, " the nurse finds doctor and cuts, what if making doctor discontent? " As the hospital administrator, the directors feel a bit puzzled too. One director s order, the nurse finds that the technical specification is fixed to violate the laws and regulations, rule or make a diagnosis in doctor's order,s, some can find, it is OK to put forward to doctor naturally, but some are limited to the nurse's knowledge level and ability, it is unable to find, the nurse may bear responsibility for this. Once the medical dispute takes place, the medical organization can not sit on the sidelines either. The nurse shoulders certain responsibility for doctor's order the relationship between doctors and patients of Xuanwu Hospital of Capital University of Medical Sciences coordinates Du ShuYing, Deputy Director of office, to think, should understand this kind of regulation from two respects. First of all, if the doctor's order that the nurse finds the mistake obvious lets matters drift, it is undoubted to bear legal liability. For example, test a nurse as to the skin to judge for being positive, but the doctor thinks the all right administration when such as this kind of situation, the nurse must adhere to principles, abide by and attend to norm and routine, correct doctor's wrong doctor's order, accomplish " nurse's regulations " the fixed one " Should report to person in charge of this doctor's department or medical personnel responsible for management of medical care of health organ if necessary " ,Stop the emergence of the mistake. Market the People's Hospital Shang XuLi of Lishui in Zhejiang Province proposes too, checks and carries out the obligation of the doctor's order correctly, need nurse's understanding that the doctor's order has judging nature and thinking at work, carry out blindly, can't have " doctor's order of doctor anyway, getting wrong in me " Thought. Because according to " nurse's regulations ", have responsibility on wrong doctor's order nurse to propose the objection and report to higher authorities. The very crux: Legal liability is unclear in definition " but on the other hand, the provision that the nurse must check, carry out the doctor's order correctly in " nurse's regulations ", though legislative original idea its for prevent from mistaken to correct, let mistake continue and lead to the fact the emergence that the patient damaged, but in the real work, the nurse carries out and also faces a lot of concrete problems. " Du ShuYing analyzes, with the establishment of the human-oriented medical idea, the healing solution in the clinical work is paid attention to further individualizedly, because doctor, nurse divide belonging to two professional categories, in addition the restriction in conditions such as nurse's age and service seniority, experience,etc., go on, differentiate and analyse to incorrect doctor's order while being difficult, can't find doctor's order have obvious problem and carry out lead to the fact fault, how to fix the nurse's legal liability? If the doctors and nurses bear legal liability together, it is just to nurse? The coupling mistakes or accidents of doctors and nurses may be in the unclear condition of definition of legal liability. She thinks, according to the unclear regulation of definition of this legal liability, once the medical dispute takes place, apt to lead to the fact that it is unclear to belong to the responsibility, may initiate the contradiction conflict between the medical personnel too. Doctor and nurse should do own duty, can't go wrong and punish the innocent and the guilty alike, or let nurse's responsibility to the doctor check on. The affairs nurse wants to be responsible for except propose issuing the relevant specification as soon as possible in the scope of offical duty, supplementary to improve legal power and responsibility to belong to outside, the experts especially emphasize a nurse's own subject function. The hospital of Ministry of Public Health manages the research institute and attends to Gong YuXiu, director of centre, and says, nurses should study the normal and relevant knowledge of making a diagnosis correlated to professional category conscientiously, but not carry out the doctor's order passively, " should ask several more why, much brain work, do not conform to normal situations and take place, could find, remedy the loophole in time like this. " In addition, nurses should fill in surgery and attend to and record various nursing such as being single to record only conscientiously, strictly observe the case history and write the norm, various document materials not merely have scientific value, also can contribute when the law is put to the proof. "The nurse should check on the affairs in one's own scope of offical duty. " She says, it is recorded that apparatus, dressing,etc. used in the operation are relevant to need to be finished by nurse for example, operation nurse and patrolling the Taiwan nurse to bear the responsible for checking apparatus, dressing together, find the quantity will offset and remind a doctor of looking for in time soon, will avoid leaving over in patient's body. It is essential to improve one's own overall qualities Propose to some nurses " It will make doctor discontent to find fault for the doctor " Worry,Gong YuXiu director propose also especially, be needed if you can't improve, attend to clinically by skill not merely nurse, need to improve and including synthesizing and coordinating ability, interpersonal communication ability in the overall qualities inside even more, could offer high-quality medical treatment service for the patient in doctors and nurses' mutual understanding cooperate in this way. Find there are places to violate the regulation in the doctor's order, how to remind the doctor by putting forward or ingenious suggesting directly, need the nurse to have good interpersonal communication and communication skills, need sometimes to be without any consideration of personal feelings, whether must propose directly, or ask the doctors of higher authorities for instructions to solve. PLA general hospital attaches to Jiao WeiHong, head of the nursing department of second hospital, and is thought, this provision of " nurse's regulations " means the nurse's responsibility is greater. But it is seriously scarce to attend to the human resources now, the proportions of doctors and nurses are unreasonable, various odd jobs that the nurse bears cause the nurse not to have more time to go to by the patient too much, also have more time to study intensively the business, that the quality of basic nursing appears to come down, question of dropping etc. that the nurse attends to the engineering level clinically. These questions If can't be solved effectively, it has certain difficulty that the nurse should really fulfil one's own responsibility. As to this, accompany and attend to, fetch for the whole every inpatient area of a institute and keep a public place clean, inspect the all-round service of medicine,etc. by ready samples, accompany and attend to, fetch, do not technology and work with low technical content separate quite a few of out of the nurse's duty; Either introduce a secretarial personnel or set up rear-service ensurance system, liberate the nurse from not professional affairs; Set up intravenous medicine and dispose the centre, save and attend to the human resources, thus increase the hours that the nurse attends to the patient directly, improve and attend to quality and patient's satisfaction.


|