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ICU nursing workflow (editable) doc download

Updated: 2019-07-07

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ICU Nursing Workflow Catalogue 1. Nursing operation standardizes service process, understands patient's condition, and evaluates illness. 2. Prepare the medicine according to the doctor's order and the conditions of the operation. 3. Carry things to the bed and strictly implement the ldquo three check seven pair rdquo system. Explain the purpose, brief methods, and precautions to the patient. Pay attention to observe the patient's reaction and ask the patient to feel comfort and encouragement. 2. Strictly implement various operating procedures and aseptic principles. 2. Check the patient's overall feelings again and explain the precautions. Thank you for your cooperation. 2. Closely observe the patient's reaction and feeling after the treatment operation and make a nursing record. 2. After the operation is completed, the articles shall be processed according to the disinfection technical specifications. Second, ICU and other department patient handover management process 1. After receiving the patient, the nurse must ask the patient's condition to be clear about the patient's condition and be ready to receive the patient. 2. After the patient arrives at the department, the nurse should respond within seconds and hand over within seconds. 3. Handover content: patient name, gender, age, hospitalization number, diagnosis, vital signs, skin condition, wound condition, intravenous infusion condition, special drug band condition, patient treatment condition, etc. , For coma, unconsciousness, unconsciousness, inability to seriously ill patients and children, elderly patients, speech and hearing impairment patients must perform more than two (including two) methods to identify patients (such as wristbands, medical records, etc.) 2. Make relevant records. The two parties signed and approved the patient's condition on the ldquo record when the patient was transferred. Second, the transferred patient, the doctor decided to transfer the patient, the nurse on call informed the receiving department to prepare and contact the patient's family. 2. Before the transfer, evaluate the patient according to the ldquo Critical Patient Safety Transfer Evaluation Standard rdquo. Based on the scoring results, the transferer decides whether to bring rescue items. This assessment is required to be completed minutes before transfer. 2. Improve nursing record sheet and three test sheets. 5. Take inventory of patient's daily necessities, medical records, X-ray films, CT, MRI films and special items. The transporter sends the patient to the receiving department together with the patient's family. , Hand over the patient's name, gender, age, hospital number, diagnosis, vital signs, skin condition, wound condition, intravenous infusion, special drug introduction, and patient treatment with the ward staff. 2. Make relevant records. Ldquo The patient's condition at the time of the transfer between the two parties should be signed and approved on the rdquo record form. 3. The ICU prepares the work flow before receiving the patient, and cleans and disinfects the ward bed unit. 2. Laying a spare bed or temporary bed requires clean and dry. 2. Prepare the oxygen absorption device at the bedside. The bedside is equipped with a suction device. 3. Prepare monitors and electrode pads by the bed. 3. Prepare a treatment car near the bed. Disposable suction tube for sputum suction in the treatment car. Hand sanitizer bottle, iodine bottle, cotton swab bag, sterile saline bottle, restraint root, body temperature needle , A pressure bag. 2. Prepare a nursing record sheet and a bedside card on the record table. Fourth, the patient admission nurse standardized service workflow, ICU nurses received emergency or ward phone notification to prepare to accept patients for admission. Be prepared to welcome new patients. 2. The patient is sent to the ICU ward to ring the ICU doorbell. The ICU nurse responded immediately to open the door to receive new patients within seconds. , ICU nurses hand over patients, cases, items, etc. to emergency or ward nurses. 3. Inform the doctor to check the patient's vital signs at the same time. 4. Give various treatments and nursing records according to doctor's orders. Fill in various forms such as daily list, bedside card, etc. Admission to conscious patients. 4. Explain to the patient's family the admission notice, notice of restraint, and visiting system. 4. Explain the precautions and encourage patients to thank them for their cooperation. V. ICU patient discharge nurses standardize the service workflow and notify patients to prepare for discharge according to doctor's orders. 2. Inform the patient's family to pick up the patient and discharge it. 2. Contact telephone number for consulting records of consultations on discharge health education guidance for patients. 2. Stop various treatments and nursing according to doctor's orders. 3. Organize the cases according to the order of discharged cases and make a record of all nursing care and discharge registration. Assist the patient or family member to go through the discharge procedure at the discharge office. 2. Distribute medicines for discharge and discharge according to the doctor's order. Assist the patient to organize the items and accompany the patient to leave the ward to thank the patient for cooperation. 3. Remove the patient's hospitalization list, the bedside card, and arrange the bed unit according to the disinfection specifications. 6. The workflow of receiving surgical patients, receiving notification from the operating room to inform them of receiving surgical patients. Prepare bed unit, monitor, and ventilator. 2. Send the patient to the ICU in the operating room. 2. The ICU nurse and the operating room nurse hand over the patient to assist the patient in bed. 1. The ICU nurse connects the ventilator to observe whether the ventilator is working normally and monitors the pulse oxygen, blood pressure, pulse and breathing. 3. Observe the state of mind, pupil transfer, infusion, and medication. 2. Observe the situation of the drainage tube and ask the operating room staff to understand the placement of the drainage tube and the drainage requirements. 3. Hand over and properly fix the gastric tube, urinary tube, and arteriovenous catheter. 3. Handover with operating room personnel, identify patient identity (identified by two methods), hand over patient supplies. 2. Fill in the patient handover registration form and sign the signatures of both parties. 2. Improve nursing records. Seven, ICU patients in the hospital CT examination process routine CT examination, the doctor issued a CT examination doctor's order. 1. Tell the CT room to notify the family. According to the ldquo score of the ldquo critical patient safety transfer evaluation criteria, the results are used to determine the transporter and the rescue supplies. After the family members arrive at the hospital, they will evacuate the monitoring equipment and arrange the bed unit to bring the original CT film and CT application form. The transporter and his family escorted the patient to observe the changes of the condition at any time during the CT examination. 2. After the examination, escort the patient back to the ward. 5. Immediately after returning to the ICU, monitor vital signs to observe the consciousness, pupils, and bed unit. 2. Improve nursing records and check-out books. In time, check the results of CT examination. Emergency CT examination, the doctor issued an emergency CT examination doctor's order. 3. Immediately inform the CT room to be ready. 4. Take out the original CT film of the rescue object and the CT application form to evacuate the monitoring equipment to arrange the bed unit. The doctor and nurse escorted the patient for CT examination. 2. Observe the condition closely on the way. 2. After the examination, escort the patient back to the ward. 5. Immediately after returning to the ICU, monitor vital signs to observe the consciousness, pupils, and bed unit. 2. Improve nursing records and check-out books. In time, check the results of CT examination. Attachment: The procedure of X-ray examination in ICU patients is the same as above. Eighth, the sputum culture specimen collection and inspection process, the operator checks the test list according to the doctor's order, including the bed number, name, and specimen type. 2. The operator washes his hands. 2. Keep the sputum samples correctly according to the sputum suctioning procedure and strictly perform aseptic operation. 6. It is strictly forbidden to put the specimens in the refrigerator for timely inspection. Ninth, the training process, the training of trainee nurses, the training of trainees, the admission of trainee nurses. Admission registration. , Head nurse or quality inspector for admission introduction: environment, rules and regulations, standardized nursing service processes, etc. Issue ldquo novice nurse training manual rdquo. The head nurse arranges shifts. , Enter further studies, internships. X. The tracheal intubation nursing cooperation process, the nurse received a doctor's order for tracheal intubation. Immediate preparations include laryngoscope, tracheal catheter, catheter core, stethoscope, syringe, dental pad, local anesthetic, adhesive tape, suction device, suction tube, simple breathing balloon, compression mask, sterile gloves, if necessary Prepare eye masks and rescue items. 2. The sobriety nurse should explain well. Assist the placement of the patient's position: go to the pillow and lie down, and place a small pillow on the patient's shoulder if necessary. The doctor intubates the trachea. 2. The doctor confirms whether the catheter is in the airway (auscultation of breathing sounds, whether there is gas exhalation, etc.). The nurse assists the patient with a simple breathing balloon through the tracheal tube to air the patient for the doctor to aspirate the breathing sounds. Re-intubate if not in the trachea. 2. The nurse in the trachea assists in fixing the catheter and sucks out airway secretions in time to record the depth of intubation. 2. Follow the doctor's advice to mechanical ventilation. Eleventh, the nursing cooperation process of deep vein puncture and catheterization assists the patient to take a good posture. 1. Open the sterile puncture bag to assist the doctor to put on the sterile clothing. Open the puncture bag and hand the puncture doctor the disinfection scope. Pass the syringe to the puncture doctor and assist him in sucking the local anesthetic. 2. When the puncture doctor sets the deep vein indwelling catheter, the nurse who cooperated with the doctor immediately passed the doctor's ventilated infusion tube and assisted the doctor to remove the contaminated treatment towel from the puncture site. 3. Clean the puncture site and open the small cut package to the puncture doctor to assist the doctor to fix the venous catheter. 2. Finish the bed unit to assist the patient to take a comfortable position to thank the patient. Twelve, ICU arterial invasive pressure measurement procedure, the doctor issued a doctor's order to measure arterial invasive blood pressure. The nurse informs the patient or family members of their informed consent. 3. Nurse preparations (arterial indwelling materials and pressure measuring devices). Select blood vessels. 2. Perform arterial puncture and connect the pressure measuring device and fix it. Adjust the zero point (the transducer and the atmosphere are placed at the level of the intercostal intercostal line). 3. Graphical identification and analysis of arterial pressure set the alarm range correctly. Observe and regularly record blood pressure. 3. Pay attention to any complications (local redness, swelling, pain). If there is any abnormality, immediately report the doctor to pull out the catheter. Thirteen, ICU fluid replacement process, when the patient is observed to be insufficient fluid. Check the patient's bed number, name, liquid, drug name, and dose. 2. Pay attention to incompatibility. Check the patient's bed number, name, liquid, drug name, and dose at the bedside. 2. Patients who are awake to explain the effects of drugs and precautions. 2. Observe whether the liquid dripping speed meets the requirements of your doctor. 2. Check the patient's bed number, name, liquid, drug name and dose again. 2. Make a record on the care record sheet. Fourteen, single-handed cardiopulmonary resuscitation steps, methods, and points of attention to judge cardiac arrest (s) (slap shoulders and shout ldquo Hello! What's wrong with you? Rdquo? Looking at the complexion, pupils, chest fluctuations, carotid artery listening to airflow Voice, heart sound) Darr asks others to assist in the rescue (call Dr. ldquo Doctor / Nurse come to rescue the patient! Rdquo) Darr straightens up the resuscitation position (the supine head, the trunk, the lower limbs are straight and the upper limbs are placed on the sides of the torso.) Darr Open the airway (remove the oral foreign body and lift your head and lift the neck) Darr uses a simple respirator to assist breathing (times) (fix the respirator mask to the patient's mouth and nose with one hand and squeeze the breathing airbag with the other hand to blow air every second Chest) Darr chest chest compressions (times) (Note: compression during CPR: ventilation =: cycles s) CPR judges the effect of resuscitation: look at the consciousness, complexion, pupils, breathing movements, touch the carotid artery and listen to heart sounds. And said ldquo rescue success rdquo. Put away your clothes. [External chest compression] Position: The two digits on the other side of the sternum costa notch are close to the middle of the sternum above the two digits. Placement: One palm root is placed in the pressing position and the other palm root overlaps and the two fingers are lifted away from the chest wall. Posture: The body leans forward at three points and shoulders, elbows, and wrists, and presses the hip joint as the fulcrum with the upper body. Depth: adult ~ cm ~ year-old infant cm. Frequency: times. Note: The compression should be smooth, regular and uninterrupted: relax ==: do not leave the root of the sternum when the palm is relaxed. Look at the face when pressing. [Use of simple breathing apparatus], preparations: simple breathing apparatus (breathing sac, mask, fixing belt, connecting tube) oxygen device, connecting breathing airbag with oxygen device (oxygen flow rate ~ Lmin), one hand using EC method to be sick The population fastens the mask on the nose and squeezes the breathing airbag (~) with the other hand to observe whether the chest of the patient is undulating. Fifteen, the use process of the syringe pump, press the ON key directly after starting. 2. Install the syringe: lift the pressure of the syringe, load it into the syringe, and move the syringe handle. Customize syringe parameters. Pre-filled tubing to remove air from syringes and infusion tubes. Set the patient's weight. Set the drug concentration. 2. Set the injection speed. 2. Preset total. Set the total amount. Set the time. Set the first dose. Set the time for the first dose. Set the maintenance speed. , Return mode or unit selection. Start to inject the STAR button. 16. Operation procedure of the infusion pump After the liquid is ready for infusion, insert the infusion pump with the infusion device darr to fix the infusion pump properly or place the power supply and turn on the power switch. (OPEN) darr exhaust fills the Murphy's dropper with liquid and places the drip speed sensor on it. Darr opens the pump door and installs the infusion tube in the tubing of the infusion pump. Closes the pump door. Darr sets the infusion rate (MLL). Darr sets the total amount of infusion required. The lower end of the darr infusion pump tube is connected to the patient's venous channel. Release the manual switch of the infusion set. Darr starts the infusion by pressing the STARTSTOP button. At the end of the darr infusion, press the (STARTSTOP) key to stop the infusion and turn off the power. Seventeen, the use of the transfer ventilator process, select the power supply used When all power supplies are external AC power supply, the power adapter needs to be plugged into the host's DC input socket. If it is not plugged in, the power supply is used as the internal power supply of the machine. Open the gas source. When using the L oxygen cylinder gas source, turn on the ldquo oxygen supply switch (main switch) rdquo and ldquo pressure switch rdquo at the top of the bottom of the bottle and turn it on to the maximum. Use the special pressure reducing valve to connect the L or L bottle to open the ldquo oxygen supply. Switch (Master Switch) rdquo. 、 Turn on the power switch to turn on the power indicator to turn on the ventilator to start working, observe the accuracy of the ventilator tidal volume and other parameters with a skin bag, and then adjust the mechanical ventilation mode, breathing frequency, tidal volume, flow and oxygen concentration, and set the airway pressure according to the patient's situation Upper and lower limit alarm parameters (see the key section of the panel description for details), if the ventilation mode is set to the auxiliary ventilation mode (ACSIMV mode), you need to set the synchronous inspiratory trigger pressure and peak pressure (for details, see the first part of the key section of the panel description) If you need to control ventilation for a long time (C mode) and need to regularly expand the alveoli at the bottom of the lungs to improve the gas exchange in these areas to prevent atelectasis, you also need to set a sigh frequency (see the button section of the panel description for details) Article 2) Remove the skin capsule and replace the mask or directly connect the gas cannula to ventilate the patient. Eighteenth, Dr?ger and McCowy ventilator operation process Connect the breathing tube darr Connect the simulated lung darr Add distilled water according to the instructions of the humidification chamber Darr Turn on the machine switch darr Select the ventilation mode (confirm) darr Adjust the required parameters (confirm) darr adjust the temperature of the humidifier darr view the monitoring parameters darr shut down darr press the standby button darr press the alarm reset darr turn off the power switch darr unplug the mains connection nineteenth, PB ventilator operation process connect the power and high pressure oxygen darr connect the filter, Humidification bottles, tubing (adults, children should use different types of humidification bottles, tubing) Disconnect the lung darr, turn on the power, whether the darr uses a different type of humidification bottle, tubing than the last time ( Please report) NOYESALERTORFALURESAMEATIENT The same patient NEWPATINET new patient PASSEDSST (quick self-test) Press touch NEWPATINETACCEPT to confirm the IBW ideal kilogram weight Touch the IBW knob to adjust to the ideal kilogram weight suitable for the patient and press ACCEPT to confirm darr () breathing mode () control mode () Support method () Trigger mode AC assisted control ventilation mode VCPCVtrigPtrigSIMV synchronization Break command ventilation mode VCPCPSNOPSVtrigPtrigSPONT autonomous breathing mode PSNOPSVtrigPtrigBILEVEL bilevel positive airway pressure ventilation mode PCPSNOPSVtrigPtrigVC volume control PC pressure control PS pressure control Vtrig flow trigger (recommended) Ptrig pressure trigger darr according to the patient's condition select the appropriate mode and press CONTINUE to adjust the parameters and press ACCPET confirms darr WAITFORPATIENTCONNECT (waiting for patient connection) darr connects the patient (or lungs). After darr patient withdraws from the machine, turn off the power and disconnect the power cord. Air source remove the filters, pipes, humidification bottles, and water collection devices for disinfection. Twenty, the use of electric suction device connected rubber tube and negative pressure bottle darr power on, switch on darr to check the performance of the pipeline, negative pressure device to adjust the negative pressure (negative pressure adult ~ Mpa child (Mpa) darr holding a sputum tube to test suction Lubricate and flush the suction tube with normal saline to check whether the pipe is open. Darr suction (sputum suction time does not exceed s). After darr pulls out the suction tube, inhale the saline and flush the suction tube. Article 21 after use, ECG monitor use process Connect various wires and turn on the power switch to check whether the ECG monitor is normal. Darr connects the electrode pad to the monitor lead and sticks it to the correct position on the chest of the patient according to the monitor identification requirements. Darr selects the lead according to the situation: adjust amplitude, alarm The upper and lower limits ensure that the monitoring wave is clear and without interference. Darr shuts down when the ECG monitoring is stopped, disconnects the power and removes the electrode pads. The darr disinfection code requires that items be sorted and used. Twenty-two, the use process of the electrocardiograph will push the instrument to the patient bed to do a good job of interpretation. Darr observes the skin condition of the patient's chest. Darr assists in achieving a comfortable position. Darr connects each lead to the host. Darr turns on the power switch and enters the patient's gender, age, and hospitalization number. Darr prints the ECG off. Thanks darr for assisting in getting the comfortable bed unit. 23. Use process of defibrillator Check and debug defibrillator. The darr patient lies on a hard bed. Apply defibrillation pads and conductive paste evenly to the patient's chest. Turn on the power and set to a non-synchronized position to adjust the defibrillation energy to the required reading and start charging. Darr placed the sternum electrode plate (STERNUM) on the second intercostal space of the right margin of the sternum and placed the apex electrode plate (APEX) on the apex (lower left of the left nipple) at least two centimeters apart. Darr applies a pressure of ~ Kg to each electrode plate. Darr presses the charge button and calls ldquo to let go rdquo to remind others to leave the bed. Generally, the first time energy is given to J, if it is invalid, the electric shock can be repeated and the maximum energy can be increased to J. Darr pressed the electric shock button to discharge the patient's chest muscles and upper limbs twitch. Immediately after darr shock, observe the ECG on the monitor to see if the sinus rhythm is restored. Darr helps the patient clean the conductive paste on his body to assist in a comfortable position. Twenty-four, the operating process of the multi-functional blood gas analyzer, start darr, select ndashindashSTRTCartridgedarr, insert a test paper card, darr, enter the operator's work number, and press the ENT key, darr, enter the patient hospital number, press the ENT key, darr, and press the right page key. darr input body temperature darr input inhaled oxygen dissolved concentration darr press Page right page key (result after two minutes) darr press print key to print the result 25. Operation process of the hypothermia treatment instrument Prepare before starting (check the water tank is connected well) The body temperature sensor is connected to the tubing, and a thin blanket is laid on the blanket. Darr power on darr set the water temperature darr press the water temperature control switch ONOFF key to run darr set the body temperature darr press the body temperature switch ONOFF key to run the darr power off darr remove the pipe and temperature sensor 20 Six, simple respirator operation process Connect the simple respirator and the oxygen device darr Turn on the oxygen switch darr to check whether the connection is correct, whether there is an air leak in the breathing darr Turn off the oxygen switch and wear gloves darr to clear the patient's upper suction secretion and vomit to remove the denture Darr to the patient to take the appropriate position Darr to open the airway (untie the collar, belt and hold the lower jaw so that the patient's head is tilted back) Darr to open the oxygen Switch on and adjust the flow rate darr to the patient wearing a mask (EC method fixed) darr squeeze the airbag darr to observe the thoracic undulation of the patient 27. Operation process of enteral nutrition pump Hang the infusion bag (bottle) connected to the infusion set to the infusion Darr is used to fix the nutrient pump under the infusion bag (bottle) on the rack. Darr turns on the infusion set switch to fill the nutrient solution into the infusion set. Darr injects the nutrient solution in the ldquo mophie tube rdquo. The nutrient solution must not exceed the water level. The rdquo, hose and infusion tube are installed on the pump as required. Darr Turn ON the power switch according to the digital setting andor and adjust the rate to the desired value. Darr Press the fast forward button to exhaust the gas from the infusion set. Darr Connect the infusion set output connector with Connect the catheter to darr and press the start key to pump the nutrient solution into the intestine (stomach) intermittently. Enter the ICU in the emergency department. Flow chart for the critically ill patient in the emergency department. The dar doctor on duty asks ICU for emergency consultation. ICU indicates that the condition is extremely critical and it is not easy to move darrdarr. ICU doctors and doctors in charge explain the condition to their families. Relevant systems transferred to ICU. Rarr family members do not agree to transfer ICU to continue in the emergency department. Rescuing darrdarr's family agrees to transfer ICU to the relevant general department. The doctor in charge of darr introduces the risks to the family during the transfer and signs the informed consent. Rarr calls the ICU to prepare the bed. The ICU nurse prepares the bed and related equipment. The rarr is escorted by the doctor and nurse to the patient. Into ICU darr, ICU on-duty physicians and nurses hand over patients to physicians and nurses to fill in critically ill patient transfer records and sign darr, ICU on-duty physicians explain the condition to the family members and sign the relevant medical condition letter larr, ICU on-duty physicians and nurses will re-evaluate the patients larr completed transfer to class 29. Medical patient transfer to ICU flow chart. Internal medicine critical patient darr physician requested ICU emergency consultation darr ICU physician evaluation of the condition after the consultation has transferred to ICU indicates that the condition is very critical and it is not easy to move darrdarr ICU and the physician in charge to family members Explain the relevant system of the introduction of the disease into the ICU. The family members of the rarr signed the disagreement to continue to rescue the family of the darr in the original department and agreed to the transfer of the ICUdarr. The physician in charge of the ICUdarr introduced the risks to the family during the transfer and signed the informed consent. Good bed and related equipment rarr by competent physician and Escort patients to ICU darr, ICU on-duty physicians and nurses and physicians and nurses hand over patients to fill in critical patient transfer records and sign darr, ICU on-duty physicians explain the condition to family members again and sign the relevant condition telling book larr by ICU on-duty physicians and nurses Treatment re-evaluation of the patient Larr completed transfer to shift 30, the patient transferred out of the ICU flow chart after general anesthesia, critical patient Darr ICU physician consultation to evaluate the recovery of the disease ~ hours later, the condition is stable and the critically ill physician explains the condition, treatment, prognosis and Physician darrdarr ICU doctor and doctor in charge explain to the family the introduction of the relevant system transferred to the ICU. Family members understand the requirements to continue ICU treatment. Family members understand the need to abandon treatment for some reason. Darrdarrdarr informs the patient's family. The ICU physician will explain the condition to the family again and sign the relevant condition. Abandoning treatment will lead to risks such as death of the patient. Inform family members of darrdarrdarr by phone to the relevant department to prepare the bed to continue ICU treatment. The family member understands and is willing to bear the risks caused by the waiver of treatment. Sign the waiver of treatment. Darrdarrdarr will be escorted by the ICU nurse to the appropriate department. Escort the patient's condition for improvement and give up treatment darrdarr The ICU nurse or (and the doctor) and the receiving physician and the nurse hand over the patient to fill in the critical patient handover record and sign the request to the relevant department for consultation to agree to transfer to the general ward and automatically leave darr to complete the handover. Cooperate with the nursing process of changing the oral (nasal) endotracheal intubation for tracheotomy. According to the medical condition, evaluate the intubation time and breathing conditions, etc. Darr doctor's order to determine the change of oral (nasal) endotracheal intubation for tracheotomy. Prepare for darr patients: suction Check whether the ECG monitoring and oxygen saturation lead connections are normal in awake patients. Explain the irritated patients. Properly restrain the bed. Pull out the head of the bed to leave a certain space to rest on the supine position. Preparations for internal use: light source triangle pillow lidocaine branch, ml saline solution branch, epinephrine bronchectomy tracheal tube, sterile gloves, ml syringe negative pressure suction device, breathing skin oxygen, prepare ventilator disinfectant darr disinfection, spread Towel, local anesthesia, tracheotomy darr One person wears gloves to prepare a suction tube and inhale bleeding from the incision in time if necessary After exposing the anatomical position of the trachea, the two people cooperated with the release of the airbag to insert the tracheal cannula at the same time, and the oral (nasal) trachea was removed at the same time. Pay close attention to the patient's consciousness, complexion, heart rhythm, heart rate, and oxygen saturation during the entire gas resection after incision gas test, and report it to the operator in time. Give high flow oxygen to the breathing sac and give oxygen to the patient. Pay attention to psychological care during the whole process. Get in touch with the patient to get oxygen to the darr gas cut site or connect to a ventilator to assist in ventilation. Darr auscultates lung breathing sounds. Darr gas cut site. Vaseline gauze padding. Fix the darr. Observe the vital signs, oxygen saturation, and gas cut. Bleeding at the site PAGE

Hot words: ICU nursing workflow

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