Ministry of Health issued "Guiding Principles care hospital grade" 7 kinds of illness care





A few days ago, the Ministry of Health Medical Secretary issued the "Guiding Principles of hospital care classification (draft)", on the hospital clinical care, clinical care and nursing services classified content of guidance and so on.

"The principle of" first "grade care" to define, that is, patients in the hospital, medical and nursing staff in accordance with patients, physical status and self-care ability, identify and implement different levels of care.

Divided into special care, one care, secondary care and tertiary care level four.

"Principles" that the level of care to identify patients, should be based on patients, health and life based on self-care ability, and in patients with dynamically adjust to changing circumstances.
Different patients under different circumstances, "principles" the following sub-criteria and nursing requirements:

First, patients with the following conditions can be identified for special care:

1, in a critical condition, changes in conditions happen at any time necessary for emergency treatment of patients;
2, intensive care patients;
3, all kinds of complicated patients, or after major surgery;
4, severe trauma and burn patients;
5, the use of ventilator-assisted breathing, the need for intensive care patients with the disease;
6, the implementation of continuous renal replacement therapy (CRRT), required intensive care of patients with vital signs;
7, there is other life-threatening, required intensive care of patients with vital signs.

Care include:

1, close observation of changes in condition and vital signs, monitoring patients with body temperature, pulse, respiration, blood pressure;
2, according to doctor's advice, the correct implementation of treatment and medication;
3, the accurate measurement of the volume of a 24-hour access;
4, the correct implementation of oral care, pressure sore prevention and care, nursing care line, the implementation of security measures;
5, and maintain patient comfort and function of position;
6, the implementation of bedside交接班.

Second, patients have the following situation, determine levels of care for:

1, his condition stabilized critically ill patients;
2 after surgery or during treatment of patients with the need for strict bed rest;
3, life of patients can not take care of themselves;
4, part of their own life, his condition may change at any time of the patients.

Care include:

1, patient visits per hour, observed changes in patients;
2, according to patients, patients with daily measurement of body temperature, pulse, breathing and other vital signs;
3, under doctor's orders, the implementation of right treatment, medication;
4, the correct implementation of oral care, pressure sore prevention and care, nursing care line, the implementation of security measures;
5, for the provision of appropriate care for patients and rehabilitation, health guidance.

Three, with the following patients for secondary care can be identified:

1, in stable condition, the patients still in bed;
2, part of life in patients with self-care;
3, the disabled and elderly patients.

Care include:

1, inspected every 2-3 hours in patients with observed changes in patients;
2, according to patients, measurement in patients with body temperature, pulse, breathing and other vital signs;
3, under doctor's orders, the implementation of right treatment, medication;
4, according to physical condition of patients, the implementation of care and security measures;
5, for the provision of appropriate care for patients and rehabilitation, health guidance.

Four, with the following patients to determine the three-tier care for:

1, Living fully take care of themselves, the patients in stable condition;
2, Living fully take care of themselves, the patients in the rehabilitation period

Care include:

1, inspected every 3-4 hours in patients with observed changes in patients;
2, according to patients, measurement in patients with body temperature, pulse, breathing and other vital signs;
3, under doctor's orders, the implementation of right treatment, medication;
4, for the provision of appropriate care for patients and rehabilitation, health guidance.

"The principle of" additional requirements, nurses should also be at work in a dignified manner, language, civilization, and the attitude of amiable, courteous, others, compassion, concern and caring of patients and found that patients change a problem, it should be timely communication with the physician.

Quality of care for the management of nurses, "the principle of" stressed that the hospital should establish and improve rules and regulations of the care; set up care services satisfaction survey system, the collection of patients, family members of nursing observations and recommendations; set up care and adverse events reporting system, timely Investigation and analysis to strengthen the prevention of adverse events, and promote the continuous improvement of quality of care.

"Principles" Finally, the guiding principles applicable to all types of general hospitals at all levels. Specialist hospitals and other medical institutions with reference to the implementation of the Guiding Principles. (Ministry of Health website)

2009-04-07