2012年9月23日 星期日

admit PICU

Before arrival: 
ask patient's age and KG>> print PICU reference list
get: ventilator, ETT(x6), suction tubing, larygoscope, lighter, steroscope, ambu bag, SpO2 monitor stand by mode,
E-trolly blasket for intubation, water for injection(500ml bottle), IV pump set x2, sringe pump

arrival:
1.first assessment( temp, spO2, GCS, U/O(weight), BP, cardiac mon, drip site, any abnormality)
2. hang over( with IC and 2nd), ask related question
3. call Dr (first if pt very serious)
4. follow treatment( blood taking, A/B, NPA(don't do NPA if pt resp not ok, wait till he stablize)...

After arrival:
enter kardex within one hr(admited fromXXX, escort by nurse...)
flowsheet
APT
assessment form

enter bed assignment, PICU book and milk file, assign Dr and milk formula in CMS.

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