交流
(她回到辦公室,與營(yíng)養(yǎng)科聯(lián)系好了王女士的午餐,翻閱了王女士的門診病歷、圍產(chǎn)期檢查記錄和剛才產(chǎn)房?jī)?nèi)做的檢查結(jié)果,準(zhǔn)備了體檢用物、入院介紹單、孕婦保健手冊(cè),來到王女士床旁,見產(chǎn)婦已起床,便問)
護(hù)士:小王您休息了一會(huì)兒現(xiàn)在感覺如何?
病人:好多了。
護(hù)士:現(xiàn)在我給您介紹一下醫(yī)院的規(guī)章制度,好嗎?
病人:可以。
(李護(hù)士把住院須知、作息、陪探、規(guī)章制度、病室內(nèi)設(shè)施的應(yīng)用、物品的存放、信號(hào)系統(tǒng)的使用方法、床位醫(yī)師等一一作了介紹。)
護(hù)士:王女士,剛才給您介紹了這么多,能記住嗎?
病人:記住了,非常感謝您為我作了如此詳細(xì)的介紹。
護(hù)士:接下來我想幫您量個(gè)體溫和血壓,您喝過熱水嗎?
病人:沒有。
護(hù)士:好的,我們開始吧。
(李護(hù)士分別為王女士量了體溫、脈搏、血壓。告訴王女士測(cè)量的結(jié)果在正常范圍,讓她放心。)
護(hù)士:我還想了解一下您的一般情況。
病人:好的。
(在交談的過程中,李護(hù)士針對(duì)產(chǎn)科護(hù)理評(píng)估單的內(nèi)容包括生活習(xí)慣、健康狀況、食欲睡眠、大小便情況以及月經(jīng)史、孕產(chǎn)史等逐一進(jìn)行了評(píng)估。)
護(hù)士:王女士,從我了解的資料中看出您的身體很健康,分娩條件也較好,我想您一定能順利度過分娩期的。目前您已經(jīng)臨近預(yù)產(chǎn)期,而且還有些下腹脹痛的感覺,需要住院觀察,不要隨便外出,好嗎?
Interactions
(Nurse Li returns to the nurses’station and contacts the nutrition department for Mrs.Wang's lunch,reads her medical history,the prenatal record,and the tests results.Then she prepares the guidelines for hospitalization,the introduction list,and expectant mothers’healthcare manual,and then goes to Mrs.Wang's room.Seeing Mrs.Wang has already gotten up,she asks)
Nurse:Mrs.Wang,how do you feel after resting?
Patient:Much better,thanks.
Nurse:I would like to introduce the hospital regulations to you now,OK?Patient:Sure.
(Nurse Li gives Mrs.Wang the introduction one by one,regarding the hospitalization,the regulation for activities,resting,and visitation,the use of equipment in the ward,how to store personal belongings,use of the signal system,and the doctors in charge of her bed,etc.)
Nurse:Mrs.Wang,I gave you so much information.Can you remember them?
Patient:Yes,I can.Thank you very much for the detailed introduction.
Nurse:I will measure your blood pressure and temperature now.Did you drink any hot water?
Patient:No.
Nurse:Good,let's begin.
(Nurse Li takes Mrs.Wang’s body temperature,pulse,blood pressure,and tells her that the results are all normal so she will not be worried)
Nurse:I’d also like to obtain some other information about you,OK?
Patient:OK.
(During the conversation,Nurse Li carries out the assessment by following the obstetrics nursing assessment sheet that includes life habits,health condition,appetite and sleeping pattern,menstruation history,and previous delivery history,etc.)
Nurse:Mrs.Wang,I can see from the data that you are healthy and your status for giving birth is also good.I think that you can get through the birth smoothly.Since you are having some abdominal distention pain,you are near the delivery time now.You need to stay in the hospital for observation.So don't go out by yourself,OK?