文本内容:
1目的Objective规范口头与电话医瞩管理,改善医务人员之间的有效交流,确保医疗安全To standardizemanagement of oral ortelephone medical order,improve effectivecommunication betweenmedical staffand guaranteemedical safety.2原则上不得执行电话医嘱,口头医嘱仅限于抢救及无菌操作时In principle,medical orderby telephoneshall notbe carried out,oral medical order islimited onlyfor rescueand asepticoperation.3口头医嘱流程Process flowoforalmedicalorder抢救病人或无菌操作时包括手术,医生下达口头医嘱后,护士先记录医嘱下达时间及内容,然后完整地回读医嘱,待医生确认无误后方可执行,保留用过的安甑抢救或无菌操作结束后,下达医嘱的医生与执行护士核对后立即将医嘱补录在医嘱单上During rescuinga patientor asepticoperation includingsurgical operation,after adoctor givesan oralorder,the nurseshall firstrecord contentand timeof the order,then readback thecomplete order,it canbe carriedout onlyafter confirmationby the doctor,and theused ampouleshal1be kept.After rescueor asepticoperation isover,thedoctorwho gavethe orderand thenurse whocarriedoutthe ordershall checktheorderagain andwrite itin ordersheet rightaway.口头医嘱执行流程图Flow chartof carryingout oralmedicalorderDoctor Nurse获经批准Approved by院长Hospital director_____________日期Date____________。