Emergency drill script for internal medicine transfusion reactions

Answer 1

The following is an emergency drill script for internal medicine transfusion reactions:

##1. Purpose of Practice
1. He wanted the nurses to be more familiar with the symptoms of transfusion reactions and the rescue process.
2. To improve the nurses 'ability to deal with the emergency response to infusion in the internal medicine department.

##2. Attendants
1. ** Emergency drill commander **: Department director, head nurse.
2. ** Nurse **: Nurse A, Nurse B, etc.
3. ** Doctor on Duty **: Doctor C.

##3. Material preparation
Emergency vehicles, electrocardio monitors, quilts, thermometer, etc.

##4. Character Assignment
1. ** Discovered infusion reaction and reported by **: Nurse A on duty.
2. [** Helper **: Nurse B on duty.]
3. ** Rescuer **: Doctor C on duty.

##5. Practice Plot and Flow

###(1) Scene 1: Discovered infusion reaction
1. ** Time **:[Details]
2. ** Location **: Internal Medicine Ward [specific bed number].
3. When Nurse A on duty patrolled the ward, she found that the patient who was receiving infusion had chills, breathlessness, and cyanosis. She felt the patient's limbs were cold and checked the liquid being infused (such as [specific drug name]). After that, she immediately turned off the infusion device, comforted the patient, returned to the nurse station to inform Nurse B, and immediately pushed the ambulance to the patient's bed. Nurse B called Doctor C and rushed to the patient's bed with a quilt.

###(2) Scene 2: Emergency treatment
1. Nurse A changed the infusion set and changed the 0.9% Natrium Chloride to maintain the access.
2. Doctor C on duty arrived in time. Nurse A reported the condition to Doctor C. Doctor C confirmed the diagnosis after a physical examination.
3. Doctor C gave oral medical advice: For example, Dexamethason 5 milligrams was injected into the vein, Promethrazine 25 milligrams was injected into the muscle, oxygen intake was 2 liters per minute, and the patient was monitored by the heart. Nurse A repeated the medical advice without error. After checking the patient's wristband, she followed the medical advice and carried it out correctly. Nurse B covered the patient with a quilt, performed oxygen inhalation, connected the patient to the cardiac monitor, and recorded the doctor's orders in the oral registration book.

###(3) Scene 3: Observation of the patient's condition in relief
1. [Details of time]. The patient's shivering was slightly relieved. Nurse A measured the patient's body temperature. The electrocardiology monitor showed that the patient's heart rate was [X] beats per minute, breathing was [X] beats per minute, blood oxygen saturation was [X]%, and blood pressure was [X]/[X] mm/mercury. Doctor C advised him to strengthen his patrol and closely observe the changes in his condition. Nurse A strengthened the patient's psychological comfort and tidied the bed.
2. [Another specific time], Nurse A measured her body temperature again: [X] ° C, heart rate [X] beats per minute, breathing [X] beats per minute, blood oxygen saturation [X]%. Inform the patient of the precautions and tell him to rest in bed.

###(4) Scene 4: Follow-up Work
1. Nurse A returned to the nurses 'station to create a nursing record and record the rescue process.
2. Report to the Department of Hospital Infection, the Disinfection and Delivery Center, the Pharmacy Department, and the Nurse Department (attach the contact numbers of each department). The infusion sets and liquids were kept and sent to the Disinfection Center and Pharmacy Department respectively. The liquids and infusion sets of the same batch number were taken for inspection.
3. Nurse B checked the doctor's orders, handled them, organized the ambulance, and replenished it in time. Communicate with the patient's family members in a timely manner. If the family members have any questions, seal the specimen according to the relevant regulations of the hospital in the presence of both the doctor and the patient. At the same time, indicate the date and time of sealing. The adverse drug reaction report and the nursing safety adverse event report were filled in the relevant systems of the hospital and reported to the Pharmacy Department and the nursing department respectively.
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