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General office of the national health and family planning commission, issue the new nurse training outline (try out) "notice

 

The 2016-02-16 national health and population and family planning commission of the People's Republic of China

Countries who do medical hair [2016] no. 2

 

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the xinjiang production and construction corps health bureau:

Specification to guide efforts to develop new nurse training work, improve the nurse clinical nursing service ability and overall quality team, by commission to make a "new nurse training outline (try out)", hereby printed and distributed to you (available from the national health and family planning commission site medical hospital authority columns download). At the same time put forward the following requirements:

A, various medical institutions should attach great importance to new nurse training, establish a new nurse training system, with reference to the new nurse training outline (try out) ", make this unit new nurse training program, organize training work earnestly, guarantee the training result.

2, place the family planning administrative department of public health at all levels should strengthen the medical institutions of new nurses training guide, found that a typical experience in time, we summarize promotion. The new nurse training outline (try out) "the relevant opinions and Suggestions in carrying the timely feedback by medical hospital authority.

Contact: medical hospital authority medical and nursing Meng Li

Tel: 010-68792206, 2208

Accessories: new nurse training outline (trial). Doc

General office of national health and family planning commission

On January 22, 2016

New nurse training outline (trial)

A, scope of application

Level 3 general hospital, and other medical and health institutions refer to.

Second, the training objectives

According to the regulations on the nurse, etc., combining the need for advancing the quality of nursing service work, to carry out the standardization of the new nurse training. Through training, new nurses to be engaged in clinical nursing work, the basic theory, basic knowledge and basic skills; Have good professional ethics quality, communication ability, and the emergency response ability and carry out the responsibility system for the overall care needs professional care, observation, treatment, psychological nursing, health education, rehabilitation guidance service ability; Enhance humanistic care and responsibility consciousness, to be independent, specification to provide nursing care for patients.

Three, the training object

Colleges and universities into nursing jobs of nurse job after graduation.

Fourth, training methods, the method

(a) training methods.

Training to combination of theoretical knowledge and clinical practice ability training.

(2) the training method.

Can use lectures, group discussion, clinical rounds, operation teaching, situational simulation and case of nursing training methods, etc.

Five, the training time

(a) basic training.

Including the basic theory of knowledge and common clinical nursing operation and technical training, training time is 2 weeks - 1 month.

(2) professional training.

Including the college rotation training, training time for 24 months (specific training time distribution see appendix 1).

Six, training content and requirement

(a) basic theory knowledge training.

1. The regulations and laws and regulations, be familiar with the nurses ordinance, the tort liability act, "byelaw of medical accident treatment", "law on the prevention and control of infectious diseases, the medical waste management regulations," hospital infection management method ", "measures for the management of clinical blood use of medical institution" and other relevant laws and regulations.

2. Standard: to master the clinical nursing practice guide, the intravenous infusion operation specification, nursing grading, clinical blood transfusion operation technical specification and other standards.

3. The rules and regulations, to master relevant rules and regulations, nursing care post responsibility and work process. ChuRuYuan management system such as patients, check system, system of grading nursing system, orders, succession system, critically ill patient care management system, critical value reporting and disposal system, medical record writing system, drug management system, the hospital infection management system, occupational protection system, etc. Familiar with hospital related work process, rules and regulations, etc.

4. Safety management: master patient safety goals, patient risk (such as pressure ulcers, fall/drop of bed, unplanned extubation, etc.) in the evaluation of observation points and nursing measures to prevent, special drug risk management and application, all kinds of emergency preplan, nurse dispute prevention and treatment, prevention and treatment of nursing adverse events, etc.

5. Nursing documents: master single temperature, the doctor's advice and nursing record sheet, surgical nursing documents writing standards of inventory record.

6. Health education: master the basic principle and method of health education in patients with. Health education mainly includes: ChuRuYuan disease rehabilitation guidance, common knowledge, commonly used drugs and matters needing attention, the main points of common inspection inspection preparation and cooperation.

7. Psychological care: master the patients' psychological characteristics, the common psychological problems such as stress, anxiety, emotional obstacle recognition and intervention measures, such as patients with different ages and special psychological care of patients. The nurse's role and role adaptation, nurses job stress and mental health, etc.

8. Communication skills: be familiar with the basic principles of communication, methods and techniques, with patients, families and other effective communication between the medical staff.

9. Professional quality: be familiar with the medical ethics and medical humanities, medical ethics, nursing professional spirit, professional ethics and professional etiquette, etc.

(2) of the common clinical nursing operation technical training.

Master and skillfully use common clinical nursing operation technology (specific name see attachment 2).

(3) the professional theory and the practice ability training.

Professional theory and skills in applied knowledge and skills (specific content see attachment 3).

Seven, evaluation method and content

Divided into the training process of examination and training graduation examination.

(a) training process test.

The training object in the process of standardization training of various performance comprehensive evaluation. Evaluation content mainly includes the ethics, professional quality and humanistic care, communication skills, theoretical study and clinical practice ability to perform daily, after the basic training and professional training of specialized subject after the rotation of each assessment, etc.

(2) the training completion examination.

Object at the end of the training for training on the implementation of professional assessment, including theoretical knowledge, clinical practice ability of examination.

Contents: 1. Theoretical knowledge measurements including laws and regulations, standards, rules and regulations, safety management, nursing documents, health education, psychological nursing, communication skills, medical humanities, such as professional basic theoretical knowledge and internal and external, wife, son, emergency and severe cases, surgery and other professional theoretical knowledge.

2. Clinical practice ability examination content: in the form of standardized patient care or case, extract the kind of clinical common diseases in 3 cases (internal medicine, surgery system and other departments each 1 case). According to the patient's condition and general situation, ask the nurse to evaluate patients with professional, put forward the main nursing problems, from the observation, assist the treatment, psychological nursing, cultural communication and education targeted nursing measures are put forward, and to assess the effectiveness of nursing measures, examination of two common clinical nursing operation technology, as well as questions from the audience.

Attachment 1

New nurses distribution theory and the practice ability training time table

project

Within the capacity

time

Want to ask

Basic training

The basic theory of (

Common clinical nursing knowledge and operation skills training)

The basic theory of knowledge

Laws and regulations

2 weeks - 1 month

The hospital according to actual and specific arrangement.

standard

The rules and regulations

The safety management

Nursing documents

Communication skills

Medical humanities

Professional quality

Common clinical nursing operation technology

Professional training

(professional theory

And the practice ability

Training)

Medical system

Cardiovascular internal medicine

6 months

Choose one or two specialized subject, each specialized training for 3 to 6 months.

Respiratory medicine

Digestive internal medicine

The blood internal medicine

Kidney internal medicine

endocrinology

Li rheumatism lead

Infection with families,

neurology

Surgical system

General surgery

6 months

Choose one or two specialized subject, each specialized training for 3 to 6 months.

The orthopaedic

urology

Thoracic surgery

Cardiac surgery

Vascular surgery

neurosurgery

The emergency department and intensive care unit

6 months

The hospital according to actual and specific arrangement.

Obstetrics and gynecology, pediatrics, surgery, oncology and other departments

6 months

The hospital according to actual and specific arrangement.

The attachment 2

Common clinical nursing operation technical name

One, hand washing

Second, the aseptic technique

Three, vital signs measurement technology

Fourth, specimen collection method

Five, the technology is wearing an isolation gown

Six, physical cooling method

Seven, blood sugar monitoring

Eight, oral care technology

Nine, the nose/mouth sputum suction method

Ten, atomization inhalation technique

Eleven, oxygen inhalation technique

Twelve, urethral catheterization technique

Thirteen, cardiopulmonary resuscitation (CPR)

14, ecg monitoring technology

15, defibrillation technology

Sixteen, oral dosing method

Seventeen, gastrointestinal decompression technology

Eighteen, closed intravenous infusion technology

19, closed venous transfusion technology

Twenty, venous sampling technology

21, intravenous injections

Twenty-two, intramuscular injection technology

23, intradermal injection technology

24, subcutaneous injection technology

Twenty-five, patients with constraint method

Twenty-six, axis turn method

27, patient handling method

The attachment 3

Professional theory and the practice ability training content and requirement

A, the physician training content

(a) the training content.

1. The cardiovascular internal medicine

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master common cardiovascular system diseases, such as hypertension, coronary heart disease, heart failure, arrhythmia, cardiomyopathy, etc.) of the etiology, clinical symptoms, signs, principles of management.

2) master the cardiovascular system of common diseases nursing assessment, the key points of observation, treatment and nursing measures.

3) master cardiovascular internal medicine angiography, cardiovascular interventional therapy and cardiac pacemaker therapy, radiofrequency ablation (after) the preoperative nursing key points.

4) be familiar with the typical electrocardiogram characteristics of cardiac arrhythmias.

5) be familiar with the commonly used cardiovascular internal medicine drugs (such as vascular active drugs, diuresis, anticoagulant drugs, anti-arrhythmic drugs, first aid, etc.) related knowledge.

6) familiar with the commonly used cardiovascular internal medicine laboratory tests such as blood routine, blood biochemistry, blood coagulation four myocardial necrosis, blood electrolyte, markers, etc.) the results of clinical significance.

7) familiar with cardiovascular internal medicine is common in patients with emergency critical patients with main points.

8) to understand the working principle and application of cardiac pacemaker; Understanding of cardiovascular internal medicine commonly used procedures, such as dynamic electrocardiogram, imaging studies) of clinical significance.

(3) professional

1) master cardiovascular internal medicine nursing procedures commonly used techniques, such as ecg monitoring technology, defibrillation technology, CPR, etc.

2) understand the cardiovascular internal medicine commonly used instrument using method, such as electrocardiogram machine, etc.

3) understand the working principle and application of pacemaker.

(4) health guidance: master the hypertension, coronary heart disease, heart failure, acute myocardial infarction, arrhythmia, such as cardiovascular interventional surgery in patients with health education.

2. The respiratory medicine

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master common respiratory system diseases such as chronic obstructive pulmonary disease, bronchiectasis, lung, pneumonia, respiratory failure, bronchial asthma, etc.) of the etiology, clinical symptoms, signs, principles of management.

2) mastering the common respiratory system diseases nursing assessment, the key points of observation, treatment and nursing measures.

3) control of tracheotomy nursing key points.

4) be familiar with pleural puncture of the matching points, breathing machine (gen/noninvasive) auxiliary treatment.

5) be familiar with the respiratory medicine commonly used drugs (such as cough, antiasthmatic, expectorant drugs, anti-bacterial drugs, first aid, etc.) related knowledge.

6) familiar with the commonly used respiratory medicine laboratory tests (such as blood routine, blood biochemistry, blood gas analysis, sputum examination, etc.) the results of clinical significance.

7) familiar with the common points in patients with emergency critical patients with respiratory medicine.

8) understand the lung function, purpose and method of bronchoscopy.

(3) professional

1) master lip breathing, abdominal breathing on respiratory function exercise method.

2) master sucking phlegm, chest physical therapy such as effective expectoration drainage method.

3) master breathing internal medicine nursing procedures commonly used techniques, such as ecg monitoring technology, atomization inhalation, oxygen therapy, postural drainage, etc.

(4) health guidance

1) master of chronic obstructive pulmonary disease, lung, pneumonia, bronchial asthma, bronchiectasis, hemoptysis patients health education.

2) master the commonly used the use of inhalants and health education.

3) familiar with fiber bronchoscope examination and pleural puncture technology cooperation and health education.

3. The digestive internal medicine

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

(1) to master common digestive system disease such as chronic gastritis, peptic ulcer disease, liver cirrhosis, upper gastrointestinal hemorrhage, acute pancreatitis, etc.) of the etiology, symptoms, signs, and principles of management.

2) mastering the common digestive system disease nursing assessment, the key points of observation, treatment and nursing measures.

3) master examined gastrointestinal endoscopy and treatment of perioperative nursing points.

4) mastering the gastrointestinal blood loss estimation method.

5) be familiar with the digestive internal medicine commonly used drugs (acid suppression, somatostatin, hemostatic drugs and emergency).

6) be familiar with the commonly used laboratory tests of digestive diseases, such as blood routine, blood biochemistry, defecate occult blood test, etc.) the results of clinical significance.

7) familiar with common in patients with emergency critical patients with gist of digestive diseases.

(3) professional

Mastery of gastrointestinal decompression, three cavity two capsule tube, enema, 6 measuring methods, the use of the nutrition pump, etc.

(4) health guidance

1) master of chronic gastritis, peptic ulcer, upper gastrointestinal hemorrhage, acute pancreatitis and liver cirrhosis patients health education.

2) master the patients with gastrointestinal endoscopy technology essentials and health education.

3) master gastrointestinal decompression, nasal intestines nutrition tube main points of nursing and health education.

4. The blood internal medicine

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master common blood system diseases, such as acute leukemia and chronic leukemia, aplastic anemia, idiopathic thrombocytopenic purpura, lymphoma, hemophilia, etc.) of the etiology, symptoms, signs, and principles of management.

2) mastering the common blood system diseases nursing assessment, the key points of observation, treatment and nursing measures.

3) master anemia classification, bone marrow suppression classification and grade of phlebitis and nursing key points.

4) master bone marrow centesis preoperative and postoperative nursing points.

5) master composition blood transfusion nursing key points.

6) master via peripheral vein in central venous catheter (PICC) and the purpose of the nursing key points.

7) master effective store seepage prevention and nursing.

8) familiar with the blood internal medicine commonly used drugs, chemotherapy drugs, hemostatic and antibacterial drugs, hormone and immune inhibitors, emergency medicine, etc.).

9) familiar with the commonly used blood internal medicine laboratory tests (such as blood routine, blood biochemistry, bone marrow puncture test, etc.) the results of clinical significance.

10) familiar with the blood internal medicine is common in patients with emergency critical patients with points.

(3) professional

1) master the chemotherapy drug infusion of configuration and the matters needing attention.

2) master blood internal medicine nursing procedures commonly used techniques, such as blood transfusion technology, via peripheral vein in central venous catheter (PICC) maintenance technology, protective isolation, hand hygiene, etc.

(4) health guidance

1) master urgent (slow) sex leukaemia, aplastic anemia, such as hemophilia lymphoma patients health education.

2) master oral mucositis, crissum infection caused by chemotherapy of health education.

3) the control of blood cancer patients and their families psychological nursing key points.

5. Kidney internal medicine

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master kidney system common diseases (such as nephrotic syndrome, acute/chronic renal failure, the primary glomerulonephritis, secondary glomerular disease, urinary tract infections, etc.) of the etiology, symptoms, signs, and principles of management.

2) mastering the kidney system common disease nursing assessment, the key points of observation, treatment and nursing measures.

3) master renal biopsy, hemodialysis, peritoneal dialysis nursing key points.

4) familiar with kidney internal medicine commonly used drugs, diuretics, antihypertensive drugs, immunosuppressants, glucocorticoid and emergency medicine, etc.).

5) kidney internal medicine are familiar with common laboratory tests such as blood routine, blood biochemistry, renal function, routine urine and urine culture, 24 hours urinary protein quantitative, etc.) the results of clinical significance.

6) familiar with kidney internal medicine is common in patients with emergency critical patients with main points.

(3) professional

1) familiar with arteriovenous internal fistula and hemodialysis catheter nursing key points.

2) to understand the operation of the peritoneal dialysis technology.

3) understand the peritoneal equilibrium test operation technology.

4) to understand the operation of the hemodialysis technology.

(4) health guidance

1) master nephrotic syndrome, acute/chronic renal failure, such as urinary tract infections, blood dialysis patients health education.

2) familiar with renal biopsy, arteriovenous internal fistula plasty, deep venipuncture and technique main points of patients with peritoneal dialysis and health education.

6. Endocrinology

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

(1) the master endocrine system common disease such as diabetes, hyperthyroidism, hypothyroidism, disease of grow in quantity of cortisol, etc.) of the etiology, symptoms, signs, and principles of management.

2) mastering the common endocrine system diseases nursing assessment, the key points of observation, treatment and nursing measures.

3) master endocrine function test observation and nursing key points.

4) common critical patients master the endocrinology (low blood sugar, hypertonic coma, ketoacidosis, etc.) the processing principle and the rescue to cooperate.

(5) be familiar with the endocrinologist commonly used drugs hypoglycemic drugs, neurotrophic drug, hormone, first aid, etc.).

6) endocrinology are familiar with common laboratory tests such as blood routine, blood biochemistry, blood sugar, urine sugar, glycosylated hemoglobin, urine ketone body, 12 hours urine trace albumin, etc.) the results of clinical significance.

7) familiar with the endocrinologist common in patients with emergency critical patients with points.

(3) professional

1) master endocrinology nursing procedures commonly used techniques, such as insulin injection technology, dynamic blood sugar monitoring technology, etc.

2) control of diabetic foot nursing key points.

3) grasp the micro pump, the use of insulin pump and observation.

(4) health guidance: master such as diabetes, hyperthyroidism, hypothyroidism patients health education.

7. Li rheumatism lead

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master common rheumatoid immune system disease (such as systemic lupus erythematosus, rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, etc.) of the etiology, symptoms, signs, and principles of management.

2) mastering the common rheumatoid immune system disease nursing assessment, the key points of observation, treatment and nursing measures.

3) be familiar with the commonly used drugs li rheumatism lead (analgesic drugs, hormone drugs, immunosuppressants, first aid medicines).

4) be familiar with the commonly used li rheumatism lead of the laboratory tests such as blood routine, blood biochemistry, blood sedimentation, c-reactive protein and blood coagulation four, etc.) the results of clinical significance.

5) be familiar with the joint cavity puncture nursing cooperation.

6) familiar with common in patients with emergency critical patients with li rheumatism lead of the point.

(3) professional

Master common nursing li rheumatism lead of the operating techniques.

(4) health guidance

1) master rheumatoid arthritis, systemic lupus erythematosus (sle), ankylosing spondylitis patients health guidance, etc.

2) to master the application of immunosuppressant health education.

8. Infection division

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master infection department common diseases such as viral hepatitis, bacterial diarrhea, fever in dispute, influenza, sepsis and septic shock, typhoid fever, malaria, etc.) of the etiology, symptoms, signs, and principles of management.

2) master the infection is the common diseases of nursing assessment, the key points of observation, treatment and nursing measures.

(3) infection families are familiar with common drug antimicrobial, antiviral drugs, etc.).

4) infection families are familiar with common laboratory tests (such as blood routine, blood biochemistry, stool routine, hepatitis b and hepatitis c virus (HCV) detection, etc.) the results of clinical significance.

5) be familiar with the hospital infection control and occupational safety related knowledge, legal categories of infectious diseases, their reporting process and time limit.

6) familiar with infection common in patients with emergency critical patients with main points.

(3) professional

To master the application of standard precautions, all kinds of isolation and protection technology.

(4) health guidance:

1) control of viral hepatitis, fever, diarrhea, typhoid fever, malaria and other patients health guidance.

2) mastering the infectious diseases prevention propaganda and education.

9. Neurology

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master neurology common diseases, such as meningitis, ischemic or hemorrhagic cerebrovascular disease, epilepsy, myasthenia gravis, etc.) of the etiology, symptoms, signs, and principles of management.

2) master neurology nursing assessment of the common diseases, the key points of observation, treatment and nursing measures.

3) grasp the sense of judgment, strength grade and swallowing function evaluation related knowledge.

4) familiar with the lumbar puncture and nursing key points.

5) familiar with stroke secondary and tertiary prevention related knowledge.

6) familiar with the neurology commonly used drugs (thrombolysis and anticoagulation drugs, antiepileptic drugs, dehydration, emergency medicine, etc.).

7) neurology are familiar with common laboratory tests (such as blood routine, blood biochemistry, cerebrospinal fluid routine, biochemical and blood coagulation routine CSF, etc.) the results of clinical significance.

8) familiar with the neurology patients with emergency critical patients with common points.

(3) professional

1) master nerve internal medicine nursing procedures commonly used techniques, such as sputum suction technology, the observation of the pupil, airway nursing, constraint method, ecg monitoring technology, micro pump use, etc.

2) master the hemiplegia patients of good limb position put methods and significance.

3) understand the intracranial pressure monitoring, muscle strength measurement, swallowing function assessment, such as cognitive screening technology.

(4) health guidance

1) master of cerebral hemorrhage, cerebral infarction, epilepsy, meningitis, myasthenia gravis patients health education.

2) master of swallowing, cognitive, physical rehabilitation nursing health education.

(2) the training requirements.

Each department during the rotation, under the guidance of supervisor nurses, new nurses the entire management (from a patient's admission to discharge) this specialized subject common diseases of primary care and secondary nursing patients with at least 5 each. Nurses to be able to master the tube of the patient, and can give a correct evaluation, timely observation and assist treatment, psychological nursing, health education, etc., can provide professional and standardized nursing service for patients.

Second, the surgical training content

(a) the training content.

1. General surgery

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master the general common diseases, such as thyroid disease, mammary gland disease, abdominal external hernia, intestinal obstruction, gastrointestinal tumor, liver tumor, anal canal disease, biliary and pancreatic diseases, acute abdominal pain, etc.) of the etiology, symptoms, signs, and principles of management.

2) master the general common diseases in patients with nursing assessment, the key points of observation, treatment, perioperative nursing measures, the complications after the operation, observation and treatment, and discharge guidance.

3) grasp all kinds of drainage tube and nursing points of drainage device.

4) control of internal and external nutrition nursing key points.

(5) be familiar with general surgery commonly used drugs spasmolysis analgesic drugs, anti-bacterial drugs, anticoagulant drugs, nutritional support, hemostatic, emergency medicine, etc.).

6) general surgery are familiar with common laboratory tests (such as blood routine, blood biochemistry, blood culture, urine routine, occult blood and urine amylase, tumor markers, etc.) the results of clinical significance.

7) familiar with the general surgery patients with emergency critical patients with common points.

(3) professional

1) master general surgery nursing procedures commonly used techniques, such as gastrointestinal decompression, replace the drainage bag, drainage, colostomy nursing technology, enema, indwelling catheter and functional exercise after the breast cancer surgery, etc.

2) master of internal and external nutrition support technology.

3) familiar with the use of enteral nutrition pump.

(4) health guidance: mastering the general common diseases health education.

2. The orthopaedic

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master orthopedic common diseases, such as fracture, joint dislocation, bone tumors, cervical spondylosis, lumbar intervertebral disc protrusion, etc.) of the etiology, symptoms, signs, and principles of management.

2) mastering the orthopedic common diseases nursing assessment, the key points of observation, treatment, perioperative nursing measures, the complications after the operation, observation and treatment, and discharge guidance.

3) master orthopedic common treatment technology (such as traction, plaster external fixation, etc.) the cooperation and nursing key points.

4) mastering the strength evaluation.

5) master of lower extremity deep vein thrombosis prevention and nursing.

6) familiar orthopaedics commonly used drugs (such as antimicrobial, painkillers, anticoagulant drugs, first aid, etc.).

7) familiar with orthopedic common laboratory tests (such as blood routine, blood biochemistry, urine routine, tumor markers, etc.) the results of clinical significance.

8) familiar with the orthopaedic patients with emergency critical patients with common points.

(3) professional

1) master fracture patient position placement.

2) master the orthopaedic nursing procedures commonly used technologies such as mobile and handling, axis turn, help line device use, cold, pressure ulcers prevention and nursing care, wound care, drainage, etc.

3) master bone traction, skin traction technology main points of nursing.

4) be familiar with the use of intermittent aeration pressure device.

(4) health guidance

1) master orthopedic common diseases in patients with functional exercise, promote recovery and health education.

3. The uropoiesis surgical department

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master the uropoiesis surgical department common disease (e.g., urinary stones, hyperplasia of prostate, kidney, bladder, prostate cancer, etc.) of the etiology, symptoms, signs, and principles of management.

2) mastering the uropoiesis surgical department common disease nursing assessment, the key points of observation, treatment, perioperative nursing measures, the complications after the operation, observation and treatment, and discharge guidance.

3) mastery of indwelling urethral catheterization, bladder washout and urinary colostomy care.

4) mastering urology common line made fistula (bladder, renal fistula, ureteral stent tube, etc.) of nursing.

5) familiar with urology commonly used drugs (such as antibacterial drugs, acetanilide spasmolysis, anticoagulant drugs, first aid, etc.).

6) uropoiesis surgical department are familiar with common laboratory tests such as blood routine, blood biochemistry, urine routine, etc.) the results of clinical significance.

7) familiar with cystoscopy and extracorporeal shock wave lithotripsy nursing.

8) familiar with urology common in patients with emergency critical patients with main points.

(3) professional

Master uropoiesis surgical nursing procedures commonly used techniques, such as the bladder douche, change the urine bag, replacement of pockets, etc.

(4) health guidance

1) master the uropoiesis surgical department common disease patients health education.

Thoracic surgery 4.

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master thoracic surgery common diseases (such as pneumothorax, multiple fractured ribs, lung cancer, esophageal cancer, mediastinal tumor, etc.) of the etiology, symptoms, signs, and principles of management.

2) in thoracic surgery nursing assessment of the common diseases, the key points of observation, treatment, perioperative nursing measures, the complications after the operation, observation and treatment, and discharge guidance.

3) to grasp the chest with the closed drainage and nursing key points.

4) master enteral nutrition tube care.

5) be familiar with thoracic surgery commonly used drugs (such as antimicrobial, analgesic, antitussive expectorant drugs, hemostatic drugs, first aid, etc.).

6) thoracic surgery are familiar with common laboratory tests (such as blood routine, blood biochemistry, blood gas analysis, pulmonary function, tumor markers, etc.) the results of clinical significance.

7) familiar with common in patients with emergency critical patients with thoracic surgery.

(3) professional

Master thoracic surgery nursing procedures commonly used techniques, such as chest closed drainage of care, gastrointestinal decompression, ecg monitoring, replace the drainage bag, effective cough, phlegm, atomization inhalation, etc.

(4) health guidance: mastering the common disease in patients with thoracic surgery health education.

5. Heart

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master heart common diseases (such as congenital heart disease, valvular heart disease, coronary heart disease (CHD) and thoracic aortic aneurysms, etc.) of etiology, symptoms, signs, and principles of management.

2) master the common disease of cardiac surgery nursing assessment, the key points of observation, treatment, perioperative nursing measures, the complications after the operation, observation and treatment, and discharge guidance.

3) to grasp the pericardial drainage, mediastinal drainage, drainage of the chest closed cooperation and nursing key points.

4) be familiar with the commonly used cardiac drugs (such as vascular active drugs, anticoagulation, antitussive expectorant drugs, sedative hypnotic drugs, first aid, etc.).

5) cardiac surgery are familiar with common laboratory tests (such as blood routine, blood biochemistry, blood coagulation function, blood gas analysis, etc.) the results of clinical significance.

6) be familiar with common in patients with emergency critical patients with cardiac surgery.

(3) professional

1) master cardiac surgery nursing procedures commonly used techniques, such as chest, change closed drainage, drainage bag, arterial blood specimen collection technology, such as respiratory function exercise.

2) mastering the special configuration method and application of vasoactive drugs, master potassium principles and methods.

(4) health guidance: mastering the common disease in patients with cardiac health education.

6. Vascular surgery

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master vascular surgical common diseases, such as acute arterial embolism, lower limb arteriosclerosis occlusion, varicose veins of lower limb and lower limb deep vein thrombosis, etc.) of the etiology, symptoms, signs, and principles of management.

2) master vascular surgery nursing assessment of the common diseases, the key points of observation, treatment, perioperative nursing measures, the complications after the operation, observation and treatment, and discharge guidance.

(3) familiar with vascular surgery commonly used drugs such as vascular active drugs, anticoagulant drugs, first aid, etc.).

4) vascular surgeons are familiar with common laboratory tests (such as blood routine, blood biochemistry, blood coagulation function, blood glucose, blood viscosity, etc.) the results of clinical significance.

5) be familiar with vascular surgery patients with emergency critical patients with common points.

(3) professional

1) to master the use of the medical stretch hose.

2) to understand the use of intermittent aeration pressure device.

3) understand the method of use sole vein pump.

(4) health guidance: master of vascular surgical common diseases health education.

7. Neurosurgery

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master neurosurgery common diseases (such as traumatic brain injury, brain tumor, cerebrovascular disease, spinal cord lesions, etc.) of the etiology, symptoms, signs, and principles of management.

2) master neurosurgery nursing assessment of the common diseases, the key points of observation, treatment, perioperative nursing measures, the complications after the operation, observation and treatment, and discharge guidance.

3) control of cerebrovascular intervention nursing key points.

4) master with the lumbar puncture and nursing key points.

5) master the nursing key points, the pupil examination method of ventricle drainage, GCS score method.

6) neurosurgery are familiar with common drugs, such as the antiepileptic drugs, dehydration, neurotrophic drugs, emergency medicine, etc.).

7) neurosurgery are familiar with common laboratory tests such as blood routine, blood biochemistry, cerebrospinal fluid examination, etc.) the results of clinical significance.

8) familiar with neurosurgical patients with emergency critical patients with common points.

9) familiar with the nursing of intracranial pressure monitoring points.

(3) professional

1) master neurosurgery nursing procedures commonly used techniques, such as ventricular drainage nursing technology, replace the drainage bag, the observation of the pupil, airway nursing, constraint method.

2) to understand the use of the intracranial pressure monitoring method, strength assessment, etc.

(4) health guidance: mastering the neurosurgery patients with common diseases health education.

(2) the training requirements.

Each department during the rotation, under the guidance of supervisor nurses, new nurses the entire management (from a patient's admission to discharge) this specialized subject common diseases of primary care and secondary nursing patients with at least 5 each. Nurses can grasp the tube of the patient, and can give a correct evaluation, timely observation and assist treatment, psychological nursing, health education and rehabilitation guidance, etc., can provide professional standard care services for patients.

Three, the emergency training content

(a) the training content.

(1) knowledge: familiar with the situation, the department rules and regulations, responsibility, work process, emergency plan, emergency reporting process, etc.

(2) professional knowledge

1) master the cause of emergency department common disease, symptoms, signs, and principles of management.

2) master the emergency nursing assessment of the common diseases, the key points of observation, treatment and nursing measures.

3) master test critical value, the transport process and observation point in critical patients.

4) be familiar with the emergency of commonly used drugs (such as bleeding, vascular active drugs, anti-bacterial drugs, first aid, calm analgesic drug, etc.).

5) emergency department are familiar with common laboratory tests (such as blood routine, blood biochemistry, blood gas analysis, blood coagulation function, etc.) the results of clinical significance.

6) familiar with the emergency department common emergency treatment process and cooperate with the point of critical patients.

7) understand common emergency triage and triage techniques, according to the patient complained of, main symptoms and signs, distinguish disease priorities and subordinate specialized subject, carries on the preliminary diagnosis, treatment program arrangement and distribution of specialized subject doctor.

(3) professional

1) to master the emergency commonly used instruments (such as ecg monitoring instrument, simple respirator, gastric lavage machine), etc.

2) master the emergency department nursing procedures commonly used techniques, such as defibrillation technology, cardiopulmonary resuscitation (CPR), gastric lavage, oxygen cure tool use, endotracheal intubation with technology, etc.

(4) health guidance:

1) master common emergency patients health education.

2) emergency patients psychological characteristics and communication skills.

3) understand the emergency and the group of injuries of emergency first aid cooperation, coordination and management.

(2) the training requirements.

During the rotation, in under the guidance of supervisor nurses, to participate in and complete the matching first aid and nursing at least 10 patients with emergency, provide professional standard care services for patients.

Four, intensive medicine training content

(a) the training content.

(1) knowledge: familiar with the situation, the rules and regulations, the responsibility department, work flow, infection control, emergency plan, etc.

(2) professional knowledge

1) familiar with intensive medicine common disease etiology, symptoms, signs and treatment principles, rescue with the point.

2) master intensive medicine nursing assessment of the common diseases, the key points of observation, treatment and nursing measures.

3) grasp the center vein pipe, oxygen therapy and all kinds of drainage tube nursing key points.

4) master the critically ill patient transfer process and processing point.

5) familiar with intensive medicine commonly used drugs (such as rescue, vascular active drugs, hemostatic, calm analgesic drug, anticoagulant drugs, anti-bacterial drugs, muscle relaxation, etc.).

6) familiar with intensive medicine commonly used laboratory tests (such as blood routine, blood biochemistry, blood gas analysis, blood coagulation function, etc.) the results of clinical significance.

7) familiar with the common points in patients with emergency critical patients with severe medicine.

8) familiar with tracheal intubation and tracheostomy, cardiopulmonary cerebral resuscitation and other nursing cooperation and nursing key points.

(3) professional

1) master intensive medicine nursing procedures commonly used techniques, such as vital signs monitoring technology, oxygen therapy, sputum suction, airway nursing, atomization inhalation, arterial blood specimen collection technology, infusion pumps, micro pumps, use of nutrition pump, pipeline nursing, basic life support (BLS), defibrillation technology, the use of simple apparatus, etc.

2) familiar with intensive medicine methods of use of the instrument, such as the monitor, the use of the breathing machine, electrocardiogram machine, expectoration drainage apparatus, etc.

3) be familiar with hemodynamic central venous pressure, arterial blood pressure monitoring methods.

4) familiar with pulmonary physiotherapy: take back expectoration, shrinkage lip abdominal breathing, postural drainage method.

5) understand the nursing points of sputum suction fiberoptic bronchoscopy.

(4) health guidance: intensive medicine the patient and family health education.

(2) the training requirements.

During the rotation, in under the guidance of supervisor nurses, participation and management of undergraduate course room at least 5 cases patients, to provide professional and standardized nursing service for patients.

Five, the training content of obstetrics and gynecology

(a) the training content.

1. Department of gynaecology

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master of department of gynaecology common disease (such as uterine fibroids, cervical cancer, endometrial, ovarian tumor, ectopic pregnancy, endometriosis, dysfunctional uterine bleeding, ovarian hyperstimulation), etc.) of the etiology, symptoms, signs, and principles of management.

2) mastering the common disease of department of gynaecology nursing assessment, the key points of observation, treatment and nursing measures.

3) master gynecological laparoscopic surgery, hysteroscopy surgery, laparotomy, Yin type perioperative nursing key points of the operation.

4) to master the abdominal cavity drainage nursing key points.

5) be familiar with the department of gynaecology commonly used drugs (such as hemostatic drugs, chemotherapy, hormone drugs, first aid, etc.).

6) be familiar with the commonly used laboratory examination of department of gynaecology (e.g., blood routine, blood biochemistry, urine routine, gynecological tumor markers, etc.) the results of clinical significance.

7) familiar with the common critical patients of department of gynaecology emergency coordination with the main points.

(3) professional

Master of department of gynaecology nursing procedures commonly used techniques, such as vaginal lavage technology, scrubbing perineum, sitz bath, etc.

(4) health guidance:

1) grasp the abdominal and transvaginal hysterectomy, laparoscopic surgery, hysteroscopy surgery in patients with health education.

2) master the methods of pelvic floor muscle exercise.

2. The obstetric

(1) knowledge: familiar with the situation, the rules and regulations, department responsibility, work process, emergency plan, etc.

(2) professional knowledge

1) master normal childbirth observation and nursing, obstetrics common diseases, such as premature rupture of membranes, placental abruption, placenta previa, fetal distress, aura, multiple pregnancy, premature gestational hypertension, gestational diabetes mellitus, scar uterine pregnancy and postpartum hemorrhage, etc.) of the etiology, symptoms, signs, and principles of management.

2) master obstetrics nursing assessment of the common diseases, the key points of observation, treatment, perioperative nursing measures and puerperium.

3) master neonatal nursing and observation points.

4) to master relevant knowledge and skills of breastfeeding.

5) familiar with obstetric commonly used drugs (such as uterine contraction drugs, spasmolysis drugs, antihypertensive drugs, stop bleeding, first aid).

6) maternity are familiar with common laboratory tests (such as blood routine, routine urine and blood sugar, blood coagulation function, 24 hours urinary protein quantitative, etc.) the results of clinical significance.

7) familiar with common obstetric patients with emergency critical patients with main points.

8) understanding of pregnancy with other medical disease, anemia, heart disease, etc.) of treatment and nursing.

(3) professional

Master obstetrics nursing procedures commonly used techniques, such as four steps palpation, vaginal examination, uterus, auscultation cardiac massage, cardiac monitoring technology, quickening counting, contractions observed, scrubbing perineum, neonatal umbilical, maternal and infant skin contact, breastfeeding skills, newborn, navel nursing, hip bath care, touch technology, etc.

(4) health guidance

1) master pregnancy nutrition, diet, and exercise guidance.

(2) master obstetrics common disease pregnancy with diabetes, gestational hypertension) health education.

3) master during pregnancy, and puerperium health education during delivery.

4) to master relevant knowledge of breastfeeding and neonatal health guidance.

(2) the training requirements.

Rotation period, under the guidance of supervisor nurses, new nurses the entire management (from a patient's admission to discharge) this specialized subject common diseases of primary care and secondary nursing patients with at least 5 each. Nurses to be able to master the tube of the patient, and can give a correct evaluation, timely observation and assist treatment, psychological nursing, health education, etc., can provide professional and standardized nursing service for patients.

Six, pediatric training content

(a) the training content.

(1) knowledge: familiar with the situation, the department rules and regulations, responsibility, work process, emergency plan, the hospital infection knowledge, etc.

(2) professional knowledge

1) grasp the children's growth and development and child care knowledge.

2) in premature infants, normal newborn care.

3) to grasp the newborn common diseases, such as preterm birth, neonatal jaundice, neonatal hypoxic ischemia encephalopathy, the causes of neonatal pneumonia, omphalitis, symptoms, signs, and principles of management.

4) master of pediatrics common disease (pediatric respiratory system, digestive system, blood system, immune system diseases, such as infantile bronchial pneumonia, infantile bronchial asthma, infantile convulsion, pediatric encephalitis, children, heart disease, high in pediatric heart failure, kawasaki disease, infantile diarrhea, pediatric anemia, pediatric kidney disease, intussusception, congenital megacolon, pediatric, chicken pox, measles, scarlet fever, etc.) of the etiology, symptoms, signs, and principles of management.

5) master pediatric nursing assessment of the common diseases, the key points of observation, treatment and nursing measures.

6) familiar with pediatric commonly used drugs (such as the expectorant drugs, sedative drugs, anti-infective drugs, spasmolysis medicine, first aid, etc.) of the related knowledge and drug dose conversion.

7) pediatrics are familiar with common laboratory tests (such as blood routine, urine routine, blood biochemistry, blood culture, blood bilirubin, etc.) the results of clinical significance.

8) familiar with the common critical patients with pediatric emergency coordination with the main points.

(3) professional

1) master pediatric intravenous fluids, venous blood, atomization inhalation, oxygen therapy, sputum suction, enema, neonatal and pediatric cardiopulmonary resuscitation (CPR) and other operations.

2) master change diapers, artificial feeding method, newborn bath method, airway nursing of newborn babies, navel nursing, hip and so on.

3) master warm box, radiation rescue units, blu-ray therapeutic apparatus, the use of transcutaneous jaundice meter and disinfection method.

(4) health guidance

1) to master communication skills with the children and family members.

2) premature infants and children with bronchial pneumonia, diarrhea, accident harm to health education.

(2) the training requirements.

Rotation during neonatal ward and children's ward, under the guidance of supervisor nurses, to participate in the newborn and is responsible for the care and children's disease patients, specification provides basic nursing, special nursing, psychological nursing and health guidance, etc.

Seven training content, the operating room

(a) the training content.

(1) knowledge: familiar with the situation, the department rules and regulations, responsibility, work process, emergency plan, hospital infection prevention and control, etc.

(2) professional knowledge

1) master operating room layout and process, the level of clean operation between the applicable scope of operation and management requirements.

2) master the common surgical patients with preoperative preparation, surgical procedure, incision, anesthesia methods and instruments equipped with.

3) can understand the common operation position placement principles, common complications and points for attention.

4) to grasp the operating room commonly used drugs, such as the expansion and narcotic drugs, acetanilide spasmolysis, step-up drugs, first aid, etc.).

5) to grasp the method of aseptic concept and various kinds of sterilization.

6) with specific operation process of infection.

7) to grasp the operating room transfers patients, reception of emergency management and rescue processes.

The hands of 8), small operation instrument nurses work, familiar with basic surgical procedure to cooperate.

9) be familiar with all kinds of disposable use, mastering the postoperative dressing equipment recycling, cleaning and processing.

(3) professional

1) mastered the basic operating room aseptic technical operations, including surgical hand disinfection and put on sterile gown and glove use sterile items, gloves, to assist the doctor wear a gown and a sterile gloves, aseptic package, a sorting and counting instrument table, each specialized instruments Taiwan secondary table, etc.

2) to grasp the method of surgery, skin disinfection method and spread towels, needle, belt line, dressings, packaging method, etc.

3) familiar with the operating room equipment (such as electric knife, shadowless lamp, attractor, docking surgery bed, bed, etc.) the safety of the operation and maintenance.

(4) health guidance

Before the operation, after operation supervision skills, communication skills and surgery patients.

Eight, oncology and training

(a) the training content.

(1) knowledge: familiar with the situation, the department rules and regulations, responsibility, work process, emergency plan, hospital infection prevention and control, etc.

(2) professional knowledge

1) master oncology common diseases (such as gastric cancer, lung cancer, colon cancer, esophageal cancer, breast cancer, lymphoma, etc.) of the etiology, symptoms, signs, and principles of management.

2) master oncology nursing assessment of the common diseases, the key points of observation, treatment and nursing measures.

3) grasp the oncology department common disease chemotherapy for clinical application and nursing key points.

4) master the methods of configuration of chemotherapy drugs, chemotherapy drug adverse reaction observation and matters needing attention.

5) master via peripheral vein in central venous catheter (PICC) and the purpose of the nursing key points.

6) master effective store seepage prevention and nursing.

7) master radiotherapy patient radiation field of skin care.

8) familiar with chemotherapy pump, analgesia pump nursing key points and matters needing attention.

9) familiar with chemotherapy, radiation therapy, common complications and nursing key points.

10) oncology are familiar with common drugs, chemotherapy drugs, hemostatic, hormone drugs, immunosuppressants, first aid, etc.).

11) oncology are familiar with common laboratory tests such as blood routine, blood biochemistry, bone marrow puncture test, etc.) the results of clinical significance.

12) familiar with oncology patients with emergency critical patients with common points.

(3) professional

1) master the chemotherapy drug infusion of configuration and the matters needing attention.

2) master oncology nursing procedures commonly used techniques, such as blood transfusion technology, via peripheral vein in central venous catheter (PICC) maintenance technology, etc.

3) familiar with the operation of chemotherapy pump technology and method of use.

4) understanding of implantable venous infusion port of the maintenance and nursing key points.

(4) health guidance

1) master oncology common diseases patients health education and rehabilitation guidance.

2) master the radiation and chemotherapy after cause radioactive dermatitis, oral mucositis, crissum infection of health education.

3) the control of cancer patients and their families psychological nursing key points.

(2) the training requirements.

Rotation period, under the guidance of supervisor nurses, new nurses the entire management (from a patient's admission to discharge) this specialized subject common diseases of primary care and secondary nursing patients with at least 5 each. Nurses to be able to master the tube of the patient, and can give a correct evaluation, timely observation and assist treatment, psychological nursing, health education, etc., can provide professional and standardized nursing service for patients.