Hospital and hospitalization environment and admission and exit nursing 1. The mission of the hospital is to focus on medical work. First-class hospitals: refer to the primary hospitals that provide medical and health services directly to the communities of a certain population.Such as rural towns, health centers, urban street health centers and so on. 2. Nursing work in out-patient clinic: Observe the patient's condition at any time, such as high fever, severe pain, dyspnea, hemorrhage, shock and other patients, should take immediate measures to arrange to see a doctor in advance or send to the emergency room for treatment; for the more serious patients, the elderly and the infirm, the order of seeing a doctor can be adjusted appropriately. 3. Emergency nursing: In case of critical patients, the on-duty doctors and nurses in the rescue room should be notified immediately; in case of legal disputes, traffic accidents, criminal cases, etc., the security department or public security department of the hospital should be notified immediately, and family members or escorts should be invited to stay; in case of disastrous events, the head nurse and relevant departments should be notified immediately. 4. Emergency items should be "five definite", i.e. fixed number of varieties, fixed-point placement, fixed-person custody, regular disinfection and sterilization, and regular inspection and maintenance. 5. In order to control noise, nurses should be light in four aspects: light in speech, operation light and closing doors. in walking, light in light opening in and 6. Ward environment: the suitable temperature in general ward is 18-22 C; in infant room, operating room, delivery room, etc., the room temperature should be raised to 22-24 C, and the relative humidity should be 50%-60%. The sound intensity should be between 35-40 dB. The distance between the two beds should not be less than 1 m. Regular ventilation for 30 minutes. (1) When the room temperature is too high, it is not conducive to heat dissipation, the patient feels restless, and the respiratory functions are disturbed. and digestive (2) When the room temperature is too low, the cold stimulation can make the patient's muscles tense and liable to cold. (3) When the humidity is too high, it is beneficial to bacterial reproduction and increase the rate of nosocomial infection. At the same time, evaporation is weakened, sweating is inhibited, the patient feels sultry, urination is increased, and the burden of kidney is aggravated. (4) When the humidity is too low, the air is dry and the water evaporates in large quantities, which can cause dry mouth and tongue, sore throat and thirst. 7. bedding method (1) Standby bed: Keep the ward clean and beautiful, and prepare to receive new patients.Remove the bedside table, about 20 cm from the bed, move the bedside chair to the middle of the bed tail, about 15 cm from the bed tail. (2) Vacant beds: keep the ward tidy; welcome new patients; for patients who leave the bed temporarily.Rubber sheets should be laid in the middle of the bed with the upper end 45-50 cm away from the head of the bed. (3) Anesthesia bed: easy to accept and care for patients after anesthesia operation; protect contamination bedding by bloodstains from or vomiting; ensure patients'safety and comfort, and prevent complications. 8. Nursing care in the inpatient department: (1) go through admission procedures; (2) carry out sanitary treatment; (3) escort patients into the ward. 9. Graded nursing (1) Applicable objects of special care: (1) critically ill and in need of rescue at any time; (2) intensive care patients; (3) major surgical operations; (4) severe trauma or extensive burns; (5) use of ventilators. (2) First-level care - hourly visits to patients.Applicable object: (1) Severe patients tends to be stable; whose condition (2) Patients who need to be in bed strictly after operation or during treatment; (3) patients who are totally unable to take care of themselves and whose condition is unstable; (4) Patients who take care of themselves and whose condition may change at any time. (3) Secondary care - visiting patients every two hours. (4) Three-level Nursing patients every three hours. - visiting