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[{"$nulls":7},"经口鼻腔吸痰操作评分标准（2014修改）"]
["项目",{"$nulls":6},"内                 容",{"$nulls":6},"分值"]
["准备",{"$nulls":6},"1、操作者   仪表端庄，着装整洁、洗手戴口罩",{"$nulls":6},3]
[{"$nulls":7},"2、环 境    符合要求",{"$nulls":6},2]
["用物",{"$nulls":6},"物品准备 :中心负压装置或负压吸引器、治疗盘、吸痰管、听诊器、无菌生理盐水及一次性消毒碗、快速手消毒液、医用垃圾桶、非医用垃圾桶、无菌手套、治疗巾、棉签、压舌板、手电筒、纸巾、呋喃西林液",{"$nulls":6},5]
[]
["操    作    步    骤",{"$nulls":6},"1、核对医嘱，检查物品",{"$nulls":6},3]
[{"$nulls":7},"2、推车入病房，自我介绍，操作前核对（含腕带）",{"$nulls":6},5]
[{"$nulls":7},"3、评估：病情、意识状态、听诊（判断痰液的量及部位）、扣背，解释吸痰目的",{"$nulls":6},5]
[{"$nulls":7},"4、取舒适体位，高流量吸氧（4-6L)",{"$nulls":6},3]
[{"$nulls":7},"5、连接电源，检查吸引装置，调节负压（0.02-0.04mpa)",{"$nulls":6},3]
[{"$nulls":7},"6、倒无菌生理盐水",{"$nulls":6},2]
[{"$nulls":7},"7、打开吸痰管包装前端，一只手戴无菌手套，盘绕吸痰管于手中，尾端与吸引器连接",{"$nulls":6},5]
[{"$nulls":7},"8、抽吸无菌生理盐水，湿润前端，检查吸力及吸痰管是否通畅",{"$nulls":6},5]
[{"$nulls":7},"9、正确吸痰："]
[{"$nulls":7},"    ①手法正确",{"$nulls":6},5]
[{"$nulls":7},"    ②符合无菌要求",{"$nulls":6},5]
[{"$nulls":7},"    ③插入深度、时间适宜",{"$nulls":6},3]
[{"$nulls":7},"    ④给予负压方法正确",{"$nulls":6},3]
[{"$nulls":7},"10、吸痰过程中应观察病人痰液情况、血氧饱和度、生命体征",{"$nulls":6},5]
[{"$nulls":7},"11、吸痰结束后，给予病人高流量吸氧2分钟，冲洗负压连接管",{"$nulls":6},5]
[{"$nulls":7},"12、评估吸痰效果、听诊肺部",{"$nulls":6},3]
[{"$nulls":7},"13、给病人舒适体位，整理床单位，处理用物",{"$nulls":6},3]
[{"$nulls":7},"14、 宣教、洗手并记录",{"$nulls":6},2]
["评价",{"$nulls":6},"1 、操作规范，患者舒适",{"$nulls":6},5]
[{"$nulls":7},"2 、操作熟练、动作轻巧、迅速",{"$nulls":6},5]
[{"$nulls":7},"3 、与患者或家属沟通有效，取得合作",{"$nulls":6},5]
["提问",{"$nulls":6},"目的、注意事项、相关知识",{"$nulls":6},10]
["总分",{"$nulls":13},100]
[{"$nulls":12},"考核时间："]
[{"$nulls":7},"考核者签名：",{"$nulls":3},"考核时间："]

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