【精品】血糖監(jiān)測操作流程及評分標準37

1、血糖監(jiān)測操作流程及評分標準分值步驟評分等級得分備注abcd操作前準備（15分）1護士：著裝規(guī)范10003核對患者姓名、性別、年齡、檢驗申請單32104評估：患者病情、意識狀態(tài)、合作程度、檢驗?zāi)康?、選擇合適部位43212洗手，戴口罩10004物品：檢驗申請單、托盤、棉簽、75%酒精、手套、紙巾、快速手消毒、銳器回收盒、感染性廢物桶43212環(huán)境：符合無菌操作及職業(yè)防護要求，擺放合理2100取合適體位(4分)1解釋操作的目的及注意事項10002選擇合適的采血部位并征得患者同意21001協(xié)助患者取舒適體位1000開機準備（6分）2核對血糖儀上的調(diào)碼和試紙瓶上的號碼是否一致21004開機,當屏幕上閃現(xiàn)

2、插入試紙?zhí)崾緯r，可輕輕插入試紙4321采血（40分）5選擇合適的手指，用75%酒精的棉簽消毒手指，待消毒液完全蒸發(fā)54325再次核對患者姓名，將采血針固定在手指欲采血部位，快速刺入皮下543210輕輕擠壓手指，把第一滴血滴入試紙測試孔，測試孔應(yīng)全部被血充滿,（注意：血樣不能重復(fù)添加，也不能涂抹到加樣區(qū)）。1074110足夠量的血正確滴入后，不要涂抹、移動試紙，等待屏幕上顯示血糖的測定值107415用干棉簽按壓采血針眼處至血止54325讀取數(shù)據(jù)5432記錄（2分）2再次查對并做好記錄:在檢驗報告申請報告單記錄血糖測試結(jié)果2100健康教育（6分）3告知患者測出的血糖結(jié)果32103告知糖尿病健康飲食

3、的重要性3210整理（2分）1協(xié)助患者去舒適體位10001用物分類處置，消毒雙手1000整體評價（20分）5操作規(guī)范、熟練、未給患者造成不必要的損傷54325態(tài)度端正、尊重關(guān)愛患者54325溝通良好54325計劃性好、靈活性強5432提問（5分）5相關(guān)知識：空腹及餐后兩小時的指尖血糖正常值5432注：操作時間：2分鐘，每超過1分鐘扣1分，以此類推。實際操作時間： 分鐘 扣分： 分知識點：1. 采血中不可用力擠壓，以免組織液混入血液，使血液易于凝固和稀釋，而出現(xiàn)誤差。2. 空腹血糖正常值：3.9-6.0mmol/l ，6.16.9mmol/l為空腹血糖過高，7.0mmol/l以上為診斷糖尿病。餐

4、后血糖控制在7.8mmol/l以下為良好，7.9-11.0mmol/l為血糖控制一般，11.1mmol/l為血糖控制較差。3. 電腦指尖血糖的優(yōu)點：快速、方便、經(jīng)濟，操作容易。4. 糖尿病患者的飲食原則：1）.平衡膳食。2). 提倡吃粗纖維食物 ，如燕麥、蕎麥、芹菜等。3）.多吃蔬菜、適量水果和薯類。4）.飲食宜清淡。 5）.忌食肥甘厚味。 6）.嚴格禁止飲酒、吸煙。 7）.低鹽飲食和寧饑勿飽。 wnzr$u(x+a2e5h8kcnfriulxp#s%v)y0b3f6ialdogsjvmyq!t*w-z1d4g7jbmeqhtkwozr$u(x+b2e5h9kcnfriumxp#s&v)y0c

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