《莒南县中医医院患者身份识别制度》

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1、莒南县中医医院患者身份识别制度一、住院患者必须建立床尾卡，内容包括:床号、性别、年龄、入院时间、住院病案号、过敏药物、护理级别、饮食种类，主管医生及专业护士等，使用“住院病案号”作为识别患者身份的唯一标识。门诊患者使用“门诊号”作为识别患者身份的唯一标识。二、有基本社会医疗保险者，入院3天内，其主管医生将患者身份证号，医保卡号或新型农村合作医疗卡号填写清楚后嘱患者或家属办理身份确认手续。三、病情严重，意识障碍、新生儿，手术、输血、不同语种或语言及交流障碍等患者必须按规定使用“腕带”标识。护士在给使用“腕带”作为识别标识时，必须双人核对后方可使用，若损坏

2、需要更新时同样需要经两人核对，佩戴“腕带”标识应准确无误，注意佩戴部位皮肤无擦伤，血运良好。四、患者身份识别方法有床尾卡核对，双向式核对（开放式询问核对）、腕带核对、病历卡核对、注射单核对等。在标本采集、给药或输血等各类治疗活动前必须严格执行查对制度，并至少同时使用“姓名”“性别”等两种患者身份识别方法（禁止仅以房间或床号作为识别依据）五、转送、收治患者，必须认真识别患者身份，严格执行患者转科交接登记制度。六、转床或转科时，必须及时更新腕带信息，并做到二人核对，确保患者身份识别信息与腕带信息一致。Opinionsandsuggestionsonthep

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