病区管理质量考核标准

病区管理质量考核标准,,,,,

序号,检查内容,存在问题,分值,,

1,病房环境2.5,1.1病房窗台有杂物,0.15,,

,,1.2病房空气有异味,0.15,,

,,1.3病房物品摆放杂乱（床、桌、暖瓶）,0.15,,

,,1.4床头桌面有污渍,0.15,,

,,1.5病房门上玻璃窗被遮挡,0.15,,

,,1.6病房随员多，嘈杂,0.15,,

,,1.7病房窗台外堆放物品,0.15,,

,,1.8病房内有广告宣传单,0.15,,

,,1.9窗帘悬挂不整齐，有污渍,0.15,,

,,1.10工作人员未做到四轻（走路轻、说话轻、开关门轻、操作轻）,0.15,,

,,1.11换下的被服堆放在地面,0.15,,

,,1.12患者家属自带简易床、床垫,0.15,,

,,1.13患者家属聚众饮酒、吸烟、打牌等影响其他患者休息及工作人员办公,0.2,,

,,1.14私用电器，做饭,0.2,,

,,1.15早7时后，晚20时前随员床未收起,0.15,,

,,1.16输液架上悬挂衣物等与输液无关物品,0.15,,

2,病房卫生1.5,2.1床下物品多，杂乱,0.2,,

,,2.2床头桌上有医疗用品（注射器、棉签、针帽等）,0.2,,

,,2.3地面、床下、床头桌后有垃圾,0.2,,

,,2.4未湿式清扫床单元,0.3,,

,,2.5未做终末消毒,0.3,,

,,2.6病房内有输液空瓶未及时收回，瓶口贴、胶布等医疗物品在病房内乱贴,0.3,,

3,走廊环境1.5,3.1走廊窗台有杂物,0.5,,

,,3.2走廊有晾晒的衣物,0.5,,

,,3.3卫生间有水渍、有异味、便器摆放杂乱,0.5,,

4,床头卡1.0,4.1床头卡等级护理标记不清,0.15,,

,,4.2床头卡饮食标记不清,0.15,,

,,4.3无床头卡,0.15,,

,,4.4床头卡过敏史没有标记,0.2,,

,,4.5出院患者未及时撤下床头卡,0.15,,

,,4.6床头卡与医嘱护理等级不符,0.2,,

序号,检查内容,存在问题,分值,,

5,设备情况2.0,5.1平车、轮椅、送物车不清洁，运转有噪声,0.1,,

,,5.2病历夹及病历车不整洁,0.1,,

,,5.3病区电脑、家具、物品不清洁,0.1,,

,,5.4病区电脑、家具、物品未建立账目，无专人保管，保证使用,0.15,,

,,5.5清扫用具无标识,0.1,,

,,5.6清扫用具放置位置不正确,0.1,,

,,5.7病房、卫生间照明设施有故障,0.1,,

,,5.8医用冰箱内有与医疗无关物品,0.1,,

,,5.9医用冰箱内患者自备药无使用登记,0.15,,

,,5.10医用冰箱不清洁、物品存放分区不明确,0.1,,

,,5.11医用冰箱内无温湿度计,0.15,,

,,5.12无医用冰箱温湿度记录本,0.15,,

,,5.13胰岛素等高危药品无标识,0.15,,

,,5.14医用冰箱温湿度记录与实际不符合,0.15,,

,,5.15医用冰箱温湿度记录不全,0.1,,

,,5.16医用冰箱控温失灵未及时报修,0.1,,

,,5.17安全及防火警示标识不清楚,0.1,,

6,基础护理1.5,6.1患