急诊分娩的急诊服务流程2015-1-28

急性分娩的急诊服务流程                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             一、接到通知后，立即开辟院内急危重孕产妇急救绿色通道，电话通知妇产科及儿科值班医护人员，做好急救准备工作，如备好产包、药品、急救器材、诊疗仪

器、手术器械等并迅速送达救治现场。

二、接诊病人要认真负责，迅速准确。要求5分钟内使病人进入救治程序，如为急危重孕产妇，需要抢救的，由值班医生负责通知本科室主任、医务科或总值班，立即启动我院危重孕产妇抢救预案，领导组织危重孕产妇抢救小组成员进行抢救。

三、抢救工作实施中，由负责妇产科业务院长指挥，根据病情确定抢救方案，其他人员各按各自的职称和技术专长，全力实施抢救工作。参加抢救的医护人员，要严肃认真，服从指挥，密切配合，争分夺秒，沉着冷静，规范治疗操作，完成各自任务，并严格执行查对制度，口头医嘱要求准确、清楚，护士要复述一遍，以免发生差错，严格观察病情变化，认真做好各项记录，要求准确、清晰、扼要、完整。而且必须注明执行时间。

四、对危重孕产妇制订全面细致的护理计划，认真执行护理观察，及时准确的做好护理记录。

五、对危重孕产妇，要执行床头交制度，医护人员要及时准确交接病情和治疗情况，对病人的病情变化、抢救措施、所有用药及着重观察的情况，均应详细，注射用药品空安瓿，输液空瓶，输血袋等用完后，经两人核对无误后方可按规定处置。

六、及时对病情情况进行评估，根据本院实际情况及救治条件和能力决定是否转诊，需要转诊的要根据病情和上级医院的诊疗条件确定转诊医院，对病情危重在我院无条件抢救且病人可以运送时应尽早转院，且严格按照我院转诊程序进行。

七、及时与病人家属联系交代病情，凡可能涉及到的纠纷及时向院里汇报，做好抢救小结，总结经验，提高抢救技能。

八、转诊指向的医院必须是对孕产妇救治最有利的医院，有些特殊病种要考虑接受医院的救治水平，争取一步到位减少途中延误。转诊前必须由我院医务科与上级医疗机构相关人员电话联系，并简要复述病情，告知转院前的必要处理，同时要有熟悉病情的医生、护士护送，携带必要的抢救物品及转院记录等相关资料，严密观察途中病情变化并及时处理，送到后护送人员应在介绍完病情并办好相关转院手续后方可离开。

九、科室要严格执行本流程，对下级医院转来的急危重孕产妇必须予以优先安排、及时救治，并保障人员、车辆、通讯等需求不得推诿。