交班Chapter 11 Shift change
学习目标
1.掌握交班汇报内容及流程
2.掌握以下词汇
hypertension 高血压病
extracorporeal shock wave lithotripsy (ESWL) 体外冲击波碎石
physical cooling 物理降温
Good morning everyone, I am the night-shift nurse.During the past 24 hours, 2 patients checked out, 2 patients checked in and 8 patients received interventional therapies.Right now there are 28 patients in the ward, with 12 under primary care.
Check-out patients:
Wang Ming, bed #3, diagnosed with chronic pancreatitis.
Chen Yang, bed #18, diagnosed with Crohn's disease.
They checked out yesterday.
Check-in patients:
Wang Gang, bed #3, diagnosed with chronic pancreatitis.He comes on foot and can take care of himself independently, over 10-year history of hypertension, blood pressure well controlled by regular medicine, no discomfort during the night.
Liu Xin, bed #18, diagnosed with acute pancreatitis.He comes with the help of others, with limited independence in life and history ofpenicillin allergy.
Patients receiving operations:
Wang Qi, bed #5, diagnosed with chronic pancreatitis;received extracorporeal shock wave lithotripsy (ESWL) yesterday;no bloating or abdominal pain after the procedure; good sleep last night.
Li Guang, bed #12, diagnosed with chronic pancreatitis;received ESWL yesterday; nausea after the procedure; further observation is suggested by the doctor.
Patients with changed conditions:
Chen-xi Wang, bed #2, diagnosed with pancreatic cancer; body temperature 38.2℃ 6 pm yesterday; using ice packs for physical cooling as directed by the doctor; body temperature 36.9℃ thirty minutes after the cooling; 36.2℃ 6 am today.
Patients to undergo ESWL today:
Liu Juxiang, bed #6, and Zhang Yu, bed #9.
Nothing special with other patients.Over.
译文
大家早上好,我是夜班的责任护士。在过去24小时内,出院2人,入院2人,介入治疗患者8人。目前病房患者总数28人,其中一级护理12人。
出院患者:3床患者王明,诊断为慢性胰腺炎;18床患者陈洋,诊断为克罗恩病,这2位患者均于昨日出院。
入院患者:3床患者王刚,诊断为慢性胰腺炎,患者步行入病房,生活无需依赖,既往有高血压病史10余年,规律服药,血压平稳,晚夜间无不适,睡眠好。
18床患者刘鑫,诊断为急性胰腺炎,患者被搀扶入病房,生活轻度依赖,青霉素过敏。
介入治疗的患者:5床患者王旗,诊断为慢性胰腺炎,昨日行体外冲击波碎石术,术后无腹胀、腹痛,夜间睡眠好。
12床患者李光,诊断为慢性胰腺炎,昨日行体外冲击波碎石术,术后感觉恶心,医生建议加强观察。
一般病情交班:2床患者王晨曦,诊断为胰腺癌,昨日18 : 00体温38.2℃,遵医嘱给予冰袋物理降温,30分钟后复测体温36.9℃,今晨6 : 00体温36.2℃。
今日手术名单:6床患者刘菊香和9床患者张宇均行体外冲击波碎石术。
其余患者无特殊,交班完毕。