How to write a nurse s speech in the discussion of the unfortunate death record of a new student?

1.Death records.

If a patient dies during hospitalization due to ineffective treatment, the death record should be completed immediately after death, and the treating physician should write it on the "death record" sheet with a red ink pen. Its contents and discharge records.

Approximately the same, but with an emphasis on the circumstances of the rescue and death. Its contents include:

1) General items: name, gender, age, admission department, death department, bed number, outpatient number, hospitalization number, admission time, time of death (indicate time and minute), number of days in hospital, admission diagnosis, death diagnosis, record time (indicate time and minute).

2) Summary of admission medical records.

3) Summary of hospitalization.

4) Rescue process.

5) Final diagnosis and cause of death.

6) Regardless of whether the diagnosis is clear or not, efforts should be made to persuade the family of the deceased to perform a pathological autopsy and include the results of the autopsy in the medical record.

2.Transcript of the discussion of the death case.

All hospitalized death cases should be discussed by the department within 1 week, with the participation of medical staff and relevant personnel, the cause of death should be analyzed, the lessons learned in the process of diagnosis should be learned, and the medical records should be recorded in the medical record with a blue and black ink pen (a separate page should be set up, and the "death case discussion record" should be marked in a horizontal and moderate position) and the death case discussion record book. Its contents include:

1) The time and place of the discussion, the names and positions (titles) of the moderator and participants.

2) Patient's name, department, age, time of admission, time of death, cause of death, and final diagnosis (including autopsy and pathological diagnosis).

3) Minutes of participants' speeches.

4) The moderator's concluding remarks.

The outpatient medical records of the deceased patient are attached to the inpatient medical records and are archived.

2.How long should the death record be completed.

This should be done within 24 hours of the patient's death.

Death case discussion system:

One. In the case of death, in general, the discussion should be organized within 1 week; Special cases (cases of medical malpractice) should be at 24

hours for discussion; Autopsy cases, pending pathology report.

Discussion will be held within 1 week of sending.

Two. The discussion of death cases shall be presided over by the head of the department, and the medical staff and related personnel of the department shall participate, and if necessary, the medical education department shall send someone to participate.

Three. In the discussion of death cases, the physician in charge will report the condition, diagnosis and treatment, rescue process, preliminary analysis of the cause of death and preliminary diagnosis of death. Death discussions include diagnosis, history, cause of death, diagnosis of death, and lessons learned.

Four. The record of the discussion should be recorded in detail in the special record book for the discussion of the death case, including the date of the discussion, the names of the moderator and participants, and the professional and technical positions.

Discuss opinions, etc., and record a summary of concluding observations that form a consensus in the medical record.