手术室电脑处方录入操作说明
★处方录入说明:
(进入使用管理菜单下面处方管理窗口操作)
从病名姓名开始录入信息、病人姓名是谁、病人身份证号是多少、年龄是多大、疾病名是什么病、处方编号是实际手头处方单上的红处方编号、是门诊病人就填门诊号、是住院病人就填住院号、处方医生对应选择开红处方的医生、主治医生可不填、保管员1和保管员2对应选择上药房或手术室那两个保管员、代办人为特殊情况下病人自已没身份证号的就填写代办人信息(例如病人家属或朋友)、处方日期一定要与实际红处方日期一致、科室输入实际哪个科室的用药（例：妇产科、外科）、发药员和复核员对应选择上,然后在下方药品编码处输入药品拼音首字母(例: 盐酸氯胺酮注射液拼音首字母为yslat) 按键盘回车键找到实际用的这个药品和批号以及输入实际用的数量, 最后点上方的确认按钮即可.
★处方录错处理方法说明:
A处方未上传到卫生局之前处理:
(进入使用管理处方管理窗口调单按钮出现处方查询窗口后调整左下角日期在快查中输入病人姓名并按键盘回车键,双击上方单据编号找出处方单点反确认按钮修改好错的处方信息再点上方确认按钮.
B处方已上传到卫生局后处理:
(进入使用管理处方修正窗口出现处方查询窗口后调整左下角日期在快查中输入病人姓名并按键盘回车键,双击上方单据编号找出处方单 a.如果是数量录多直接在冲减数量处减掉多的数量(例:–1),最后点上方确认按钮. b.除数量录多外任何错误问题,找出处方后直接点上方确认按钮退掉整张处方数量,最后在处方管理窗口重登正确处方.。
第二课 HIS住院医生站操作流程
住院医生站操作流程一．进入医生登陆主界面后，选择相应病人双击鼠标左键进入医生工作界面二.医嘱录入1.单击医嘱录入进入医嘱操作界面，点击“新增”。
（快捷键F3）2.根据药品拼音码自动检索药品，录入剂量，频次，用法等信息后，点击回车下跳到下一行。
如进行另一组液体录入，点击“新组”按钮。
（快捷键：F2）。
录入完成后点击“保存”，确认无误点击“提交”。
治疗项目在名称里输入“ . ”,文字医嘱输入“，”3. 医嘱删除，退回，作废，复制。
选中相应的药品，点击鼠标右键，跳出右键菜单进行相应操作。
注：保存后的医嘱可以进行编辑删除，提交后的医嘱可进行作废，退回。
4.调用个人常用和组套。
点击“助手”，弹出右侧窗口。
选择对应的类型，可以调用之前保存的药品，诊疗等信息。
注：医生可以通过右键菜单将之前的医嘱保存为个人常用和个人组套，通过此界面自由调用。
三.检验申请1.单击“检验申请”后，再次点击“申请单开列/修改”，进入检验申请界面。
2.选择相应类别，和检验项目后，点击“提交”按钮。
3.点击“已开申请单列表”，可进行申请单的修改、删除、报告预览操作。
四.检查申请1.点击检查申请，进入检查申请界面。
点击“新增”按钮.(快捷键F2)2.选择相应的检查类型和项目后点击“确认”3.最后点击“提交”后，即可将申请单提交至医技科室并生成医嘱。
五.手术申请1.进入手术申请界面后，点击“新增”（快捷键F2）2.弹出此窗口后，录入相关手术信息点击“确认”3.选择是否直接提交至手术室。
提交后生成手术医嘱，手术室即可进行手术安排。
六.会诊申请1.进入会诊申请界面新增弹出以下窗口，录入相关信息后，选择会诊范围。
点击“选择会诊者”。
2.会诊者可以科室会诊，也可以个人会诊，选择完成，点击确认。
3.会诊申请提交后，对方医生即可在“我的主页”界面，待会诊病人中查看处理会诊病人。
4.在上图界面中，点击会诊意见，即可对病人填写会诊意见并签名。
签名需要输入医生的登陆密码。
医院病人电脑录入医嘱安全指引
万荣县2020-2021学年高二下学期6月月考英语试卷第I卷第一部分：听力（略）(满分30分)第二部分：阅读理解（共20小题，每小题2分，满分40分）第一节（共15小题；每小题2分，满分30分）阅读下列短文，从每题所给的四个选项（A. B. C. D）中，选出最佳选项，并把正确答案填在答卷上。
AGrebet is a 22-year-old design student in Ivory Coast. Everywhere he looks, he sees signs of Western influence - from the shopping malls lining the streets in his home city to the way his classmates speak and dress. "We are living like we are Western people," he says. "It's like we are not proud of our own culture, " So he created emojis (表情符号) that show what he thinks is missing from global keyboard culture: symbols of history and daily life in Ivory Coast and neighboring countries.In 2018, he released a free group of over 360 emojis in a mobile app called Zouzoukwa, which means "image" in the local language. Available on Android and iPhone, it now has over 120,000 downloads. It's more impressive than other emoji apps. The emojis show life and culture in Ivory Coast and the surrounding regions(地区), including traditional masks, African instruments and people dressed in a variety of prints and clothing that show regional heritage Some of his favorite designs are a series of facial expressions commonly used in his region, but not available as a standard emoji. "They are expressions we often use in real life, but they were not represented on our phones," Grebet says. "The next step is to try and get some of my designs into the official emoji set, where they'd reach more than 2 billion people worldwide, as standardized symbols on smartphones everywhere,"Grebet plans to keep traveling and expanding his experiences and his emojii pack. His designs so far are drawn from his experiences and research into a few African countries.21. What does Grebet think of their local culture at the beginning?A. It's full of inspirational symbols.B. It's influential in local people's lifeC. It's quite similar to Western cultureD. It's absent in many parts of their life.22. What is Zouzoukwa's advantage over other emoji apps?A. It provides a better source of signs.B. It is designed based on daily items.C. It is related to the local life and culture.D. It downloads emojis on Android and iPhone23. What is Grebet most likely to do in the future?A. Create an official emoji set.B. Standardize some of his emojis.C. Research into African countries.D. Take a tour to popularize his designsBAfter graduation in 2018, Chen Minlin didn't hunt for a suitable job, but became a hiker (徒步旅行者). "Completing different hiking routes is like collecting cards in childhood," the 24-year-old told China Daily. Like Chen, more young people are going on journeys to rediscover the simple and beneficial joys of walking. According to Youxiake, a Hangzhou-based tour operator, more than 140,000 travelers signed up for hiking trips from last May to October. This represents a 9. 3% increase over the same period last year.For most hikers, exploring nature can help them keep fit. Hiking in nature enables them to breathe fresh air, gives the whole body exercise and keeps them away from the crowds in urban public places. "I felt that exposure to nature and physical tiredness helped me counteract the negative effects of my pain at that time," Zhang Peng, 33, co-founder of Beiing Hiking Club, said, "Hiking is a liberating experience to enjoy the quietness in the wild. And the tiring climb makes me feel the vigor (活力) of life." Indeed, hiking has been part of his lifestyle.With great passion, Zhang has gone on many classic routes across the country. The longest route he's ever finished is 240 kilometers. With poor Internet service in the wild, it encourages people to chat and interact with one another on the long walks. Zhang enjoys the social interaction, and the friendships it brings about.For Liu Yanli, also a hiker, what she values most is that the activity brings her mental strength. Until this year, her life has always run smoothly and lacked hardship She longs for the sense of achievement that can be felt after overcoming the difficulties offered by hiking. Ever since 2013, she's hiked in many countries, including Nepal, Japan, Greece, New Zealand, Italy and Jordan. Once she felt she Was at the point of breaking down, but she carried on. "I was impressed and moved by my willpower. I'd never experienced that feeling in my daily life," Liu said. It's perhaps this unusual feeling that appeals to more youths. "Each time I came back from a trip, the contrast between the severe conditions in the wild and my Comfortable home helped to strengthen my happiness in everyday life," Liu added.24. Why does the author mention Chen Minlin's experience in Paragraph 1?A. To offer some popular hiking routes.B. To encourage more people to join in hiking.C. To show the popularity and appeal of hiking.D. To inform the readers of the character of hiking25. The underlined word "counteract" in Paragraph 2 probably means "A. ExposeB. increaseC. feelD. reduce26. Why is Liu Yanli interested in hiking?A. It strengthens her willpower.B. It enables her to stay in shape.C. It helps her to achieve successD. It gives her a way to release pressure.27. What is the passage mainly about?A. The great benefits of hiking.B. Different attitudes towards hiking.C. The importance of exploring nature.D. Comparisons of people's hiking experiencesCMore than 11,000 scientists are warning that the Earth is facing a climate emergency. They represent several fields of study and come from 150 countries around the world. They approved a report that appeared in the publication Bioscience. It warns that the world will face "untold human suffering" if people do not make lasting changes in human activities that influence climate change. The new report is called "the World Scientists' Warning of a Climate Emergency". Three leaders of the study from the United States worked on the study with scientists from universities in South Africa and Australia. This is the first time a large group of scientists have jointly used the word "emergency" when talking about climate change."In spite of 40 years of global climate negotiations (谈判) , we have generally conducted business as usual and have largely failed to deal with this difficult situation," the study said. "Climate change has arrived and is speeding up faster than many scientists expected."The report referred to 6 areas that the world needs to deal with immediately. The scientists appealed to nations to use energy more efficiently and cut their use of fossil fuels. They suggested that lawmakers approve taxes on the burning of carbon-based fuels, such as coal, oil and natural gas.The scientists expressed support for women's rights and making family planning services reach all people. They said this would help to reduce unexpected changes in the size of the human population. The report urges (敦促) people to move toward more of a plant-based diet. Other areas of concern include preventing permanent loss of some plant and animal species in the forest. The report notes that the public should take strong action to move politicians (政治家) to approve lasting policy changes.The scientists added, " We believe that the outlook will be positive if decision-makers and all of humanity immediately respond to this warning of a climate emergency, and act to preserve the life on the Earth, our only home."28. What will happen if climate change continues to grow worse?A. Humans will be homeless.B. Humans will suffer quite a lot.C. Plants and animals will die out.D. Forests will be destroyed forever.29. How have people reacted to climate change in the past 40 years?A. They have ignored scientists' warningB. They have talked much but done little.C. They have gradually solved the problemD. They have controlled the difficult situation.30. Which of the following can help slow down climate change?A. Using energy in an efficient way,B. Approving taxes on renewable energyC. Stopping cutting down trees completely.D. Adopting a diet with more animal meat.31. What is the best title for the passage?A. Scientists' Hard Work of Saving the EarthB. The Important Reasons for Climate ChangeC. Scientists' Warning of a Climate EmergencyD. The Influence of Human Activities on ClimateDDo you have the habit of running before breakfast in the morning? Exercising on an empty stomach won't do harm to you and it may actually help, depending on your goal and health conditions.Exercising before eating comes with the risk of feeling light-headed due to low blood sugar. You might feel tired or uneasy, and won't be able to exercise as enthusiastically as you would have. It is important for older adults to eat something before exercising, especially in the morning. But if your primary exercise goal is weight loss, exercising on an empty stomach may come with some promising benefits, There's some research to support the idea of exercising in the fasted (禁食的) state.However, it may not be suitable for everyone. "Some people advocate fasted exercise, but these people tend to be young and in amazing physical shape," says Douglas Paddon-Jones, a muscle researcher and professor of the University of Texas "They have no health problems, and what they're eating is of high quality and carefully picked. " On the other hand, exercising in the fasted state without proper planning or professional guidance may run the risk of unhealthy body changes.For people who aren't athletes, eating food before exercising may be the best way to get the most fat-burning benefit. "You don't want to fill up; you just want to give your body a burst of energy to power your training period. After you exercise，drink some water, but wait 60 to 90 minutes before eating," says Shivani Sahni director of the nutrition program at Harvard University. "You're trying to take advantage of your metabolic (新陈代谢的) rate, so if you can go an hour or an hour and a half without eating, you'll make the most of the fat-burning response."32. Why does the author advise older adults to exercise in the fed state?A. To burn more fat.B. To lower blood sugarC. To exercise energeticallyD. To avoid being light-headed33. The underlined word "it" in Paragraph 3 refers to "A. weight lossB. exercising in the fasted stateC. some researchD. eating something before exercising34. What is Shivani Sahni's suggestion for people after exercising?A. Drinking some salty water.B. Finding a fitness instructor.C. Developing a new lifestyle.D. Going without food for some time.35. What is the author's attitude to exercising in the fasted state?A. Skeptical.B. Supportive.C. CautiousD. Casual第二节（共5小题；每小题2分，满分10分）根据短文内容，从短文后的选项中选出能填入空白处的最佳选项。
处方审核、调配、核对操作程序
处方审核、调配、核对操作程序一、处方审核操作程序1. 登录系统：打开处方审核系统，使用个人账户进行登录，输入正确的用户名和密码，点击登录按钮。
2. 导入处方：选择导入处方的选项，点击浏览按钮，选择要导入的处方文件，点击确定按钮，系统将自动导入处方信息。
3. 查看处方信息：在处方列表中选择要审核的处方，点击查看按钮，系统将显示处方的详细信息，包括患者姓名、药品名称、剂量等。
4. 审核处方合规性：根据医院的处方规范和药品使用指南，仔细审核处方的合规性，包括药品的适应症、剂量、用法等是否符合规范要求。
5. 填写审核意见：在审核界面中填写审核意见，包括审核结果和审核说明，确保审核结果的准确性和完整性。
6. 提交审核：点击提交审核按钮，系统将保存审核意见和结果，并自动将审核结果发送给相关人员。
7. 审核记录查看：在审核列表中可以查看已审核的处方记录，包括审核日期、审核人员、审核结果等信息。
二、药品调配操作程序1. 登录系统：打开药品调配系统，使用个人账户进行登录，输入正确的用户名和密码，点击登录按钮。
2. 接收调配任务：进入调配系统后，查看调配任务列表，接收到的调配任务会显示在列表中。
3. 查看调配任务信息：在调配任务列表中选择要调配的任务，点击查看按钮，系统将显示任务的详细信息，包括药品名称、数量、调配要求等。
4. 准备药品及配料：根据调配任务要求，准备所需的药品和配料，并按照规定的比例进行配制。
5. 调配药品：在调配界面中填写药品调配信息，包括药品名称、数量、配料比例等，在确认无误后点击调配按钮，系统将自动计算调配结果。
6. 核对调配结果：调配完成后，使用另外的容器将调配好的药品进行分装，然后进行核对。
核对时，逐一比对药品名称、数量和配料比例，确保无误。
7. 提交调配结果：完成核对后，点击提交按钮，系统将保存调配结果并自动发送给相关人员。
8. 调配记录查看：在调配记录列表中可以查看已完成的调配记录，包括调配日期、调配人员、调配结果等信息。
医生用电脑开处方操作方法
医生用电脑开处方操作方法
医生使用电脑开处方的操作方法如下：
1. 打开电脑并登录到相关的电子病历系统或处方软件。
2. 在系统中选择患者的资料或搜索患者姓名来确定患者身份。
3. 点击“开处方”或类似的选项，以进入处方开具界面。
4. 在处方界面中，选择适当的药物或治疗方法。
可以通过搜索药名、药品类别、病症等方式来找到合适的药物。
5. 填写药物的剂量、频率和疗程等详细信息。
这些信息通常根据病情和治疗要求来确定。
6. 如果需要，可以添加特殊说明或注意事项，例如禁忌症、副作用等。
7. 确认处方的准确性，并点击“保存”或类似的选项将处方保存到系统中。
8. 如果系统支持电子签名或印章，医生可以进行电子签名或盖章确认处方的有效性。
9. 打印处方并给患者，或选择直接将处方发送给药房或患者的电子邮箱等。
10. 在完成处方开具后，及时关闭电子病历系统或处方软件，确保患者的隐私和数据安全。
需要注意的是，医生在开具处方的过程中，应该遵守相关的法律法规和医疗伦理准则。
同时，医生还应该进行适当的药物知识和处方规范的培训，确保开具的处方安全合理。
医院住院药房工作站操作规程
医院住院药房工作站操作规程一、引言医院住院药房工作站是医院内的一个药物管理系统，用于住院患者的药品发放和药物库存管理。
本文档旨在规范医院住院药房工作站的操作流程，提高工作效率并保证患者用药的安全性。
二、工作站登录与注销1.打开电脑，进入工作站登录界面。
2.输入用户名和密码，点击登录。
3.登录成功后，进行相应的工作操作。
4.工作结束后，点击工作站界面右上角的注销按钮，确认注销操作。
三、患者信息管理1.在工作站界面左侧导航栏中选择“患者管理”。
2.输入患者的基本信息，包括姓名、性别、年龄等，并保存。
3.在患者管理界面，可以查看和编辑患者的详细信息。
4.患者出院后，及时在患者管理界面中将其标记为已出院状态。
四、药品管理1.在工作站界面左侧导航栏中选择“药品管理”。
2.在药品管理界面中，可以添加、修改和删除药品信息。
3.添加药品时，需填写药品的名称、规格、生产厂家等基本信息。
4.修改药品信息时，可对药品的价格、库存等进行修改操作。
5.删除药品时，需谨慎操作，确保无误后方可执行删除。
五、药品发放1.在工作站界面左侧导航栏中选择“药品发放”。
2.根据患者的处方单，选择相应药品，并填写发药数量。
3.确认发药信息无误后，点击发药按钮进行药品发放。
4.发药完成后，及时更新药品库存信息，并将发药记录保存到系统中。
六、药品退还1.在工作站界面左侧导航栏中选择“药品退还”。
2.输入退还的药品信息，包括药品名称、退还数量等。
3.点击退还按钮，确认退还操作，并更新药品库存信息。
4.将退还记录保存到系统中，并在患者的药品发放记录中进行标记。
七、药品库存管理1.在工作站界面左侧导航栏中选择“药品库存”。
2.查看当前药品的库存情况，包括药品的名称、规格、库存数量等信息。
3.根据需要，可进行药品的补充、调剂或转移等操作。
4.每次对药品库存进行操作后，需及时更新库存信息，确保准确性。
八、资源管理1.在工作站界面左侧导航栏中选择“资源管理”。
电子处方系统简要操作说明
简要操作说明操作要点：输入后回车确认！！！！经回车确认生效，TAB键向下一步。
（以及方向上下键）可不用鼠标，软件全键盘操作。
--更迅速先设置一下药品和[验方库]添加------在文本框内输入相应的数值-----再点保存OK！修改------先在查询框输入简码找到要修改的药物-----------再文本框内输入相应的数值-----点保存OK！删除---- 找到要修改的药物--------点在格内要删除的药品-----------再点删除OK！一！开方具体操作流程：1 常规开方-----输姓名---依次回车-----写简要病历-----输入简要病历-------简化输入方式1. 按ALT+2弹出症状简码输入框-------输入症状简码（如风热感冒一系列症状可输入frg几个字母就会显出来。
下拉回车选择 2. 亦可点击录入------------输入完简要病历后--- 按TAB键```再输入诊断-----可-输入症状简码-----输入症状后按ALT+1 软件系统就会根据诊断结果给予辅助开方提示。
（当然是诊断库完善后）------确保辩证施治更精准-----回车-- 到验方栏如果是没有自拟药物-----回车-- 光标到药物划价栏-----输入药物简码----回车确认（库存中定义了常用量，简化了输入，也可直接输入修改）-----完成之后按TAB键到剂数-----输入剂数-----回车挂号费，计算总金额----在总金额回车到药物用法次处可有可无！上下键或点用法----完成后-----按F9或点工具栏保存-----之后开始下一位2 复诊病人开方------输入姓名简码`右侧自动查找该病人------显示后确认为该病人后再按ALT+0或点下方“资料填写”-------- 自动完成病人基本资料填写-----输入病人简要病史------按TAB键输入诊断-----回车后在验方处--输入方药简码-----回车确认-----调验方完毕-----再加减药物-------减药味的方法：按F5或点工具栏上的删除一行即可-----完成之后按TAB键到剂数-----输入剂数-----回车挂号费，计算总金额-----按F8或点工具栏打印-----按F9或点工具栏保存3 复诊病人调原方开方------输入姓名简码`右侧自动查找该病人------显示后确认为该病人后再按ALT+0或点右上方“资料填写”-------- 自动完成病人基本资料填写-----输入或修改病人简要病史-----如果疗效好可守原方-----调原方，按快捷键ALT+ 9 或点击调原方-----再加减药物-------完成之后按TAB键到剂数-----输入剂数-----回车挂号费，计算总金额-----按F8或点工具栏打印-----按F9或点工具栏保存完成~`````4 开药时同时实时操作-------当输入药物没有时点工具栏药品设置点添加------再文本框内输入相应的数值-----再点保存OK！再接着划价-------当药物数量或单价进价不对时点工具栏药品设置在查询栏-----输入简码找到要修改的药物（多种查法）-----点修改----在文本框内输入要修改的数值----保存删除药物----先确定要删的一行再删除--------验方入库（保存经验方，常用方）想把输入的处方保存，留用可以点验方入库，以后就方便直接调用（简码调用）输入完成后-点击验方入库---输入验方方名--保存二！各按键的功能：1。
手术室电脑处方录入操作说明
★处方录入说明:
(进入使用管理菜单下面处方管理窗口操作)
从病名姓名开始录入信息、病人姓名是谁、病人身份证号是多少、年龄是多大、疾病名是什么病、处方编号是实际手头处方单上的红处方编号、是门诊病人就填门诊号、是住院病人就填住院号、处方医生对应选择开红处方的医生、主治医生可不填、保管员1和保管员2对应选择上药房或手术室那两个保管员、代办人为特殊情况下病人自已没身份证号的就填写代办人信息(例如病人家属或朋友)、处方日期一定要与实际红处方日期一致、科室输入实际哪个科室的用药（例：妇产科、外科）、发药员和复核员对应选择上,然后在下方药品编码处输入药品拼音首字母(例: 盐酸氯胺酮注射液拼音首字母为yslat) 按键盘回车键找到实际用的这个药品和批号以及输入实际用的数量, 最后点上方的确认按钮即可.
★处方录错处理方法说明:
A处方未上传到卫生局之前处理:
(进入使用管理处方管理窗口调单按钮出现处方查询窗口后调整左下角日期在快查中输入病人姓名并按键盘回车键,双击上方单据编号找出处方单点反确认按钮修改好错的处方信息再点上方确认按钮.
B处方已上传到卫生局后处理:
(进入使用管理处方修正窗口出现处方查询窗口后调整左下角日期在快查中输入病人姓名并按键盘回车键,双击上方单据编号找出处方单 a.如果是数量录多直接在冲减数量处减掉多的数量(例:–1),最后点上方确认按钮. b.除数量录多外任何错误问题,找出处方后直接点上方确认按钮退掉整张处方数量,最后在处方管理窗口重登正确处方.。
(完整版)住院医生站操作手册
点击右键后出现一个下拉菜单，选中“医嘱”后出现“医嘱录入”菜单，通过此菜单可以进入录医嘱界面。医生也可以点击图片左框的“医嘱录入”菜单进入录医嘱界面。
4.进入录医嘱界面后，点击如下图片上的“增加医嘱”按钮就可以录医嘱了
二、药品、项目、文字医嘱的录入
如果在输医嘱或文字输错时可用鼠标点中双击该医嘱或点鼠标右键，在弹出的菜单中选中“修改当前医嘱”，如下图七所示，修改完后点“确定”按钮或按F5键即可。如果要删除一条医嘱，用鼠标点中该医嘱，点鼠标右键选中“删除当前医嘱”或点击面版上的“删除”
按钮即可。
如果在上图医嘱的“普食”前插入一条“Ⅱ级护理”医嘱，先用鼠标选中上面的“普食”医嘱，再在项目框处输入“ejhl”调出Ⅱ级护理后，点击图片下面的“插入”按钮即可将“Ⅱ级护理”这条医嘱插入到“普食”的前面如下图八所示，其它药品或项目的插入，操作方法同上。
2).当输完一组医嘱后，可以点击鼠标右键，弹出菜单选择“开始分组”和“结束分组”或按“F9和f10键”后将出现分组线，如上图八所示，如果处消分组只要选中“取消分组”或按“F11”键即可。
3）.医嘱输完后点击“保存”按钮即可，如果输入的医嘱在保存还未审核的话，还是可以继续修改该病人的医嘱。当病人的医嘱审核执行后，长期、临时医嘱会自动分开到相应医嘱框中。
当点击“有效长期医嘱”菜单时，被停掉的医嘱在该菜单框中不会显示。
七、检验、检查申请报告单的录入及调阅
在住院医生站信息界面，选中病人后点鼠标右键，弹出一菜单，选中“检查化验”（或点信息框左侧的’检查化验申请’）后，打开录检查、化验及报告调阅菜单，见下图16
如果录申请单只要点右上角的“申请单录入”即可录入申请单，当病人做完检查（如B超等）化验后，医生可以点击检查报告，化验报告来调阅病人的结果报告，点“打印’可以打印出该病人的报告单，如下图17
主班护士电脑操作规程(3篇)
第1篇一、目的为确保主班护士电脑操作的规范性和准确性，提高工作效率，保障患者安全和医院信息系统的正常运行，特制定本规程。
二、适用范围本规程适用于医院所有主班护士的电脑操作。
三、操作流程1. 登录系统（1）打开电脑，进入操作系统。
（2）打开医院信息管理系统，输入用户名和密码登录。
（3）确认登录成功后，进入系统主界面。
2. 查询患者信息（1）在主界面，点击“患者管理”模块。
（2）在患者管理模块中，输入患者姓名、住院号、身份证号等查询条件，点击“查询”按钮。
（3）查询结果列表中，选中需要查看的患者信息，点击“详情”按钮。
3. 输入患者信息（1）在患者详情界面，根据实际情况填写患者基本信息，如姓名、性别、年龄、民族、婚姻状况等。
（2）填写患者入院信息，如入院日期、入院科室、床位号、主诉、诊断等。
（3）保存患者信息，并关闭详情界面。
4. 处方开具（1）在主界面，点击“医嘱管理”模块。
（2）在医嘱管理模块中，点击“处方开具”按钮。
（3）在处方开具界面，输入患者姓名、住院号等查询条件，点击“查询”按钮。
（4）查询结果列表中，选中需要开具处方的患者，点击“开具处方”按钮。
（5）在开具处方界面，选择药品、规格、数量等信息，点击“确认”按钮。
（6）保存处方信息，并关闭处方开具界面。
5. 退药处理（1）在主界面，点击“医嘱管理”模块。
（2）在医嘱管理模块中，点击“退药处理”按钮。
（3）在退药处理界面，输入患者姓名、住院号等查询条件，点击“查询”按钮。
（4）查询结果列表中，选中需要退药的患者，点击“退药”按钮。
（5）在退药界面，选择药品、规格、数量等信息，点击“确认”按钮。
（6）保存退药信息，并关闭退药界面。
6. 退出系统（1）完成操作后，点击系统右上角“退出”按钮。
（2）关闭医院信息管理系统。
四、注意事项1. 严格执行医院信息系统的操作规程，确保患者信息的安全性和准确性。
2. 操作过程中，注意保护患者隐私，不得泄露患者个人信息。
住院医嘱系统操作说明
在停止医嘱的界面中双击要停的医嘱（该医嘱停止时间会成红色），然后 存盘，并生成执行项目，可停止该医嘱。注意医嘱的停止时间与频率时间的关 系。
5．撤消医嘱： 在撤消医嘱界面中，双击要撤消的医嘱就可撤消该医嘱。
使用注意：
1）必须是无效错误的医嘱。
2）发生过领药的医嘱，撤销后必须退药。
6．打印药品单：
2）频率及时间： 医嘱的执行频率，并正确的选择频率的时间。
3）剂量： 填写剂量时要注意剂量的单位。
4）医嘱开始时间： 医嘱开始执行的时间。
3．修改医嘱：1）如果医嘱未确认（黑色），可以在录入医嘱界面中修改医嘱并存盘。
2）如果医嘱已经确认或执行，则可以使用 “停止医嘱 ”，“撤销医嘱 ”来对医嘱 进行相应的处理。
住院医嘱系统操作说明
1．整理床位： 入院病人要如实的调整床位号。
2．录入医嘱： 医嘱的录入必须严格按照医生所开的医嘱来录入，检索录入医嘱 时一定要准确的选择 “药品的名称规格 ”、“频率及时间 ”、“剂量 ”、“领量”、
“服药方式”、“医嘱开始时间 ”，存盘之前一定要仔细核对。
1）药品的名称规格： 要看清楚并选择正确的规格，大、小规格要区分开。
8．退诊疗项目费用：
就是在 “领量”中添写相应的负数，执行后即可。
9．要查询病人费用及医嘱上帐情况，请使用 “综合查询 ”功能；要打印病人 费
用清单或汇总，请使用 “病人费用明细清单 ”功能。
医嘱操作流程：
录入医嘱确认医嘱生成执行打印药品单
生成执行项目之后，就可以打印药品单。打印药品单的时候，一定要选择 要领药品的时间，系统默认领取今明2天（该时间可以设置）的药品单。如果 没有退药，要选择查看 “长期口服摆药单 ”、“统领单 ”并打印，然后到药房领取药 品。