人的記憶力會(huì)隨著歲月的流逝而衰退，寫作可以彌補(bǔ)記憶的不足，將曾經(jīng)的人生經(jīng)歷和感悟記錄下來，也便于保存一份美好的回憶。范文怎么寫才能發(fā)揮它最大的作用呢？下面是小編為大家收集的優(yōu)秀范文，供大家參考借鑒，希望可以幫助到有需要的朋友。
血液質(zhì)量監(jiān)控管理制度及流程 血液質(zhì)量控制是干嘛的篇一
1、 領(lǐng)取或接收血液、血液成分后，要認(rèn)真檢查核對(duì)驗(yàn)收，外觀檢查合格、血袋密閉良好、標(biāo)簽填寫齊全清楚、包裝合格、數(shù)量與取血單相符，即可存入貯血冰箱，并登記。應(yīng)登記入庫日期、采血日期、貯血號(hào)、獻(xiàn)血者的血型、品種、容量、經(jīng)手人。禁止接受不合格的血液入庫。
2、 血液、血液成分應(yīng)按品種、規(guī)格分類。以采血或制備日期的先后順序?qū)?biāo)牌懸掛于貯血冰箱中。凡超過保存期的`血液或血液成分一律不能使用。
3、 貯血室周圍無污染源（如傳染病房、細(xì)菌室、廁所等）、避免陽光直接照射，室溫控制在28℃以下，定期消毒。
4、 貯血冰箱內(nèi)嚴(yán)謹(jǐn)放置其他物品，以防止血液污染。冰箱內(nèi)空氣每月培養(yǎng)一次，五，、霉菌生長(zhǎng)，一般菌落<8cfu/10min。
5、 接受由醫(yī)護(hù)人員送來的輸血申請(qǐng)單和血樣管。認(rèn)真核對(duì)受血者姓名、性別、年齡、血型、住院號(hào)、臨床診斷、輸血史、申請(qǐng)全血或血液成分的品種、數(shù)量、預(yù)定輸血日期、血常規(guī)、肝炎病毒標(biāo)志物、抗hiv、梅毒血清學(xué)檢測(cè)結(jié)果、醫(yī)生簽章、血樣管上必須貼有標(biāo)簽，記錄受血者姓名、血型、住院號(hào)。
6、 交叉配血前認(rèn)真核對(duì)患者血標(biāo)本（必須是輸血前三天內(nèi)的）和供血者標(biāo)本。復(fù)查abo血型和rh血型，均無誤時(shí)進(jìn)行交叉配血實(shí)驗(yàn)。交叉配血的主副管均無溶血或凝集，供者的血液方可給受血者輸注。填寫交叉配血結(jié)果，檢驗(yàn)者簽全名、日期。兩人值班時(shí)需相互核對(duì)并簽字。
7、 遇到下列情況之一，血液或血液成分不能發(fā)出：
血袋標(biāo)簽破損，字跡不清。
血袋有破損，滲漏。
血液中有明顯的凝塊。
血漿層進(jìn)行性變色、渾濁度增加或呈異常乳糜狀或暗灰色。
血漿中有明顯逐漸增多的氣泡、絮狀物或粗大顆粒。
未晃動(dòng)的血液，血漿與紅細(xì)胞的界面不清或交界面上的血漿出現(xiàn)溶血或紅細(xì)胞呈稀泥狀。
紅細(xì)胞的顏色呈暗紫色或紅褐色。
過期或其他需要查證的情況。
8、 血液發(fā)出后，立即將受血者和供血者的血樣管保管于2—6℃冰箱七天。凡輸血后需要再配血者，應(yīng)重新抽取血液做交叉配血實(shí)驗(yàn)，不能用輸血前的血樣管。
9、 輸血結(jié)束后，醫(yī)護(hù)人員要將輸血記錄單貼在病歷中并及時(shí)填寫輸血
反應(yīng)記錄卡，于24小時(shí)內(nèi)送回血庫。
輸血質(zhì)量過程管管理監(jiān)控制度
2017-04-01 08:05 | #2樓1、保存在指定的血庫冰箱內(nèi)，溫度應(yīng)該保持在4℃，保存溫度不當(dāng)可能導(dǎo)致血細(xì)胞破壞或細(xì)菌感染。血液自血庫取出后應(yīng)在30分鐘內(nèi)輸入，若輸血延遲必須將血液歸還血庫保存。
2、遵守?zé)o菌操作原則和無菌操作技術(shù)規(guī)程
3、格執(zhí)行查對(duì)制度。
4、醫(yī)囑進(jìn)行輸血，應(yīng)向患者解釋輸血的過程，要求患者及時(shí)報(bào)告不良反應(yīng)。
5、兩個(gè)以上供血者的血液時(shí)，應(yīng)間隔輸入少量等滲鹽水，避免產(chǎn)生免疫反應(yīng)。
6、血液中不可加入其他藥品或高滲性或低滲性溶液，以防血液凝集或溶血。
7、過程中密切觀察輸血反應(yīng)，尤其是輸血開始15分鐘，護(hù)士應(yīng)監(jiān)測(cè)患者的生命體征和皮膚變化，密切觀察有無先兆輸血反應(yīng)的癥狀和體征，并及時(shí)處理。若出現(xiàn)嚴(yán)重的輸血反應(yīng)，立即停止輸血，輸入生理鹽水，余血和輸血器送血庫，分析原因并通知醫(yī)。
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血液質(zhì)量監(jiān)控管理制度及流程 血液質(zhì)量控制是干嘛的篇二
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