集成医疗终端一体化医护

护士用户手册

中国人民解放军总后卫生部 浙江和仁（浙大中控）科技有限公司

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概要 .................................................................................................................................................. 5 系统启动与退出 ............................................................................................................................... 6

1. 启动和登录 ............................................................................. 错误！未定义书签。 2. 退出 ......................................................................................... 错误！未定义书签。 用户界面介绍 ................................................................................................................................... 8 住院患者查询 ................................................................................................................................. 10

1. 查看患者信息 ......................................................................................................... 10 2. 右键操作 ................................................................................................................. 11 3. 查看其他病房病人信息 ......................................................................................... 12 4. 选择病人 ................................................................................................................. 12 集成视图......................................................................................................................................... 13

1. 病人基本信息 ......................................................................................................... 13 2. 通过日期控件选择日期 ......................................................................................... 14 3. 通过按钮切换日期显示 ......................................................................................... 14 4. 通过选择就诊定位日期显示 ................................................................................. 14 5. 事件信息查看 ......................................................................................................... 15 6. 进入详细病历界面 ................................................................................................. 16 病历界面......................................................................................................................................... 17

1 就诊导航 ......................................................................................................................... 17

1.1 就诊记录 ......................................................................................................... 17 1.2 病历类型 ......................................................................................................... 18 1.3 子记录按钮 ..................................................................................................... 18 1.4 显示切换按钮 ................................................................................................. 18 2 病历主信息区 ................................................................................................................. 18

2.1 病案首页 ......................................................................................................... 18 2.2 体温单 ............................................................................................................. 19 2.3 诊疗记录 ......................................................................................................... 19 2.4 检查 ................................................................................................................. 20 2.5 检验 ................................................................................................................. 21 2.6 医嘱 ................................................................................. 错误！未定义书签。 2.7 其它 ................................................................................. 错误！未定义书签。

综合浏览......................................................................................................................................... 24 业务支持......................................................................................................................................... 25

1 提醒功能 ......................................................................................................................... 25 2 护理录入 ......................................................................................................................... 26 3 体征记录 ......................................................................................................................... 26

3.1 病人基本信息 ................................................................. 错误！未定义书签。 3.2 日期选择 ......................................................................................................... 27 3.3 信息录入 ......................................................................................................... 27 3.4 信息保存 ......................................................................................................... 28 4 医嘱转抄 ......................................................................................................................... 30

4.1 设置提取条件 ................................................................................................. 30 4.2 提取医嘱信息 ................................................................................................. 31 4.3 执行转抄 ......................................................................................................... 31

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4.4 打印 ................................................................................................................. 31 4.5 关闭窗口 ......................................................................................................... 31 医嘱校对 ......................................................................................................................... 32 5.1 编辑医嘱 ......................................................................................................... 32 5.2 医嘱查看 ......................................................................................................... 32 5.3 保存编辑结果 ................................................................................................. 33 5.4 执行校对 ......................................................................................................... 33 5.5 其他操作 ......................................................................................................... 34 5.6 打印 ................................................................................................................. 34 5.7 关闭/最大化窗口 ............................................................................................ 35 打印 ................................................................................................................................. 37 6.1 打印执行单 ..................................................................................................... 38 6.2 打印标签 ......................................................................................................... 37 6.3 删除打印记录 ................................................................................................. 41 患者管理 ......................................................................................................................... 42 7.1 新入 ................................................................................................................. 42 7.2 出院 ................................................................................................................. 43 7.3 转入 ................................................................................................................. 44 7.4 转出 ................................................................................................................. 45 7.5 在科信息 ......................................................................................................... 47 计价管理 ......................................................................................................................... 47 8.1 设置查询条件 ................................................................................................. 48 8.2 编辑计价信息 ................................................................................................. 48 取消处理 ......................................................................................... 错误！未定义书签。 9.1 取消出院 ......................................................................................................... 45 9.2 取消入科 ......................................................................................................... 46 9.3 取消转科 ......................................................................................................... 46

床位管理 ................................................................................................................. 49 10.1 床位信息 ......................................................................................................... 49 10.2 换床 ................................................................................................................. 50

病人查询 ................................................................................................................. 50 11.1 患者信息 ......................................................................................................... 51 11.2 等床病人 ......................................................................................................... 52 11.3 住院病人 ......................................................................................................... 54 11.4 出院病人 ......................................................................................................... 55

出院通知 ................................................................................................................. 57 申请查询 ................................................................................................................. 58 13.1 检查申请 ......................................................................................................... 58 13.2 检验申请 ......................................................................... 错误！未定义书签。 13.3 用血申请 ......................................................................................................... 59 13.4 手术申请 ......................................................................... 错误！未定义书签。 13.5 检查查询 ......................................................................................................... 60 13.6 手术查询 ......................................................................... 错误！未定义书签。

药柜管理 ................................................................................. 错误！未定义书签。

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药品查询 ................................................................................................................. 65 系统设置 ................................................................................................................. 66 16.1 打印设置 ......................................................................................................... 66 16.2 提醒设置 ......................................................................................................... 67 16.3 其他 ................................................................................................................. 67 17 角色切换 ................................................................................................................. 68

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