rotation/relay system

Model of Shift Handover System (Selected 13)

In the rapidly developing society, more and more people will use the system, which generally refers to the procedures or codes of conduct that everyone is required to abide by, and also refers to laws, customs and other norms or certain norms formed under certain historical conditions. How should we make a system? The following is a sample of the handover system I have compiled for you. Welcome to read the collection.

Inheritance system 1 1. Successors should make good preparations for succession in advance.

Second, the personnel on duty must be on duty according to the prescribed duty schedule, and shall not be transferred or left without authorization.

Third, the successor must arrive at the substation 10 minutes in advance to learn more about the operation of the substation.

Four, in succession time, generally can't go through the licensing or termination of working ticket and general brake operation procedures.

Five, the shift must be "five clean-ups and three handover", namely: five clean-ups: see clearly, say clearly, ask clearly, check clearly and count clearly. Three deliveries: drawing board delivery, site delivery and physical delivery.

Six, the information of succession shall be subject to fill in the handover record and clear handover on site. The successor shall be responsible for all matters that should be confessed, and the successor shall be responsible for matters that are not clearly explained. If the handover procedures are not fulfilled, both parties shall be responsible.

Seven, the following circumstances shall not be handed over.

1, the younger generation is drunk.

2, accident treatment or important brake operation is in progress.

3. Before the successor arrives.

Handover system 2 1, the personnel on duty should strictly follow the doctor's advice, obey the arrangement of the head nurse, stick to their posts, perform their duties, and ensure the accurate and timely treatment and nursing work.

2, before the succession, the head nurse should check the critically ill patients' doctor's advice execution scenarios and nursing records, focusing on patrolling critically ill patients and new patients, and arrange the nursing work during the succession.

3. During the morning shift, the night nurse reported the total number of patients who had been transferred to another department for delivery and the number of critical deaths; As well as the condition changes and psychological state of newly admitted patients, critically ill patients, patients before and after major surgery or patients treated by special examination; Then the head nurse or the main nurse will lead the day and night nurses to patrol the ward, and make clear the patient's condition and ward management at the bedside. In addition to detailed oral and written shifts, other shifts should be accompanied by ward rounds and bedside shifts.

4, such as found in the succession of disease treatment equipment items account is not clear, should immediately ask. The successor shall be responsible for the problems found in the process of succession; If the handover is unclear, mistakes or accidents occur or items are lost after the succession, the successor shall be responsible.

5. All the routine expensive medical instruments, materials, rescue drugs, toxic drugs and limited drama drugs that need to be counted and handed over in each shift should be handed over clearly and signed by the successor after the counting is completed.

6, the personnel on duty must complete the record and the work of this class before the handover. Dispose of used items. In case of special circumstances, the handover must be detailed, and the successor * * * can only leave.

7. Nurses shall be on duty in three shifts, and each shift must be handed over on time. Successors shall go to the department in advance, read the handover report and hand over items.

8. The successor should prepare the necessary supplies for the next shift to facilitate the successor's smooth work.

Succession system Article 3 (1) Doctors on duty and succession:

1. All departments should have doctors on duty during non-office hours and holidays, and they can be on duty alone or jointly according to the size of the department and the number of beds.

2. The doctor on duty to the department before coming off work every day, understand the medical work assigned by doctors at all levels. During the shift change, you should patrol the ward, understand the situation of critically ill patients, and make a good handover before going to bed.

3. Before coming off work, doctors in various departments should record the condition and handling matters of critically ill patients in the log book, and make a good log book. The doctor on duty should record the course of disease and medical measures of critically ill patients, and make a brief record in the duty log.

4. The doctor on duty is responsible for temporary medical work and the handling of patients' temporary situation; Check and fill in the medical records of emergency patients in time and give necessary medical treatment.

5. The doctor on duty in case of difficult problems, should be handled by the attending physician or superior doctors.

6. The doctor on duty must stay in the duty room at night and shall not leave without authorization. The nurse should see the doctor at once when invited. If you have something to leave, you must explain it to the nurse on duty.

7. Doctors on duty are generally not divorced from their daily work. If there is no rest for rescuing patients, appropriate compensatory time off should be given according to the situation.

8. Every morning, the doctor on duty will report the patient's condition to the attending physician or chief physician, and hand over the critically ill patient's condition and the work to be handled to the attending physician.

(2) the nurse on duty and succession:

1. Ward nurses work in shifts once a week and are on duty in three shifts. The personnel on duty should nurse the patients in strict accordance with the doctor's advice and the arrangement of the head nurse.

2. Before the succession, the head nurse should check the doctor's advice execution scenarios and critically ill patients' records, focus on patrolling critically ill patients and new patients, and arrange nursing work.

3. The ward should establish a day and night shift book and a damaged or lost hospital supplies book. The person in charge of the succession must record the total number of patients, the number of people admitted to hospital, the death, the change of major, the operation and the critical situation; Diagnosis, illness, treatment, nursing, chief doctor's advice and implementation scenarios of new patients; Number of samples submitted for inspection; Whether the commonly used toxic drama drugs, first-aid drugs and other medical devices and supplies are damaged or lost. , should be recorded in the shift book, and explain to the successor before coming off work.

4. During the morning shift, night nurses will focus on the diagnosis of critical patients and new patients and matters related to nursing.

5. When the shift starts in the morning and evening, the nurse should read the shift book in detail day and night to understand the patient's dynamics, and then, accompanied by the head nurse or the nurse in charge, the nurse will focus on patrolling the patients day and night for shift. Successors should prepare necessary supplies for the next shift to reduce the fuss of successors.

(3) The departments of pharmacy, inspection and radiation should be equipped with personnel on duty according to the situation, and strive to complete all the work during the duty period to ensure the smooth progress of clinical medical work.

1 handover system 4. Work before handover, including handover report, cleaning of office, treatment room and duty room, etc. All kinds of articles should be put back in their original places, and the successor should do the handover work 15 minutes in advance.

2, succession before writing illness succession, must go deep into the ward, understand the patient's situation, check whether there is any omission in other work, and then write the illness succession record.

3. Successors should carefully shift in the office, strictly implement the principle of "five don't pick up" (number of patients, illness, treatment, articles, unclear hygiene and unclean), and ask questions in time.

4, medicines, instruments, items, etc. must be counted face to face during the succession. If there is a shortage, it should be found in time, and errors or losses should be reported and registered in time.

5, critically ill, newly admitted, long-term bed rest, special succession, surgery and other patients should be handed over at the head of a bed.

6, succession must complete the work of class before coming off work. The successor should make all the work clear. If the handover is unclear, the successor should be responsible for the problems that arise after the handover.

7, shall not be late, leave early, succession, the successor is late for some reason, the successor shall not leave first.

Article 5 of the inheritance system 1. The successor shall arrive at the post 20 minutes in advance, conduct patrol inspection with the successor * * *, keep the handover records and perform the signing formalities.

2. The handover information of commuters is as follows;

1. A special scene happened in the last shift;

2. Boiler operation scenario;

3. Safety accessories and accessory operation scenarios;

4. All kinds of valves are in good condition, and the water is replenished and stored at the site;

5. Water quality and water treatment scheme;

6. All tools used.

Inheritance system 6 I. Purpose:

Ensure the continuity of clinical medical treatment and prevent accidents.

Second, the requirements:

(1) handover requirements:

1, the shift leader should finish all the work of the shift before the shift, and make nursing records according to the requirements of nursing document writing specification.

2. Arrange and supplement frequently used items during the shift change, and prepare necessary supplies for the next shift.

3, succession must be on time. Successors go to the department in advance, complete the counting, handover and signing of all kinds of items, and access the medical records of key patients (such as critically ill patients, surgical patients and new patients).

4, succession must be written, oral, before going to bed. If the successor finds the illness, treatment, equipment and articles unclear, he should ask immediately. The successor shall be responsible for the problems found during the succession, and the successor shall be responsible for the problems arising after the succession.

5, handover both sides * * * patrol ward, pay attention to check whether the patient's condition is consistent with the succession, whether the patient's basic nursing and specialized nursing meet the requirements and whether the ward meets the management requirements, etc.

6, for special circumstances, such as abnormal mood, behavior and patients who have not asked for leave to go out, should contact the competent doctor or the doctor on duty in time, and take corresponding measures, and report to the hospital department when necessary. In addition to oral handover to nurses, records should also be made.

(2) Succession mode:

1. Written shift change: fill in the nursing record sheet for each shift and change shifts.

2. Oral shift: Generally, patients take oral shift.

3, bedside shift: patrol the ward with the successor * * *, focusing on the handover of critically ill patients with major surgeons, elderly and pediatric patients, and patients with abnormal mental state.

(3) Transfer information:

1. patient dynamics: including the total number of patients, the number of people entering and leaving the hospital, the number of people who transferred to another department, the number of people who transferred to another hospital, the number of people who gave birth, the number of people who underwent surgery, etc. , critically ill patients, rescue patients, first-class nursing patients, patients with special changes before and after major surgery, and dead patients.

2. The patient's condition: including the patient's consciousness, vital signs, symptoms and signs, examination results closely related to the disease, treatment and nursing measures and effects (such as whether all kinds of drainage tubes are unobstructed, the color, character and quantity of drainage fluid; Infusion and drip speed information; Whether the injection site is red, swollen and leaking); Psychological changes of patients, patients' attitudes towards diseases, attitudes of families and units, and support scenarios.

3. Articles: including standing toxic and narcotic drugs, rescue articles, instruments, instruments, etc. Large quantity and in good condition.

Inheritance system. When handing over the shift, the successor should do a good job of handover and make records, and hand over the shift to the successor to ensure that the records are correct and clean. The operation, maintenance and existing problems of the mechanical and electrical equipment of this class should also be handed over in detail, and the defects and problems of the equipment should not be concealed.

Second, it is forbidden to succession in case of accident or major operation. When necessary, the successor can assist in handling the accident under the unified leadership of the former class monitor, and then hand over the accident after it is handled.

Three, before the succession, the personnel on duty should conduct a comprehensive inspection of the operation of the equipment of this class. And do a good job of cleaning the equipment and workshop to ensure that the computer room is dry, well ventilated and the equipment is clean and tidy. The successor has not arrived at the post, and the personnel on duty shall not leave the post.

Four, the successor must arrive at the factory 15 minutes in advance, and carefully check the mechanical and electrical equipment. However, during inspection, other operations (except voltage and temperature) are not allowed, and abnormal phenomena should be raised in time. The successor should answer all the inquiries of the successor patiently and in detail.

Five, in case of successor mental disorders, such as illness, drunkenness, etc., should be put forward together with the monitor, and reported to the person in charge of the power station.

Six, equipment defects, maintenance, operation records and other information, tools, measuring tools, meters, etc. , should be fully accounted for, such as shortage, loss, tear, etc. The monitor on duty shall be responsible for the search, and the successor monitor shall carefully check to ensure that the information is complete. If serious situations such as loss, tear and shortage are found, the responsibility shall be investigated for handling.

Seven, in violation of this system of workers in accordance with the "employee reward and punishment system" severely dealt with.

Handover system 8 1. Ward nurses implement a 24-hour three-shift duty system, and the duty personnel perform the duties of each shift and care for patients.

2. Every morning, all medical staff will take part in the collective shift change, which generally does not exceed 15 minutes. There are night nurses who report the condition, diagnosis and nursing of critically ill and newly admitted patients in detail. The head nurse makes necessary summary according to the report and briefly arranges the work of the day.

3, after the succession, led by the head nurse successor * * * cooperate with patrol ward, bedside handover for critically ill patients, postoperative patients, expectant patients, postpartum patients, pediatric patients and patients with special circumstances.

4. It is stipulated that toxic substances, hemp, drama, restricted drugs, medical equipment and clothes shall be handed over clearly and signed face to face during the shift change.

5, in addition to the daily collective succession, each shift must be handed over on time. The successor should arrive at the department 10- 15 minutes in advance, count the items to be received, and read the handover report and nursing record sheet. The successor should make clear the patient's condition to the successor, and make bedside handover for critically ill, surgical and pediatric patients and newly admitted patients. The successor shall not leave his post before the handover is clear. The successor is responsible for any problems arising from unclear handover.

6, before the succession, the person on duty in addition to finish the work of this class, need to tidy up all the items, keep the treatment room, nurse station clean, and make the necessary preparations for the next shift.

7, including the contents of succession patients' psychological status, illness changes, the day or the next day surgery patients and special examination patients preparation and matters needing attention. Total number of patients, new admission, discharge, operation, delivery, critical illness, death, special medical equipment, special treatment and special specimen collection, etc.

8. Succession method

1) Text handover: each shift writes a nursing record sheet for handover.

2) bedside handover: patrol the ward with successors, focusing on handover of critically ill and major surgical patients, elderly patients, pediatric patients and patients with special psychological conditions.

3) Oral handover: Generally, patients take oral handover.

Inheritance system. Succession personnel should go to the boiler room in advance according to the specified frequency and time to prepare for succession, and learn more about the operation of the boiler.

Second, the handover person should make preparations in advance and conduct comprehensive and serious inspection and adjustment to keep the boiler running normally.

Three, the succession, if the successor did not arrive at the scene on time, the successor can't leave his post.

Fourth, the succession needs to be "five haves" and "five haves".

The five forks are:

(1) Boiler combustion pressure and water temperature are normal.

(2) The boiler safety accessories, alarm and protection devices are sensitive and reliable.

(3) The boiler body and accessories are normal.

(4) Boiler operation data, spare parts, tools and appliances are complete.

(5) The boiler room is clean and hygienic, and civilized production.

Five don't pay:

(1) Don't give it to firemen who are sick from drinking.

(2) The boiler body and auxiliary equipment shall not be handed over when there are abnormal phenomena.

(3) There is no handover during the accident handling.

(4) If the successor is absent, it will not be handed over to the unlicensed fireman.

(5) Boiler pressure, water level, temperature and combustion are abnormal.

Five, when the succession by both sides * * * with patrol inspection, point by point, item by item to check the contents of the succession and existing problems, carefully recorded.

Six, succession to the superior instructions about boiler operation.

Seven, after signing the handover record, the handover person shall be responsible for finding the equipment is defective.

Handover system 10 I. Responsibilities and requirements of successors

1, the successor must attend the pre-shift meeting of this workshop 20 minutes in advance, and immediately take up his post on time after the director and the monitor have arranged the work of sharing production and safety experience. In the absence of special circumstances (force majeure, unexpected events, etc.). ), the succession time exceeds 1 hour, the successor continues to work, and the successor is treated as absenteeism.

2, listen carefully to the introduction of the successor, carefully check and check the equipment operation, lubrication, tools and materials, health area.

, safety facilities, duty records, etc. When the succession conditions are met, the successor must sign the record.

3. When taking over, we should clearly understand the production situation and existing problems of the previous shift. If the succession is unclear and problems are found after the succession, the successor shall be responsible in principle.

4, after the succession, to conduct a comprehensive inspection of this position, found that the problem quickly take measures to deal with, at the same time make records, timely report to the monitor, director and the leader on duty.

5, found that one of the following circumstances don't pick up:

(1) When the regional sanitation does not meet the requirements of the unit;

(2) When the reasons for the shortage of tools and materials are unknown;

(3) When the problems in the work are unclear;

(4) When the problems that should be handled in the last shift are not handled;

(5) When the original record is unclear, incomplete, seriously damaged or incomplete.

Second, inheritance.

1. Before the handover, the person in charge of the handover shall conduct a comprehensive and thorough inspection of the post and equipment, and deal with the problems immediately if found. Except in special circumstances, hidden dangers and problems are generally not left until after work. If it is really necessary to transfer the problem to the next class, explain it to the successor, attract their attention, and actively put forward suggestions for handling it.

2, before the succession, must thoroughly clean the area health, keep the equipment in good condition and lubrication, and keep the equipment, instruments and materials in good condition and clean.

3, should fill in the original records before succession, write a good hand-over record.

4, the successor should create good production conditions for the work, and truthfully introduce the situation to the successor, hand over to treat matters needing attention, patiently answer the questions raised by the successor.

5. In case of an accident during the shift change, the handover should be suspended and the accident should be handled first. After consultation, it can be handled together with the heir or handed over to the heir. Under normal circumstances, the legacy problems that are not handled in time should be handled by the successor himself, and overtime work will not be recognized.

6. When the successor fails to take over at the stipulated time, the successor shall continue to stick to his post and shall not leave his post without leave until the successor takes over. If the shift-changing time exceeds 1 hour, the shift-changing person will continue to work (overtime will be treated as overtime, and overtime will be deducted from the labor resources of succession).

7, shift must be "five no":

(1) delivery, quality, task completion and safety issues in production;

(2) equipment operation;

(3) Completed instruments, meters, materials, spare parts, keys, etc. ;

(4) Submit production and operation records and handover records;

(5) instructions from superiors and other issues that should be paid attention to.

8, the successor must do "eight don't go":

(1) Don't leave until the work (production) task is completed;

(2) Work (production) records and documents are not sorted out and kept well;

(3) Clean the equipment before leaving;

(4) The workplace is not cleaned;

(5) Tools and instruments are not classified and counted;

(6) Don't leave before the accident is found out;

(7) Don't leave before the handover is clear;

(8) Those who need to perform special tasks do not leave.

Do a good job in "5S" site and safety.

Handover system clause 1 1 1. The personnel on duty should arrive at the post 15 minutes in advance according to the specified time, and check the work before handover. The successor has not arrived, and the personnel on duty should stick to their posts.

2. Handover: the first handover of the equipment, that is, the running state of the equipment and the problems found; Second, use tools; Third, handover the site, and ensure that the health of the area under its jurisdiction meets the standards when handing over the shift; Fourth, hand in all kinds of duty books.

3. Handover: You must get the handover record, check whether there are any special tasks and arrangements on that day, check the equipment status, and conduct an empty test run if necessary. Successors should be responsible for accidents caused by unclear hidden dangers. If it is found that the successor does not meet the requirements of succession, the successor has the right to refuse to take over and report to the team or department leader for handling.

Successors must check the following work when taking over:

First, check whether the operation record of the previous shift is true and reliable, listen to the introduction of the operation of the personnel on duty in the previous shift, and hand over the equipment operation record.

Second, check the inspection records of the previous shift, listen to the inspection introduction of the personnel on duty in the previous shift, and hand over the inspection records of the system equipment.

Three, check whether the operation of the equipment under its jurisdiction is in good condition, whether it is consistent with the operation records and inspection records, if there is any discrepancy, it should be recorded in the remarks column and signed by the personnel on duty on the previous shift.

Fourth, check whether instruments and public tools are missing, damaged and clean, and put them in order according to their original positions. If you have any questions, please go to the last shift on duty to sort them out.

If it is lost, it should be recorded in the remarks column of the handover record and signed by the former staff.

Five, check whether there is a special task or arrangement issued by the superior foreman in the handover record, and sign the handover record.

Succession is not allowed under the following circumstances:

1. When the successor is not on duty, the foreman or supervisor shall be informed, and the foreman or supervisor shall arrange the successor to take over the post.

2. When the successor is in poor mental state due to drunkenness or other reasons, he shall notify the foreman or supervisor, and the foreman or supervisor shall arrange for the successor to arrive at the post.

Only in this way can the transformation change.

Three, under the jurisdiction of the equipment failure, affect the normal operation of the system, the successor must work overtime and successor * * * troubleshooting, can take over, at this point, the successor must assist the successor troubleshooting.

Four, the successor is not cleaned up on duty within its jurisdiction, the successor should ask the successor to do a good job of cleaning up before taking over.

Five, when the accident is being handled, it is forbidden to shift, and the successor should cooperate with the personnel on duty, and can shift after the accident is handled.

Six, must fill in the handover record, with the consent of both parties, * * * sign the record.

Seven, the personnel on duty must have a high sense of responsibility, must stick to their posts, and shall not leave or string posts without authorization.

Eight, the personnel on duty at any time to patrol the equipment, pipeline maintenance, improve the equipment intact rate. Each shift must inspect the equipment under its jurisdiction according to the specified time and scope, so as to be diligent, eye-catching, alert, intelligent and quick, and find and deal with hidden dangers of equipment in time.

Nine, the personnel on duty should fill in the duty record, patrol checklist and related forms every day.

Ten, work needs to leave, must ask for instructions to the competent personnel and inform the whereabouts, immediately return to the lounge after completion. When dining, the personnel on duty shall eat in accordance with the regulations.

Eleven, the telephone on duty for work, are not allowed to take up the phone for a long time to chat, are not allowed to make personal calls. Don't drink, play cards or do any activities unrelated to work during working hours.

Twelve, according to the plan and the arrangement of the supervisor to do the daily maintenance and repair of equipment. If there is a major fault, when the personnel on duty are unable to handle it, they should immediately report to the superior foreman or engineer.

Thirteen, when a major accident (such as fire, etc.). ), calm down, even report to the superior and the security department. On the premise of ensuring personal safety, do your best to control the development of the situation and try your best to eliminate the accident in the bud.

Fourteen, the personnel on duty must do a good job in the environmental sanitation of this position, clean the ground, windowsill, doors and windows, equipment surfaces and other places that produce dust, and keep the duty within the scope of cleanliness at any time.

15. Smoking is strictly prohibited in the duty room.

Article 12: The first rule is to observe labor discipline and not go to work after drinking. The successor will arrive at the work place 10- 15 minutes in advance, and will be handed over on site. The post must hold relevant certificates.

Article 2. The successor must pay attention to the boiler operation and problems face to face, and check whether the water level gauge, barometer, safety valve and other equipment are in good condition, with work records and handover procedures.

Article 3 Although it's time to take over, but the successor hasn't arrived yet, the successor is not allowed to leave his post without leave. He should report to the leader in time and take measures before leaving his post.

Article 4. Successors are not allowed to take over when they go to work after drinking or are mentally abnormal, and they are not allowed to take up their posts by force. Successors should report in time.

Article 5 Successors have the right to refuse to take over, and the leaders on duty do not hand over the shift. If there are problems, they do not fill in the shift record and report to the leaders.

Article 6 When boilers and other auxiliary equipment fail in operation, they must be handled on duty and not moved to the next shift. Problems that cannot be solved should be reported in time and solved in time.

Article 7. Successors who fail to take over or whose successors are unclear should be severely punished.

Shift change system 13 Shift change is a serious system for normal production. All staff in each class must strictly observe, conscientiously implement and work together to create good conditions for each other and maintain normal production.

1. The successor arrived at the post 15 minutes earlier than required, asked about the production progress at work, carefully checked all kinds of records, and made corresponding preparations for the succession.

2, before the succession, the succession should fill in all kinds of statements and records, sort out the work supplies, and clean up the health area.

3, the successor should take the initiative to introduce the production situation on duty, and explain to the successor the problems that need to be solved.

4. The successor shall leave the post with the consent of the successor. If problems are found during the succession, the successor shall handle them in time until they meet the requirements. If the production or other work is affected, the successor shall be responsible. The successor did not check carefully, and the successor was responsible for the problems in production.

5. If there is an accident or special situation in the production process during the shift change, the successor must arrive at the scene and continue to organize, direct and deal with the existing problems. When necessary, the successor should carry out post-work and assist the successor to deal with the existing problems.

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