Dry Goods Sharing-Operating Room Series: Process of Visiting Nurses

1. Open the laminar flow system in the operating room and adjust the indoor temperature and humidity.

2. Prepare the articles used in the operating room and check the equipment in the operating room.

3. Welcome patients to enter the operating room, and check the patient's bed number, name, gender, age, medical record number, diagnosis, operation name, operation site, operation site identification, fasting and alcohol prohibition before operation, drug allergy history, antibacterial drugs, various informed consent forms, laboratory tests (cross matching, blood type, HIV, HBV, syphilis, etc.). ) and the special purpose of patients.

4. Establish an intravenous infusion channel

5. According to the doctor's advice for preoperative medication.

6. Connect an aspirator to assist anesthesia.

7. Assist the surgeon and anesthesiologist to put the patient's surgical position together and place the negative plate of the electrotome.

②: Operation period

1. Count the number of instruments, stitches and dressings together with the hand washing nurse and check their completeness.

2. Pour sterile saline and disinfectant to help put on sterile surgical gown and provide sterile gloves.

3. Connect negative pressure aspirator, electrotome, ultrasonic scalpel and other equipment, and adjust the operating table according to the operation requirements.

4. Execute the "overtime" procedure, tick "√" in the corresponding column of the operation safety checklist, fill in the verification time and sign it.

5. Observe the condition, keep the intravenous infusion unobstructed, and adjust the number of drops according to the doctor's advice.

6. According to the doctor's advice for blood transfusion, and sign in accordance with the blood transfusion process.

7. Carry out the doctor's advice during the operation and cooperate with the operation process. Timely supplement the items used on the operating table, and fill in the supplementary inventory items and quantity on the nursing record sheet.

8. Assist in collecting all kinds of test specimens and submit them for quick freezing in time.

9. Supervise the aseptic operation of surgical personnel and manage visitors.

10. Before and after closing the body cavity, count the number of surgical instruments, sutures and dressings with the hand washing nurse and sign them.

③ postoperative

1. Record the operation expenses in time, make registration, and fill in the operation nursing record sheet.

2. The surgical patients before leaving the operating room for safety inspection.

3. According to the patient's anesthesia situation and the anesthesiologist's doctor's advice, send the patient to the recovery room, ICU or ward, and do a good job of handover.

4. Decorate the operating room, supplement disposable materials, and complete the instruments and equipment in the operating room.