In the operating room, different nursing positions also require mastery of corresponding nursing techniques and operational knowledge. It is necessary to popularize basic nursing knowledge in the operating room, so that nursing staff can be more proficient in patient care and improve surgical quality. I will popularize the nursing knowledge of the operating room for everyone.
What are the routine nursing procedures for patients entering the operating room?
30-60 minutes before the surgery, a dedicated person will connect the patient to the operating room and verify the patient's ward, bed number, name, gender, surgical site, surgical name, etc. Understand the patient's preoperative preparation and ask if they need to urinate or defecate. At the same time, assist the patient in lying on the trolley for protection, covering and keeping warm. Place the patient's medical records, antibiotics, and other supplies in the column under the trolley rack. When changing carts in the operating room, it is necessary to hand over and verify with the nurse, and sign off.
What are the nursing procedures in the emergency operating room?
If it is an emergency surgery from the emergency department, it is necessary to notify the operating room in advance by phone and have a dedicated person escort the patient. If the patient is suffering from trauma, preliminary treatment is required, such as bandaging to stop bleeding and cleaning of dirt. At the same time, it is necessary to determine the appropriate supine position for the patient during the surgery, taking into account the patient's surgical site and nature. The following principles should be followed for the care of patients in the operating room: firstly, ensuring the smooth functioning of the patient's breathing and circulation; The second is to ensure that patients can always maintain a certain level of comfort and safety. Thirdly, it meets the surgical requirements by exposing the surgical site of the patient, which facilitates surgical operations and observation of anesthesia effects. Fourthly, it will not excessively involve the patient's muscles to prevent injury or postoperative pain.
What are the commonly used surgical positions during surgery?
One is the supine position. The supine position is suitable for surgeries on the head, face, abdomen, and other abdominal surfaces of the body, requiring the preparation of headbands, small cushions, small sandbags, etc. The patient needs to lie on the operating table, fix the anesthesia frame on the head, and have the palm facing downwards. If upper limb intravenous infusion is required, the hand can be placed on a cushioned shelf. Surgery on the face and neck. A headband should be placed on the patient's head, with the head of the bed raised by 10 °~15 °. A soft cushion should be placed on the patient's neck to prevent the neck from hanging in the air. Headrings should be placed on both sides of the head for fixation. The second is the prone position. Prone position is suitable for surgeries on the spine, back, and legs. It is necessary to prepare prone frames, restraint belts, soft cushions, etc. The patient's chest and abdomen need to be placed on specially designed boat shaped soft cushions to facilitate smooth breathing. The arms need to be fixed on both sides of the body, and soft pillows need to be placed on the feet and ankles to allow for natural bending of the ankle joint. Patients undergoing intervertebral disc surgery need to lie prone on an automatically adjustable operating table. It should be noted that a soft cushion should be wrapped around the headband to avoid damage to the patient's facial skin. The patient's chest and abdomen should be suspended to prevent restricted breathing and compression of the inferior vena cava. For female patients, attention should be paid to protecting the breast area, while male patients need to avoid compressing the penis and scrotum. If the patient is under general anesthesia, attention should be paid to the head and neck position to prevent airway compression.
In summary, routine nursing in the operating room requires nurses to be able to perform various nursing tasks, and different types of surgeries require different types of nursing. Nursing staff need to have a comprehensive understanding of the nursing content in the operating room, further popularize basic nursing knowledge in the operating room, ensure the smooth progress of subsequent surgeries, ensure surgical quality, and ensure surgical success, making the entire surgical process smoother and safer.