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1、巡回护士操作流程,授课目标,1、掌握巡回护士在术前及术中的职责2、了解巡回护士的工作程序,授课内容,1、巡回护士的标准要求2、工作程序,1、标准要求,着装整洁，不留长指甲、佩戴饰物，仪表端庄，仪容整洁对手术的配合要做到积极主动，配合熟练,Image information in product Title Image:www.iclickart.co.kr-CD:medical perspectives(EyeWire)Note to customers:This image has been licensed to be used within this PowerPoint templat
2、e only.You may not extract the image for any other use.,2、工作程序,（1）术前1天,访视病人，了解手术情况，填写手术访视单，准备次日手术仪器，并检查其性能，及手术级别安排相应级别手术间,Image information in product Title Image:-CD:medical perspectives(EyeWire)Note to customers:This image has been licensed to be used within this PowerPoint template only.You may n
3、ot extract the image for any other use.,（2）手术当日,进入手术间前,进入手术间,手术开始,术后,进入手术间前,Phase 1,Phase 2,Phase 3,1、提前通知病房护士准备手术者2、将手术单与病例查对，并与病房护士查对术前情况,1查对内容：姓名、性别、手术部位、备皮情况、禁食禁饮等术前准备工作2、备齐手术用物：x线片、输液药品、术中应用药物、病历,请病人上平车平稳推至手术室,进入手术间,严格执行查对制度协助病人脱衣服，平卧于手术床上建立静脉通路，配合麻醉给药洗手护士刷手后由其负责台上所需物品的供给摆好体位（轻、稳、快、固定牢靠、暴露伤口清楚、
4、病人舒适），做好查对，注意手术部位的左右侧与洗手护士清点手术用物，准确记录暴露好手术视野，调好无影灯协助医生护士穿好手术衣铺上无菌单后，接上吸引器，电刀，再次对好灯光,Image information in product Title Image:-CD:medical perspectives(EyeWire)Note to customers:This image has been licensed to be used within this PowerPoint template only.You may not extract the image for any other use
5、.,手术开始,切开皮肤时注意有无体位的变换探查胸腹腔时，观察生命体征，遵医嘱给药保持静脉通畅，不随意离开手术间及时填写护理记录，有留置导尿时及时观察尿量，作好记录输血时俩人进行核对术中给药时与开医嘱的医生核对术中增加的物品及时登记，与洗手护士核对术中变换体位时，勿接触金属物品根据手术需要及时调整无影灯监督手术间的无菌环境，保持手术间的清洁整齐安静注意观察吸引瓶液量，及时处理,Image information in product Title Image:www.iclickart.co.kr-CD:medical perspectives(EyeWire)Note to customers:
6、This image has been licensed to be used within this PowerPoint template only.You may not extract the image for any other use.,手术后,与洗手护士共同清点术中使用物品将病人带来的衣物、输液物品、病历、x线片等备齐，随病人带回护送病人回房，与病房护士交接物品及病人情况（特别皮肤情况，输液情况）并登记、签名补充手术间备用物品擦拭、整理、登记归位术中使用的各种仪器,Image information in product Title Image:www.iclickart.co.kr-CD:medical perspectives(EyeWire)Note to customers:This image has been licensed to be used within this PowerPoint template only.You may not extract the image for any other use.,Thank You!,
