巡回护士工作流程

单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,LOGO,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,单击此处编辑母版标题样式,*,*,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 template only.,You may not extract the image for any other use.,2、工作程序,手术当日,术前,（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 not 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、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.,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: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!,