The in-patient operating room of plastic surgery hospital undertakes the operations of various departments in the hospital. In order to ensure the safe and smooth completion of each patient's operation, operating room nurses play an important role. As an operating room nurse, you should not only have rich professional knowledge and skilled professional skills, but also have the ability to deal with all kinds of unexpected problems. The most important thing is a high sense of responsibility and dedication. The following is a summary of the specific responsibilities of the visiting nurses in the operating room:

Preoperative visit:

1 Visiting patients before operation is a very important link. Wear work clothes when seeing a doctor, understand the condition and operation, read the medical records, and check whether the test sheet is complete.

2 check the venous condition and general condition.

3. Preoperative education should be given to patients, telling them the time and precautions of fasting and drinking water before operation, telling them the operation situation on the day of operation, and eliminating the fear and tension of patients.

2. Preparations on the morning of the operation:

1. Cleaning of operating room: Wipe the operating table, shadowless lamp and operating table with 75% alcohol to adjust and maintain normal indoor temperature and humidity.

2. Preparation of instruments required for operation: The connection of electrocoagulation, aspirator and electrosurgical unit is normal.

Replenish sterile items and medicines in the operating room.

4 pave the operating table, and prepare the positioning pad if you need to position yourself.

Prepare intravenous infusion according to the doctor's advice. Children under two years old need 100ml glucose and sodium chloride injection or compound glucose and sodium chloride injection.

3. Bring the patient into the operating room:

1. Carefully check the ward, bed number, name, gender, age, name and surgical site before accepting patients.

2. Check again whether the test sheet is complete and normal, and check the temperature sheet, consent form for operation and consent form for anesthesia.

3. Ask if there is any fasting and drinking time before operation, the history of drug allergy, whether the female patient is in menstrual period, and whether there are valuables or metal objects on her body.

4. Patients with medicine and things to ward nurses to see clearly.

5. Assist patients to take a comfortable and safe lying position and choose appropriate limb infusion.

6. Assist anesthesia induction and intubation. Patients under local anesthesia should use restraint belts to prevent patients from being injured.

Under normal circumstances, if the operation time exceeds 4 hours, the patient should be urethral catheterization and informed.

8. Need to * * with anesthesiologists and surgeons, pose, and ensure that the patient's limbs are in a safe and comfortable state, prevent crush injuries, and focus on protecting eyes and bony processes.

Fourth, the operation in the stage of cooperation and opening up.

1 assist the equipment nurses to put on surgical gowns and count the equipment and gauze.

Assist the doctor in disinfection and sheet laying in the operation area.

Assist doctors to wear surgical gowns, arrange equipment nurses and doctors to be in place, and mediate shadowless lights.

4 Connect electrocoagulation and aspirator. If you use an electric knife, stick a negative plate.

5. Use anesthetic according to the doctor's advice

Five intraoperative cooperation

1. Observe closely the changes of illness and vital signs during the operation, and replenish the needed items in time.

2. Observe the infusion and urine volume.

3. Manage the cut specimens, skin and cartilage together with the instrument nurse * * *, and submit them for pathology in time.

4. Accurate implementation of intraoperative doctor's advice, do three check seven to two people check, before execution should be repeated oral will, remind anesthesiologists to record.

5. Carefully write nursing records, on-site confirmation forms and bills, etc. , and enter consumables.

6. Keep the operating room clean and tidy, and maintain appropriate indoor temperature and humidity.

7. Supervise the implementation of aseptic technique during operation, correct violators in time, and strictly manage visitors.

8. In case of emergency, correctly handle and promptly notify the head nurse and director of anesthesiology.

9. Before the wound is closed, count the instruments and gauze with the instrument nurse.

10. Prepare dressing to assist in dressing, and inform you to step down for operation in due course.

1 1. Summarize the infusion volume and urine volume, and record the postoperative time.

Cooperation after six operations

1. Assist the anesthesiologist in extubation, and the patient should stand on both sides before waking up to prevent the patient from being restless.

2. Protect venous access, urinary catheter and drainage tube.

3. After extubation, the patient's vital signs are stable. According to the doctor's advice, the anesthesiologist and the surgeon will send the patient to the anesthesia recovery room, and send the patient under local anesthesia back to the ward, and make a good handover with the ward nurse to ensure the safety of the patient.

4. Clean the operating room to prepare for the next operation.