China Library Classification. R47 1 document identificationNo. b articleNo.1672-5085 (2010) 29-0289-01\ x0d \ keywords Operating room management, head nurses' work \ x0d \ nursing is one of the contents that cannot be ignored in the overall management of each hospital. Nursing management is a science and an art, especially the head nurse in the operating room needs excellent nursing staff. She not only has general nursing knowledge, but also manages the operating room in the whole hospital. The operating room is also a major medical entrance to the hospital. The management of operating room not only directly affects the construction of the whole hospital, but also affects the health and life safety of patients. Therefore, the work of the head nurse in the operating room has its core, independence and particularity. The core here means that there are many departments in the hospital, such as surgery, obstetrics and gynecology, ENT, and even some patients in internal medicine need the cooperation of operating room in special treatment. Patients in the above departments must undergo surgery in the operating room before they can recover, and doctors in all departments should have a unified leadership. This leader is the head nurse in the operating room. She not only distributes the cooperation and inspection of nurses in the operating room, but also unites doctors who operate on patients in all departments. The core of this cohesion is seriousness and tolerance. She has the right to criticize the operators who violate the rules in the operating room, but she also needs to accommodate some weak people, such as interns and new doctors. They need not only patient help and guidance, but also enthusiastic encouragement. The independence of the head nurse in the operating room lies in that once she receives the operation instruction, she has the right to organize all the operating norms inside the operating room without special circumstances, and generally does not need to ask questions, and she has the right to organize normal nursing no matter what special nursing problems she encounters during the operation. The head nurse in the operating room has its particularity not only to the department she manages, but also to the temporary operation team. Each operation team consists of patients, operators, anesthesiologists and operating room nurses. These people temporarily organize a team to serve a patient. They have their own nursing procedures and special nursing skills beyond other departments. Therefore, it is required that the nursing management of hospital operating room must be good at training. \x0d\ 1。 The leading role of the head nurse in the operating room is a necessary condition for doing a good job of leadership. \x0d\ The head nurse in the operating room is the manager and leader of nursing in the operating room, and also the organizer of the most basic and cutting-edge positions in the hospital. The image of the head nurse in the operating room is an important factor to determine the management benefit. Especially in the reform and opening up, under the concept of building a harmonious society, the requirements for nurses are getting higher and higher, and the requirements for the head nurse's image are getting higher and higher. In order to do a good job in management, the head nurse must be strict with herself, consciously shape her good image, and infect and educate nurses with her own exemplary role, so as to achieve the management effect of "healthy qi can't be ordered". Because a manager who is strict with himself but not with himself has no prestige in people's minds, to do a good job as a head nurse in the operating room, we must first be strict with ourselves everywhere and set an example in everything. \x0d\2。 The head nurse in the operating room must have a strong sense of professionalism and a high sense of responsibility \x0d\ With the continuous development of the situation and the continuous improvement of modern medicine, the nursing content and nurses' theoretical knowledge of nursing are becoming more and more specialized, complicated, advanced and socialized. The workload is also increasing. This puts higher and higher demands on the head nurse in the operating room. Only ordinary nursing skills can't meet the social requirements. The head nurse in the operating room must lead the general nurses to have the spirit of loving their posts and dedication, and serve the patients in an all-round way, so as to think what the patients think, be anxious about what the patients need and do what the patients need. Serving patients with the revolutionary spirit of saving lives and a high sense of responsibility, and solving patients' pain with conscious behavior are the professional ethics of the head nurse in the operating room, and also the model and necessary quality for nurses to learn. \x0d\3。 Keep learning and applying new knowledge to improve yourself \x0d\ Under the requirements of the new situation, the society has put forward higher requirements for nursing staff, so the nursing level is getting higher and higher. The ability of nursing staff is not only reflected in whether they are competent for their work, but more importantly, whether they can flexibly use what they have learned to analyze and solve nursing problems. To improve work efficiency creatively, therefore, the head nurse in the operating room is required to constantly update her knowledge, master the new nursing mode, have a wide range of knowledge, have modern management knowledge and new medical nursing professional knowledge, learn sociology, ethics, psychology, interpersonal studies, computers and other multidisciplinary technologies, and strive to play a leading role. \x0d\4。 Manage general practitioners well, constantly tap the depth and breadth of knowledge, and cultivate and exercise their ability to find problems, dare to ask questions and make scientific decisions \x0d\5. Play a diversified role and correctly handle the "strictness" and "affection" in management \x0d\ The head nurse in the operating room should undertake not only technical management, but also administrative management. These two tasks are extensive, complicated and tedious for the head nurse in the operating room. As far as its universality is concerned, once the operating room receives the operation instruction, no matter which patient or disease, it needs extensive nursing knowledge, otherwise it can't complete the nursing task in the operation. Moreover, the temporary operation team composed of multi-professionals has brought many aspects of management to the administrative work. The complication is because the nursing work of patients, operators and anesthesiologists from various departments, and sometimes even personnel from other departments, is irregular and inconsistent, and patients, operators and anesthesiologists from various departments have quality problems, which leads to complications in nursing skills and management. In addition to the normal nursing scope, the operating room often brings unexpected complexity due to the suddenness and urgency of the operation. Therefore, the head nurse in the operating room is required to be calm and orderly deployed, equipped with personnel and some special surgical instruments. Because of the urgent task, management is often too strict, ignoring the words and attitudes of nurses and the care of department staff. Therefore, the situation that "strictness" and "affection" can't be handled well at the same time, which requires the head nurse in the operating room to play a diversified role. To correctly handle the problems of "strictness" and "affection" in management, we should not only strictly manage at work, but also care about subordinates in work and life. Only by handling it well can the enthusiasm of nursing staff in various departments be mobilized. Former US President Roosevelt famously said, "The best leader is a person who knows people very well and is good at doing things", which requires the head nurse in the operating room to fully understand the hardships and pains of nurses, correctly handle all kinds of interpersonal relationships, do a good job in the unity of various departments, and learn to adjust themselves and control their emotions in the busy work. Correctly treat comrades who disagree with their own opinions, restrain emotional impulses with professional roles, and repeatedly evaluate themselves. \x0d\6。 Strengthening quality awareness and continuously improving nursing level \x0d\ Hospital quality is the life of the hospital, and nursing quality directly affects medical quality. To ensure the medical quality of the hospital, nursing quality management is an important link that cannot be ignored, and the core of nursing is nursing quality. The efficiency of nursing work and the service attitude of nursing staff are important indicators to measure nursing quality, managers' own quality and managers' level. As a nursing manager, we should give priority to strengthening quality awareness and improving our own management level, constantly improve nursing standards, optimize and deepen our own thoughts in the process of improvement, and make nursing work rule-based and everyone's responsibility. In order to grasp the nursing quality, the head nurse in the operating room requires to constantly put forward new requirements for herself and improve the new standards of nursing work.