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 to have a high sense of responsibility and dedication. The following is a summary of the detailed responsibilities of the visiting nurses in the operating room:

Preoperative visit:

1 Visiting patients before operation is a very important link. It is completely difficult to wear professional clothes when seeing a doctor, to understand the condition and operation, to read the medical records, and to check whether the laboratory test sheet can be completed.

2 Check the vein condition and general shape.

3. Preoperative education should be given to patients, telling them the time of fasting and drinking water before operation and matters needing attention, telling them what to do on the day of operation, and eliminating their fears and nervousness.

2. Prepare to join in the morning:

1. Operating room cleaning occupation: wipe the operating table, shadowless lamp and operating bed with 75% alcohol to mediate and maintain normal indoor temperature and humidity.

2. Equipment preparation for operation: electrocoagulation, aspirator and electrotome are connected well, and whether they can work normally is reflected.

Replenish sterile items and medicines in the operating room.

4 pave the operating bed, and prepare the position pad if you need to pose.

Prepare intravenous infusion according to doctor's advice. If the child is under two years old, 100ml glucose and sodium chloride injection or compound glucose and sodium chloride injection is required.

3. Bring the patient into the operating room:

1. Carefully check the ward, bed number, name, sex, age, surgical title and location before accepting patients.

2. Check 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 time of fasting and drinking before operation, the history of drug allergy, whether the female patient can be in the 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 warm and safe lying position and choose appropriate limb infusion.

6. Assist anesthesia induction and intubation. Patients under local anesthesia should use restraint belts to avoid injury.

Under normal circumstances, if the operation time exceeds 4 hours, the patient should be urethral catheterization and inform him when picking up the patient.

8. Need to * * with anesthesiologists and surgeons, pose, and ensure that the patient's limbs are in a safe and warm shape, avoid crush injuries, and focus on maintaining the eyes and bone protrusions.

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 electrotome is used, a negative plate should be attached.

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. Check 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, should repeat oral last words before execution, prompting anesthesiologists to record.

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

6. Keep the operating room clean and tidy, and keep the indoor temperature and humidity suitable.

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

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

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

10. Prepare dressings to assist in bandaging, and promptly notify to step down.

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 avoid the patient's restlessness.

2. Maintain venous access, urinary catheter and drainage tube, etc.

3. After extubation, the patient's vital signs are bumpy. According to the doctor's advice, send the patient to the anesthesia recovery room together with the anesthesiologist and the surgeon, and send the local anesthesia patient back to the ward, and hand over to the ward nurse to ensure the safety of the patient.

4. Clean the operating room and prepare for the next operation. This is 100 answer to the diary of nurses in the operating room. 788