Job responsibilities of instrument nurses in operating room 1
1. Visit the patient in the ward before operation to understand the condition. If necessary, attend the pre-operation seminar to familiarize yourself with the operation steps so as to work closely with the operators.
2. Wash your hands half an hour in advance and wear surgical clothes. Lay the sterile instrument table, put the surgical instruments on the lifting table and instrument table in the order of use, and check the instruments, gauze, saline pad, suture needle, etc. Talk to visiting nurses in detail.
3. Assist in laying sterile surgical sheets.
4. When cutting the skin, the knife for cutting the skin and the gauze pad for wiping the subcutaneous blood should be taken back immediately and replaced with a clean blade and a wet gauze pad. Pass the instrument accurately according to the surgical steps and express it in sign language as much as possible. After the equipment is used, it should be quickly retrieved, wiped and put back in its original place. After each use, the suction head needs to be sucked and cleaned with normal saline to avoid blood coagulation and lumen blockage.
5. All kinds of sutures needed for the operation should be put on 1 ~ 2 stitches in advance, and the sutures should be protected with sterile towels. When threading a needle and thread, you should first pull out the thread end 6 ~ 8 cm, and clean up the stub of the harness at any time to prevent injury.
6. Protect the cleanliness of the instrument table and operation site, and strictly carry out aseptic operation. Before cutting jejunum viscera, protect the lower part of the incision with sterile towel, and the contaminated instruments and materials should be isolated in the bending plate.
7. The specimens taken out during the operation were wrapped with normal saline gauze and fixed with towel tongs. If it is not left behind, it needs to be sent for inspection. The doctor should fill in the examination application form, take samples during the operation and give them to the visiting nurse for examination in time.
8. Before suturing body cavity and deep subcutaneous tissue, check instruments, dressings, stitches, etc. Communicate with visiting nurses in detail to prevent foreign bodies from being left behind.
9. After the operation, according to the principle of disinfection, cleaning and disinfection, dry the cooking instruments (dry and grease them, pack them according to the surgical instrument card, and disinfect them for later use. Sharp, precise and expensive medical instruments should be cleaned separately and put in the counter).
10. Help clean up the operating room.
Responsibilities of instrument nurses in the second operating room
1, according to the surgical preparation kit and intraoperative supplies, check whether the disinfection date is qualified.
2. Prepare the infusion supplies and hang the liquid.
3, check the electrotome, aspirator, positioning pad and operating table.
4. After the patient enters the operating room, assist the visiting nurse in infusion, pay attention to the patient's safety, cover it well and protect the patient's privacy.
5. Open all kinds of sterile bags, prepare gloves and brush your hands before brushing your hands. After brushing your hands, put on a sterile surgical gown and sterile gloves, spread a sterile instrument table, sort out materials, and count instruments, dressings, stitches, etc. Check whether the performance is in good condition with the visiting nurse.
6, ready to disinfect skin products, to assist the doctor to open a shopping list.
7, intraoperative concentration, according to the surgical procedures to pass surgical instruments, do a good job of active cooperation.
8, strict aseptic operation, keep the instrument clean and tidy, after use, the instrument should be recovered and wiped clean, and the suspected contamination should be replaced immediately.
9, surgical specimens cut attention to save, tag. Give it to the visiting nurse for safekeeping if necessary.
10, instruments were added during the operation, and the visiting nurses immediately counted and registered in time.
1 1, check with the visiting nurse again before closing the body cavity. (Otherwise, the body cavity will not close)
12, counting instruments, dressings, sutures, etc. after the operation. Thirdly, organize materials and instruments. Put the unused cleaning dressing back to the designated location to help organize the operating room.
13, the surgical specimen was soaked in the specimen liquid.
Job responsibilities of instrument nurses in No.3 operating room
① Prepare surgical instruments and dressings.
(2) Wash your hands and prepare for the sterile instrument table.
③ Delivery of surgical materials.
(4) Accurately count and register all kinds of surgical supplies with visiting nurses.
⑤ Keep the surgical scope sterile.
⑥ Send the excised tissues and specimens.
⑦ Actively cooperate with doctors for rescue.
⑧ Assist in cleaning the operating room after the operation.