Operating room nurses have worked in the operating room for 20 18 (1), which is another new starting point for my internship and the acceptance of new knowledge. In my impression, the operating room is a mysterious term that makes people feel horrible. A door of the operating room is divided into two worlds from the inside out, which makes it covered with a mysterious veil. In all departments, what I yearn for most is the operating room. I came to the operating room to study with curiosity!
During my two-week internship in the operating room, I felt that I had gained a lot, including nursing knowledge and interpersonal relationship, which not only improved my theoretical knowledge, but also enhanced my operational ability.
The operating room is divided into instrument nurses and roving nurses. The instrument nurse is responsible for preoperative preparation, delivery of instruments to doctors, and cleaning and packaging of instruments after operation. Visiting nurses are responsible for picking up patients, delivering items under the operating table and writing nursing records. We in Qi Xin worked together and cooperated closely to complete the operation successfully! Go to work at eight o'clock every morning, change your shoes, put on your hat and mask, and change your surgical gown before you can enter the restricted area, and count the validity period of sterile bags, which has strengthened our aseptic concept.
During the internship in the operating room, although I can't really go on stage, I can only watch, but I am also very satisfied. We also understand the reason why teachers do this, because every small step needs strict operation and can't make mistakes, which is related to the patient's life. Therefore, I deeply understand the strictness of aseptic requirements in surgery, from dressing to wearing gloves, and I have to be strict with myself at every step to achieve true aseptic operation. In the operating room, I also saw many examples of operations, such as laparoscopy, spleen rupture, cholecystectomy, manual reduction of fractures and so on. At the same time, I also saw how the anesthesiologist performed spinal anesthesia and general anesthesia, and the teacher also explained the precautions for us! These two weeks are really rich in knowledge!
In a blink of an eye, two weeks have passed, and it feels really fast. I can't describe what I have learned in words. I am disappointed in the operating room, especially for the teachers. I will always remember your patient teaching and your bright and lovely smiling face. Your teaching has benefited us a lot. Thank you sincerely!
Experience of nurses in operating room 20 18 (2) No matter the size of the operation, patients need to bear certain psychological pressure. When patients enter the operating room, they often have the psychology of "life is in the hands of medical staff", and the words and deeds of medical staff will directly affect the patient's complex. Therefore, the nurses in the operating room must be kind, neat and dignified. Paying attention to all aspects of self-cultivation is an important prerequisite for psychological nursing.
Constantly learn new medical theories and techniques, sum up experience, enrich themselves, carry forward the spirit of dedication, improve the quality of nurses, eliminate the tension and fear of patients, and make patients cooperate with surgery in the best psychological state.
A, preoperative eyesight care
Go to the ward before operation to prevent patients, communicate with patients with their own words and deeds, let patients express their concerns, ask various questions, and patiently answer them with a scientific and honest attitude, so that patients can eliminate their concerns and have confidence in the operation.
Most patients are eager to know about anesthesia and surgical methods, so we will check the patients in the ward before operation, introduce them to the operation and anesthesia methods, and demonstrate their posture during the operation, so that they can train in the ward bed before operation and actively cooperate after entering the operating room to improve the success rate of anesthesia and ensure the smooth operation.
Read medical records, ask about medical history, check the general situation of patients and laboratory documents and other auxiliary examinations, the name of surgery and anesthesia methods, fully grasp the patient's condition, predict possible accidents during surgery, and formulate measures to solve problems in time.
Explain the time and importance of indwelling gastric tube, urinary tube, fasting and drinking water before operation, inform relevant precautions, and obtain patients' active cooperation.
Second, the intraoperative anesthesia accident with nursing.
Preparation of standing instruments and drugs, such as anesthesia machine, tracheal intubation materials, ECG monitor, aspirator, etc. Rescue drugs such as adrenaline, lidocaine, atropine, dopamine, m-hydroxylamine, sodium bicarbonate, etc.
Close observation of the condition during anesthesia can be found early and rescued as soon as possible. Keep the respiratory tract unobstructed. If there is a foreign body in the mouth, assist the anesthesiologist to suck it out. If the airway is blocked, prepare a tracheotomy bag and do a tracheotomy if necessary. When the anesthesiologist prepares for tracheal intubation, the nurse should give mouth-to-mouth artificial respiration first to avoid the interruption of patient ventilation. Establish a feasible vein channel to buy time for emergency medication.
In case of cardiac arrest during preoperative anesthesia, the nurse should press the chest first, speed up the infusion at the same time, and use the rescue drugs accurately according to the doctor's advice. In the past, most resuscitated patients were injected directly into the heart, but now intravenous injection and tracheal administration are advocated, with the same onset time and efficacy as intracardiac injection, so as to avoid the unfavorable factors of myocardial injury caused by intracardiac injection, monitor the myocardium as soon as possible and provide accurate data for doctors.
Working experience of operating room nurses 20 18 (3) With the completion of the new hospital, we have worked hard for another year. Under the leadership of the hospital nursing department and the operating room, with the close cooperation and support of all subjects, all the nursing staff paid close attention to the implementation, conscientiously implemented the target plan formulated at the beginning of the year, successfully completed this year's nursing tasks, and achieved a double harvest of social and economic benefits. Personal nursing work summary report is as follows:
First, improve the nursing notification procedure and the responsibilities of each class.
1. From May 1, we distributed satisfaction questionnaires to surgical patients, collected patient information, gained understanding, trust and support, and took corresponding corrective measures in view of the shortcomings in our work. Meet all reasonable requirements of patients, create a warm and comfortable operating environment for patients, and the satisfaction rate is over 95%.
2. Strictly implement the disinfection and isolation system, and the qualified rate of disinfection and isolation is 100%. Organize general nurses to learn the knowledge about laminar flow operating room, so as to adapt to the new working environment more quickly and ensure the normal use of laminar flow operating room. Strictly implement aseptic technical operation procedures to prevent hospital infection and ensure that the infection rate of surgical incision is ≤0.5%.
3. Strengthen the management of emergency drugs, and the intact rate of emergency medical devices will reach 100%. Strengthen the training of first aid knowledge and rescue process, and make regular assessment to ensure the successful completion of surgical rescue work.
Second, do a good job in nursing work plan, study hard and improve the professional and technical level.
1. Strengthen the "three basics" training and organize the technical training of department personnel. The training rate reached 100%, and the qualified rate reached 100%.
2, strengthen the study of basic theoretical knowledge, the department monthly assessment 1 times, qualified rate 100%.
3. Strengthen continuing education and actively participate in the study of UNESCO.
4. Strengthen professional knowledge training and further improve health education, and the coverage rate of health education in perioperative period will reach 100%.
Third, save costs and charge fees reasonably.
1, strictly manage medical and office supplies to reduce waste and loss. There should be a special person responsible for the maintenance of medical equipment, accurately record the performance and use of instruments and equipment, and ensure the normal clinical operation.
2. Accurately record the charging items. Since March of 1 year, the department has made a microcomputer input record sheet for the operating room, and checked it layer by layer to ensure that the operation fee is correct.
Working experience of operating room nurses 20 18 (4) The three-week operating room internship is over. I have been working in the inpatient ward before coming to the operating room, and I have been looking forward to coming to the operating room. I finally got what I wanted this time. On the first day of entering the operating room, the teacher gave us a detailed introduction to the environment and equipment of the operating room, which made me realize the importance of understanding the environment and equipment-this is not a simple visit, but more importantly, it can make us familiar with and master in the shortest time and quickly find what we need! After that, under the guidance of the teacher, I began to practice unfolding aseptic packages and cultivate aseptic consciousness. After two days of practice, we officially entered the post.
The work experience of visiting nurses made me realize the importance of this job. It seems simple, but it is not. Like hand-washing nurses, they bear great responsibility and pressure, and they must have a solid theoretical foundation and rich clinical experience in order to complete their work better.
Being a hand-washing nurse for the first time, I felt nervous, but with the patient guidance and encouragement of the teaching teacher, I quickly adjusted my mentality. From coming on stage, to wearing sterile clothes and sterile gloves, to delivering instruments, to blades and needles. In the course of my work, I have a better understanding of the meaning of "training is better than observing"!
I will never forget the one-month internship in the operating room. Different from the nursing work in conventional wards, the nursing work in operating room highlights its professional characteristics. From the preoperative visit to the patient, to the examination and psychological care of the patient on the day of the operation, to the operation preparation, delivery and cooperation of instruments, and the inventory work before the end of the operation, even the accompanying observation of anesthesia patients before awakening, as well as the cleaning and maintenance of surgical instruments, every link can not be ignored. For me, every part is a test and a rare and precious experience.
During this period, through the help and guidance of teachers and my own practice, I have mastered the rules and regulations of the operating room, strictly abided by the aseptic operation principles required by the operating room, and memorized the common operating process standards. Through my own personal practice, I have learned a lot of practical surgical cooperation experience that is not available in textbooks.
During the practice in the operating room, I strengthened my aseptic concept and increased my understanding of aseptic principles. Let me have a deeper understanding and understanding of the tasks of hand-washing nurses and visiting nurses, and let me understand the importance of mutual cooperation between posts. The work in the operating room made me realize the preciousness and fragility of life, and also made me more aware of the importance of nursing work.
Thank you for your careful guidance. I will keep in mind their excellent work style and cautious and rigorous work attitude. I will constantly push myself, constantly remind myself, strive to improve my own shortcomings, maintain my own advantages, and strive for greater progress in my future work.
I recommend it carefully.