Legal analysis: 1. Before the start of surgery, the instrumentation nurse should do a comprehensive organization of all instruments and dressings, so as to locate and place them in an orderly manner; count the number of instruments, dressings and other items with the roving nurse***, sing the count 2 times, and the roving nurse should record the figures accurately in the item register; the temporary increase of instruments or dressings during the operation should be added to the record in a timely manner; when the body cavity is closed or before the deep wounds are made, the roving Nurses and instrument nurses should count the items in the register and check them with the figures registered before surgery; when suturing to the subcutaneous, they should be counted once more.2. Instrument nurses should retrieve the instruments used during surgery and the stumps of ligatures and sutures in a timely manner; doctors should not take instruments by themselves, and items not used for the time being should be returned to the instrument nurses in a timely manner, and they should not be thrown away or piled up in the surgical area.
Legal basis: "Hospital Surgical Department (Room) Management Standards (Trial)"
Article 5 The hospital surgical department (room) shall have the place, facilities, instruments, equipment, medicines, surgical instruments, related medical supplies and technical force appropriate to the level, function and mission of the hospital, to ensure that the surgical work is carried out in a safe, timely and effective manner.
Article VI of the Department of surgery (room) should be located in the hospital to facilitate the transfer of surgical patients in the region, it is appropriate to be close to the Department of Intensive Care Medicine, Clinical Surgery, Pathology, Blood Transfusion (blood bank), disinfection and supply centers and other departments, the surrounding environment is quiet and clean.
Hospitals should establish emergency surgery patients green channel.
Article VII of the Department of Surgery (room) of the building layout should follow the principles of infection prevention and control in hospitals, to achieve a reasonable layout, clear zoning, clear identification, in line with the function of a reasonable flow of clean and dirty areas separate from the basic principles.
Surgical department (room) should be equipped with staff access, patient access, logistics to achieve clean and dirty separate, reasonable flow.
Article VIII of the number of surgical rooms should be based on the number of beds in the hospital's surgical department and the number of surgeries set up to meet the needs of the hospital's daily surgical work.
Article IX of the operating room should be equipped with routine medication, basic facilities, instruments, equipment, instruments and other items are fully equipped, functional and in standby mode.
Internal facilities, temperature control, humidity control requirements should be in line with environmental hygiene management and the basic requirements of hospital infection control.
Article 10 of the Department of Surgery (room) should be equipped with a sufficient number of operating room nurses according to the volume of surgery, the personnel echelon structure is reasonable.
Tertiary hospital operating room (room) nurse should have a competent nurse and above professional and technical qualifications and 5 years and above operating room experience, with certain management capabilities. Level II hospital operating room (room) nurse should have a nurse and above professional and technical qualifications and 3 years and above operating room experience, with certain management skills.
Operating room nurses should receive post training and regular retraining in operating room nursing knowledge and skills.
According to the needs of the work, the operating room should be equipped with an appropriate number of auxiliary staff and equipment technicians.
Article XI of the clean operating room building layout, basic equipment, purification standards and room grading should be consistent with the "hospital clean operating room building technical specifications GB50333-2002" standards, auxiliary rooms should be required to sub-clean and non-clean auxiliary rooms, and set up in the clean and non-clean surgical department of the different areas.