1 Visit the patient in the ward before surgery to understand the condition. If necessary, attend a pre-operative seminar to familiarize yourself with the surgical procedures so that you can work closely with the surgeon.
2. Wash your hands and wear surgical gowns half an hour in advance. Lay out the sterile instrument table and arrange the surgical instruments on the lift table and instrument table according to the order of use. Check the instruments, gauze, saline pads, suture needles, etc. in detail with the circulating nurse.
3. Assist in laying out sterile surgical drape.
4. After the skin is incised, the knife that cut the skin and the gauze pad that wiped the blood under the skin should be taken away immediately and replaced with a clean blade and wet gauze pad. Deliver instruments accurately according to surgical procedures, using sign language whenever possible. After using the instrument, quickly take it back, wipe it clean, and return it to its original place. After each use, the suction head needs to be suctioned and rinsed with saline to prevent blood coagulation and blockage of the lumen.
5. For all kinds of sutures required for surgery, 1 to 2 needles should be threaded in advance, and the sutures should be protected with sterile towels. When passing the needle and thread, the thread should be pulled out 6 to 8cm first. Clean the wire stumps at any time to prevent them from being introduced into wounds.
6. Keep the instrument table and surgical field clean, and strictly implement aseptic operations. Before incising the jejunal organs, use a sterile towel to protect the lower part of the incision. Contaminated instruments should be placed in the bending tray. isolation.
7. The specimens collected during the operation are wrapped in saline gauze and fixed with towel forceps. It must not be left behind and needs to be sent for examination. The doctor should fill in the application form and submit it for examination. During the operation, samples should be taken for culture and should be submitted to the circulating nurse for examination in time.
8. Before suturing the body cavity and deep subcutaneous tissue, the instruments, dressings, suture needles, etc. should be checked in detail with the circulating nurse to prevent foreign bodies from being left behind.
9. After the operation, follow the principle of sterilizing, washing and sterilizing, drying the instruments (baking and wiping oil, packaging them according to the surgical instrument card, sterilizing them for later use. Sharp, precise and valuable medical instruments should be cleaned separately , process and put into the counter).
10. Assist in tidying up the operating room.