Interventional operating room work program management
Interventional operating room in addition to the department responsible for the diagnosis and treatment, but also need to accept the diagnosis and treatment of other clinical departments, therefore, to do a good job in the daily work arrangements, so that the department and outside the department of the patient are timely and reasonable treatment. Patients who need interventional therapy and angiography will be sent to the interventional surgery room by the supervising physician one day in advance, and the interventional surgery room will reasonably arrange the examination and treatment for the day according to the time sequence and the urgency of the disease. Reception, visit management of the interventional operating room door should be arranged for special management, responsible for slippers, surgical clothes, visiting clothes issued, reception of outpatients, and do a good job of waiting room family members. In order to ensure the sterility of the interventional operating room and the environment quiet, the entry of personnel should be strictly controlled, visitors and students should change shoes and dress before entering the semi-restricted area and restricted area, transportation of patients with flat cars. The door and corridor of the operating room should be covered with a carpet soaked with disinfectant, and the wheels should be rolled over the carpet and the dust on the wheels should be wiped off to avoid contamination of the floor in the semi-restricted and restricted areas. Men's and women's locker rooms should be located in the unrestricted area, requiring a change of clean shoes before entering the locker room and changing before entering the semi-restricted area. Personnel entering the interventional operating room should abide by the rules and regulations of the room, obey the arrangements, and are not allowed to talk, laugh and clamor in the room, and are not allowed to take the room's clothing and other items outside.
Standardized management of instruments and equipment and interventional devices
The angiography machine, high-pressure syringe, and matching instruments and equipment in the interventional operating room should be arranged for radiology technicians to be responsible for cleaning, maintenance, and monitoring of indoor temperature and humidity. All kinds of rescue equipment, such as oxygen, suction, cardiac monitor, defibrillator, radiofrequency therapeutic instrument by the nurse is responsible for cleaning, maintenance, catheter guidewire and other interventions used in a variety of equipment, supplies by the nurse is responsible for the collection and according to the model, the expiration date of the successive classification of the classification of the storage of fixed cabinets, valuable supplies should have the inbound and outbound use of the record, the material account in line with the other general consumables should be in the warehouse registration.
Cleaning and disinfection system of the machine room
1. Keep the medical articles in the machine room clean and tidy, wipe the desktop and instrument table with a fixed cloth before and after treatment every day, and the angiography machine and related equipments are wiped with a special cloth and a special cleaning liquid to wipe off the blood stains, mop the floor, and ventilate and disinfect the room. 2. The machine room should be swept once a week and thoroughly cleaned every month, and then closed and sterilized for air bacteria culture, and mops and dressings should be fixed for use in the machine room.
3. Weekly indoor air culture once, the bacterial count shall not exceed 500CFU/m3. failed, must be re-sterilized, and then culture, qualified before use.
Pickup and drop-off system
1. Pickup and drop-off of patients always use a flat car, pay attention to safety, to prevent falling out of bed, critical patients should be accompanied by a physician. 2. When picking up the patient, strictly five check (bed number, hospitalization number, name, gender, age), check the skin preparation and implementation of preoperative medical advice, change the patient's clean clothes and pants, after urination, carrying medical records and treatment-related items, with the car pushed people into the operating room. 3. The patient must wear a surgical cap after entering the operating room, sent to the designated machine room, according to the five checking face-to-face to the roving nurse, medical records and items face-to-face, strict handover procedures. (1) After the patient enters the machine room, lying on the diagnostic bed, care should be taken to prevent the patient from falling out of bed. (2) Outpatients are received and arranged at the entrance. (3) After treatment, the patient will be accompanied by the physician to be sent back to the ward, paying attention to the smoothness of the infusion on the way. After arriving at the ward, the patient will be given detailed instructions on post-operative precautions, hand over the medical record and infusion, make a good handover and sign.
Staffing standardization
Interventional operating room nurses can be based on the size of the hospital interventional radiology department staffing, generally an angiography machine should be equipped with two to three nurses, two to be equipped with four to five nurses. Nurses in addition to have medical and surgical clinical nursing knowledge, but also to master the complete disinfection and isolation techniques, and to learn to master the routine electrocardiogram test, can identify a variety of arrhythmias, cardiac intervention nurses should be able to use multi-conducting physiological instrument, to identify a variety of pressure curves. The nurse should be able to master the names, uses and specifications of various types of instruments used in interventional therapy. Nurses should have a high degree of responsibility for the operation of the emergency situation and possible complications can make emergency response and can master a variety of first aid skills.
Safety system
1. The power supply of the interventional operating room should be inspected regularly, and all the power plugs should be unplugged at the end of each day's treatment. 2. Highly toxic drugs and narcotic drugs should be clearly labeled, stored in a special cabinet, and registered, and carefully checked for accuracy before use. 3. Flammable drugs and oxygen cylinders should be placed in a fixed ventilated and cool place. 4. Shadowless lamps, suspended lead screen, diagnostic beds, patient transfer trolleys in the machine room should be regularly checked for their performance, whether various parts, screws, switches, etc. are loosened and detached, and whether they are functioning normally. 5. Fire-fighting equipment should be placed in a fixed position, checked regularly for failure, and learned to use. 6. Every day at the end of treatment and holidays to check the interventional operating room water, electricity, doors, windows are closed, non-duty personnel can not enter.