A door in the operating room divides the inside and outside into two worlds, giving it a veil of mystery! For more content, please subscribe.
Operating room nurse work experience 2018 (a)Operating room, another new starting point for my internship, new knowledge to accept. In my impression, the operating room is a term that makes people feel ruthless and mysterious when they hear it, and a door in the operating room divides the inside and outside into two worlds, so that it is cloaked in a layer of mysterious veil, and the section that I am most eager to go to in all sections is the operating room, and I came to the operating room with curiosity to learn!
Two weeks of internship in the operating room, I feel that I have gained a lot of insight, including nursing knowledge, including interpersonal relations, not only to improve my theoretical knowledge, but also to enhance my ability to operate.
The operating room is divided into instrument nurses and traveling nurses, instrument nurses are responsible for preoperative preparation, to the doctor to pass the instruments, post-operative cleaning instruments and packing. The roving nurse is responsible for transporting patients, transferring items under the operating table, and writing nursing records, etc. The roving nurse is responsible for transporting patients, transferring items under the operating table, and writing nursing records. All of us share the work and work closely together to complete the surgery! Every morning we go to work at eight o'clock, change the shoes and wear a good hat and mask, change the surgical clothes, in order to enter the restricted area, the count of the expiration date of the sterile packages, and strengthen the concept of their own asepsis.
During the internship in the operating room, although you can not really on the stage, can only watch from the sidelines, but this is also very satisfied, we also understand the teacher's reasons for doing so, because each small step needs to be strictly operated can not afford to make a mistake, this is related to the patient's life, so I y appreciate the strict degree of asepsis requirements of the operation from the dress to wear gloves, each step is strictly require themselves to achieve a truly aseptic operation, to achieve a truly aseptic operation, and the operation is not only aseptic but also aseptic. I was able to achieve a truly aseptic operation. In the operating room, I also watched many examples of surgery, such as laparoscopy, splenic rupture, gallbladder removal, fracture manipulation, etc. I also saw how the anesthesiologist performs the surgery. At the same time, I also saw how the anesthesiologists performed lumbar anesthesia and general anesthesia, and the teacher also explained the precautions to us! The teacher also explained the precautions to us!
In the blink of an eye, two weeks of time is over, it really feels like it went by too fast, and what we learned from the feeling can not be described in words, there is a lot of reluctance to the operating room, the teachers have a special reluctance to part with, I will always remember your patience, teaching, as well as your a bright, lovely smile, your teaching has benefited us a lot, I sincerely thank you say thank you!
Operating room nurse work experience 2018 (2)Surgery regardless of the size of the patient in the psychological need to withstand a certain amount of pressure, the patient into the operating room, there is often a kind of "life in the hands of the health care workers," the psychological, health care personnel's demeanor will have a direct impact on the patient's complex. Therefore, the operating room nurses must be kind, neat instrumentation, demeanor. Attention to all aspects of cultivation is an important prerequisite for good psychological care.
Continuously learn new medical theory and technology, summarize experience, enrich themselves, carry forward the spirit of dedication, improve the nurse's own quality, eliminate the patient's nervousness and fear of psychology, so that the patient can be in the best psychological state with the operation.
A preoperative preventive care
Preoperative preventive care in the ward, with their own words and deeds to communicate with the patient, so that the patient to express their own concerns, raise a variety of questions, and scientific integrity of the attitude of patience, so that they eliminate concerns, full of confidence in the operation.
Most patients are eager to understand the anesthesia and surgical methods, we went to the ward before the operation to prevent the patient, introduce the operation and anesthesia methods to the patient, the demonstration of the position of the operation, so that the preoperative bed in the ward to pre-train, into the operating room after the operation room can stand up to take the initiative to cooperate with the anesthesia to improve the success rate, to ensure that the operation is carried out smoothly.
Read the medical record, ask for medical history, check the patient's general condition and laboratory documents and other auxiliary examinations, the name of the operation, anesthesia, fully grasp the patient's condition, predict the possible accidents that may occur during the operation, and formulate measures to solve the problem in a timely manner.
Explain the importance of preoperative gastric tube, urinary catheter, fasting, fasting, and inform the relevant precautions, and obtain the patient's active cooperation.
Second, the intraoperative anesthesia accident with the care
Standing instruments and drug preparation, such as anesthesia machine, endotracheal intubation, cardiac monitor, suction, etc.. Rescue medications such as epinephrine, lidocaine, atropine, dopamine, mesylate, sodium bicarbonate and so on.
Close observation of the condition during anesthesia allows for early detection and resuscitation as soon as possible. Keep the airway open, if there is a foreign body in the mouth, assist the anesthesiologist to attract and remove it, if the airway is found to be blocked, prepare a tracheotomy kit and make a tracheotomy if necessary. When the anesthesiologist prepares for tracheal intubation, the nurse should first give mouth-to-mouth artificial respiration to avoid interruption of the patient's ventilation. Establish a viable intravenous channel to buy time for medication during resuscitation.
If cardiac arrest occurs during anesthesia prior to surgery, the nurse should first perform chest compressions, and at the same time accelerate the rate of infusion of fluids, and accurately apply resuscitation medications according to the doctor's instructions. Previously resuscitated patients with medication with intracardiac direct injection, now advocate intravenous injection and tracheal drug delivery, the onset of time and the effect of drugs and intracardiac injection of the same, to avoid intracardiac injection of myocardial damage to the adverse factors, early myocardial monitoring, and to provide doctors with accurate data of all kinds.
Operating room nurses work experience 2018 (3)Along with the completion of the new hospital, we have been working diligently for another year. Now the nursing individual work summary report is as follows:
First, improve the nursing informational procedures and the duties of each class
1, from May 1 onwards to the surgical patients issued satisfaction questionnaires to collect information from the patient, to obtain understanding, trust and support for the shortcomings in the work, to take the corresponding corrective measures. To meet all the reasonable requirements of patients, to create a warm and comfortable surgical environment for patients, to achieve a satisfaction rate of more than 95%.
2, the strict implementation of disinfection and isolation system, disinfection and isolation qualified rate of 100%. Organize the whole nursing staff to learn the knowledge about laminar flow operating room, in order to adapt to the new working environment more quickly, to ensure the normal use of laminar flow operating room. Strict implementation of aseptic technology operating procedures to prevent nosocomial infection, to ensure that the surgical incision infection rate ≤ 0.5%.
3, strengthen the management of first aid drugs, emergency medicine intact rate of 100%. Strengthen the first aid knowledge and resuscitation process training, and regular assessment to ensure the successful completion of surgical resuscitation work.
Second, do a good job of nursing work plan, study hard to improve the level of professional and technical
1, to strengthen the "three basics" training, the organization of the technical training of staff, the training rate of 100%, the pass rate of 100%.
2, strengthen the learning of basic theoretical knowledge, monthly section assessment 1, pass rate 100%.
3, strengthen the continuing education, and actively participate in the learning organized by the Department of Secondary Education.
4, strengthen the training of professional knowledge, and further improve the health promotion work, perioperative health promotion coverage rate of 100%.
Third, cost savings, reasonable fees
1, strict management of medical and office supplies, reduce waste and loss. Specialized personnel responsible for the maintenance of medical equipment, accurate records of instrument and equipment performance and use of the situation, to ensure the normal operation of the clinical.
2, the correct record of charges, since March 1, the department has developed a microcomputer operating room input record sheet, layer by layer, to ensure that the surgical charges are correct.
Operating room nurse work experience 2018 (4)The three-week internship in the operating room is over. Before coming to the operating room has always been in the inpatient wards, has been very longing to come to the operating room, this time finally as desired. Entering the operating room on the first day, the teacher made a detailed introduction to the operating room environment and instruments to us, so that I realize the importance of understanding the environment and instruments - this is not simply a visit to understand, but more importantly, so that we can be familiar with it in the shortest possible time and master it, and to be able to quickly find the necessary items! Afterwards, under the guidance of our teachers, we began to practice spreading sterile packs and cultivating a sense of asepsis. After two days of practice we were officially on the job.
The experience of working as a roving nurse made me realize the importance of this job, which seems to be simple, but in fact it is not, and like hand-washing nurses, it bears a great responsibility and pressure, and it must have a solid theoretical foundation and rich clinical experience in order to complete the work better.
The first time on the stage as a hand-washing nurse, nervousness lingers, but in the patient guidance and encouragement of the instructor, I quickly adjusted their own state of mind, starting from the opening of the stage, to the sterile gowns and sterile gloves to wear, to the transfer of equipment, and then on the blade and threading and so on, the process of work, I know more about the meaning of "one practice is better than one look! The first time I saw this, I was able to see it in my own eyes!
One month of internship in the operating room will be unforgettable. Unlike the work of nurses in conventional wards, the work of nurses in the operating room highlights their professional characteristics. Starting from the pre-operative visit to the patient, to the day of the operation of the check and the psychological care of the patient, and then to do a good job in the operation of all the surgical preparations, the transfer of instruments to work with the end of the operation of the counting work, and even anesthesia before the patient woke up to the accompanying observation, as well as surgical equipment cleaning and maintenance work, each part of the process can not be neglected part. For me, each part is a test and a valuable experience.
During this period of internship in the operating room, through the help and guidance of the teachers and their own practice, I mastered the operating room rules and regulations, strictly abide by the principle of aseptic operation required by the operating room, and familiarize myself with all the commonly used surgical operation process standards. Through my own hands-on practice, I have learned a lot of textbooks do not have the actual surgery with experience.
The internship in the operating room has strengthened my concept of asepsis and increased my awareness of the principle of asepsis. Let me have a deeper understanding of the work of hand washing nurses and tour nurses, so that I know more about the importance of cooperation between the work of each other. The work of the operating room makes me appreciate the preciousness and fragility of life, and makes me more aware of the importance of nursing work.
I would like to thank all the teachers and seniors in particular for their careful guidance, I will remember their excellent style of leading by example, cautious and rigorous work attitude. And will continue to spur themselves, constantly remind themselves, and strive to improve their own shortcomings, to maintain their own advantages, and strive in the future work, to make greater progress.
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