CLC classification number R471 Document identification code B Article number 1672-5085 (2010) 29-0289-01

Keywords operating room management head nurse's work

Nursing is one of the elements that cannot be ignored in the entire management of every hospital. Nursing management is a science as well as an art. Especially the head nurse of the operating room needs an outstanding nursing staff. She not only possesses common nursing knowledge but also has the ability to manage the entire hospital operating room. The operating room is also a large medical portal in a hospital. The quality of the operating room management not only directly affects the construction of the entire hospital, but also affects the health and life safety of the patients. Therefore, the role of the operating room head nurse is Work has its core, independence and specificity. The coreness mentioned here means that the hospital has many departments such as surgery, obstetrics and gynecology, and ENT, and even some internal medicine patients require the cooperation of the operating room for special treatment. Patients in the above departments must undergo surgical treatment in the operating room. In order to achieve recovery, doctors in various departments must have a unified leader. This leader is the head nurse of the operating room. She not only assigns operating room nurses to cooperate and patrol, but also unites doctors from various departments to operate on patients. There is seriousness and tolerance at the core of this cohesion. She has the right to criticize those who violate the operating room operations, but she must also tolerate some weak people, such as interns and newly arrived doctors, who not only need patient help and guidance, but also Encourage them enthusiastically. The independence of the head nurse in the operating room lies in the fact that once a surgical order is issued, she has the right to organize all operating standards within the operating room unless there are extremely special circumstances. Generally, no request is required. No matter what special circumstances are encountered during the surgical operation, For nursing issues, she has the right to organize normal care. The head nurse of the operating room not only has special characteristics for the department he manages, but also has special characteristics in the temporarily formed surgical team. Each surgical team is composed of: patient, operator, anesthetist and operating room nursing staff. These personnel temporarily organize a team to serve a patient, and they have nursing procedures and special nursing skills that are beyond those of other departments. Therefore, it is required that the hospital's operating room nursing management work must be well-trained.

1. The role of the head nurse in the operating room is a necessary condition for leadership.

The head nurse in the operating room is at the lowest level of the hospital and is also the most advanced position in the hospital. Is a manager and leader of operating room care, as well as an organizer. The image of the operating room head nurse is an important factor in determining management effectiveness. Especially in the reform and opening up, in the concept of building a harmonious society, the requirements for nurses are getting higher and higher, and the nurses have higher and higher requirements for the image of the head nurse. To do a good job in management, head nurses must strictly demand themselves, consciously shape their own good image, and use their own example to infect and educate nurses to achieve the management effect of "being upright and not doing what they are told". Because a manager who is strict with his subordinates but not strict with himself has no prestige in people's minds, so to do a good job as a head nurse in the operating room, the first step must be to strictly demand yourself everywhere and set an example in everything.

2. The head nurse in the operating room must have a strong sense of professionalism and a high sense of responsibility

With the continuous development of the situation and the continuous improvement of modern medicine, the nursing content and the nurses' Nursing theoretical knowledge is becoming increasingly specialized, complex, advanced and socialized. The workload is also increasing day by day. This puts higher and higher demands on the head nurse of the operating room. Only ordinary nursing skills cannot meet social requirements. The head nurse in the operating room must lead the nurses in the entire department to have a dedicated and dedicated spirit, to serve the patients comprehensively, to think about what the patients want, to care about the patients' needs, and to do what the patients need. Serving patients with the revolutionary spirit of saving lives and healing the wounded and a high sense of responsibility, and resolving the sufferings of patients with conscious actions are the embodiment of the professional ethics of the operating room head nurse, and are also an example for nurses to learn from and an essential quality.

3. Continuously learn and use new knowledge to improve yourself

Under the requirements of the new situation, society has put forward higher requirements for nursing staff, so the level of nursing is also required to be higher and higher. The higher. The high or low ability of nursing staff is not only reflected in whether they are qualified for the job, but more importantly, whether they can flexibly use the knowledge they have learned to analyze and solve nursing problems. To creatively improve work efficiency, the head nurse in the operating room is required to constantly update knowledge during learning, master new nursing models, and also have a broad range of knowledge, modern management knowledge and new medical nursing expertise, and at the same time learn social skills. In order to play a leading role, students must work hard to learn multi-disciplinary skills such as science, ethics, psychology, human relations and computers.

4. Manage the general staff well, constantly explore the depth and breadth of knowledge, cultivate and exercise your ability to find problems, dare to ask questions and make scientific decisions

5. Acting Diverse roles, correctly handle the "strictness" and "emotion" in management

The head nurse in the operating room must be responsible for both technical management and administrative management. Both tasks are extensive, complex and cumbersome for the operating room nurse manager. In terms of its extensiveness, once the operating room receives an order for surgery, no matter what department the patient is, no matter what kind of disease, extensive nursing knowledge is required, otherwise the nursing tasks during the operation cannot be completed.

In addition, the temporary surgical team composed of multi-disciplinary personnel brings a wide range of management scope to the administrative work. The complexity is due to the non-standardization and non-uniformity of complex nursing work among patients, operators and anesthesiologists from various departments, and sometimes even involving personnel from other departments. In addition, patients, operators and anesthesiologists from various departments There are quality problems, nursing skills and administrative complications. In addition to the normal scope of care in the operating room, the suddenness and urgency of the operation often bring unexpected tediousness to the operating room. Therefore, the head nurse in the operating room is required to be calm and make arrangements in an orderly manner, mobilizing personnel and some Due to the urgent task of equipping special surgical instruments, the management is often too strict and the words and attitudes of the nurses are ignored, as well as the care of the department staff. Therefore, there is a situation where "strictness" and "emotion" cannot be handled well at the same time. This requires the head nurse of the operating room to play a diversified role and correctly handle the issues of "strictness" and "emotion" in management. It is necessary to be strict at work. Management requires care and love for subordinates in work and life. Only by handling it well can the enthusiasm of nursing staff in the entire department be mobilized. Former U.S. President Roosevelt had a famous saying: "The best leader is one who knows people well." This requires the head nurse of the operating room to fully understand the hard work and suffering of the nurses, handle all kinds of interpersonal relationships correctly, and do a good job We must unite various departments and learn to self-regulate and control our emotions during busy work. Treat comrades who disagree with you correctly, use professional roles to restrain emotional impulses, and conduct repeated self-evaluations.

6. Increase quality awareness and continuously improve nursing standards

The quality of a hospital is the life of the hospital, and the quality of nursing directly affects the quality of medical care. To ensure the medical quality of the hospital, nursing quality management is An important part that cannot be ignored, and the core of nursing is the quality of nursing. The efficiency of nursing work and the service attitude of nursing staff are important indicators for measuring the quality of nursing and the quality of managers themselves and the level of management personnel. As a Nursing managers should give top priority to enhancing quality awareness and improving their own management level, constantly improve the standard of nursing, optimize and deepen their own ideas during improvement, so that nursing work can be done in a orderly manner, with people at every post and everyone Responsible. In order to improve the quality of nursing care, the head nurse in the operating room is required to constantly put forward new requirements for herself and improve new standards in nursing work.