1): Pre-operative
1. Turn on the laminar flow system in the operating room and adjust the indoor temperature and humidity
2. Prepare supplies in the operating room and check the operation
3. Welcome the patient into the operating room and check the patient’s bed number, name, gender, age, medical record number, diagnosis, name of surgery, surgical site, surgical site identification, and preoperative fasting and fasting Drinking status, drug allergy history, and antibacterial drugs, signatures of various informed consent forms, laboratory test sheets (cross-matching blood, blood type, HIV, HBV, syphilis, etc.), the patient's special supplies, check the patient's skin condition, and whether there are dentures , pacemakers and other implants.
4. Establish an intravenous infusion channel
5. Give preoperative medication as directed by the doctor
6. Connect the aspirator to assist with anesthesia
7. Assist the surgeon and anesthesiologist to position the patient for surgery and place the negative electrode plate of the electrosurgery.
(2): During the operation
1. Count the number of instruments, suture needles, dressings, etc. with the handwashing nurse and check their completeness
2. Pour Sterile saline, pour disinfectant, assist in putting on sterile surgical gown, and provide sterile gloves.
3. Connect the negative pressure suction device, electrosurgery, ultrasonic scalpel and other equipment, and adjust the operating table according to the surgical requirements.
4. Perform the "time-out" procedure, put a "√" in the corresponding column of the surgical safety checklist, fill in the verification time and sign it
5. Observe the condition and maintain smooth intravenous infusion. , adjust the number of drops according to medical advice.
6. Carry out blood transfusion according to doctor’s instructions, follow the blood transfusion process and sign.
7. Carry out intraoperative medical instructions and cooperate with the surgical process. Timely replenish supplies on the operating table and fill in the additional inventory items and quantities on the nursing record sheet.
8. Assist in collecting various examination specimens, and promptly send specimens for quick freezing for examination.
9. Supervise the aseptic operations of surgical personnel and manage visitors.
10. Before and after closing the body cavity, count the number of surgical instruments, suture needles, and dressings with the handwashing nurse and sign their names
(3): Postoperative
1. Record the surgical expenses in a timely manner, complete the registration, and fill in the surgical care record sheet.
2. Carry out safety checks before surgical patients leave the operating room.
3. According to the patient's anesthesia condition and the anesthetist's orders, send the patient to the recovery room, ICU or ward, and complete the handover work.
4. Organize the operating room, replenish disposable supplies, and properly arrange the operating room instruments and equipment