How to write the weekly diary of the intern nurse in the operating room?

website home page <; /A> > Student guide > Secondary vocational weekly > My practice week notes the blue "little nun" in the operating room My practice week notes the blue "little nun" in the operating room December 27, 21 NO.94 Wen/Xue Jituan Ren Liwang (Shanghai Medical College 8 Sino-American Nursing) Wen/Xue Jituan Ren Liwang (Shanghai Medical College 8 Sino-American Nursing) Time flies. In a blink of an eye, I ended my busy and challenging practice life in the emergency room and moved on to the next one. This is a completely different place from the ward and emergency room. Even the clothes are in a different style. The white nurse's uniform is removed and the blue surgical gown is replaced. The white dovetail hat is replaced by the blue round hat. In the ward, we should be busy with the replacement of fluid replacement for patients and do basic nursing for patients; In the emergency room, it is necessary to observe the patient's vital signs at any time. In the operating room, it is necessary to start with the understanding of surgical instruments. There are 26 operating rooms in the hospital, and the layout and basic equipment of each room are the same, such as the placement of monitoring equipment and operating table. However, according to the characteristics of the department, each room has its own characteristics, so 26 operating rooms will be assigned to multiple units, and the use of each unit is relatively fixed. As an intern, I have to enter the operating room from the medical staff channel every morning. The operating room has three channels: the medical staff channel, the patient channel and the sterile equipment channel. The three passages lead to different places, and the medical staff passage leads directly to the dressing room; The patient channel can directly reach the operating room, while the sterile equipment channel is a special channel for the transportation of surgical instruments. If you go to the wrong door, you can't enter the operating room. The operating room is a relatively sterile place. When you enter the operating room, you must start to change your slippers. You can't wear shoes when you go out. In addition, it is necessary to change the clothes and hats in the operating room, and the blue disposable round hat will wrap all the hair, which not only protects itself, but also will not pollute the patients. When I arrive at the operating room in the morning, the patient may have been sent to the operating room from the ward, and all I have to do is check the patient. Check the patient's bed number, name and gender according to the homepage of pathology card. Check the name of the operation according to the doctor's order, which includes the site of the operation, items and medicines to be used during the operation, etc. The most important thing is to check with the patient, ask the patient's bed number and name, and check the identification label worn by the patient, which will write the patient's basic information: name, bed number and hospitalization number. If these are wrong, it will be a big medical accident, so the check system is very strict. In the operating room, nurses are divided into two categories. One is a "roving nurse", while the other is a "hand washing nurse" (commonly known as a nurse on stage). In the internship stage, we may all be arranged to be a "hand washing nurse" on the operating table under the guidance of the teaching teacher, and deliver medical instruments to the doctor during the operation. Therefore, understanding medical devices has become one of the most basic and critical nursing operations. There are countless medical appliances, but the most basic ones are limited to 2 kinds. Each pair of tweezers has its own name according to its appearance and size. For example, a pair of vascular forceps, the big one is called Kailai, the small one is called Kailai, and the long one is called Changlai. Instruments will also be named according to their uses. For example, "needle-holding pliers" are used to hold needles and thread needles, while "towel pliers" are used to hold holes and towels needed for surgery. The placement of surgical instruments is also very particular. It has a fixed position and a fixed order, which are set according to the steps in the surgical process. Therefore, the identification and placement of surgical instruments is the key to cooperate with doctors.

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ICP license: Shanghai B2-24419 Time flies, and in a blink of an eye, I ended my busy and challenging internship life in the emergency room. This is a completely different place from the ward and emergency room. Even the clothes are in a different style. The white nurse's uniform is removed and the blue surgical gown is replaced. The white dovetail hat is replaced by the blue round hat. In the ward, we should be busy with the replacement of fluid replacement for patients and do basic nursing for patients; In the emergency room, it is necessary to observe the patient's vital signs at any time. In the operating room, it is necessary to start with the understanding of surgical instruments. There are 26 operating rooms in the hospital, and the layout and basic equipment of each room are the same, such as the placement of monitoring equipment and operating table. However, according to the characteristics of the department, each room has its own characteristics, so 26 operating rooms will be assigned to multiple units, and the use of each unit is relatively fixed. As an intern, I have to enter the operating room from the medical staff channel every morning. The operating room has three channels: the medical staff channel, the patient channel and the sterile equipment channel. The three passages lead to different places, and the medical staff passage leads directly to the dressing room; The patient channel can directly reach the operating room, while the sterile equipment channel is a special channel for the transportation of surgical instruments. If you go to the wrong door, you can't enter the operating room. The operating room is a relatively sterile place. When you enter the operating room, you must start to change your slippers. You can't wear shoes when you go out. In addition, it is necessary to change the clothes and hats in the operating room, and the blue disposable round hat will wrap all the hair, which not only protects itself, but also will not pollute the patients. When I arrive at the operating room in the morning, the patient may have been sent to the operating room from the ward, and all I have to do is check the patient. Check the patient's bed number, name and gender according to the homepage of pathology card. Check the name of the operation according to the doctor's order, which includes the site of the operation, items and medicines to be used during the operation, etc. The most important thing is to check with the patient, ask the patient's bed number and name, and check the identification label worn by the patient, which will write the patient's basic information: name, bed number and hospitalization number. If these are wrong, it will be a big medical accident, so the check system is very strict. In the operating room, nurses are divided into two categories. One is a "roving nurse", while the other is a "hand washing nurse" (commonly known as a nurse on stage). In the internship stage, we may all be arranged to be a "hand washing nurse" on the operating table under the guidance of the teaching teacher, and deliver medical instruments to the doctor during the operation. Therefore, understanding medical devices has become one of the most basic and critical nursing operations. There are countless medical appliances, but the most basic ones are limited to 2 kinds. Each pair of tweezers has its own name according to its appearance and size. For example, a pair of vascular forceps, the big one is called Kailai, the small one is called Kailai, and the long one is called Changlai. Instruments will also be named according to their uses. For example, "needle-holding forceps" are used to hold needles and thread needles, while "towel forceps" are used to hold holes and towels needed for surgery. The placement of surgical instruments is also very particular. It has a fixed position and a fixed order, which are set according to the steps in the surgical process. Therefore, the identification and placement of surgical instruments is the key to cooperate with doctors.

Time flies. In a blink of an eye, I ended my busy and challenging internship in the emergency room and transferred to the next department-the operating room. This is a completely different place from the ward and emergency room. Even the clothes are in a different style. The white nurse's uniform is removed and the blue surgical gown is replaced. The white dovetail hat is replaced by the blue round hat. In the ward, we should be busy with the replacement of fluid replacement for patients and do basic nursing for patients; In the emergency room, it is necessary to observe the patient's vital signs at any time. In the operating room, it is necessary to start with the understanding of surgical instruments. There are 26 operating rooms in the hospital, and the layout and basic equipment of each room are the same, such as the placement of monitoring equipment and operating table. However, according to the characteristics of the department, each room has its own characteristics, so 26 operating rooms will be assigned to multiple units, and the use of each unit is relatively fixed. As an intern, I have to enter the operating room from the medical staff channel every morning. The operating room has three channels: the medical staff channel, the patient channel and the sterile equipment channel. The three passages lead to different places, and the medical staff passage leads directly to the dressing room; The patient channel can directly reach the operating room, while the sterile equipment channel is a special channel for the transportation of surgical instruments. If you go to the wrong door, you can't enter the operating room. The operating room is a relatively sterile place. When you enter the operating room, you must start to change your slippers. You can't wear shoes when you go out. In addition, it is necessary to change the clothes and hats in the operating room, and the blue disposable round hat will wrap all the hair, which not only protects itself, but also will not pollute the patients. When I arrive at the operating room in the morning, the patient may have been sent to the operating room from the ward, and all I have to do is check the patient. Check the patient's bed number, name and gender according to the homepage of pathology card. Check the name of the operation according to the doctor's order, which includes the site of the operation, items and medicines to be used during the operation, etc. The most important thing is to check with the patient, ask the patient's bed number and name, and check the identification label worn by the patient, which will write the patient's basic information: name, bed number and hospitalization number. If these are wrong, it will be a big medical accident, so the check system is very strict. In the operating room, nurses are divided into two categories. One is a "roving nurse", while the other is a "hand washing nurse" (commonly known as a nurse on stage). In the internship stage, we may all be arranged to be a "hand washing nurse" on the operating table under the guidance of the teaching teacher, and deliver medical instruments to the doctor during the operation. Therefore, understanding medical devices has become one of the most basic and critical nursing operations. There are countless medical appliances, but the most basic ones are limited to 2 kinds. Each pair of tweezers has its own name according to its appearance and size. For example, a pair of vascular forceps, the big one is called Kailai, the small one is called Kailai, and the long one is called Changlai. Instruments will also be named according to their uses. For example, "needle-holding forceps" are used to hold needles and thread needles, while "towel forceps" are used to hold holes and towels needed for surgery. The placement of surgical instruments is also very particular. It has a fixed position and a fixed order, which are set according to the steps in the surgical process. Therefore, the identification and placement of surgical instruments is the key to cooperate with doctors.