Operating room nurse training summary

The psychological characteristics of patients undergoing surgery are tension, anxiety, fear, irritability, unresponsiveness, insomnia, depression, and so on. Surgery is a special experience for every patient, and most of the patients enter the operating room with a sense of helplessness. Accidents can occur regardless of the type of anesthesia during anesthesia. The sudden cardiac arrest is the most serious anesthesia accident in anesthesia and the most difficult anesthesia accident in rescue. The author will retrospectively summarize the psychological nursing before the operation, the preventive care of the preoperative patients, and the care of the anesthesia accident from December 1998 to May XX, and report the following.

Preoperative psychological care

1.1 Regardless of the size of the surgery, the patient is psychologically stressed. When the patient enters the operating room, there is often a kind of mentality that "life is in the hands of the medical staff." The behavior of the medical staff will directly affect the patient's complex. Therefore, the nurses in the operating room must have a good attitude, a clean and tidy instrument. Attention to all aspects of cultivation is an important prerequisite for doing a good job of psychological care.

1.2 Constantly learn new medical theory and technology, sum up experience, enrich yourself, promote the spirit of dedication and dedication, improve the quality of nurses, eliminate the psychological and fear of patients, and enable patients to cooperate with surgery under the best psychological state.

2. Preoperative visual care

2.1 solve the patient. Before the operation, I will go to the ward to monitor the patient, communicate with the patient with my words and deeds, let the patient express her concerns, ask various questions, and patiently answer with scientific and honest attitude, so that they can eliminate their concerns and have confidence in the operation.

2.2 Most patients are anxious to understand the anesthesia and surgical methods. We will inspect the patient before the operation, introduce the patient and anesthesia method, demonstrate the position during the operation, and pre-train the patient in the ward before surgery. Actively cooperate to improve the success rate of anesthesia and ensure the smooth operation of the operation.

2.3 Read the medical history, ask the medical history, check the patient's general condition and laboratory documents and other auxiliary examinations, the name of the operation, the anesthesia method, fully grasp the patient's condition, predict the accidents that may occur during the operation, and formulate measures to solve the problem in time.

2.4 Explain the time and importance of indwelling gastric tube, urinary catheter, fasting, and ban drinking before surgery, and inform the relevant precautions to obtain the patient's active cooperation.

3. Intensive care for intraoperative anesthesia accident

3.1 Preparation of standing equipment and drugs, such as anesthesia machine, tracheal intubation, ECG monitor, suction device, etc. Rescue medications such as adrenaline, lidocaine, atropine, dopamine, m-hydroxylamine, sodium bicarbonate, and the like.

3.2 Close observation of the condition during anesthesia, early detection, as soon as possible to rescue. Keep the airway open, such as foreign objects in the mouth, to assist the anesthesiologist to attract and remove. If the airway is found to be blocked, prepare the tracheotomy bag and cut the trachea if necessary. When the anesthesiologist prepares the tracheal intubation, the nurse should first perform mouth-to-mouth resuscitation to avoid interruption of the patient's ventilation. Establish a viable venous access and gain time for medication during rescue.

3.3 If cardiac arrest occurs in the anesthesia before surgery, the nurse should first press the chest outside the heart, while speeding up the infusion rate, according to the doctor's advice to apply the rescue drug accurately. In the past, patients with resuscitation were treated with direct intracardiac injection. It is now advocated for intravenous injection and tracheal administration. The onset time and drug effect are the same as intracardiac injection, avoiding the adverse factors of intracardiac injection on myocardial injury, early myocardial monitoring, and The doctor accurately provides a variety of data.

4. Experience

4.1 With the continuous development of medical science, as an operating room nurse, not only must have certain knowledge and experience in surgical cooperation, but also have psychological knowledge, master the various psychological states of preoperative patients, sum up experience Enrich yourself and make your skills better.

4.2 Only with a wealth of pre-operative nursing experience, can the operating room nursing work be passive to active, from indoor to outdoor, in order to give satisfactory answers to the patient's various questions, get the patient's trust, and better do physical and mental care work. .

4.3 With the rapid development of medical science, anesthesia has become the subject of modern medical circles. It is often not enough to rely solely on the strength of an anesthesia accident. There must be a close cooperation between the operating room nurses. This requires us to study hard, update our knowledge, save the patient's moment, save the patient's life at a critical moment, cooperate with the doctor, coordinate the action, and fight against the patient's life.