手术室 围手术期护理.pptxVIP

手术室 围手术期护理第1页/共14页 第2页/共14页 Treatments Sugery——most effctive hepatectomyRadiotherapyChemotherapy 第3页/共14页 Perioperative care Preoperative nursingIntraoperative nursingPostoperative nursing第4页/共14页 Preoperative nursing Preoperative visit 1.personal data (name,gender,age,AD,all kinds of test results) 2.past history (hypertension,diabetes,allergy) 3.physical condition (mental,skin) 4.inform notice: ——don’t eat or drink after 8pm ——don’t wear accessories or valuables ——wear patient dress without underwear 第5页/共14页 5.Psychological nursing introduce environment with photos answer patient’s questions第6页/共14页 Intraoperative nursing Preparationcheck suction device and oxygen system prepare articles ——instruments ——dressings ——disposable goodsc)adjust temperature 20～24℃ 第7页/共14页 Receiving patient check patient’s information ——patient ——identification wristband ——medical records ——operation noticeb)receive medicine,CT pictures,abdominal bandage ,gastric tube 第8页/共14页 Assist in anestheiaCatheterization for female Assist doctor to insert gastric tube Position supine position with a pillow at the back Paste?zinc plate at the place where muscle abounds第9页/共14页 Help surgeon to wear sterile gownCount instruments and dressing ——before?the?operation ——before closing the abdominal cavity ——before suturing the incision and fill in nursing notes第10页/共14页 Closely observe the?operation?progress ——adjust light ——timely supply?of needed goods第11页/共14页 Aseptic?technique?strictly?implementedAfter?the?operation ——assist doctor to?bound?the?wound ——remove?the blood?around the wound ——wait for?extubationAfter extubation,?send the patient to the?recovery room with ?anesthestistDeal?with?rubbish and tidy?up?the?room第12页/共14页 Postoperative nursing Postoperative visit—— third?days after surgerywound?healingevaluation?on the q