手術(shù)室護(hù)理常規(guī)

1、沭陽(yáng)協(xié)和醫(yī)院0手術(shù)室護(hù)理常規(guī)手術(shù)室護(hù)理常規(guī)全麻護(hù)理常規(guī)....................................................................2椎管內(nèi)麻醉護(hù)理常規(guī)..........................................................2局部麻醉后護(hù)理常規(guī)...............................................

2、........2患者接入手術(shù)室常規(guī).............................................................3術(shù)后患者送出手術(shù)室常規(guī).....................................................3急癥手術(shù)術(shù)前準(zhǔn)備常規(guī).......................................................4送手術(shù)后患者回病房

3、護(hù)理常規(guī)................................................5手術(shù)患者皮膚護(hù)理常規(guī).......................................................6俯臥位操作護(hù)理常規(guī).........................................................6手術(shù)鋪巾護(hù)理常規(guī)..........................

4、..............................7產(chǎn)科手術(shù)護(hù)理常規(guī)........................................................7青光眼小梁切除術(shù)護(hù)理常規(guī).................................................7口腔腺瘤手術(shù)護(hù)理護(hù)理常規(guī)..................................................

5、.8鼻部手術(shù)護(hù)理常規(guī)........................................................8普通開(kāi)顱手術(shù)護(hù)理常規(guī)........................................................8甲狀腺手術(shù)護(hù)理常規(guī)..............................................................9乳腺手術(shù)護(hù)理常規(guī)......

6、.......................................................9食管手術(shù)護(hù)理常規(guī)...........................................................1010肛管、直腸手術(shù)護(hù)理常規(guī)...................................................1010腹外疝手術(shù)護(hù)理常規(guī)..................

7、....................................11....11沭陽(yáng)協(xié)和醫(yī)院2全麻護(hù)理常規(guī)全麻護(hù)理常規(guī)1、術(shù)前全面評(píng)估患者，評(píng)估患者對(duì)麻醉及手術(shù)的耐力，尤其是全身各器官的功能，評(píng)估術(shù)前用藥的執(zhí)行情況及飲食控制情況，是否達(dá)到禁食12h，禁飲46h.2、術(shù)中給予去枕平臥，頭偏向一側(cè)，防止嘔吐物吸入氣管。3、手術(shù)床旁備有氧氣導(dǎo)管、吸引器、聽(tīng)診器等用物。4、嚴(yán)密注意呼吸道管理，及時(shí)清除分泌物及吸入物，防止因體位的改變引起

8、血管扭曲。5、嚴(yán)密觀察病情變化，術(shù)中巡回護(hù)士與麻醉醫(yī)生不得離開(kāi)手術(shù)室，如發(fā)現(xiàn)呼吸困難、血壓下降、收縮壓90mmHg以下，脈搏細(xì)弱或每分鐘達(dá)120次以上，面色蒼白、煩躁不安或神情呆滯等應(yīng)報(bào)告醫(yī)生及時(shí)處理。6、嚴(yán)防低體溫的發(fā)生，注意術(shù)中保暖。7、對(duì)全麻蘇醒過(guò)程中，躁動(dòng)的患者，應(yīng)防止其拔出各種引流管，輸液管或墜床。8、清醒后鼓勵(lì)患者咳嗽、深呼吸。椎管內(nèi)麻醉常規(guī)椎管內(nèi)麻醉常規(guī)1、術(shù)前全面評(píng)估患者，評(píng)估患者對(duì)麻醉及手術(shù)的耐力，尤其是全身各個(gè)器官的

9、功能。評(píng)估術(shù)前用藥的執(zhí)行情況及飲食控制情況，是否達(dá)到禁食12h禁飲水46h.2、協(xié)助麻醉醫(yī)生，守護(hù)在手術(shù)床旁，防止患者墜床。3、密切觀察麻醉期間并發(fā)癥的發(fā)生，血壓下降、呼吸抑制、惡心嘔吐等，及時(shí)通知麻醉醫(yī)生采取措施，給予對(duì)癥處理。4、指導(dǎo)患者手術(shù)期間的配合，無(wú)抬頭等動(dòng)作，以防引起頭痛等不適。5、術(shù)中適當(dāng)約束患者防止墜床。6、術(shù)后與病房護(hù)士詳細(xì)交班，注意排尿時(shí)間，術(shù)后68h不能自行排尿者，應(yīng)誘導(dǎo)排尿。7、術(shù)后禁食6h.局麻后護(hù)理常規(guī)局麻后