Self-summary of operating room 1
Operating room is a term that makes people feel scary and mysterious. A door in the operating room divides the inside and outside into two worlds. It is covered with a mysterious veil. Among all the departments, the operating room is the one I most yearn for. Because the operating room is very mysterious to me, I came to the operating room for internship with curiosity.
I feel that I have gained a lot during my one-month internship in the operating room and gained a lot of knowledge, including nursing knowledge and interpersonal relationships.
Operating room nurses are divided into instrument nurses and circulating nurses. Instrument nurses are responsible for preoperative preparations, delivering tools to doctors, and post-operative packaging. The circulating nurse is responsible for picking up and transporting patients, etc.
I go to work at eight o'clock every morning. I change into shoes, hat, mask, and operating room clothes before entering the restricted area. This further strengthens my concept of sterility. I am honored to be in the operating room during my internship. Two minor surgeries were performed to remove tumors from the nasal cavity. I only helped with the retraction in order to better expose the surgical field, but I still felt that the opportunity was hard-won. From every small step, I deeply realized that there was no need to worry about the surgery. The stringency of bacterial requirements. I learned from brushing my hands to putting on surgical gown and sterile gloves. We strictly demand ourselves at every step to achieve sterility requirements. In the operating room, I also learned how to insert trocars, pack large bags, pack instruments, etc.
During the one-month internship, I saw many surgeries such as rectal cancer, laparoscopy, etc. Quotes about persevering to the end
I feel that the internship time passed very quickly, and a month passed like this. I feel that what I learned from it cannot be described in words. I feel a lot of reluctance to leave the operating room. The mystery has finally been lifted, and I hope to be able to work in the operating room in the future! ! ! Self-Summary of the Operating Room II
Based on several years of working as an operating room nurse, I have summarized the following key information on the work of operating room nurses for the reference of new and old operating room nurses. Comprehensive opinions of parents
1. Pre-operative psychological care
Regardless of the size of the surgery, patients need to bear certain psychological pressure. When patients enter the operating room, they often have the mentality that "their lives are in the hands of the medical staff." The words and deeds of the medical staff will directly affect the patient's emotions. Therefore, nurses in the operating room must be kind, neat, and dignified. Paying attention to all aspects of cultivation is an important prerequisite for good psychological care.
Continuously learn new medical theories and techniques, sum up experience, enrich yourself, promote the spirit of professionalism and dedication, improve nurses' own quality, eliminate patients' nervousness and fear, so that patients can be in the best psychological state Cooperate with surgery.
2. Preoperative vision prevention care
Go to the ward to prevent vision of the patient before surgery, use your own words and deeds to communicate with the patient, let the patient express his concerns, ask various questions, and use The scientific and honest attitude and patient answers helped them eliminate their worries and become confident in the surgery.
Most patients are eager to learn about anesthesia and surgical methods. We go to the ward to monitor the patients before the operation, explain the surgery and anesthesia methods to the patients, demonstrate the posture during the operation, and pre-operate on the ward bed before the operation. Train to be able to actively cooperate immediately after entering the operating room to improve the success rate of anesthesia and ensure the smooth progress of the operation.
Read medical records, ask about medical history, check the patient's general condition and laboratory documents and other auxiliary examinations, operation name, anesthesia method, fully understand the patient's condition, predict possible unexpected situations during the operation, and formulate solutions to problems in a timely manner measures.
Explain the time and importance of indwelling gastric tubes, urinary tubes, fasting, and drinking before surgery, and inform relevant precautions to obtain the patient's active cooperation.
3. Cooperative care for intraoperative anesthesia accidents
Preparation of standing equipment and drugs, such as anesthesia machine, endotracheal intubation supplies, ECG monitor, aspirator, etc. Rescue drugs such as epinephrine, lidocaine, atropine, dopamine, metahydroxylamine, sodium bicarbonate, etc.
Close observation of the condition during anesthesia can enable early detection and rescue as soon as possible. Keep the airway open. If there is a foreign body in the mouth, assist the anesthesiologist to aspirate and remove it. If the airway is blocked, prepare a tracheotomy bag and perform a tracheotomy if necessary. When the anesthesiologist is preparing for tracheal intubation, the nurse should first perform mouth-to-mouth artificial respiration to avoid interruption of the patient's ventilation. Establish a feasible intravenous channel to buy time for medication during rescue.
If cardiac arrest occurs during anesthesia before surgery, the nurse should first perform chest cardiac compressions, speed up the infusion rate, and accurately apply rescue drugs according to the doctor's instructions. In the past, direct intracardiac injection was used for resuscitating patients. Now, intravenous injection and tracheal administration are advocated. The onset time and drug effect are the same as those of intracardiac injection, so as to avoid the adverse factors of intracardiac injection on myocardial damage, carry out myocardial monitoring as early as possible, and provide medical advice to patients. The doctor accurately brings all kinds of data. Self-Summary in the Operating Room 3
Our profession is known as the "angel in white". Perhaps only our colleagues know the pain and tiredness behind this angel. Work is demanding on us.
Once you put on a white coat, all emotions and worries have to be put away. In the smell of hospital disinfectant, we walked through the pure girlhood; from the bloody wounds, we walked through the hot youth; in the white atmosphere, we bid farewell to countless quiet nights; in the expectation of the lover While complaining about his children, he dedicated himself to each of the painful patients.
As we all know, our work is hard, and there are no regular holidays; there is no regular rest time. The work is trivial and the responsibilities are heavy. Some nurses also need to deal with leprosy patients, mental patients, and patients with infectious diseases. We have paid a lot in obscurity. However, we often encounter grievances and misunderstandings. But we have no regrets. Because we know very well that the clients we serve are patients who need help and sympathy and are struggling with illness.
"The doctor's mouth is the nurse's legs." If nothing else, in one night, all the night shift nurses working in the emergency department would walk forty or fifty miles. My legs are swollen from running. Maybe you don't believe it, but please look at the varicose veins on the calves of the nurses and sisters, and you will understand.
There was such a real thing in the emergency department: It was almost time to get off work in the afternoon, and a few flutes brought a dozen trauma patients who had been in a car accident in a small bus. The nurses on the day shift took the initiative to stay and carried out the rescue in an orderly manner. I didn't get home until ten o'clock in the evening. When Xiao Wang, who was hungry and tired, asked: "Head nurse, we have been busy for a long time but we were scolded, and that drunk man almost hit you!" The head nurse said generously: "Then For a newlywed couple, the husband felt too anxious when he saw his beloved wife was so seriously injured, and we couldn’t argue with him because of the long holiday like May Day. Amidst the picturesque landscapes and deep family affection, things like this often happen in our emergency department.