【正文】 sent the urine sample to laboratory Insert 1cm more when urine appears Empty the forepart urine。 bespread the perforated napkin。 record the valid duration Cover the tray to the edge Take off gloves by grabing the out surface Immerse the gloves Smooth gloves with gauze Take off the sterile glove 33 Urethral Cathererization on Female Patient Tidy up after the operation Sterile urethral catheterization package, 2 treating bowels, hemostat, forceps, 2 ureters, sterile cotton balls, cup, paraffn oil, swabs, kidneybasin, perforated napkin Take articles to bed Prepare to operate Scrub the vulva with sterile soultion Catheterize Prepare articles Interpret。 document the time and date Check。 brush in the following order witout missing: nails, fingers, palm, hand back, wrist, forearm, 3 inches above the elbow (pay attention to nail edges, places between fingers, wrinkles in the wrist and cubital fossa) 2. Rinse off the dirty sanitizer, fingers upward and elbow downward。 sterilize the skin Vent out the air Draw in drug solution Tighten the skin。 pull out the needle。 shake to be even Tidy up after the operation 29 Intramuscular Injection Prepare to draw drug solution Inject In the tray: injection card, drugs, 5ml syringe and needle, antiseptic solution, cotton swab, kidneybasin Draw in drug solution Take articles to bed Prepare to inject Prepare articles Check the doctor’s instruction。 change on the size 4 needle Inject drug solution。 hang over in the halfsterilized area with the cleaning out 28 Hypodermic Injection and Drug Solution Preparation for Skin Test Pull out the needle。 ?untie the sleeves ?tuck the sleeves under the elbows Flush the hands。 examine Take articles to bed Check。 ？ sterilize the skin Take away the tourniquet and bolster。 insert the tube 710cm into the anal Hold the anal in one hand and the other open the clamp Require the patient to take deep breath Finish enema。 fold inward the two sides into tubeshape。 tie up 23 Prepare Anesthesia Bed Slip on pillowcase Bottom sheet, quiltcover, pillowcase, two plastic sheets, two midsheets, anesthesia tray, covered bed brush Take articles to bed Make bed Bespread quilt cover Slip on quilt cover Prepare articles Move away the bedside table Move chair to bed end。 shut off the regulator Insert a liitle more while blood present in the passaway 22 Prepare Standby Bed Slip on pillocase Bottom sheet, quiltcover, pillowcase badding, and pillow d Take articles to bed Bespread bottom sheet Bespread quilt cover Slip on quilt cover Prepare articles Move away the bedside table Move the chair to bed end。 brush the plastic sheet and lift on the patient Take off the soiled bottom sheet to the lower shelf of the nursing cart。 take off the soiled cover Shape quilt into a tube along the bed two sides。 二、搶救程序：心肺復(fù)蘇術(shù)（另附） 三、效果評價 1．有效：能摸到大動脈博動，出現(xiàn)自主呼吸，意識逐漸恢復(fù)，瞳孔由大變小，對光反應(yīng)恢復(fù)。 3．第三遍刷完后用無菌毛巾拭干手、臂、不得擦至肘上三寸。其主要任務(wù)是使學(xué)生獲得和掌握護(hù)理病人所必須的基本理論、基本知識、基本技能。 進(jìn)針→抽視無回血→注射藥液 干棉簽輕壓→拔針按壓→ 觀察→再次查對 整理床單位 分類處理污物 手持注射器 操作后整理 15 手術(shù)室刷手規(guī)則 刷手前要修剪指甲，并用肥皂水洗去手、前臂、肘及上臂下半部污垢及油脂。 攜物至床前 操作前準(zhǔn)備 消毒液擦洗外陰 導(dǎo)尿 用物準(zhǔn)備 解釋→關(guān)門窗→遮擋 松床尾蓋被→ 仰臥屈膝位→雙腿分開 脫對側(cè)褲與浴巾蓋近側(cè)腿上 蓋被包對側(cè)腿露出外陰 橡膠單、巾墊臀下 無菌盤至兩腿之間，打開無菌導(dǎo)尿包 帶手套→鋪孔巾→潤滑尿管 夾出一根尿管備用→左手分開小陰唇 消毒尿道口→對側(cè)小陰唇→近側(cè)小陰唇→再消毒尿道口 右手持止血鉗夾尿管輕插 46cm 擦洗用物：無菌治療碗內(nèi)盛消毒液棉球、 彎盤、鑷子、手套、浴巾。 move away the chair。 bespread a clean bottom sheet with the left under the patient Wrap the four coners。 document Place bake tourniquet and bolster ? assist patient to be in a cosy position。 wrap two corners Tuck the middle unwanted part。 place the anesthesia tray on the table。 open the window and door Articles for preparing the solution: large and smaller measuring cups, warm and cool water, water temperature gauge, gauze, 1 2%soap solution or NS Folding screen, evacution container Immerse the anal tube in the antiseptic solution Hang enema bucket on the infusion holder (4060cm to the anal)。 close the window and door。 pull out the needle。 clear up the articles 27 Put on and Take off the Barrier Gown Coat hanger, barrier gown, brush, pollution resisting napkin, treating bowel with soap soultion in Personal preparation Put on barrier gown Wash hands Take off the barrier gown Prepare articles Put on mouth mask。 tie up on the back Tie up the sleeves of the gown Tie up the girdle。 inject solution into the kidneybasin with left Dilute 3 times in the same way and inject out twice Inject in 2ml air。 disinfect the skin with alcohol Smooth the bed sheets。 prepare the right posture Choose the injection spot。 sterilize the ampule or the bottle lid Break the ampule neck Examine the syringe and the needle Check。 observe。 wash