【正文】 Bespread the napkin in a sector with the placket outward Forcep the needed articles into the tray Fold the opening up twice。 examine the solution Uncover the bottle in sterile way Rinse the bottle mouth。 check again Smooth the bed sheets Dispose the soiled matters Hold on the syringe Tidy up after operation 31 Hand Washing Principles in Surgery Cut nails before the operation。 interpret。 sterilize the skin Vent out the air Draw in drug solution Tighten the skin。 interpret the instructions Place back the articles。 draw in 2ml NS Vent out air。 operation Untie the collar Take off the sleeves Take off。? take off watch。 press the inserted spot 26 Oral Cavity Nursing Annotation: Scrub with only one tampon from the inner to the outer Tidy up aftr the operation In the tray: treating bowel, tweezer, hemostat, saltwatered tampon, kidneybasin, glossocatochus, suction pipe, gauze Scrub the oral cavity Prepare articles Examine the cavity。 unfold the screen Assist the patient to lie on the left side with the hip along the bed edge Pull the trousers down to the buttock。 lubricate the anal tube Vent air from the tube。 move the chair to the bed end on the side with the quilt Slip on the cover to bed end。 bespread the left side Bespread left side to the bed end Shape cover into tubeshape along the bed two sides Bespread right side。 explain do’s and don’ts Smooth bed sheets ?dispose the soiled matters ?observe the patient and the drops Check Sterilize bottle closure。 tuck the middle unwanted part under the mattress Place back the plastic and midsheet。 place articles onto the nursing cart。 將治療碗及彎置于床尾 彎盤置外陰前→左手戴手套或指套 消毒液棉球分別擦洗外陰陰阜→ 大陰唇→小陰唇→尿道口→肛門 污棉球放彎盤 去孔巾→擦外陰 脫手套→移去治療盤及橡膠單、巾 協(xié)助穿褲→整理床單位 整理用物 → 記錄 → 送標本 見尿后再插入尿管 1cm 放前段尿→協(xié)助留無菌中段尿標本 拔出尿管→放彎盤內(nèi) 18 心肺復(fù)蘇搶救護理程序 一、 評估 1．主要依據(jù)：意識突然喪失，大動脈博動消失。 1．取無菌刷蘸取洗手液，按下列順序刷洗，不可遺漏：指甲→手指→掌心→手背→腕部→前臂→肘上三寸。 1 基礎(chǔ)護理實驗操作流程 供護理本科使用 編者：沈軍 重慶醫(yī)科大學護理學 實驗教學中心 基礎(chǔ)護理實驗室 2 前 言 護理學基礎(chǔ)是護理專業(yè)的重要專業(yè)基礎(chǔ)課程，也是護理專業(yè)學生的主干課程和重點課程。（注意甲緣、指縫、腕橫紋、肘窩處） 2．第一遍刷完后，用流 動水沖掉洗手液，手指朝上肘朝下，水由前臂到肘部流下，手在高位，以免水逆流。 2．其他依據(jù)：心音消失，血壓測不到，嘆息樣呼吸，隨即停止，瞳孔散大，紫紺。 move the cart to bed Lower the bed end 被套、帶套床刷 Stand on the lfet and assit patient to lie on back 平臥薪嘗臥薪嘗 Fold inward the badding to a shape S Place a clean cover on the quilt Insert the badding into the clean cover Neaten the quilt into S。 tuck the unwanted part under the mattress Take off the soiled midsheet。 check apparatus Join apparatuses。 tuck the two ends under the pad Slip on cover to the two ends。 tie up Pull down the quilt 15cm。 expose the anal。 bespread the rubber sheet and napkin 25 Intravenous Phlebotomizing Injection tray, syringe, hypodermic needle, tourniquet, bolster, blood container Take articles to bed Prepare to draw blood Draw blood Tidy up after the operation Prepare articles Check ？ interpret 平臥薪嘗臥薪嘗 Place the bolster, ？ tourniquet and choose the vein in place Get and check the syringe and needle Fasten the tourniquet。 scrub the lips Scrub the teeth from outside and inside, the inside of the cheek, gum lime in small circular motions The palate, the top and undersurface of the toungue Rinse with mouthwash。 ? roll up sleeves over the elbows Tie the girdle into slipnot。 align。 tighten the skin Insert the needle with a 5 oblique Finishing prepararion for the 1ml skin test solution。 dispose the soiled matters, immerse the disposable syringe and needle Inject the NS into the penicillin bottle。 insert vertically Inject gradually if no blood reflux Press slightly with dry swab。 prepare the right position Choose the injection spot。 wash dirt and grease off hands, forarms, elbowls and foreparts of the upperarms with soap 1. Wet sterile brush with hand sanitizer。 pour out the solution into the bowel Cover the bottle in sterile way。 fold downward once the right and left edges。 unpack the sterile package Put on gloves。 document。 keep the middle part sterile urine as sample Pull out the ureter to put in the basin 34 CPR Nursing Process in Emergency I. Assessment 1. Major evidence: sudden loss of consciousness and aortic pulsation 2. Other evidences: no heart tone, unmeasurable BP, sighlike breathing and no breathing soon, mydriasis, cyanosis II. Procedure: see the appendix III. Evaluation 1. Effective: tangible aortic pulsation, autonomous respiration, consciouness ing back, pupil constracting and responding to light 2. Noneffective: intangible aortic pulsation, dialated pupil, no autonomous respiration IV. Instruction 1. Action should be rapid and precise。 lubricate the urethra Forcep an ureter。 close the windown and door。 unpack。 hands hanger over the elbow so as to avoid water flow from the arms to hands 3. Brush hands another twice in the same way。 form a 3040 bevel between the syringe and the skin Insert the needle。 press down。 check the drugs。 rash emerge。 examine the outing 20 minutes later Inject In the tray: injection card, 1m