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do not press the chest while blowing oxygen into nose or mouth。 smooth the bed sheets Neaten the artiles。 separate the labia minora with the left hand Sterilize ureteral orifice, offside and nearside labia minora, ureteral orifice again Insert the ureter 46cm with hemostat in right hand Articles for scrubbing: sterile treating bowel with alcohol cotton balls in, kidneybasin, forceps, gloves, bath towel Place the bowel and kidneybasin on the bed end Place the nidneybasin near the vulva。 cover the nearside leg with the towel Expose the vulva with quilt on the offside leg Put the rubber sheet and napkin under the button Put the tray between legs。 shelter Lower the bed end。 document the time and date Bespread the napkin in a sector with the placket outward Forcep the needed articles into the tray Fold the opening up twice。 lubricate hands Put on gloves by holding the folded of the opening Grab the opening。 examine the solution Uncover the bottle in sterile way Rinse the bottle mouth。 dry up the brushed parts with sterile towel。 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。 inject drug solution if no blood reflux Press slightly with dry swab。 interpret。 observe。 sterilize the skin Vent out the air Draw in drug solution Tighten the skin。 sterilize the ampule or the bottle lid Sterilize the little saw。 interpret the instructions Place back the articles。 check again Check。 draw in 2ml NS Vent out air。 sterilize the bottle cover Check the 1ml syringe。 operation Untie the collar Take off the sleeves Take off。 dry up Hold the collar with the clean towards the body Lead arms through the armholes。? take off watch。 turn patient to face the nurse Pad a towel under the jaw。 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。 insert the needle。 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。 ? take down the enema bucket Get some bumf。 lubricate the anal tube Vent air from the tube。 place back in order → 平臥薪嘗臥薪嘗 24 Enema Tidy up after the operation In the tray: enema bucket, kidneybasin, anal tube, bumf, cotton swab, Vaseline, rubber sheet, rubber napkin, disposable rubber glove Prepare enema solution Take articles to bed Prepare for enema Enema Prepare articles Pour 1 2% soap solution or 500 100ml NS into the enema bucket Test the water temperature Demand the patient to hold on for 510 minutes and then evacuate into the container or in the toilet Take off the rubber sheet and napkin。 move the chair to the bed end on the side with the quilt Slip on the cover to bed end。 wrap the two corners Tuck the middle unwanted part Bespread the plastic sheet 4550cm off the bed head on the right Bespread midsheet。 bespread the left side Bespread left side to the bed end Shape cover into tubeshape along the bed two sides Bespread right side。 place the pillow on bed backward the ward’s door Move back the bedside table and chair。 explain do’s and don’ts Smooth bed sheets ?dispose the soiled matters ?observe the patient and the drops Check Sterilize bottle closure。 bespread sheets in order Roll the patient to the other side 21 Intravenous Infusion Tidy up after operation Tray, drugs, apparatus, tourniquet, bolster, fixative bandage, apparatus holder Move holder to bed Prepare drugs Prepare for infusion Insert the needle Prepare articles Check ?interpret Inquire upon defecation ? select vein 被套、帶套床刷 Hang bottle on holder ?vent air in passway Put tourniquet and bolster in place Bind tourniquet ? sterilize skin? vent air again Ask patient to clench fist。 tuck the middle unwanted part under the mattress Place back the plastic and midsheet。 Roll the patient to lie on left side Lose the plastic, midbed and bottom sheet from the right Roll the midbed sheet to the patient。 place articles onto the nursing cart。 四、注意事項 1.進行心肺復蘇時, 動作要迅速、準確,吹氣時暫時停止按壓胸部,按壓用力要均勻,雙手注意不要離開病人胸部。 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→協助留無菌中段尿標本 拔出尿管→放彎盤內 18 心肺復蘇搶救護理程序 一、 評估 1.主要依據:意識突然喪失,大動脈博動消失。不可觸及未消毒的物品,否則重新刷手。 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。 在此我們根據姜安麗主編的“十一五”國 家級規(guī)劃教材《新編護理學基礎》的內容,結合我院情況編寫了這本《基礎護理實驗操作流程》,以供教學和學生學習與自主練習時參考和使用。 1 基礎護理實驗操作流程 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 基礎護理實驗室 2 前 言 護理學基礎是護理專業(yè)的重要專業(yè)基礎課程,也