【正文】 pression should be even and the hands stick to the chest 2. When the victim ing back, offer prompt psychological support and interpretation if needed 。 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。 document。 take away the tray, rubber sheet and napkin Assist to pull up trousers。 put gloves or fingertips on left hand Scrub with sterile cotton ball the clitorils, labia majora, labia minora, ureteral orifice, anal Put the soiled cotton ball in the kidneybasin Take away the perforated napkin。 lubricate the urethra Forcep an ureter。 unpack the sterile package Put on gloves。 separate the legs Pull down the offside trouser。 cover the quilt on patient。 close the windown and door。 fold downward once the right and left edges。 pack up as it was。 unfold Articles for cleaning: middle size tray, kidneybasin, pen, writing paper Check and untie the sterile package Unpack。 unpack。 pour out the solution into the bowel Cover the bottle in sterile way。 wash hands 被套、帶套床刷 Place the bowel in the tray with hand supporting the bowel base Check the bottle label。 keep the hands overhanging, not droop down。 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。 wash dirt and grease off hands, forarms, elbowls and foreparts of the upperarms with soap 1. Wet sterile brush with hand sanitizer。 observe。 pull out the needle。 form a 3040 bevel between the syringe and the skin Insert the needle。 prepare the right position Choose the injection spot。 sterilize the ampule or the bottle lid Break the ampule neck Examine the syringe and the needle Check。 check again Smooth the bed sheets Dispose the soiled matters Hold on the syringe Tidy up after operation 30 Hypodermic Injection Inject In the tray: injection card, drugs, 2ml syringe and needle, antiseptic solution, cotton swab, kidneybasin Prepare to draw drug solution Draw in drug solution Prepare to inject Prepare articles Check the doctor’s instruction。 press down。 insert vertically Inject gradually if no blood reflux Press slightly with dry swab。 prepare the right posture Choose the injection spot。 break the ampule neck Examine the syringe and the needle Check。 check the drugs。 dispose the soiled matters, immerse the disposable syringe and needle Inject the NS into the penicillin bottle。 disinfect the skin with alcohol Smooth the bed sheets。 interpret。 rash emerge。 tighten the skin Insert the needle with a 5 oblique Finishing prepararion for the 1ml skin test solution。 inject solution into the kidneybasin with left Dilute 3 times in the same way and inject out twice Inject in 2ml air。 put on size 6 needle Sterilize the bottle lid。 examine the outing 20 minutes later Inject In the tray: injection card, 1ml or 5ml syringe, antiseptic solution, cotton swab, drugs, NS, bottle opener, % adrenalin hydrochloride, kidneybasin Prepare to dissolve drugs Dissolve the drugs Dispense Prepare to inject Prepare articles Prepare drugs separately Remove the middle part of the aluminium cover。 align。 tie up on the back Tie up the sleeves of the gown Tie up the girdle。 hang up hands。 ? brush the forearms, ? back of hands, ?palms, fingrs, and nails Flush the hands。 ? roll up sleeves over the elbows Tie the girdle into slipnot。 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。 place the kideybasin beside the corner of mouth Take away the kidneybasin。 interpret。 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。 pull out the needle。 draw some blood in according with specific purpose Require patient to unclench the fist。 ？smooth the bed sheets Dispose the soiled matters Send the blood sample to the laboratory Require patient to clench the fist。 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 article