【正文】 et。 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。 examine Take articles to bed Check。 turn patient to face the nurse Pad a towel under the jaw。 dry the lips Out the tray: flashlight, paraffin oil, cotton swab, mouthwash Smooth the bed sheets。? take off watch。 ?untie the sleeves ?tuck the sleeves under the elbows Flush the hands。 dry up Hold the collar with the clean towards the body Lead arms through the armholes。 shake the sleeves。 operation Untie the collar Take off the sleeves Take off。 hang over in the halfsterilized area with the cleaning out 28 Hypodermic Injection and Drug Solution Preparation for Skin Test Pull out the needle。 sterilize the bottle cover Check the 1ml syringe。 draw in penicillin solution Darw in ml NS Shake to be even。 draw in 2ml NS Vent out air。 change on the size 4 needle Inject drug solution。 check again Check。 inquire the “three histories” Choose the inserting spot。 interpret the instructions Place back the articles。 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。 sterilize the ampule or the bottle lid Sterilize the little saw。 interpret。 sterilize the skin Vent out the air Draw in drug solution Tighten the skin。 pull out the needle。 observe。 check the drugs。 interpret。 sterilize the skin Vent out the air Draw in drug solution Tighten the skin。 inject drug solution if no blood reflux Press slightly with dry swab。 press down。 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。 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。 dry up the brushed parts with sterile towel。 keep hands away the unsterilized objects, otherwise brush the hands another 3 times 4. Duration: 10 minutes of the total 3 times 32 Aseptic Techniques Put on sterile gloves Germfree articles: forceps, container, treating bowel, treating napkin, solution, gloves, rectangular box, sterile package, immersion bottle Prepare to operate Make sterile tray Pour out the sterile solution Cover the sterile tray Prepare articles Cleanse the operation table and tray Cut nails。 examine the solution Uncover the bottle in sterile way Rinse the bottle mouth。 document the time and date Check。 lubricate hands Put on gloves by holding the folded of the opening Grab the opening。 clamp the napkin。 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。 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。 shelter Lower the bed end。 patient lie on back with knees bending。 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。 bespread the perforated napkin。 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。 scrub the vulva Take off gloves。 smooth the bed sheets Neaten the artiles。 sent the urine sample to laboratory Insert 1cm more when urine appears Empty the forepart urine。 do not press the chest while blowing oxygen into nose or mou