What Is an Operating Room Nurse?

The operating room nurses work under the leadership of the head nurse and play a leading role in business, teaching and research.

Operating room nurse

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The operating room nurses work under the leadership of the head nurse and play a leading role in business, teaching and research.

Chinese name

Operating room nurse

Foreign name

operating room nurse

Duties

Administrative, business management and ideological work

Supervisor Duties

Give play to the leading role of business teaching and scientific research

1. Work under the leadership of the head nurse, giving play to the leading role in business, teaching and research. 2. Responsible for urging and inspecting the quality of nursing work in this room, discovering problems in time, proposing solutions, and keeping the quality of surgery and nursing in check. 3 Solve the difficult problems in the nursing business of this room, participate in the research and formulate the nursing coordination and operating procedures for major surgery and new surgery. 4 Assist the head nurse in organizing new business. Study and discussion of new technologies. 5. Proposed in-service nurse (judge)

1. Cooperating with surgery: (1) Prepare the room for sanitation and various items (apparatus, cloths, medicines, transfusions, blood transfusions and disposable items, dressings, etc.) before surgery. (2) The patient's condition and operation should be understood before surgery. Patient entering

1. Visit the patient in the ward before surgery to understand the condition. Attend a pre-surgical discussion if necessary to familiarize yourself with the surgical procedures in order to work closely with the surgeon. 2. Wash hands and wear half an hour in advance

[Keywords] Self-protection

With the rapid development of modern medicine, the continuous deepening of health management science, the continuous expansion of the scope, the occurrence of nosocomial infections

Operating room nurse

The rate continues to rise, and more and more attention is being paid to disinfection and isolation in hospitals. The operating room, as a special department, has been included in the high-risk and susceptible department of the hospital. The nature of its work determines that operating room nurses must face certain occupational hazards, such as the invasion of pathogenic microorganisms, the pollution of chemically harmful substances, and accidental injuries. Let me talk about the self-protection of nurses in the operating room in the following aspects in combination with actual work.

1 hazard factors

1.1 Chemical Factors Various chemical disinfectants used in daily work, such as peracetic acid, formaldehyde, ethylene oxide to disinfect disposable items and glutaraldehyde, which are immersed in instruments every day, and other volatile odors. The generated gas is dispersed in the air in the operating room, which pollutes the working environment. These harmful gases directly affect the physical and mental health of the operating room medical staff. It can stimulate the human respiratory tract, cause bronchitis, asthma, and adversely affect human skin and mucous membranes, eyes, gastrointestinal tract and nervous system.

1.2 There are many physical and mechanical factors and accidental injuries. There are many electrical appliances in the operating room. When they are used, they malfunction and are prone to electric shock. Disinfection with ultraviolet rays, when mechanical faults need to be repaired, contact with the skin can cause damage to the mucous membranes and eyes. During surgery, prolonged noise stimulation, such as the use of electric knife, negative pressure suction device, air conditioning, etc., can cause nurses to experience symptoms such as insomnia, headache, and lack of energy. Preoperative infusion, there are many chances of being injured by sharp instruments, knives, needles, and punctures when transferring instruments during the operation, which is likely to cause infection.

1.3 Invasion of pathogenic microorganisms The nurses in the operating room may be exposed to the invasion of pathogenic microorganisms such as the respiratory tract, blood, secretions and exudates of various patients during their daily work. Diseases such as hepatitis B and AIDS have not yet been completely cured, but they can be transmitted through blood transfusions, injections, and surgery, causing great harm to humans. According to a report by the US Centers for Disease Control and Prevention in 1997, 52 medical workers were infected as a result of exposure to HIV-positive blood at work, and 45 of them were infected by puncturing the skin. When these patients need surgery for other diseases, the operating room becomes a direct place for these diseases to spread. The instruments and dressings used by patients during the operation are their main transmission routes. Among them, hepatitis B virus (HBV) is one of the main pathogenic microorganisms existing in the operating room.

1.4 Other factors The operating room is a special department with very irregular work, always in a state of preparation, intense work, high concentration of minds, and working overtime is more common. Therefore, the incidence of ulcers and heart diseases among operating room medical staff is more general. The crowd is high. In addition, nurses standing and walking for a long time during surgery are prone to cause varicose veins of the lower limbs and chronic low back pain.

2 protective measures

2.1 The protection of chemical factors should strictly grasp the effective concentration of various chemical disinfectants, and wear hats, masks, disposable gloves, and if necessary, to avoid direct contact. When handling the disinfection articles, the containers should be covered in time to prevent the gas from polluting the environment. If the disinfectant is accidentally splashed into the eyes or on the skin, it should be immediately rinsed repeatedly with water to minimize the damage of the chemical disinfectant to the skin and mucous membranes. 2.2 Protection of physical and mechanical factors and accidental injuries Nurses in the operating room should use electrical appliances in strict accordance with operating procedures, and also formulate safety management measures, master a certain amount of common knowledge about electricity, repair in time if there is a failure, and ensure that the equipment is intact; if a failure occurs when using ultraviolet disinfection When carrying out maintenance, you should wear glasses and a protective mask to avoid direct exposure of skin and eyes to ultraviolet light, which can cause eye and skin allergies. During work, you should choose electrical equipment with good performance and low noise to minimize the noise as much as possible. limit. In addition, in the operating room, nurses should arrange more outdoor activities to ensure a good mental state during work. In addition, the operating room nurses should strengthen their awareness of self-protection and be cautious when injecting fluids during the operation and transferring equipment during the operation. operating. If punctured by needles, blades and sharp instruments, the blood should be squeezed out immediately, sterilized with iodophor, gloves changed, and if necessary, changing positions.

2.3 Protection of microbial factors Here is mainly protection against hepatitis B virus. It is reported that nurses have a 2 to 4 times higher chance of contracting hepatitis B than ordinary people, and operating room nurses have a greater chance of infection.