nike high heels Burn specialist with the experienc

lin06900 · Wysłany: Śro 8:15, 23 Mar 2011

Experience with the specialist burns surgery

Visit the patient visits the day before surgery, query history, to ascertain the cause and treatment. Such as: vital signs, consciousness changes, laboratory indicators, intravenous access, indwelling catheter and other details. Be aware of. And psychological care of patients, after surgery and surgical introduction of security measures to alleviate the pressure on patients before thinking of lifting the patient fears. Closely with their patients so that surgery can be successfully implemented. 2.2 2.2 for the operating room. I sterilized the operating room operating room strict disinfection routine weekend to Ig/m3 peracetic acid disinfectant fumigated. Closed 24 hours before use ll_21 daily ultraviolet radiation before surgery no less than 30 minutes. 0.2% after spraying After the tide against early patients and patients with mixed operating room. Prevention of wound cross-infection. Operating room to have a certain number of cycles to ensure that disinfected the interval to use. 2.2.2 operating room temperature and humidity most of the patients with exposure therapy. After the water evaporation due to burn faster and more energy consumption, patients sensitive to cold, often chills. According to the size of each operating room. Equipped with the appropriate thermal equipment, so the operating room temperature maintained at 26 ℃ ~ 28 ℃. Relative humidity 60% ~ 70%. Operation between the temperature and humidity to ensure stable operation an important factor in the disease for 2.3 items for a wide range of burn surgery, to participate in personnel,[link widoczny dla zalogowanych], dressing use large, complex surgery using objects. Surgery should be fully prepared before surgery in goods and equipment required, and an ample supply of a large number of warm salt water. Due to re-burn infection, eschar excision and curettage of granulation, the required H: 0 and a lot of warm salt water rinse. To reduce the concentration of bacteria. Thoroughly to kill anaerobic bacteria and improve the planing surface oxygen delivery. In addition, burn patients often associated with respiratory burns [3I, unstable condition, combined with hand Author: 041000 Linfen. TISCO Group Linfen Iron and Steel Co., Ltd. hospital care workers and clinical surgery for a long time,[link widoczny dla zalogowanych], trauma, intraoperative prone to changes in circulating blood volume and anesthetic accidents. So. Operating room nurses should be familiar with a variety of first aid techniques and emergency drug use, and maintain oxygen bottles, suction, electric condenser and other equipment running well, to ensure that medicines are complete, items placed in order. 2.4 The establishment of liquid Road burn patients for a large area. Intraoperative fluid to establish and maintain a smooth road is an important responsibility of nurses. Is the basic guarantee for the smooth implementation of operation: it is the intraoperative transfusion,[link widoczny dla zalogowanych], blood transfusion, administration only access is the lifeline of patients in surgery. Therefore, the large area burn patients generally need to establish two liquid Road: A meet fluid needs: another solution is insufficient preparation, anesthesia administration and rescue use. Practice,[link widoczny dla zalogowanych], because large areas of damaged skin burn patients. Superficial veins are the wounds covered even more damage. And the surgery to take skin, anesthesia and other reasons. To establish and maintain a fluid path is extremely difficult. In recent years, the use of the catheter, the basic way to solve the fluid to establish and maintain a problem. For more than 90% of 80% of a large area of burn patients, the use of jugular vein, femoral vein or vein incision is appropriate. 2.5.1 2.5 Tour surgery surgery surgery to help with the close observation of anesthetists condition. Accurate records of intake and output change,[link widoczny dla zalogowanych], for the anesthetists and surgeons to provide treatment basis. Moreover, it needs to do on stage, the crowd security work items. To ensure smooth uninterrupted operation. 2.5.2 Authority to participate in aseptic surgery and monitor all visitors, the strict implementation of aseptic technique. Should first aseptic surgery, underwent surgery pollution, and not between each string operation to prevent cross infection. 3 3.1 We discussed the operating room since the establishment of specialist burns proved: it has its own characteristics. Unlike ordinary surgery. Most patients require multiple operations purposes. Most have emergency surgery and burns the nature, timing selective strong, and thus the operating room specialist can ensure emergency operation and to meet the needs of burn patients. 3.2 In the specialist operating room, emergency room, early and late surgery patients against mixing, the reduction of wound cross infection and improve skin graft survival. 3.3 specialist operating room personnel is relatively fixed. Burns has some theoretical knowledge of the burn pathology, in-depth understanding of the physiological characteristics, and proficiency in a series of work of the specialist surgical procedures. Strong initiative and foresight. Act in harmony with the surgeons and anesthetists. Shorten the operation time and improve the success rate of surgery.
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