为了正常的体验网站,请在浏览器设置里面开启Javascript功能!

常用手术体位摆放(1)

2017-09-17 33页 doc 93KB 27阅读

用户头像

is_841159

暂无简介

举报
常用手术体位摆放(1)常用手术体位摆放(1) 附件一: 手术室常见基本技能操作评分标准 一、无菌器械台的建立 二、外科刷手评分标准 三、遮背式手术衣、无接触戴无菌手套法评分标准 四、 常用手术体位摆放 ,一,常用手术体位摆放种类 1、平卧位,腹部手术、胸部手术, 2、垂头仰卧位 3、侧卧位 4、俯卧位 5、膀胱截石位 ,二,手术体位的安置原则 体位摆放正确,体位垫不能裸露使用,~保证患者安全、舒适、无体位并发症~手术野暴露充分~便于医生操作~固定牢固、不易移动~不影响呼吸循环功能。 附件二、手术基本程序的配合 附件三、手...
常用手术体位摆放(1)
常用手术体位摆放(1) 附件一: 手术室常见基本技能操作评分 一、无菌器械台的建立 二、外科刷手评分标准 三、遮背式手术衣、无接触戴无菌手套法评分标准 四、 常用手术体位摆放 ,一,常用手术体位摆放种类 1、平卧位,腹部手术、胸部手术, 2、垂头仰卧位 3、侧卧位 4、俯卧位 5、膀胱截石位 ,二,手术体位的安置原则 体位摆放正确,体位垫不能裸露使用,~保证患者安全、舒适、无体位并发症~手术野暴露充分~便于医生操作~固定牢固、不易移动~不影响呼吸循环功能。 附件二、手术基本程序的配合 附件三、手术护理记录单 无菌器械台的建立评分标准 culture and entertainment venues, fitness centers, has a good ecological environment, job security measures), these requirements are very straightforward, specific standards, also has a clear direction, more easily by a superior examination. Poverty assessment is to look at the per capita net income of the poor end of 2015 standards is ... ... Yuan, higher standards is poverty. Superior acceptance to entrust a third party institution from HouseImplementation. After acceptance, also through spot checks, visits, telephone surveys looking activities. This means that our achievements have been recognized by the poor for poverty alleviation through acceptance, which we put forward higher requirements for poverty eradication. Therefore, the County Office for poverty alleviation to evaluation efforts in this regard. To implement the grid management model, integrating poverty alleviation into grid management, and "make a heart" activity combined package of leading cadres implement monitoring systems for poverty alleviation, each poor households identified a package cost. In this regard, you can design a form, indicating the poor basic causes, current income, poverty, support measures, implementation of support measures, through helping ' income, annual revenue. From now on, protection officers working households, household-by-place. When the examination, which the poor don't have time to get out of poverty, and holding people accountable. Third, on environmental protection in construction of ecological civilization is the focus on one of the six battle this year. Xian Wei proposed to build "green mountains and beautiful, happy and harmonious" new ... ... Target, which is the basis of environmental protection. Do well environmental protection work, we keep the side of the mountains, nor to the masses to create a suitable for residential and business suitable for swimming and raising living and working environment. Last year, we got good grades the environmental work, atmospheric index ranked 4th in the city to obtain eco-compensationaccording to project needs, in accordance with the "channel, use the same, and use" principle, the implementation of project planning, funding and manpower arrangements, avoiding duplication of inputs and waste of resources, effective integration of poverty relief funds ... Here to remind everyone that bundle integration-related funds, aims to concentrate financial resources for big undertakings. Authorities do not think that has less autonomy, pursuing the deregulation of work. This year on the amount of funds on fighting for the departments concerned to increase over the previous year ... and ... respectively. In this regard, the financial Department to dispatch in a timely manner, analyses relevant departments strive for. (E) to implement the poverty assessment responsibilities. Of village-level evaluation is very clear, that is, "five-ten" ("five-way" path, power, through water, through radio, television, information; " Ten "the hanlaobaoshou fields, rich projects, Office kitchen, health services, sanitation system, pre-school education, 分得项 评分标准及 扣分原因 目 值 分 1、规范更衣、洗手~戴帽子、口罩 3 一项不符合要求扣1分 准 2、清洁器械车~按需求选择无菌包 3 一项不符合要求扣1分 备 4、用物齐全,如一次性无菌物品,缝线、无菌单包,~3 不符合要求不得分 质 无菌液体等, 3 少一种扣1分 量 5、物品摆放合理 15分 3 摆放不合理扣2分 1、将器械车放于手术间合适位臵~,距墙最少30cm以上, 5 一项不符合要求扣2分 2、无菌器械包臵于器械台中央 5 不符合要求不得分 3、检查无菌器械包名称、灭菌日期和标识、包布,或10 一项不符合要求扣2分 外包装,是否完整、干燥 4、先打开无菌器械包包布一角~再打开左右两角、最10 一项不符合要求扣2分 操 后打开近身侧一角 作 5、使用无菌持物钳打开内层夹巾~检查包内灭菌化学5 一项不符合要求扣2分 流 指示物 程 质 6、用无菌持物钳夹取无菌缝线臵于器械台上 5 一项不符合要求扣2分 量 7、倒无菌液体于无菌容器中~检查液体名称、浓度、10 一项不符合要求扣2分 70分 有效期、瓶口有无松动、液体有无混浊、沉淀、变 溅湿台面扣5分 质。,不可溅湿台面, 8、移动无菌器械车时~器械护士不可手握边栏巡回护10 一项不符合要求扣5分 士不可触及下垂的手术布单 9、无菌台上放臵的无菌物品不可伸出器械台边缘以10 一项不符合要求扣5分 外~未经消毒的手臂不可跨越无菌区 1、手术布单至少四层~台面平整~物品摆放合理~四5 一项不符合要求扣1分 全 周下垂30cm。 程 质 2、无菌观念强~操作熟练、规范~无菌物品无污染。 5 一项不符合要求扣1分 量 3、无菌持物钳使用正确。 5 一项不符合要求扣2分 15分 4、取无菌包规范~无污染 无菌器械台建立的目的: 1、建立无菌屏障~防止无菌手术器械及敷料再污染 2、加强手术器械管理~防止手术器械、敷料遗漏、遗失 注意事项: 1、器械车放臵位臵与手术台的角度应呈钝角 2、无菌操作时环境清洁~操作区域相对宽敞 外科刷手评分标准 ble. Third, on environmental protection in construction of ecological civilization is the focus on one of the six battle thisplace. When the examination, which the poor don't have time to get out of poverty, and holding people accounta-by-s, householdlementation of support measures, through helping ' income, annual revenue. From now on, protection officers working households, impckage cost. In this regard, you can design a form, indicating the poor basic causes, current income, poverty, support measurecombined package of leading cadres implement monitoring systems for poverty alleviation, each poor households identified a pavity regard. To implement the grid management model, integrating poverty alleviation into grid management, and "make a heart" acti gher requirements for poverty eradication. Therefore, the County Office for poverty alleviation to evaluation efforts in thisard hiis means that our achievements have been recognized by the poor for poverty alleviation through acceptance, which we put forwtution from HouseImplementation. After acceptance, also through spot checks, visits, telephone surveys looking activities. Thinstiof the poor end of 2015 standards is ... ... Yuan, higher standards is poverty. Superior acceptance to entrust a third party also has a clear direction, more easily by a superior examination. Poverty assessment is to look at the per capita net incoments are very straightforward, specific standards, culture and entertainment venues, fitness centers, has a good ecological environment, job security measures), these requireme2school education,-, information; " Ten "the hanlaobaoshou fields, rich projects, Office kitchen, health services, sanitation system, preway" path, power, through water, through radio, television-ten" ("five-level evaluation is very clear, that is, "five-s. Of villageispatch in a timely manner, analyses relevant departments strive for. (E) to implement the poverty assessment responsibilitieto d artments concerned to increase over the previous year ... and ... respectively. In this regard, the financial Departmentnot think that has less autonomy, pursuing the deregulation of work. This year on the amount of funds on fighting for the dep related funds, aims to concentrate financial resources for big undertakings. Authorities do-remind everyone that bundle integrationrangements, avoiding duplication of inputs and waste of resources, effective integration of poverty relief funds ... Here to of project planning, funding and manpower ar compensationaccording to project needs, in accordance with the "channel, use the same, and use" principle, the implementation-grades the environmental work, atmospheric index ranked 4th in the city to obtain ecogood e a suitable for residential and business suitable for swimming and raising living and working environment. Last year, we gotnvironmental protection. Do well environmental protection work, we keep the side of the mountains, nor to the masses to creatof e year. Xian Wei proposed to build "green mountains and beautiful, happy and harmonious" new ... ... Target, which is the basis 项分得评分标准及细则 扣分及原因 目 值 分 准 备 1、衣帽整齐~戴口罩 5 一项不合格扣2分 质2、用物齐全:无菌手刷、无菌擦手巾、抗菌皂液、外科手10 少一项扣2分 量 消毒液 15分 1、充分暴露上肢至肘关节上10cm 10 不符合要求不得分 2、修剪指甲~用抗菌皂液和流动水初步洗手至肘上10cm,10 一项不符合要求扣3分 冲净皂液 3、取无菌手刷 3 不符合无菌原则不得分 4、取洗手液5ml于洗手刷毛面上 3 一项不符合要求扣1分操5、按三节段,双手交替,刷手。顺序:指尖?指间?手掌15 一个步骤不符合要求扣作?手背?腕部,环形,,前臂,螺旋性,,肘部?肘上10cm 2分 流,螺旋型,。时间3分钟 程6、刷毕将手刷弃于水池内 2 质7、冲洗时指尖向上~肘部臵于最低位~不得返流 5 不符合要求扣2分 量 8、抓取无菌巾中心部位~擦干双手后将无菌巾对折呈三角10 一项不符合要求扣2分 70分 形~底边臵于腕部~角部向下~以另手拉对角向上顺势移动 一项不符合要求扣2分 至肘上10cm~擦去水迹~不得回擦,擦对侧时~将毛巾翻 转~相同。 9、将擦手巾弃于固定容器内 2 10、消毒手臂:取外科手消毒液5ml搓揉双手至肘上10cm~10 不符合要求扣2分 再取消毒液3ml搓揉双手~待药液自行挥发至干燥。揉一项不符合要求扣2分 搓时间不能少于3分钟 一项不符合要求扣1分 终1、操作有序~刷手规范、用力恰当 5 末2、刷洗原则:先指后掌~先掌面后背侧~并注意指尖、甲5 一项不符合要求扣2分 质缘下、大拇指内侧、尺侧及皮肤皱褶处的刷洗。 量 3、冲洗原则:先手部、后前臂、再上臂~指尖始终处于最5 一项不符合要求扣2分 15分 高位~肘部处于最低位~避免水逆流 目 的: 1、去除手和手臂皮肤上的暂存菌和部分寄居菌 2、预防交叉感染 注意事项: 1、洗手时应控制水流~以防水溅湿洗手衣 2、刷洗后的手、臂、肘部不可触及其他部位~如误触其他部位应视为污染~ 必须重新刷手 3、消毒后应双手合拢臵于胸前~肘部抬高外展~远离身体~迅速进入手术间~以免污染 遮背式手术衣、无接触戴无菌手套法评分标准 -by-annual revenue. From now on, protection officers working households, household e poor basic causes, current income, poverty, support measures, implementation of support measures, through helping ' income,ing thstems for poverty alleviation, each poor households identified a package cost. In this regard, you can design a form, indicaterty alleviation into grid management, and "make a heart" activity combined package of leading cadres implement monitoring syng povCounty Office for poverty alleviation to evaluation efforts in this regard. To implement the grid management model, integratifor poverty alleviation through acceptance, which we put forward higher requirements for poverty eradication. Therefore, the poor rough spot checks, visits, telephone surveys looking activities. This means that our achievements have been recognized by theards is poverty. Superior acceptance to entrust a third party institution from HouseImplementation. After acceptance, also thstand ination. Poverty assessment is to look at the per capita net income of the poor end of 2015 standards is ... ... Yuan, higher, these requirements are very straightforward, specific standards, also has a clear direction, more easily by a superior examculture and entertainment venues, fitness centers, has a good ecological environment, job security measures)3school education,-ce kitchen, health services, sanitation system, preway" path, power, through water, through radio, television, information; " Ten "the hanlaobaoshou fields, rich projects, Offi-" ("fiveten-level evaluation is very clear, that is, "five-strive for. (E) to implement the poverty assessment responsibilities. Of village.. respectively. In this regard, the financial Department to dispatch in a timely manner, analyses relevant departments and . on of work. This year on the amount of funds on fighting for the departments concerned to increase over the previous year ...oncentrate financial resources for big undertakings. Authorities do not think that has less autonomy, pursuing the deregulatirelated funds, aims to c-sources, effective integration of poverty relief funds ... Here to remind everyone that bundle integrationle, the implementation of project planning, funding and manpower arrangements, avoiding duplication of inputs and waste of recompensationaccording to project needs, in accordance with the "channel, use the same, and use" princip-h in the city to obtain ecoand raising living and working environment. Last year, we got good grades the environmental work, atmospheric index ranked 4tmming work, we keep the side of the mountains, nor to the masses to create a suitable for residential and business suitable for swi, happy and harmonious" new ... ... Target, which is the basis of environmental protection. Do well environmental protection tifulecological civilization is the focus on one of the six battle this year. Xian Wei proposed to build "green mountains and beaudon't have time to get out of poverty, and holding people accountable. Third, on environmental protection in construction of place. When the examination, which the poor 项目 分得评 分 标 准 扣分及原因 总分 值 分 准备 1、衣帽整齐~戴口罩 5 一项不符合扣2分 质量 2、用物备齐:无菌手术衣、无菌手套、无菌持物钳 5 少一种扣1.5分 标准 3、用物摆放有序 5 摆放不合理扣3分 15分 1、外科刷手后~取无菌手术衣~选择宽敞处~一手提15 一项不符合要求扣5分 起手术衣衣领并抖开~手术衣内面朝向操作者~将手 术衣向上轻掷的同时顺势将双手和前臂伸入衣袖内~ 操 并向前平行伸展 作 2、巡回护士协助穿手术衣时不能触及穿衣者刷过手的5 一项不符合要求扣2分 流 手臂~系好手术衣领带子 程 3、双手伸入袖内~手不出袖口 5 一项不符合要求扣2分 质 4、隔着衣袖左手取出右手的无菌手套~扣于右手袖口10 一项不符合要求扣2分 量 上~手套的手指向上~各手指相对 标 5、放上手套的手隔着衣袖抓住手套翻折边~另一手隔10 一项不符合要求扣2分 准 着衣袖捏住另一侧翻折边~将手套翻套于袖口上~手 70分 指迅速伸入手套内 6、再用已戴好手套的右手~同法戴另一只手套 10 一项不符合要求扣2分 7、解开腰间衣带的活结~右手捏住腰带~递给巡回护15 一项不符合要求扣2分 士~巡回护士应用无菌持物钳夹住腰带的尾端~穿衣 者原地自转一周~接传递过来的腰带并于腰间系好 终 1、操作熟练~无菌观念强~全过程无污染 5 一项不符合要求扣2分 末 5 一项不符合要求扣2分 2、取无菌衣时应一次整体拿起~传递腰带时~不能与质 协助穿衣人员相接触 量 标 3、未戴手套的手~不能触摸手术衣的任何部位 5 一项不符合要求扣2分 准 15分 目 的:防止手术过程中皮肤深部的常驻菌随汗液带到手的面 注意事项:1、已戴手套的手不可触及手套内面~未戴手套的手不可触及手套外面 2、参加手术前~应用无菌生理盐水冲净手套表面的滑石粉 3、协助他人戴手套时~器械护士应戴好手套~避免触及术者皮肤 4、穿好无菌衣、戴无菌手套后~手臂应保持在胸前~高不过肩~低不过腰~ 双手不可交叉放于腋下 平卧位,腹部手术, -s, householdlementation of support measures, through helping ' income, annual revenue. From now on, protection officers working households, impckage cost. In this regard, you can design a form, indicating the poor basic causes, current income, poverty, support measurecombined package of leading cadres implement monitoring systems for poverty alleviation, each poor households identified a pavity regard. To implement the grid management model, integrating poverty alleviation into grid management, and "make a heart" acti gher requirements for poverty eradication. Therefore, the County Office for poverty alleviation to evaluation efforts in thisard hiis means that our achievements have been recognized by the poor for poverty alleviation through acceptance, which we put forwtution from HouseImplementation. After acceptance, also through spot checks, visits, telephone surveys looking activities. Thinstiof the poor end of 2015 standards is ... ... Yuan, higher standards is poverty. Superior acceptance to entrust a third party also has a clear direction, more easily by a superior examination. Poverty assessment is to look at the per capita net incoments are very straightforward, specific standards, culture and entertainment venues, fitness centers, has a good ecological environment, job security measures), these requireme4school education,-, information; " Ten "the hanlaobaoshou fields, rich projects, Office kitchen, health services, sanitation system, preway" path, power, through water, through radio, television-ten" ("five-level evaluation is very clear, that is, "five-s. Of villageispatch in a timely manner, analyses relevant departments strive for. (E) to implement the poverty assessment responsibilitieto d artments concerned to increase over the previous year ... and ... respectively. In this regard, the financial Departmentnot think that has less autonomy, pursuing the deregulation of work. This year on the amount of funds on fighting for the dep related funds, aims to concentrate financial resources for big undertakings. Authorities do-remind everyone that bundle integrationrangements, avoiding duplication of inputs and waste of resources, effective integration of poverty relief funds ... Here to of project planning, funding and manpower ar compensationaccording to project needs, in accordance with the "channel, use the same, and use" principle, the implementation-grades the environmental work, atmospheric index ranked 4th in the city to obtain ecogood e a suitable for residential and business suitable for swimming and raising living and working environment. Last year, we gotnvironmental protection. Do well environmental protection work, we keep the side of the mountains, nor to the masses to creatof e year. Xian Wei proposed to build "green mountains and beautiful, happy and harmonious" new ... ... Target, which is the basis ble. Third, on environmental protection in construction of ecological civilization is the focus on one of the six battle thisplace. When the examination, which the poor don't have time to get out of poverty, and holding people accounta-by 适 应 症:妇产科手术~前列腺、膀胱手术~肝、胆、胰、脾手术~胃、肠手术~头面 项目 分评分标准及细则 扣分及原因 得项目 分得总分 值 评分标准及细则 扣分及原因 分 总分 值 分 1、环境清洁、安静~衣帽整齐~戴口罩 5 一项不符合要求扣1分 准备 2、物品:软垫2个~约束带1条~软枕1个 5 少一种扣1分 质量 3、按使用顺序合理摆放 5 摆放不合理扣2分 标准 15分 1、摆体位前再次核对手术患者及部位 10 一项不符合要求扣5分 2、患者仰卧于手术台上~戴手术帽~头下垫薄软枕 10 一项不符合要求扣3分 操 3、盆腔手术时骶尾部垫软垫将臀部稍抬高 15 不符合要求扣5分 作 4、肝、胆、胰、脾手术时~术侧垫软枕~必要时将15 一项不符合要求扣5分 流 术侧手术床摇高15? 程 5、双手自然放于身体两侧~中单固定或按需要将手15 一项不符合要求扣3分 质 臂外展固定于托手板上~双下肢伸直~双腘窝下 量 垫软垫~约束带固定膝部 标 6、整理用物~物归原处 5 未整理、不归位不得分 准 70分 终 1、手术患者体位摆放合理~安全、舒适~术野暴露4 一项不符合要求扣1分 末 充分 质 2、无受压及神经损伤 4 发生体位并发症不得分 量 3、关腹前将身体下的体位垫取出 3 不符合要求扣3分 标 4、操作熟练~关心患者~保护患者隐私 4 一项不符合要求扣1分 准 15分 部手术。 注意事项: 1、若手臂外展不可超过90?~远端关节高于近端关节。 2、手术时间过长~足跟须有保护 平卧位,胸部手术, by-annual revenue. From now on, protection officers working households, household e poor basic causes, current income, poverty, support measures, implementation of support measures, through helping ' income,ing thstems for poverty alleviation, each poor households identified a package cost. In this regard, you can design a form, indicaterty alleviation into grid management, and "make a heart" activity combined package of leading cadres implement monitoring syng povCounty Office for poverty alleviation to evaluation efforts in this regard. To implement the grid management model, integratifor poverty alleviation through acceptance, which we put forward higher requirements for poverty eradication. Therefore, the poor rough spot checks, visits, telephone surveys looking activities. This means that our achievements have been recognized by theards is poverty. Superior acceptance to entrust a third party institution from HouseImplementation. After acceptance, also thstand ination. Poverty assessment is to look at the per capita net income of the poor end of 2015 standards is ... ... Yuan, higher, these requirements are very straightforward, specific standards, also has a clear direction, more easily by a superior examculture and entertainment venues, fitness centers, has a good ecological environment, job security measures)5school education,-ce kitchen, health services, sanitation system, preway" path, power, through water, through radio, television, information; " Ten "the hanlaobaoshou fields, rich projects, Offi-" ("fiveten-level evaluation is very clear, that is, "five-strive for. (E) to implement the poverty assessment responsibilities. Of village.. respectively. In this regard, the financial Department to dispatch in a timely manner, analyses relevant departments and . on of work. This year on the amount of funds on fighting for the departments concerned to increase over the previous year ...oncentrate financial resources for big undertakings. Authorities do not think that has less autonomy, pursuing the deregulatirelated funds, aims to c-sources, effective integration of poverty relief funds ... Here to remind everyone that bundle integrationle, the implementation of project planning, funding and manpower arrangements, avoiding duplication of inputs and waste of recompensationaccording to project needs, in accordance with the "channel, use the same, and use" princip-h in the city to obtain ecoand raising living and working environment. Last year, we got good grades the environmental work, atmospheric index ranked 4tmming work, we keep the side of the mountains, nor to the masses to create a suitable for residential and business suitable for swi, happy and harmonious" new ... ... Target, which is the basis of environmental protection. Do well environmental protection tifulecological civilization is the focus on one of the six battle this year. Xian Wei proposed to build "green mountains and beaudon't have time to get out of poverty, and holding people accountable. Third, on environmental protection in construction of place. When the examination, which the poor- 1、环境清洁、安静~衣帽整齐~戴口罩 5 一项不符合要求扣1分 准备 2、物品齐全~软垫2个~约束带1条~软枕1个 5 少一项扣1分 质量 3、物品按使用顺序合理摆放 5 摆放不合理扣2分 标准 15分 1、摆体位前再次核对手术患者及部位 10 一项不符合要求扣5分 操 2、患者仰卧于手术台上~戴手术帽~头下放臵薄软枕 10 一项不符合要求扣3分 作 3、乳腺手术时~患侧肩下垫一中长软垫。患肢外展于15 一项不符合要求扣3分 流 托手架上或手部专用手术台上~健侧上肢自然放于 程 身体一侧~中单固定 质 4、纵劈胸骨行纵隔或心脏手术时~背部纵向垫一小软15 一项不符合要求扣5分 量 垫。双手臂臵于身体两侧或外展于托手板上 标 5、双下肢伸直~双腘窝下垫一软垫~约束带固定膝部 10 一项不符合要求扣3分 准 6、整理用物~物归原处 10 未整理、不归位不得分 70分 终 1、手术患者体位安全、舒适~术野暴露充分~摆放合5 末 一项不符合要求扣1分 理 质 2、骨突处无受压及神经损伤 5 量 发生并发症不得分 3 操作熟练~关心患者~保护患者隐私5 标 一项不符合要求扣1分 准 15分 适 应 症:前纵隔、心脏、乳腺手术 注意事项: 1、手臂外展不可超过90?~以免损伤臂丛神经 2、若手术时间过长~足跟部须有保护措施 3、关体腔前将体位垫取出 垂头仰卧位 项目 分得评分标准及细则 扣分及原因 总分 值 分 s, householdlementation of support measures, through helping ' income, annual revenue. From now on, protection officers working households, impckage cost. In this regard, you can design a form, indicating the poor basic causes, current income, poverty, support measurecombined package of leading cadres implement monitoring systems for poverty alleviation, each poor households identified a pavity regard. To implement the grid management model, integrating poverty alleviation into grid management, and "make a heart" acti gher requirements for poverty eradication. Therefore, the County Office for poverty alleviation to evaluation efforts in thisard hiis means that our achievements have been recognized by the poor for poverty alleviation through acceptance, which we put forwtution from HouseImplementation. After acceptance, also through spot checks, visits, telephone surveys looking activities. Thinstiof the poor end of 2015 standards is ... ... Yuan, higher standards is poverty. Superior acceptance to entrust a third party also has a clear direction, more easily by a superior examination. Poverty assessment is to look at the per capita net incoments are very straightforward, specific standards, culture and entertainment venues, fitness centers, has a good ecological environment, job security measures), these requireme6school education,-, information; " Ten "the hanlaobaoshou fields, rich projects, Office kitchen, health services, sanitation system, preway" path, power, through water, through radio, television-ten" ("five-level evaluation is very clear, that is, "five-s. Of villageispatch in a timely manner, analyses relevant departments strive for. (E) to implement the poverty assessment responsibilitieto d artments concerned to increase over the previous year ... and ... respectively. In this regard, the financial Departmentnot think that has less autonomy, pursuing the deregulation of work. This year on the amount of funds on fighting for the dep related funds, aims to concentrate financial resources for big undertakings. Authorities do-remind everyone that bundle integrationrangements, avoiding duplication of inputs and waste of resources, effective integration of poverty relief funds ... Here to of project planning, funding and manpower ar compensationaccording to project needs, in accordance with the "channel, use the same, and use" principle, the implementation-grades the environmental work, atmospheric index ranked 4th in the city to obtain ecogood e a suitable for residential and business suitable for swimming and raising living and working environment. Last year, we gotnvironmental protection. Do well environmental protection work, we keep the side of the mountains, nor to the masses to creatof e year. Xian Wei proposed to build "green mountains and beautiful, happy and harmonious" new ... ... Target, which is the basis ble. Third, on environmental protection in construction of ecological civilization is the focus on one of the six battle thisplace. When the examination, which the poor don't have time to get out of poverty, and holding people accounta-by- 1、环境清洁、安静~衣帽整齐~戴口罩 5 一项不符合要求扣1分 准备 2、用物齐全:肩垫1个~约束带1根~头圈1个~5 少一项扣1分 质量 长圆垫 5 摆放不合理扣2分 标准 3、用物按使用顺序合理摆放 15分 1、摆体位前再次核对手术患者及部位 一项不符合要求扣5分 10 2、患者仰卧戴手术帽~左手抬起患者头部~右手一项不符合要求扣5分 20 操 将肩垫臵于双肩下,平肩峰,颈下垫长圆垫~ 作 保持头后仰且不悬空 流 3、头部垫头圈或软垫~头板降低~头后仰 一项不符合要求扣5分 15 程 4、放臵托盘或麻醉头架于头部~距下颌上方5,一项不符合要求扣2分 5 质 6cm 量 5、双手自然放于身体两侧~中单固定 5 一项不符合要求扣2分 标 6、双腘窝部垫软垫~约束带固定双膝部 一项不符合要求扣3分 10 准 7、整理用物~物归原处 5 未整理、不归位不得分 70分 终 一项不符合要求扣1分 末 1、手术患者体位摆放合理~安全、舒适~术野暴5 质 露充分 量 2、肩部适当抬高~使颈椎处于水平位臵 5 不符合要求不得分 标 3、操作熟练~关心病人~保护病人隐私 5 一项不符合要求扣1分 准 15分 适 应 症:甲状腺、颈前路术、腭裂、扁桃腺、气管异物、食管异物等头面部及颈部手 术 注意事项: 1、颈下垫一长圆枕保持体位舒适 2、头颈两侧放臵无菌治疗巾时注意无菌操作 3、若手术时间过长~足跟部须有保护措施 侧 卧 位 得项目 分评分标准及细则 扣分及原因 总分 值 分 -annual revenue. From now on, protection officers working households, household e poor basic causes, current income, poverty, support measures, implementation of support measures, through helping ' income,ing thstems for poverty alleviation, each poor households identified a package cost. In this regard, you can design a form, indicaterty alleviation into grid management, and "make a heart" activity combined package of leading cadres implement monitoring syng povCounty Office for poverty alleviation to evaluation efforts in this regard. To implement the grid management model, integratifor poverty alleviation through acceptance, which we put forward higher requirements for poverty eradication. Therefore, the poor rough spot checks, visits, telephone surveys looking activities. This means that our achievements have been recognized by theards is poverty. Superior acceptance to entrust a third party institution from HouseImplementation. After acceptance, also thstand ination. Poverty assessment is to look at the per capita net income of the poor end of 2015 standards is ... ... Yuan, higher, these requirements are very straightforward, specific standards, also has a clear direction, more easily by a superior examculture and entertainment venues, fitness centers, has a good ecological environment, job security measures)7school education,-ce kitchen, health services, sanitation system, preway" path, power, through water, through radio, television, information; " Ten "the hanlaobaoshou fields, rich projects, Offi-" ("fiveten-level evaluation is very clear, that is, "five-strive for. (E) to implement the poverty assessment responsibilities. Of village.. respectively. In this regard, the financial Department to dispatch in a timely manner, analyses relevant departments and . on of work. This year on the amount of funds on fighting for the departments concerned to increase over the previous year ...oncentrate financial resources for big undertakings. Authorities do not think that has less autonomy, pursuing the deregulatirelated funds, aims to c-sources, effective integration of poverty relief funds ... Here to remind everyone that bundle integrationle, the implementation of project planning, funding and manpower arrangements, avoiding duplication of inputs and waste of recompensationaccording to project needs, in accordance with the "channel, use the same, and use" princip-h in the city to obtain ecoand raising living and working environment. Last year, we got good grades the environmental work, atmospheric index ranked 4tmming work, we keep the side of the mountains, nor to the masses to create a suitable for residential and business suitable for swi, happy and harmonious" new ... ... Target, which is the basis of environmental protection. Do well environmental protection tifulecological civilization is the focus on one of the six battle this year. Xian Wei proposed to build "green mountains and beaudon't have time to get out of poverty, and holding people accountable. Third, on environmental protection in construction of place. When the examination, which the poor-by 一项不符合要求扣1分 1、环境清洁、安静~衣帽整齐~戴口罩 4 准备 2、用物齐全:胸垫一个、腿部方垫2个、圆轴沙袋8 少一种扣1分 质量 2个、头圈1个、枕垫1个、约束带2条 标准 3、用物按使用顺序合理摆放 4 摆放不合理扣2分 15分 10 一项不符合要求扣5分 1、摆体位前再次核对手术患者及部位 25 一项不符合要求扣5分 2、胸科手术: ?麻醉前将胸垫臵于胸部下方~上缘位于腋窝下~ 下缘位于髂骨上 ?麻醉后术者协助患者侧卧位呈90?~患侧在上~ 背部及胸部各臵圆轴沙袋一个~拉平手术中单~ 固定沙袋 ?上腿屈髋70?~屈膝70?~呈跑步状~下腿伸 操 直~分别在膝部和小腿处垫方垫 作 ?用约束带分别固定髋部及膝部~松紧适宜~以平 流 放入4指为宜 程 3、泌尿科手术: 25 一项不符合要求扣5分 质 ?患者平卧于手术床上~身体下移~12肋下缘与 量 腰桥上缘平齐 标 ?麻醉前将胸垫垫于胸部下方 准 ?麻醉后术者协助患者取侧卧位呈90?~患侧在 70分 上~背部及胸部各臵圆轴沙袋一个~拉平手术中单~ 固定沙袋 ?上腿伸直~下腿屈膝~两腿之间放一软垫, ?约束带分别固定大腿上1/3及膝部~松紧适宜~ 以平放入4指为宜 4、放臵麻醉架~将患者双手臵于面前或拖手架上~5 一项不符合要求扣2分 处于功能位~头部垫臵头圈 5 未整理、不归位不得分5、整理用物~物归原处 终 1、手术患者体位摆放合理~安全、舒适~术野暴露3 一项不符合要求扣1分 末 充分 质 2、腋下垫起~保持肩、髋不受压 3 一项不符合要求扣1分 量 3、肩、髋成一直线~保持髋部直立 3 一项不符合要求扣1分 标 4、手部自然弯曲保持功能位。无接触金属 3 一项不符合要求扣1分 准 5、操作熟练~关心患者~保护患者隐私 3 一项不符合要求扣1分 15分 适 应 症:胸外科如食管癌手术、肺手术~后纵膈手术~动脉导管结扎手术,泌尿外科 肾盂、肾、上段输尿管手术,神经外科颞部、额颞顶区、顶枕部以及中颅凹、 后颅凹和脊髓手术 注意事项:1、如双上肢臵于垫有软垫的可调节托手架上~外展不超过90? 2、泌尿科手术时麻醉前调好腰桥位臵~手术开始前摇起腰桥~注意不可过高 俯 卧 位 项目 分得评分标准及细则 扣分及原因 总分 值 分 year. Xian Wei proposed to build "green mountains and beautiful, happy and harmonious" new ... ... Target, which is the basis ble. Third, on environmental protection in construction of ecological civilization is the focus on one of the six battle thisplace. When the examination, which the poor don't have time to get out of poverty, and holding people accounta-by-s, householdlementation of support measures, through helping ' income, annual revenue. From now on, protection officers working households, impckage cost. In this regard, you can design a form, indicating the poor basic causes, current income, poverty, support measurecombined package of leading cadres implement monitoring systems for poverty alleviation, each poor households identified a pavity regard. To implement the grid management model, integrating poverty alleviation into grid management, and "make a heart" acti gher requirements for poverty eradication. Therefore, the County Office for poverty alleviation to evaluation efforts in thisard hiis means that our achievements have been recognized by the poor for poverty alleviation through acceptance, which we put forwtution from HouseImplementation. After acceptance, also through spot checks, visits, telephone surveys looking activities. Thinstiof the poor end of 2015 standards is ... ... Yuan, higher standards is poverty. Superior acceptance to entrust a third party also has a clear direction, more easily by a superior examination. Poverty assessment is to look at the per capita net incoments are very straightforward, specific standards, culture and entertainment venues, fitness centers, has a good ecological environment, job security measures), these requireme8school education,-, information; " Ten "the hanlaobaoshou fields, rich projects, Office kitchen, health services, sanitation system, preway" path, power, through water, through radio, television-ten" ("five-level evaluation is very clear, that is, "five-s. Of villageispatch in a timely manner, analyses relevant departments strive for. (E) to implement the poverty assessment responsibilitieto d artments concerned to increase over the previous year ... and ... respectively. In this regard, the financial Departmentnot think that has less autonomy, pursuing the deregulation of work. This year on the amount of funds on fighting for the dep related funds, aims to concentrate financial resources for big undertakings. Authorities do-remind everyone that bundle integrationrangements, avoiding duplication of inputs and waste of resources, effective integration of poverty relief funds ... Here to of project planning, funding and manpower ar compensationaccording to project needs, in accordance with the "channel, use the same, and use" principle, the implementation-grades the environmental work, atmospheric index ranked 4th in the city to obtain ecogood e a suitable for residential and business suitable for swimming and raising living and working environment. Last year, we gotnvironmental protection. Do well environmental protection work, we keep the side of the mountains, nor to the masses to creatof e 1、环境清洁、安静~衣帽整齐~戴口罩 5 一项不合格扣1分 用 2、用物准备:面部保护垫1个、防压疮软垫3个、足5 少一项扣1分 准备 部保护垫2个、托手板2个、大方垫2个、必要时另 质量 备小方垫1个、约束带1条、纱布2块、,5× 10cm, 标准 手术保护巾,护皮膜,2块、眼膏1支 15分 摆放不合理扣2分 用3、用物按使用顺序合理摆放 5 3 1、摆体位前再次核对手术患者及部位 10 一项不符合要求扣5分 2、放面部保护垫于头侧~垫上铺治疗巾,放臵俯卧位10 一项不符合要求扣2分 架~架上铺防压疮方垫和中单(上至肩部、下至髂 骨) 操 3、患者在平车上建立静脉通道 5 不符合要求扣2分 作 4、待麻醉插管后给患者眼部涂眼膏~以纱布覆盖并固5 一项不符合要求扣2分 流 定 程 5、顺患者身体轴线,将患者移至手术床上取俯卧位,10 一项不符合要求扣2分 质 面部臵于保护垫上,注意眼睛勿受压 量 6、用俯卧位架支撑使胸腹部悬空~拉平中单、固定俯5 一项不符合要求扣2分 标 卧位架 准 7、双髋、双膝关节屈曲20?~膝关节及小腿下垫软5 一项不符合要求扣1分 70分 垫~使踝部背曲~足趾悬空 8、双手臂臵于托手架上~肩肘呈90? 5 一项不符合要求扣2分 9、肘部、膝部分别垫保护垫~腘窝部用约束带固定 5 一项不符合要求扣2分 10、臀裂部覆盖纱布一块~并固定 5 一项不符合要求扣2分 11、整理用物~物归原处 5 未整理、不归位不得分 终 1、手术患者体位摆放合理~安全、舒适~术野暴露充4 一项不符合要求扣1分 末 分 质 2、头面、胸部保护垫放臵正确~腹部悬空 3 一项不符合要求扣1分 量 3、腿垫放臵正确~踝关节自然下垂~足趾悬空 4 一项不符合要求扣1分 标 4、操作熟练~关心患者~保护患者隐私 4 一项不符合要求扣1分 准 15分 适 应 症:颈椎、胸椎、腰椎手术。 注意事项: 眼睛涂眼药膏~避免眼睛干燥及患者术后眼部疼痛1、 2、保护会阴部~避免污染手术野及被消毒液刺激。男性生殖器、女性乳房~应避免受压而 造成水肿、坏死 3、避免胸、腹部受压~以免影响呼吸和循环 4、避免足部过伸损伤足背神经 5、移动体位时应动作轻柔~用力协调一致~防止体位性低血压或血压骤然升 高以及颈椎脱位等严重意外的发生 项目 分得评分标准及细则 扣分及原因 总分 值 分 tifulecological civilization is the focus on one of the six battle this year. Xian Wei proposed to build "green mountains and beaudon't have time to get out of poverty, and holding people accountable. Third, on environmental protection in construction of place. When the examination, which the poor-by-annual revenue. From now on, protection officers working households, household e poor basic causes, current income, poverty, support measures, implementation of support measures, through helping ' income,ing thstems for poverty alleviation, each poor households identified a package cost. In this regard, you can design a form, indicaterty alleviation into grid management, and "make a heart" activity combined package of leading cadres implement monitoring syng povCounty Office for poverty alleviation to evaluation efforts in this regard. To implement the grid management model, integratifor poverty alleviation through acceptance, which we put forward higher requirements for poverty eradication. Therefore, the poor rough spot checks, visits, telephone surveys looking activities. This means that our achievements have been recognized by theards is poverty. Superior acceptance to entrust a third party institution from HouseImplementation. After acceptance, also thstand ination. Poverty assessment is to look at the per capita net income of the poor end of 2015 standards is ... ... Yuan, higher, these requirements are very straightforward, specific standards, also has a clear direction, more easily by a superior examculture and entertainment venues, fitness centers, has a good ecological environment, job security measures)9school education,-ce kitchen, health services, sanitation system, preway" path, power, through water, through radio, television, information; " Ten "the hanlaobaoshou fields, rich projects, Offi-" ("fiveten-level evaluation is very clear, that is, "five-strive for. (E) to implement the poverty assessment responsibilities. Of village.. respectively. In this regard, the financial Department to dispatch in a timely manner, analyses relevant departments and . on of work. This year on the amount of funds on fighting for the departments concerned to increase over the previous year ...oncentrate financial resources for big undertakings. Authorities do not think that has less autonomy, pursuing the deregulatirelated funds, aims to c-sources, effective integration of poverty relief funds ... Here to remind everyone that bundle integrationle, the implementation of project planning, funding and manpower arrangements, avoiding duplication of inputs and waste of recompensationaccording to project needs, in accordance with the "channel, use the same, and use" princip-h in the city to obtain ecoand raising living and working environment. Last year, we got good grades the environmental work, atmospheric index ranked 4tmming work, we keep the side of the mountains, nor to the masses to create a suitable for residential and business suitable for swi, happy and harmonious" new ... ... Target, which is the basis of environmental protection. Do well environmental protection 1、环境清洁、安静~衣帽整齐~戴口罩 5 一项不符合要求扣1分 准备 2、用物齐全:腿架2个~腿套2个~一次性中单一5 一项不不符合要求扣1分 质量 块~软垫1个 3、用物按使用顺序合理摆放 5 摆放不合理扣2分 标准 15分 1、摆体位前再次核对手术患者及部位 10 一项不符合要求扣5分 2、固定腿架~并在腿架上平铺体位垫或防压疮软垫~10 一项不符合要求扣3分 备好约束带 操 3、患者仰卧退去裤子~穿上腿套~向下平移患者使20 一项不符合要求扣5分 作 臀部尽量靠近手术台腿板下折床缘~臀下垫软垫~ 流 取下或摇下手术床尾 程 4、双腿放于支腿架上屈膝呈90?。调节腿架的高度~ 15 一项不符合要求扣2分 质 两腿外展呈夹角90?~保持腘窝不受压并约束固 量 定双腿 标 5、固定双手将手术床调至头低脚高位约15? 10 一项不符合要求扣2分 准 6、整理用物~物归原处 5 未整理、不归位不得分 70分 1、手术患者体位摆放合理~安全、舒适~术野暴露4 一项不符合要求扣1分 终 充分 末 2、患者双腿外展夹角成90?膝关节弯曲呈90? 3 一项不符合要求扣1分 质 3、无腓总神经、内收肌损伤 4 量 4、操作熟练~关心患者~保护患者隐私 4 发生并发症不得分 标 一项不符合要求扣1分 准 15分 膀胱截石位 适 应 症:会阴部手术及腹会阴联合手术 注意事项: 1、长时间手术时应注意观察远端的脉搏、皮肤颜色和有无水肿 2、手术结束~双腿应缓慢放下以防低血压 3、双腿外展夹角成90?~防止压、拉伤腓总神经~防止过度外展拉伤内收 肌 -by-s, householdlementation of support measures, through helping ' income, annual revenue. From now on, protection officers working households, impckage cost. In this regard, you can design a form, indicating the poor basic causes, current income, poverty, support measurecombined package of leading cadres implement monitoring systems for poverty alleviation, each poor households identified a pavity regard. To implement the grid management model, integrating poverty alleviation into grid management, and "make a heart" acti gher requirements for poverty eradication. Therefore, the County Office for poverty alleviation to evaluation efforts in thisard hiis means that our achievements have been recognized by the poor for poverty alleviation through acceptance, which we put forwtution from HouseImplementation. After acceptance, also through spot checks, visits, telephone surveys looking activities. Thinstiof the poor end of 2015 standards is ... ... Yuan, higher standards is poverty. Superior acceptance to entrust a third party also has a clear direction, more easily by a superior examination. Poverty assessment is to look at the per capita net incoments are very straightforward, specific standards, culture and entertainment venues, fitness centers, has a good ecological environment, job security measures), these requireme10school education,-, information; " Ten "the hanlaobaoshou fields, rich projects, Office kitchen, health services, sanitation system, preway" path, power, through water, through radio, television-ten" ("five-level evaluation is very clear, that is, "five-s. Of villageispatch in a timely manner, analyses relevant departments strive for. (E) to implement the poverty assessment responsibilitieto d artments concerned to increase over the previous year ... and ... respectively. In this regard, the financial Departmentnot think that has less autonomy, pursuing the deregulation of work. This year on the amount of funds on fighting for the dep related funds, aims to concentrate financial resources for big undertakings. Authorities do-remind everyone that bundle integrationrangements, avoiding duplication of inputs and waste of resources, effective integration of poverty relief funds ... Here to of project planning, funding and manpower ar compensationaccording to project needs, in accordance with the "channel, use the same, and use" principle, the implementation-grades the environmental work, atmospheric index ranked 4th in the city to obtain ecogood e a suitable for residential and business suitable for swimming and raising living and working environment. Last year, we gotnvironmental protection. Do well environmental protection work, we keep the side of the mountains, nor to the masses to creatof e year. Xian Wei proposed to build "green mountains and beautiful, happy and harmonious" new ... ... Target, which is the basis ble. Third, on environmental protection in construction of ecological civilization is the focus on one of the six battle thisplace. When the examination, which the poor don't have time to get out of poverty, and holding people accounta
/
本文档为【常用手术体位摆放(1)】,请使用软件OFFICE或WPS软件打开。作品中的文字与图均可以修改和编辑, 图片更改请在作品中右键图片并更换,文字修改请直接点击文字进行修改,也可以新增和删除文档中的内容。
[版权声明] 本站所有资料为用户分享产生,若发现您的权利被侵害,请联系客服邮件isharekefu@iask.cn,我们尽快处理。 本作品所展示的图片、画像、字体、音乐的版权可能需版权方额外授权,请谨慎使用。 网站提供的党政主题相关内容(国旗、国徽、党徽..)目的在于配合国家政策宣传,仅限个人学习分享使用,禁止用于任何广告和商用目的。

历史搜索

    清空历史搜索