Outpatient surgery has the characteristics of short time, high requirements, rapid change and high mobility. When performing outpatient operations, medical staff generally use local anesthesia or local infiltration measures. In rare cases, general anesthesia is required, and outpatient operations also have the characteristics of follow-up treatment. Under the influence of many uncertain factors, it is very easy There are hidden dangers in nursing safety, and medical and nursing disputes also occur from time to time.
Improve the system to avoid hidden dangers of surgical safety
From the hospital’s point of view, it is extremely important to improve the management system and avoid the hidden dangers of surgical safety.
First of all, the hospital should improve the related systems and job responsibilities of the outpatient operating room. Improve the legal awareness and nursing ability of nursing staff, carry out nursing work for patients in strict accordance with the nursing process, and provide protection for their recovery. In this process, it is necessary to continuously cultivate the enthusiastic service concept of nursing staff, respect patients, and strengthen communication with patients and their families.
Secondly, it is necessary to strictly check the relevant information of the patient and make preparations before the operation so as to effectively ensure the safety of the patient’s life. When handing over work, the outpatient nurses must hand over the treatment of the patient, and pay attention to instructing the outpatient to take medicine, contraindicated diet, and specimen submission, so as to avoid delays in the disease, and hinder the treatment of patients.
Some patients have preoperative tension and other conditions. Nursing staff should patiently ask the patients and give appropriate comfort to prevent the patients from experiencing anxiety and other emotions. In order to prevent the patient from experiencing trances, lack of concentration and other situations, the nursing staff should strictly monitor the patient’s movement until he is handed over to the family. Remember not to leave him alone in the room to prevent the patient from falling, falling from bed, etc. Happening.
As general anesthesia also exists in outpatient surgery, nursing staff must prevent the patient from aspiration and coughing. They should always pay attention to keeping the patient’s airway smooth and wait until the patient’s condition is suitable before performing surgical treatment activities.
When carrying out treatment activities for patients, the patient’s medical history, allergy history, etc. should be asked in detail. Particular attention should be paid to patients with alcohol allergy and drug allergy to avoid problems in surgical treatment activities. Before carrying out surgical treatment activities, patients or their family members should be required to sign the informed consent form for the operation. When the anesthesia method has to be changed during the operation, relevant records should be filled out as a record to provide a basis for the patient’s follow-up treatment activities.
After the outpatient surgery is completed, the number of yarn ball stitches should be counted in time to ensure the integrity of the relevant equipment and prevent foreign bodies from remaining in the patient’s body.
Whether it is for outpatient surgical activities or for nursing staff, the disinfection and isolation system in the operating room should be observed to prevent infection of the patient’s surgical site. Relevant surgical instruments should be cleaned and sterilized to ensure that the sterilization qualification rate of surgical instruments is 100%. When medical staff carry out nursing work for patients, they must strictly abide by the relevant management practices of hand hygiene, so as to lay the foundation for the smooth development of patients’ treatment activities.
Scientific nursing, effectively promoting patient recovery
General outpatient surgery is mostly surface surgery, the incision has been completely closed after suture, so there is usually no obvious pain after surgery. However, some people are sensitive to pain or have a deep surgical site. They may feel pain on the night after surgery. Generally, they do not need medication and will get better the next day. I really can’t keep it up. I can take analgesics such as Fenbid and Voltaren orally on the night of the operation.
Many people are concerned about the need for taboos after surgery, but there is no complete theoretical support for this. However, according to the people’s physique and tradition, it is good to pay attention to diet. For example, smoking is very detrimental to the healing of incisions. The nicotine in tobacco can inhibit the migration of white blood cells and slow down the healing of incisions. Therefore, smoking is absolutely prohibited for two weeks after surgery. Drinking alcohol and spicy food can cause blood vessels to dilate, aggravate bleeding and pain, so try to avoid them after surgery. Seafood and beef and mutton contain a lot of animal protein. Some people have more serious allergic reactions. Postoperative consumption may cause allergies and edema of the incision and delay the recovery time. Pork, chicken, eggs, etc. are less likely to cause allergic reactions and are usually edible. At the same time, eating more fruits rich in vitamin C after surgery is also very beneficial to prevent scars and pigmentation. But pay attention to avoid eating photosensitive foods.
Even if it is a minor outpatient operation, the follow-up after surgery should not be taken lightly. It is recommended to go to the outpatient clinic for a follow-up visit once six months after the operation. Check whether the tumor recurs, whether the incision is healed well, and whether the scar is hyperplasia, and deal with it accordingly.