病人皮肤的准备和手术区铺巾的的胜任能力.doc

Patient Skin Preparation and draping Competency ? 病人皮肤的准备和手术区铺巾的的胜任能力 Competency能力 Patient Skin Preparation and draping病人皮肤准备和手术区铺巾 Department部门 Nursing: Operating Room护理部：手术室 Staff Nurse Name护士姓名 Date日期 ? Aim of Competency职能目标 Develop competence and independence in the practice of patient surgical skin preparation and draping. This policy has been developed to meet the surgical Correct Surgical Site Statement as outlined by the Association of Operating Room Nurses (AORN), World Health Organization’s (WHO) Safe Surgery Guidelines and ORBIS policy.培养独立准备病人手术野皮肤和手术区铺巾的能力。这项政策的制定，是为了贯彻美国手术室护士学会确保手术部位正确的安全手术陈述大纲、世界卫生组织安全手术指南以及奥比斯政策。 ? Principals要点 Competent and Independent独立胜任 Competent with Supervision监督下胜任 Not Competent 不能胜任 1 Demonstrates understanding of microbial contamination and asepsis 演示对细菌感染和无菌技术的理解能力 ? 2 Ensures operating room, WHO, Safe Site Surgery checks, including allergy, have been completed prior to skin-prep and drape commencement.确保手术室执行世界卫生组织颁布的手术部位安全核对原则，包括过敏史的核对，核对应在皮肤准备和铺巾之前进行 ? 3 Prepares surgical sponges/swabs and appropriate antiseptic solution. Ensures surgical sponge count has been completed as per hospital policy 准备手术纱布/棉签和适当的无菌溶液。根据不同医院的政策，确保完成手术棉球纱布的清点工作 ? 4 Ensures patient position, anesthetic needs, and electrosurgery plates have been attended to prior to skin prep and draping确保病人处于合适的体位、为麻醉组提供帮组，确保手术电刀的电极片在皮肤消毒和铺巾之前固定在病人身体合适的部位 5 Uses and counts cotton tips, sponge swabs or puds to clean the surgical site 清点用来清洁手术部位的棉签棉球纱布数目 ? 6 Cleans, from dirty to clean in a circular motion, or for intraocular surgery moves from medial to lateral before commencing circular motion, ending at the temple. Maintains correct aseptic technique清洁手术区应遵循从内到外划圆循回的原则，对眼内手术的清洁是在划圆偱回消毒之前应从内眦部向侧部清洁 ? 7 Counts out the used preparation swabs and retains them in the operating room for the final surgical count, or as directed by hospital policy清点术前准备使用后的棉签棉球，妥善放置在手术室，手术完成后应和手术使用中的棉签棉球一起做最后的清点，或者按照医院的政策执行 ? 8 Drapes surgical site and ensur