手术室护理实践指南之手术物品清点.pptxVIP

《手术室护理实践指南》 第七篇 GUIDE TO OPERATING ROOM NURSING PRACTICE手术物品清点Surgical Counting *******************医院 手术室教学组*** 教学内容二三一WhatWhenWhyWhat are the accountable items?When to do surgical counts? Why surgical count is essential? 物品清点内容物品清点时机物品清点原因学习目标 了解 手术物品清点原因 掌握 手术物品清点内容、时机 教学内容二三一WhatWhenWhyWhat are the accountable items?When to do surgical counts? Why surgical count is essential? 物品清点内容物品清点时机物品清点原因Mortality（死亡）11-15 %手术物品清点原因——不良后果Visceral perforation（肠穿孔）7%Reoperation（再次手术）69-83%Fistula or bowel obstruction（肠梗阻）15%Sepsis and infection（败血症、感染）43%Readmission and prolonged hospital stay（延长住院时间）30-59% /10.1016/j.aorn.2015.12.021 AORN.Inc. 2016.TOP手术物品清点原因102019 Top 10Health Technology HazardsExecutive Brief3手术遗留海绵（纱布等异物）Retained Sponges Persist as a Surgical Comiplication Despite Maniual Counts1.黑客可以利用远程访问医院信息系统，破坏医疗保健服务2.“干净”的床垫可以将体液渗透到患者身上3.尽管人工清点，手术遗留海绵（纱布等异物）仍然是一手术并发症4.不正确设置呼吸机警报参数，置患者于缺氧性脑损伤或死亡的风险之中25.消毒后的软镜（内窥镜）操作不当会导致患者感染“干净”的床垫可以将体液渗透到患者身上Clean Mattresses Can Doze Body Fluids onto Patients1 黑客可以利用远程访问医院信息系统，破坏医疗保健服务Hackers Can Exploit Remote Access to Systems, Disrupting Healthcare Operations6.将药物剂量率与流速混淆会导致输液泵给药物错误7.不适的生理监测仪警报个性化设置可能导致警报遗漏8.轨道式患者移位系统的伤害风险9.设备清洁液渗入电器组件可能导致设备损坏和火灾10.电池充电系统缺陷和充电故障会影响设备正常运行ECRI Institute A Report form Health Devices一WhenWhyWhen to do surgical counts? Why surgical count is essential?物品清点时机物品清点原因 教学内容二三WhatWhat are the accountable items? 物品清点内容手术物品清点内容手术敷料： 纱布、纱垫、消毒垫、脑棉片、棉签等 手术器械： 血管钳、组织剪、牵开器、持针器等杂项物品： 阻断带、悬吊带、尿管、超声刀垫片、冲洗球等纱布清点 重点 纱 布 手术物品清点内容——纱布（重点）手术物品清点内容——纱布（重点）手术物品清点内容——纱布（重点）纱布瘤A patient developed a malignant fibrous histiocytoma from a retained surgical sponge that went undetected for 32 years，The patient subsequently died from the cancer... /10.1016/j.aorn.2015.12.021 AORN, Inc, 2016？Howto prevent the retention of sponges 如何降低纱布遗留风险如何降低纱布遗留风险纱布、纱条、纱垫应完全展开，同时检查其完整性及显影标记切口内使用显影线标记的敷料如何降低纱布遗留风险？分隔计数口袋式敷料收集系统信息化计数二维码纱布如何降低纱布遗留风险？手术物品清点内容——缝针（难点）“7-0”PROLENE多到“爆仓”手术物品清点内容——缝针（难点）？Howto manage and track your suture needles如