2. Materials: sterile materials (disposable infusion set and scalp needle, intravenous trocar, sterile transparent dressing); Therapeutic vehicle (2% tincture of iodine and 75% alcohol, 5ml syringe, cotton swab, grinding wheel, tourniquet, therapeutic towel, and fixed bracket if necessary); Liquid medicine (isotonic saline or diluted heparin solution).
Operation steps before puncture 1, description.
2. Check and prepare drugs.
3. Sterilize the bottle cap and insert the infusion tube.
4, exhaust: a success, do not waste liquid medicine.
5. Choose blood vessels.
6, iodine disinfection (diameter 8 x 8 x 8 cm) to dry.
7, choose the appropriate model of trocar.
8. Open the trocar package, insert the scalp needle into heparin cap, and then exhaust.
9. Tie a tourniquet.
10, deiodizing with alcohol, and preparing sterile transparent dressing. Unknown reason-2; Unchecked-5; Sterilized bottle cap-2; Intubation contamination-2; The primary exhaust was unsuccessful-1; Improper selection of blood vessels-1; Disinfection scope is unqualified-2; Improper selection of type 2 trocar; Scalp needle is not inserted into heparin cap exhaust-3; Tourniquet tight, wrong direction-1; Iodine removal is incomplete-1. 20
Operation steps during puncture 1: rotate and loosen the jacket.
2. Tighten the skin and puncture the vein at 1/2 or 2/3 within the disinfection range.
3. The needle feeding speed should be slow. After blood transfusion, lower the angle and insert a little needle.
4. Hold the needle wing with the right hand and send all the cannulas into the vein with the left hand.
5. Loosen the tourniquet.
6. Open the governor and pull out the needle core.
7, fixed.
8. record. Loose coat -3 does not rotate; Uncompressed skin-2; Improper selection of puncture point-3; Needle feeding speed is too fast-3; Insert a little needle-4 without lowering the angle after seeing the blood return; The right hand has no fixed wing-5; The left hand does not hold the needle holder Y interface-5; Not all cannulas are sent into vein-3; Loosen the tourniquet-1; Pull the needle core-5 without opening the governor; Improper fixing method-5; Date not recorded-1. 58
After puncture, operate step 1 and adjust the dropping speed (60 drops/min 10%).
2. Fill in the infusion card and organize the unit.
3, orally inform the patient matters needing attention (moderate activity during infusion; Waterproof when bathing; Keep the dressing fixed)
4, regular observation
5. Tube sealing: positive pressure tube sealing (leave the bevel of the needle tip in the heparin cap, push and pull the needle behind the tube, and inject 0.5ml of tube sealing liquid). Unregulated dropping speed-1; Infusion card-1 not filled; Unfinished unit-1; Did not tell the patient what to pay attention to-1; Uncertain observation-1; Improper sealing method-5; 12
Overall evaluation: 1. Evaluation content: aseptic concept, proficiency in action and working attitude.
2. Time: 12 minutes (from preparation to the end of pipe sealing). Clean your appearance and wash your hands. The clothes table is untidy, and each unwashed hand is missing one-1 from-1; Discharge disorder-1. five
2. Materials: sterile materials (disposable infusion set and scalp needle, intravenous trocar, sterile transparent dressing); Treatment cart (2% tincture of iodine and 75% alcohol, 5ml syringe, cotton swab, grinding wheel, tourniquet, treatment towel, and fixed bracket if necessary); Liquid medicine (isotonic saline or diluted heparin solution).
Operation steps before puncture 1, description.
2. Check and prepare drugs.
3. Sterilize the bottle cap and insert the infusion tube.
4, exhaust: a success, do not waste liquid medicine.
5. Choose blood vessels.
6, iodine disinfection (diameter 8 x 8 x 8 cm) to dry.
7, choose the appropriate model of trocar.
8. Open the trocar package, insert the scalp needle into heparin cap, and then exhaust.
9. Tie a tourniquet.
10, deiodizing with alcohol, and preparing sterile transparent dressing. Unknown reason-2; Unchecked-5; Sterilized bottle cap-2; Intubation contamination-2; The primary exhaust was unsuccessful-1; Improper selection of blood vessels-1; Disinfection scope is unqualified-2; Improper selection of type 2 trocar; Scalp needle is not inserted into heparin cap exhaust-3; Tourniquet tight, wrong direction-1; Iodine removal is incomplete-1. 20
Operation steps during puncture 1: rotate and loosen the jacket.
2. Tighten the skin and puncture the vein at 1/2 or 2/3 within the disinfection range.
3. The needle feeding speed should be slow. After blood transfusion, lower the angle and insert a little needle.
4. Hold the needle wing with the right hand and send all the cannulas into the vein with the left hand.
5. Loosen the tourniquet.
6. Open the governor and pull out the needle core.
7, fixed.
8. record. Loose coat -3 does not rotate; Uncompressed skin-2; Improper selection of puncture point-3; Needle feeding speed is too fast-3; Insert a little needle-4 without lowering the angle after seeing the blood return; The right hand has no fixed wing-5; The left hand does not hold the needle holder Y interface-5; Not all cannulas are sent into vein-3; Loosen the tourniquet-1; Pull the needle core-5 without opening the governor; Improper fixing method-5; Date not recorded-1. 58
After puncture, operate step 1 and adjust the dropping speed (60 drops/min 10%).
2. Fill in the infusion card and organize the unit.
3, orally inform the patient matters needing attention (moderate activity during infusion; Waterproof when bathing; Keep the dressing fixed)
4, regular observation
5. Tube sealing: positive pressure tube sealing (leave the bevel of the needle tip in the heparin cap, push and pull the needle behind the tube, and inject 0.5ml of tube sealing liquid). Unregulated dropping speed-1; Infusion card-1 not filled; Unfinished unit-1; Did not tell the patient what to pay attention to-1; Uncertain observation-1; Improper sealing method-5; 12
Overall evaluation: 1. Evaluation content: aseptic concept, proficiency in action and working attitude.
2. Time: 12 minutes (from preparation to the end of pipe sealing). The assessment content will be deducted as appropriate; Time exceeds one minute-1.
This is the scoring standard for trocar watches. Look at it.
You will know that, basically, you should pay attention to deduction.