Now as Teacher Xiao Sun's permanent assistant, Xie Wanying helps the teacher prepare puncture items.
A subclavian vein puncture kit was taken out, and the basic items were almost there. The nurse then helped to get iodine, alcohol and other disinfection items, as well as disposable surgical gowns. When the nurse went to the ward, she first helped to open the curtain and clear away the irrelevant people in the ward.
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Subclavian vein puncture is equivalent to a minor surgery and requires sterile operation. The operating room is crowded with large and medium-sized surgeries, so it is impossible to perform such a minor operation. It can usually be done in the ward. It just needs to emphasize the cleanliness of the surrounding environment.
Spend.
Xie Wanying helped Teacher Sun push the treatment cart into the ward.
At this time, the nurse installed the partition curtains on both sides. The patients in the bed next to the old lady who could move were asked by the nurse to sit somewhere else. Those who could not move could only lie down on the bed. The nurse would close the partition.
It is sealed to prevent the doctor from scaring the patient in the next bed during the operation, and to protect the patient's privacy.
For minor surgery, the patient may need to take off his clothes.
The nurse took off the upper body clothes of the old lady on bed 8 and covered her with a quilt first.
There are so many doctors and medical students and there is no need for too many manpower. After the nurses finish doing this, they will go away and do other things before being called over again if needed.
When leaving, the nurse wanted to close the door of the ward. When she saw some medical students who wanted to come in to study again, she said, "Don't go in, there are too many people."
There were so many people that they almost scared the old lady on the bed. Fortunately, the old lady was old and her eyesight had long been dazzled and she couldn't count how many people were around her.
Generally, medical student trainees can only stand outside and keep a certain distance from the surgical area. They cannot interfere with the doctor's operation and reduce the contamination of the sterile area. Zhao Zhaowei and Li Qian, who were standing in the crowd, turned around and counted. They stood here for about 10 years.
More than twenty medical students, including the two of them and two other classmates, monitor and Lin Hao.
Some medical students focus on their eyes and write down in their minds while reading. Some medical students take out their notebooks and pens and prepare to record the key points of knowledge explained by the teacher while reading. But most clinical practice
, the teacher allows you to watch but rarely talks about it. Especially when you encounter teachers who don’t like to speak loudly, it is difficult for them to speak a word of the lecture content.
Like the current Dr. Shi Xu, the whole process is focused on the subordinate doctors and patients who are going to operate. What lectures are being taught? It is important to complete the treatment tasks first. There will be an operation tomorrow, so don't make any mistakes in puncture and catheter placement today.
Sun Yubo became frightened when he encountered a strict superior. Now he was only thinking about why Senior Brother Liu went up.
"Wear a surgical gown." Dr. Shi Xu looked at the values on the patient's bedside monitor, confirmed that the patient's current condition allowed puncture, and gave the order.
After hearing the order, Xie Wanying asked Luo Yanfen to help Teacher Sun put on the surgical gown. She walked to the bedside and arranged the patient's position to facilitate the teacher's operation.
For subclavian vein puncture, the patient's head needs to be turned to the opposite side of the operation, that is, the left side. It is best to remove the pillow, keep the patient's head low, or even put something under the right shoulder to expose the puncture area as much as possible, that is, the middle of the right clavicle.
The patient is awake today. First, local anesthesia should be administered to reduce the patient's pain. When Xie Wanying turned her head to the opposite side of the old lady, she whispered softly into the patient's ear and said: "Don't be nervous, grandma, I'll give you some anesthetic. It won't hurt."
"Don't move, I'm here. If you need anything, just tell me."