Department of Anesthesiology, Punan Hospital, Pudong New Area, Shanghai Gao Xinyue, Wang Jin
With the in-depth development of science popularization, more and more non-medical workers have become familiar with the work of anesthesiology, begun to understand the importance of the role of anesthesiologists, and gradually understand that anesthesia is not only a job that can be completed with an injection, but also understands the existence value of anesthesiologists. But what is less known is that in the vast sea of anesthesia, it is not only anesthesiologists who swim (plan) (planers) in the vast sea of anesthesia, but also anesthesiologists. So isn't it enough to arrange an anesthesiologist for an anesthesia for a surgery? What else do you want anesthesia nurses to do?
In fact, the emergence of anesthesia nurses is with the development of modern medicine and the requirements of medical safety. With the increasing number of surgeries, and the number of anesthesiologists has not been matched and developed, anesthesiologists shoulder a heavy burden, one is the comfort of the patient's entire operation, the other is the patient's life safety, which can not relax. Due to the shortage of personnel, anesthesiologists often rotate and jump the room, which brings hidden dangers to medical safety.
In fact, anesthesiologists in many hospitals prepare narcotic equipment and drugs in anesthesia, first aid and resuscitation, while performing anesthesia operations, anesthesia material management and monitoring patients, and conducting pre- and post-anesthesia visits. These tedious medical work, coupled with scientific research and teaching tasks, the work efficiency and medical quality of anesthesiologists may be seriously reduced, and once they are busy, they may cause medical accidents that patients cannot exchange.
In addition, due to the accelerated speed of surgical medical technology and project update iteration, as well as the aging factors, the condition of patients undergoing surgical operations has become more critical and complex, which requires the technical level of anesthesiologists to be more exquisite, and the escort of anesthesiologists should be unashamed.
It is in the context of such medical development and the times that more and more anesthesiology departments are equipped with anesthesia nurse positions, and more and more medical schools open anesthesia nursing majors. Since anesthesia nurses are so important, what is their daily work like? Specifically, the entire workflow of anesthesia nurses can be roughly divided into two parts: intraoperative preparation, intraoperative coordination and postoperative observation) and outdoor work.
Preoperative preparation
The anesthesia nurse needs to be responsible for the preparation of narcotic drugs and utensils, and implement pre-anesthesia education, that is, to explain the next anesthesia process to the patient and guide the patient to cooperate with the anesthesia. The anesthesia nurse should confirm the patient's information with the chief surgeon and the nurse in the operating room, verify the surgical site, correctly extract anesthesia according to the anesthesiologist's medical instructions and assist in the induction of anesthesia, and do a good job of monitoring and recording the condition during the induction.
Intraoperative coordination
What the anesthesia nurse has to do is to cooperate with the work, especially when there is a critical situation in the operation and needs to be rescued, to quickly and accurately prepare the necessary instruments and drugs for the anesthesiologist, and race against the clock and the death god. At the end of the procedure, the anesthesia nurse is responsible for correctly configuring the analgesic pump as directed by the anesthesiologist and correctly connecting and activating the PCA pump before the end of the patient's surgery to alleviate the patient's postoperative pain.
Postoperative observation
The patient is transferred from the operating room to the anesthesia resuscitation room and gradually wakes up from the anesthesia, which is a high-risk stage for anesthesia accidents. For example, the residual effect of the patient's anesthetic drugs or muscle relaxants, the patient may not be able to breathe spontaneously and the risk of suffocation, anesthesia nurses need to strengthen observation and accurate record, not only through the instrument to monitor the patient's vital signs, but also to fully observe the patient's degree of consciousness, eye pupil size, lip color, chest lift, etc., in order to prevent respiratory cardiac arrest accident. After the patient returns to the ward, the anesthesia nurse follows up on the analgesic pump to ensure analgesic effect.
Work outside the operating room
Outside the operating room, anesthesia nurses do a lot more. From cooperating with anesthesiologists to implement painless examinations such as digestive endoscopy and fiber bronchoscopy to cooperating with painless abortion and interventional anesthesia, from the maintenance of anesthesia equipment, the use and management of disposable items and narcotic drugs to theoretical learning and teaching, the scope of work of anesthesia nurses seems to be all-encompassing and disorganized. However, anesthesia nurses are a highly professional type of work after all, and they are also a fresh force that cannot be ignored in the anesthesiology department, cooperating with anesthesiologists and silently dedicating themselves to the well-being of patients.
Conclusion
Anesthesia nurse is to do a good job of cooperation and auxiliary work for anesthesiologists in the "C position", an anesthesia nurse with high professional quality can become a good helper, good partner and left arm of anesthesiologists known as "behind-the-scenes heroes", and better contribute to medical safety.
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