Placing solutions in a sterile place

Transfering I.V. solutions into a sterile field

Alert :-

 This procedure is used only for vascular operations or transplantation of a part of the body and the use of heparin .

Steps:

1) the nursing handler makes sure of the expiration date of the solution on the bag and its purity and the absence of deposits .

In case of expiration of the date or the presence of deposits, it is unusable .

Discard the solution .

Do not take the solution out of the warm bag only when using it .

2) the nursing handler opens the solution tools to nurse the sterilizer to take the required solution from him.

3) sterile nursing fixes the piping device with a machine strapping with a towel clip.

  (To not expose the pipes to movement and pollution).

4) when ready, remove the bag from its protective cover .

Sterile nursing is responsible for the solutions during surgery. On sterile nursing to make sure :

  - The required solution – the expiration date-the presence of deposits .

5) sterile nursing handles the tip of the device to the nursing handler to install it in the bag .

6) the nursing handler takes the tip of the device and installs it in the bag .

- Make sure not to touch the outside of the bag.               

 (To prevent contamination)

7) the orderly sterile nursing opens to pass the solution to the patient .

8) the solution device can be attached when the solution is almost finished, the nurse in charge should wrap it gently to help finish the remaining amount.

(To prevent the solution from coming back)

9) when the solution is finished, the sterile nursing organizer is suspended and the clamp is removed .

 (Make sure not to touch the tip that touched the cover)

10) give tubes and clamps nursing handler .

Blood transfusion in the operating room

Blood Transfusions in Theatar

Required equipment:

Blood units corresponding to the group.

 A solution device for blood transfusion .

It was a no-no .

Lotion for cleaning the skin.

Tourniquet (rubber band ).

Adhesive tape.

A blood warmer, if any.

Procedure:

1.    Nursing receives blood from a blood bank .

2.    The nurse must make sure that all the data written on the blood bag, such as the patient's name, blood type, unit number, hospital number (if any), are matched .

(If any of the data does not match, inform the anesthesiologist and the blood bank to correct the error. To be seen by the nurse who will be responsible for his treatment in the next shift and also for legal reasons)

3.    The nurse puts the blood in the blood refrigerator in the operating room for use when needed.

4.    - Blood should not be used if it stays in the room outside the refrigerator for more than an hour and should be returned to the blood bank with a notification of the reason

5.    When the anesthesiologist needs blood, the nurse brings the required units from the refrigerator .

If there is no refrigerator in the operating room, the nurse should go to the blood bank to get it whenever the patient needs it.                    (Make sure the patient's required blood.)

6.    The nurse handler and the anesthesiologist check the blood : [ blood type – number of units – patient name – hospital number ] to make sure that the data on the blood matches the data in the patient's record.

7.    When giving blood to the patient, its temperature should be room temperature, a blood warmer may be needed to warm the blood more quickly .

8.    In the case of matching all the data, the nurse in charge helps the anesthesiologist in the blood transfusion process by inserting the solution tube and filter into the unit and heating the blood .

9.    Before blood transfusion, it must be ensured that there are no air bubbles in the tube.

 (The introduction of an air bubble may cause brain damage or death of the patient)

10.   The anesthesiologist should write down the details of the blood transfusion, including [start date, amount of blood transfused , stop date of transfusion, patient's reaction to blood ].

 Aspiration of the airways

Necessary tools:

1. Sterile gloves .

2. Sterile suction catheter .

3. Antiseptic solution .

4. Sterilized Bowl .

5. Sterile gauze .

6. Sterile salt solution .

7. An air corridor.

Procedure:

1.    Before starting the operation, test all parts of the hood, such as the cord, the fish and the connections, so as to avoid malfunctions during work.

(This is a safety test)

2.    Test the aspirator bottles if there is a crack or a break in the glass, let it change immediately, as well as test that they are locked so as not to breathe while they need suction during the operation.

(Any break, crack or any poorly closed lock reduces the efficiency of the hood)

3.    Turn on the hood and make sure it's on .

(Test the air pressure until you see that it reaches the correct degree and stop the aspirator until you need it .)

4.    Test the anesthesia suction device as well as its catheters to make sure they are suitable for use in anesthesia.

 (This saves you time at the end of the process)

5.    At the beginning of the sterile nursing process, the end of the sterile hose is presented to the nursing handler .

6.    The nursing handler takes the end of the hose from its end and connects it to the aspirator from the special connector of the aspirator .

7.    Do not pull the suction hose, ask the sterile nurse to lengthen the hose for you so that you can connect it .

 (Because this may disturb or cause a problem in the operation area)

8.    Sterile nursing supplies the hose with a towel catcher.

(To prevent the hose from coming down from the sterile area and contaminating it)

9.    - Cover the hose with a small spatula .       (To avoid the hose clashing with the machines)

10.      The device does not continue to operate during operation continuously, but by instructions .

(Non-sterile nurses are always ready when they are asked to turn it on .)

11. Tell the surgical team when the aspirator is full .

12. After the suction hose, the sterile nurse cannot move it from one side to the other and change its position, and if it needs to be moved from side to side, the hose must be changed with a new sterile one.

(So as to prevent contamination of the sterile area)

13. If any contamination occurs during the operation of the hose, it must be changed immediately.

(So that we fade the sterilization pollution)

14. Sterile nursing does not touch the mask of the pads held by the hose, but also changes the mask of the pads .

 (Make sure you haven't touched the tip of the catcher that pierced the sheet 

15. Non-sterile nursing eat non-sterile things (because it is not sterile)

16. Make sure she hasn't touched my sterile nursing suite .

17.   The sterile nurse puts a small towel in place of the cloth that was put on .

18. The new hose is placed in place of the old one according to the desired position and is held by a clip-on catcher .

19.  At the end of the operation :

Turn off the hood .

Take the hose from the sterile nursing .

Take the hose out of the hood .

Hold the open sides up and place them in the designated bag of dirt .

  (To avoid any blood or other secretions still inside the hose falling to the ground)

20. The anesthesia aspirator must be prepared, with the necessary hoses and catheters, and operational .

21.   When the operation is completed and before you get rid of the liquid in the suction bottle :

Make sure that the anesthesiologist or surgeon needs to know whether to measure the amount of suction or not .

Wash the suction device with a disinfectant solution .

Take the suction bottles to the unclean area .

Empty the contents of the bottle, tighten the Siphon on it, and then put an antiseptic substance (chlorine) in the place where the contents were disposed of .

Bottles must first be rinsed with cool water.

(Because heat coagulates protein)

22. The hood hoses must first be washed with cool water .

Dry well .

It is advisable to sterilize the bottles and hoses that were used and will be used again .

If this is not possible for the glass, an antiseptic should be used

23.  We heal the bottles .

24. Send them for sterilization or return them to operations for use.

25. Do not put water or disinfectant in bottles .

(Keeping water or disinfectant in the bottles is unnecessary if the bottles have been washed and disinfected well from the cases, and the amount of non-sterile liquid present in the bottle before the start of the operation prevents the measurement of blood lost from the patient during the operation).