第2章 操作练习(1 / 2)

我们这次约实训楼教室的目的是为了练心肺复苏技术,在我们优秀的“交际花”班长(男)的打听下,我们班已经都知道心肺复苏技术是这次的必考项目,其中最最重要的一点是,我们这次考试不是人工判读,而是电脑判读。

仪器连接了假人,可以在屏幕上看按压的深度、潮气量等,其中最重要的是,这个机器会在操作结束后,判断抢救是否成功!因此用这个仪器进行操作的时候要按压5个循环。

在我们占领好床位后,大约五分钟,我们小组的组长董昊扛着模型人走进了教室,而在他身后还有几个组人也是拿着各种各样的耗材走进教室。

“昊哥,牛批!模型人都抢到了!”我们几个人见董昊扛着模型走进来的身影直呼牛批。

赶紧把模型人从董昊的背上拿下来放在床上,把床单位整理好,就开始准备进行操作练习了。

按照昨天安排的训练计划,应该是我第一个进行操作练习。

现在所有人员散开,给操作练习留下操作空间。

报告老师,我是二年五班学生郭阳阳,我本次要进行的操作是心肺复苏技术,我现处于工作状态,请问老师我可以进行操作了吗?

我在巡视病房时,发现我科一床李兰病人呼吸微弱面色紫绀,拉床铃,一床李兰发生病情变化,速携抢救物品至床旁,现在时间XX时XX分。

拉床帘下床档,以食指和中指在患者喉结处旁开两指,触摸患者颈动脉搏动1001.1002...1006.1007(耳朵贴紧患者鼻子,听有呼吸音,眼睛看胸廓有起伏),患者颈动脉搏动消失自动呼吸消失。

抢救车已到位,上按压板,松解衣裤,选两乳头连线中点处按压,按压深度为5~6厘米。开始..7...,30次按压结束,检查患者头颈部有外伤,口腔有活动性义齿,头偏向一侧,清理口鼻腔分泌物,将头摆正,压额抬颌法开放气道,呼吸球囊连接氧气流量表流量调至10-12L/in,EC手法固定面罩,按压两次(潮气量约500-800)。

现假设经过五个循环的按压,要进行复苏效果的评估。摸颈动脉搏(患者颈动脉搏动恢复,自主呼吸恢复。)看瞳孔(瞳孔对光反射灵敏,口唇甲床均转为红润),轻拍患者肩(李兰,李兰你能听到我说话吗?能听到的话眨眼示意,患者眨眼示意)现在时间XX时XX分,撤除按压板。给予患者低流量吸氧2L/in,为患者整理衣物,宣教安抚病人及家属。

用物处理,接触患者的按感染性垃圾处理扔入黄色垃圾袋,未接触患者的按一般垃圾处理扔入黑色垃圾袋,呼吸球囊用500g/L含氯消毒液擦拭后送消毒供应科环消,按压板用酒精擦拭后放回抢救车后侧,在护理记录单上据实书写抢救记录,洗手脱口罩,报告老师操作完毕。

“怎么样!怎么样!做得怎么样!我感觉我要死了,有好几个关键点都没说到!”操作一结束我紧张的捂住脸,一脸惊慌。

“你也知道啊!吸呼比你没说,然后头颈部有外伤时开放气道的方法你也没说。”董浩一脸冷漠的看完操作,然后冷漠的把操作中的问题都指出来:“你们也别看热闹了,还不赶紧练操作!要是这次不好好练,下次就你们自己约教室。”

冷酷!情!残忍!你组长永远都是你组长,永远能抓住你每一个误,并毫不留情的指出来。而且他还知道你的每一个弱点!

“我们了昊哥!我们一定好好练习!请你在爱我们一次!”众人齐刷刷的低头认,接着开始按顺序练起操作来。

按压深度是多少!按压频率太慢了,你这个速度100次/in能够到吗??你检查口腔了吗?面罩没有固定好,胸廓没有起伏!瞳孔不用看吗?口唇甲床颜色也不看?抢救记录不用吗?

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