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신규간호사교육자료

"신규간호사교육자료"에 대한 내용입니다.
11 페이지
한컴오피스
최초등록일 2024.06.08 최종저작일 2024.02
foley 소변줄교육 suction 수혈
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신규간호사교육자료
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    • 🏥 간호사를 위한 상세하고 체계적인 의료 절차 가이드
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    • 🩺 다양한 의료 행위(도뇨, 수혈, 투약 등)의 표준화된 절차 설명

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    소개

    "신규간호사교육자료"에 대한 내용입니다.

    목차

    1.foley catheterization
    2.urine culture(foley 유지)
    3.foley에서 소변 비우기
    4.suction
    5.수혈
    6.Dressing(C- line포함)
    7.투 약 절 차
    8.항암제 투여 절차

    본문내용

    1. 손씻기 (물+비누로 40~60초)
    2. 물품준비: Foley set, Foley catheter, 크린조, 퓨렐
    윤활제(리도카인젤), 멸균증류수, 멸균장갑, 곡반, 10cc주사기, 반창고
    3. 환자 확인(개방형질문으로 성명, 등록번호 확인)
    4. 커텐 치기
    5. side rail 내리기
    6. 목적과 방법을 설명한다.
    7. 배횡와위 취해주고 회음부를 노출시킨다.
    8. 손씻기(퓨렐)
    9. Foley set를 환자 발사이에 펴고 Foley catheter을 무균적으로 set안에 넣고 Urine bag을 준비.
    10. 거즈볼이 든 bowl에 크린조 붓고, 다른 bowl에 증류수 10cc가량 붓는다.
    11. 손씻기(퓨렐)
    12. 멸균장갑을 끼고 소공포를 회음부에 편 후 주사기에 증류수를 10cc재어 카테터의
    ballooning 확인 및 카테터에 윤활제 바르기
    13. 왼손 엄지와 검지로 대음순을 벌려 요도를 확인, 오른손으로 forcep을 잡고 거즈볼을
    집어 외음주위를 대음순, 소음순, 요도순으로 항문쪽을 향하여 아래로 닦는다.
    14. 환자에게 아~소리를 지속적으로 내게 하며 무균적으로 카테터를 5~8cm요도구에 삽입.
    15. 소변이 흘러나오면 켈리로 막은 후 1~2cm가량 더 삽입한 후 증류수를 5~10cc 주입.
    16. 도뇨관을 당겨보아 빠지지 않는지 확인하고 다시 1~2cm 밀어 넣은 후 Urine bag과
    연결한다.
    17. 장갑을 벗고 도뇨관이 당겨지지 않도록 대퇴부위에 고정한다.
    18. 환자에게 주의사항 및 합병증을 설명하고 주위와 물품을 정리한다.

    참고자료

    · 없음

  • AI와 토픽 톺아보기

    • 1. Foley catheterization
      Foley catheterization is a common medical procedure that involves the insertion of a flexible tube (catheter) into the bladder to drain urine. It is an important technique in healthcare settings, as it allows for the management of urinary retention, monitoring of urine output, and administration of certain medications. The proper insertion and maintenance of a Foley catheter are crucial to prevent complications such as urinary tract infections, bladder spasms, and catheter-associated trauma. Healthcare professionals should be well-trained in the aseptic technique and follow established guidelines to ensure patient safety and comfort during the procedure. Ongoing assessment and care of the Foley catheter, including regular monitoring of urine output, maintaining a closed drainage system, and prompt recognition and management of any complications, are essential for optimal patient outcomes.
    • 2. Urine culture (foley 유지)
      Urine culture is an important diagnostic tool for identifying the presence and type of bacteria or other microorganisms in the urinary tract, particularly in patients with a Foley catheter. When a patient has a Foley catheter in place, the risk of developing a urinary tract infection (UTI) increases, and regular urine cultures can help detect and manage these infections. Healthcare professionals should follow established protocols for obtaining a proper urine sample, ensuring the sample is collected in a sterile manner to avoid contamination. The results of the urine culture can guide the appropriate antibiotic treatment, if necessary, and help prevent the development of antibiotic-resistant infections. Ongoing monitoring of the Foley catheter and prompt recognition and management of any signs of infection are crucial to maintaining the patient's health and preventing complications.
    • 3. Foley에서 소변 비우기
      Properly draining urine from a Foley catheter is an essential nursing task that requires careful attention to detail. Healthcare professionals should follow established protocols to ensure the drainage process is done in a sterile manner, minimizing the risk of infection. This includes proper hand hygiene, using a clean collection container, and maintaining a closed drainage system. Nurses should also be vigilant in monitoring the urine output, noting any changes in color, clarity, or volume, as these can be indicators of potential issues. Additionally, they should be trained to recognize and address any complications, such as blockages or leakage, that may arise during the drainage process. Effective communication with the patient and other members of the healthcare team is crucial to ensure the safe and effective management of the Foley catheter and the patient's overall urinary health.
    • 4. Suction
      Suction is a critical nursing intervention used to clear the airway of secretions, blood, or other fluids, and is particularly important for patients who are unable to effectively clear their own airway. Healthcare professionals must be highly skilled in the proper technique of suctioning, including the selection of appropriate suction equipment, the application of appropriate suction pressure, and the safe insertion and withdrawal of the suction catheter. Proper infection control measures, such as the use of sterile technique and the avoidance of cross-contamination, are essential to prevent the introduction of pathogens and the development of healthcare-associated infections. Nurses should also be vigilant in monitoring the patient's response to the suction procedure, adjusting the technique as needed to ensure the patient's comfort and safety. Effective communication with the patient and the healthcare team is crucial to ensure the safe and effective management of the patient's airway and respiratory status.
    • 5. 수혈
      Blood transfusion is a critical medical intervention that can be life-saving for patients who have experienced significant blood loss or have certain medical conditions that require the administration of blood products. Healthcare professionals involved in the transfusion process must be highly trained and follow strict protocols to ensure the safety and efficacy of the procedure. This includes proper patient identification, blood product selection and compatibility, and close monitoring of the patient's vital signs and response to the transfusion. Nurses play a crucial role in the transfusion process, as they are responsible for administering the blood products, closely observing the patient for any adverse reactions, and promptly reporting any concerns to the healthcare team. Effective communication and coordination among all members of the healthcare team are essential to ensure the safe and successful completion of the transfusion. Ongoing education and training for healthcare professionals on the latest evidence-based practices in blood transfusion management are crucial to maintaining the highest standards of patient care and safety.
    • 6. Dressing (C-line 포함)
      Proper dressing management, including for central lines (C-lines), is essential for preventing healthcare-associated infections and ensuring the safety and well-being of patients. Healthcare professionals must be trained in the appropriate techniques for dressing changes, including the use of aseptic technique, the selection of appropriate dressing materials, and the proper disposal of used dressings. Nurses play a critical role in this process, as they are responsible for regularly assessing the dressing site, monitoring for any signs of infection, and promptly addressing any issues that may arise. Effective communication with the patient and the healthcare team is crucial to ensure the successful management of the dressing and the prevention of complications. Ongoing education and training for healthcare professionals on the latest evidence-based practices in dressing management are essential to maintaining the highest standards of patient care and safety.
    • 7. 투약 절차
      The medication administration process is a critical component of patient care, and healthcare professionals must be highly trained and vigilant to ensure the safe and effective delivery of medications. This includes proper identification of the patient, verification of the medication order, calculation of the correct dosage, and the appropriate administration technique. Nurses play a central role in this process, as they are responsible for the actual administration of medications to patients. They must be knowledgeable about the pharmacological properties of the medications, potential side effects, and appropriate monitoring parameters. Effective communication with the patient, the prescribing healthcare provider, and other members of the healthcare team is essential to ensure the safe and successful delivery of medications. Ongoing education and training for healthcare professionals on the latest evidence-based practices in medication management are crucial to maintaining the highest standards of patient care and safety.
    • 8. 항암제 투여 절차
      The administration of chemotherapy (antineoplastic) medications is a highly specialized and complex process that requires extensive training and vigilance from healthcare professionals. Nurses play a critical role in this process, as they are responsible for the preparation, handling, and administration of these potent and potentially hazardous drugs. They must be knowledgeable about the pharmacological properties of the medications, potential side effects, and appropriate safety precautions to protect both the patient and themselves. Strict adherence to established protocols and guidelines, such as those from the Oncology Nursing Society, is essential to ensure the safe and effective delivery of chemotherapy. This includes proper personal protective equipment (PPE) usage, appropriate handling and disposal of hazardous waste, and close monitoring of the patient's response to the treatment. Effective communication with the patient, the prescribing healthcare provider, and other members of the healthcare team is crucial to ensure the safe and successful delivery of chemotherapy. Ongoing education and training for healthcare professionals on the latest evidence-based practices in chemotherapy management are essential to maintaining the highest standards of patient care and safety.

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