Community health service stations in hospital infection control problems and countermeasures CLC number: 11473 Document code: B Article ID: 1004 ~ 5775 (2008) 12, a o944-01 In recent years, with the emergence of the medical model of development and advanced technology, constantly updated for new medical equipment, new medical devices bring many new challenges to operating room nurses. By the former disease the center of the function system of care to subsequent accountability to patient-centered care, and then to overall human health care model. Degree of specialization of the various surgical disciplines, improve the quality of care in the operating room efficiency, high-quality, high-level requirements. The operating room is a more special departments for pain relief for patients through the surgical way places. Therefore, to ensure that the operating room care and safety is the key to improve quality of care. Treatment and care at the same time, the patient should pay attention to patient care hidden. Therefore, to the nurses for the higher step. Care of indwelling catheter indwelling catheter is the most commonly used of the patient into the operating room care operations, it greatly facilitates the administration of the staff, but it also insecurity, should avoid the leakage of liquid. In addition to enhancing basic training, the nursing staff should be properly fixed catheter, to avoid patients with excessive activity of the catheter body, while enhancing the care of the puncture site should be frequent inspections. Care of high-frequency electric knife frequency electric knife was widely used in surgery, it has a quick hemostasis, coagulation, transurethral resection of the function, shorten the operation time, reduce the ligature stimulation of the patient. If the negative plate placement is not correct, is likely to burn patients, the negative plates must be placed in the patient muscle, should be fully in contact with the skin, usually placed on the hips, thighs, calves, etc.. Any part of the body can not be in contact with iron, to prevent the formation of the loop. During surgery, should wash their smell, odor timely view and deal with, eliminate the negative plates in burn accident. Three long surgical patient care longer operative time of surgery, the skin integrity of patients with muscle compression may be damaged resulting in pressure ulcers. Therefore, the Nurse should wash hands before surgery has not yet begun, the parts of the patient and easy compression with a sponge pad and fixed, in which patients feel comfortable, to avoid complications. 4 - Application Tourniquet care pneumatic tourniquet application, a wide range in limb trauma surgery, and limb blood vessels, nerves, tendons, consistent, and other applications, which uses blocking the limb distal to less bleeding, the surgical field clear purpose. However, due to the blood flow blocked will inevitably lead to blocking remote tissue ischemia and hypoxia, if this situation to persist for some time, more than the tolerance of the tissue, will give the normal tissue damage from physical, chemical and biological point of view, the pneumatic tourniquet to stop bleeding time not more than 90min. 60rain generally put 1 gas is appropriate, the interval of 10min and re-boost the morale of the roving nurses to remember the time of tourniquet. 5 long infusion the patient’s care and surgery patients in addition to special surgical site surgery, the general choice of the upper extremity intravenous infusion, and often physically in the upper limb infusion in the outreach, overhang, excessive outreach easily lead to patients with limb muscle injuries. Nurse ground observation, to avoid the patient’s limb over-outreach; upper abdominal surgery, but also to remind patients who do not push too much, and rely on the patient’s infusion limb. 6 placed in the operating room of the operating room drugs should also be noted that drugs placed must be orderly and topical drugs, intravenous drugs, drugs, hemp drugs, counters should be placed, before use, should be strict enforcement of drug management system, strictly enforce the check system. Therefore, operating room nursing, you should do the five ground: ground Oh,ugg uk, ground in mind, ground observation, ground hands, diligence and eye movement. This is the operating room nurses to prevent the accident, the premise and key.