Now as Teacher Sun's permanent assistant, Xie Wanying helps the teacher prepare piercing equipment.
A subclavian vein puncture kit was taken out, and the basic supplies were almost ready. The nurse then helped to get iodine, alcohol and other disinfectants, as well as disposable surgical gowns. The nurse went to the ward to help pull the curtain and clear out the unrelated people in the ward.
Subclavian vein puncture is equivalent to a minor surgery, which requires aseptic operation. The operating room is crowded with major and medium-sized surgeries, so it is impossible to perform such a minor surgery. Generally, it can be performed in the ward, but it is necessary to emphasize the cleanliness of the surrounding environment.
Xie Wanying helped Teacher Sun push the treatment cart into the ward.
At this time, the nurses put up the curtains on both sides. The patients in the bed next to the old lady who could move were asked by the nurses to sit somewhere else. Those who could not move could only lie down in bed. The nurses would seal the partition tightly to prevent the doctor from scaring the patient in the bed next to her during the operation, and to protect the privacy of the patient.
For minor surgeries, you may need to take off the patient's clothes.
The nurse took off the upper body clothes of the old lady in bed 8 and covered her with a quilt first.
There are so many doctors and medical students here that there is no need for too many people. After the nurses finish doing these things, they will go away to do other things and will be called back when needed.
When leaving, the nurse wanted to close the door of the ward. When she saw a medical student who wanted to come in to study again, she said, "Don't go in. There are too many people."
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There were so many people that the old lady was frightened. Fortunately, she was old and had long been dazzled, so she couldn't count how many people were around her.
Medical students and interns can only stand outside the operating area, keeping a certain distance from the operating area, so as not to interfere with the doctor's operation and reduce the contamination of the sterile area. Zhao Zhaowei and Li Qi'an, who were standing in the crowd, turned their heads and counted. There were about twenty medical students standing here, including the two of them and two other classmates, the monitor and Lin Hao.
Some medical students focus on their own eyes, remembering in their minds while watching. Some medical students take out notebooks and pens, preparing to write down the key points of the teacher's knowledge while watching. However, in most clinical practices, teachers allow students to watch but rarely teach. Especially when you encounter teachers who don't like to speak, it's difficult to get them to say a word of the lecture content.
Like Dr. Shi Xu now, his full attention is on the junior doctors and patients who are about to perform the operation. What is the lesson? It is important to complete the treatment task first. The operation will be performed tomorrow, and today's puncture and catheterization must not be wrong.
Sun Yubo would get scared whenever he met a strict superior. Now he was only thinking about why Senior Brother Liu went up there.
"Put on surgical gown." Doctor Shi Xu looked at the readings on the patient's bedside monitor, confirmed that the patient's current condition allowed for puncture, and gave the order.
Upon hearing the order, Xie Wanying asked Luo Yanfen to help Teacher Sun put on the surgical gown, while she herself walked to the head of the bed and arranged the patient's position to facilitate the teacher's operation.
For subclavian vein puncture, the patient's head needs to be turned to the opposite side of the operation, that is, the left side. It is best to remove the pillow, lower the patient's head, and even put something under the right shoulder to expose the puncture area as much as possible, that is, the middle of the right clavicle.
The patient was awake, and local anesthetic was first injected to reduce the patient's pain. When Xie Wanying turned the old lady's head to the opposite side, she whispered softly in the patient's ear: "Don't be nervous, grandma, I'll give you some anesthetic, it won't hurt. Don't move, I'm here. If you have anything, just talk to me."
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