Neck brace wearing technique operation
1, Preparation of materials: neck brace, cushion, sandbag, towel, small pillow, medical record, pen, hand sanitizer. 2. Self introduction: [Respected teachers, good afternoon! I am contestant number 6, and now I am going to perform the neck brace wearing technique operation. I have all the materials ready. May I start now?] 3. Evaluation: 1. Evaluation environment [calm, comfortable, tidy, suitable for operation]; 2. Evaluate the neck brace: the size of the neck brace is appropriate, and it is intact without any damage; 3. Assess the patient's consciousness, cooperation ability, injury site, and pipeline condition [3 beds, Yang Lan, female, 50 years old, admitted due to cervical fracture, no damage to the neck skin, clear mind and cooperation, and unobstructed indwelling catheter]; 4. The target, method, precautions, and key points of cooperation for patients using neck braces [3 beds, Yang Lan? I am your responsible nurse. Due to your cervical fracture, you need to brake your neck. I will wear a neck brace for you later. The goal is to maintain the midline of your neck and prevent displacement of the cervical fracture. When wearing the neck brace, I will gently lift your head and neck to place it. Please do not move around or worry about it during my operation. Please cooperate with me actively, okay? Okay, wait a moment, I will come back immediately.] 4. Operating steps: 1. Bring the items to the bedside and place them in the correct position; Wash hands and wear masks; 2. Bring the medical records and verify the patient's identity. Hello, what is your name? Oh! Yang Lan, right? Aunt Yang, I need to put on a neck brace for you. Are you ready
Is that okay? Okay, right! So let's get started 3. Add padding to the front and back edges of the neck brace; 4. Standing at the head of the bed, supporting the patient's head and neck. "Aunt Yang, I need to position your head and neck properly now. Don't worry, if you feel uncomfortable, could you please let me know; 5. Place the back of the neck brace diagonally at the back of the patient's neck [Aunt Yang, now I want to place the back of the neck brace, yes, you cooperate well, just don't move it]. Gently support the neck with one hand to make it slightly away from the wound, and gently place the neck brace behind the neck with the other hand [Okay, we have already placed the back brace, you cooperate well!] 6. Place the neck gently on the bed surface and check the neck axis [neck in the center position] 7. Wear the front of the neck brace for the patient [Aunt Yang, is there anything uncomfortable? I'm going to wear the front of the neck brace for you now]; Press the edge of the front piece of the neck brace against the back piece and fasten the buckle 【 Aunt Yang, we have already put on the neck brace 】; 8. Check the tightness of the neck brace [Auntie Yang, let me check if it's tight now], one finger is appropriate [Hmm, not tight, just enough to put down one finger] [Auntie Yang, do you think it's uncomfortable? Oh! No, it's not!] 9. Advise the patient to rest in bed [Auntie Yang, we've finished wearing the neck brace, now you need to rest in bed] 10. [If you can sit quietly for 15 minutes before leaving the bed] 11. Place the patient in a comfortable position and tidy up the bed unit [Auntie Yang, is it comfortable to fall asleep like this? Is it comfortable? Then please rest well] 12. Organize materials, wash hands, and count;
13. Remove neck brace: (1) [Aunt Yang, please follow the doctor's advice to remove the neck brace!] [Here, I'll help you lie down on the bed] Help the patient lie flat on the bed; (2) Open the neck brace buckle and remove the front piece of the neck brace. [Aunt Yang, please do not move now to remove the neck brace. Please cooperate and the front piece has been removed.] (3) [Aunt Yang, I am about to remove the back piece, please do not move or worry.] Gently support the neck with one hand to make it slightly off the bed surface, and remove the back piece of the neck brace with the other hand; (4) Assist the patient in a supine position, communicate with the patient [Aunt Yang, neck brace has been removed, please exercise under the guidance of the bed nurse], tidy up the bed unit [Rest well] 14. Wash your hands, report to the teacher, and complete the operation.
