【叙事护理】许若炯：一位麻醉护士的成长历程
<section style="background-color: rgb(248, 248, 248);letter-spacing: 1px;line-height: 2;box-sizing: border-box;font-style: normal;font-weight: 400;text-align: justify;font-size: 16px;color: rgb(62, 62, 62);"><section style="text-align: center;justify-content: center;display: flex;flex-flow: row;margin: 35px 0px 25px;box-sizing: border-box;"><section style="display: inline-block;width: 95%;vertical-align: top;align-self: flex-start;flex: 0 0 auto;height: auto;padding: 10px;background-color: rgb(253, 253, 253);box-shadow: rgba(0, 0, 0, 0.11) 4px 4px 8px 0px;border-top: 5px solid rgb(4, 85, 162);box-sizing: border-box;"><section style="text-align: justify;color: rgb(62, 62, 62);letter-spacing: 2px;padding: 0px 5px;box-sizing: border-box;"><p style="text-indent: 0em;white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;">一直以为自己还年轻，参加高考仿佛是去年的事情，十八岁仿佛就在昨天，转眼间已经到了三十而不惑的年纪。在ICU工作了6年后，来到新的工作岗位--“麻醉科”。在这里，我感触最多的就是，手术室这个特殊场所是患者性命相托的地方。这里工作节奏快、强度大、专业性强、技术要求高，对我来说是一个新的起点。我深知在这里必须具备良好的身体素质和过硬的专业的技能，以及强大的心理素质。</p></section></section></section><section style="text-align: left;justify-content: flex-start;display: flex;flex-flow: row;margin: 10px 0px;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;box-sizing: border-box;"><section style="margin: 0.5em 0px;box-sizing: border-box;"><section style="border-top: 1px dashed rgb(171, 215, 247);box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 0 0 auto;min-width: 5%;max-width: 100%;height: auto;padding: 0px 10px;box-sizing: border-box;"><section style="text-align: center;margin: 10px 0px;line-height: 0;box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 39px;height: auto;box-sizing: border-box;"></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;box-sizing: border-box;"><section style="margin: 0.5em 0px;box-sizing: border-box;"><section style="border-top: 1px dashed rgb(171, 215, 247);box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 2;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 1;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 2;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 1;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="text-align: center;justify-content: center;display: flex;flex-flow: row;margin: 0px 0px 60px;box-sizing: border-box;"><section style="display: inline-block;width: 95%;vertical-align: top;align-self: flex-start;flex: 0 0 auto;background-color: rgb(255, 255, 255);height: auto;border-radius: 5px;overflow: hidden;box-shadow: rgba(0, 0, 0, 0.11) 4px 4px 8px 0px;margin: 0px;padding: 20px 15px;border-style: solid;border-width: 0px;box-sizing: border-box;"><section style="justify-content: center;display: flex;flex-flow: row;margin: 20px 0px 0px;box-sizing: border-box;"><section style="display: inline-block;vertical-align: top;width: 45%;align-self: flex-start;flex: 0 0 auto;height: auto;margin: 0px 15px 0px 0px;box-sizing: border-box;"><section style="margin: 10px 0px 20px;line-height: 0;box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 80%;height: auto;box-sizing: border-box;"></section></section></section><section style="display: inline-block;vertical-align: top;width: 45%;align-self: flex-start;flex: 0 0 auto;height: auto;border-style: solid;border-width: 0px;box-sizing: border-box;"><section style="margin: 10px 0px 20px;line-height: 0;box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 100%;height: auto;box-sizing: border-box;"></section></section></section></section><section style="line-height: 0;box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;box-sizing: border-box;"></section></section><section style="margin: 15px 0px 0px;box-sizing: border-box;"><section style="text-align: justify;color: rgb(62, 62, 62);letter-spacing: 1.5px;padding: 0px;line-height: 2;box-sizing: border-box;"><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;">我的重要工作职责之一是在恢复室配合麻醉医师进行术后患者管理，根据患者的具体病情和生理指标进行调整麻醉机参数，同时还要根据患者的年龄、手术情况等调整输血、输液…...随时观察患者的疼痛程度和意识状态，帮助患者平稳、舒适、安全地醒来。由于之前具有ICU护理专业多年工作背景，我对于术后患者生命体征监测和护理是游刃有余的，然而随着学习的不断深入，我才认识到这仅仅是麻醉护理工作中的一部分。</p></section></section></section></section><section style="text-align: left;justify-content: flex-start;display: flex;flex-flow: row;margin: 10px 0px;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;box-sizing: border-box;"><section style="margin: 0.5em 0px;box-sizing: border-box;"><section style="border-top: 1px dashed rgb(171, 215, 247);box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 0 0 auto;min-width: 5%;max-width: 100%;height: auto;padding: 0px 10px;box-sizing: border-box;"><section style="text-align: center;margin: 10px 0px;line-height: 0;box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 39px;height: auto;box-sizing: border-box;"></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;box-sizing: border-box;"><section style="margin: 0.5em 0px;box-sizing: border-box;"><section style="border-top: 1px dashed rgb(171, 215, 247);box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section><section style="text-align: left;justify-content: flex-start;display: flex;flex-flow: row;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: 50%;align-self: center;box-sizing: border-box;"><section style="text-align: center;margin: 10px 0px 20px;line-height: 0;box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 77%;height: auto;box-sizing: border-box;"></section></section><section style="text-align: right;margin-top: 10px;margin-bottom: 10px;line-height: 0;box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 100%;height: auto;box-sizing: border-box;"></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;box-sizing: border-box;"><section style="text-align: center;justify-content: center;display: flex;flex-flow: row;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 0 0 auto;min-width: 5%;max-width: 100%;height: auto;box-sizing: border-box;"><section style="text-align: left;margin: 0px;line-height: 0;box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 100px;height: auto;box-sizing: border-box;"></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 0 0 auto;min-width: 5%;max-width: 100%;height: auto;box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;line-height: 0;box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 77%;height: auto;box-sizing: border-box;"></section></section></section></section><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 2;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 1;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="text-align: center;justify-content: center;display: flex;flex-flow: row;margin: 0px 0px 60px;box-sizing: border-box;"><section style="display: inline-block;width: 95%;vertical-align: top;align-self: flex-start;flex: 0 0 auto;background-color: rgb(255, 255, 255);height: auto;border-radius: 5px;overflow: hidden;box-shadow: rgba(0, 0, 0, 0.11) 4px 4px 8px 0px;margin: 0px;padding: 20px 15px;border-style: solid;border-width: 0px;box-sizing: border-box;"><section style="text-align: justify;color: rgb(62, 62, 62);letter-spacing: 2px;padding: 0px;box-sizing: border-box;"><p style="text-indent: 0em;white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"><span style="text-indent: 0em;box-sizing: border-box;">第一次</span><span style="text-indent: 0em;box-sizing: border-box;">参与的是耳鼻喉科的手术，看着带教老师轻而易举为病人扣面罩做正压通气，潮气量瞬间达到了400ml，等到我扣的时候使出浑身解数，手都要废了，潮气量才几十毫升，那一周我十分苦恼于此，下了班我也会在网上搜索相关操作技巧，我深知“纸上得来终觉浅，绝知此事要躬行”，不放弃任何一个手术间有全麻手术为患者扣面罩的机会。功夫不负有心人，经过一周的努力实践，终于能轻松为患者扣面罩了！术中我和麻醉医生配合气管插管，严密监测病人生命体征，有创血压监测，病人气管导管通道监测，呼吸运动，出入量的严格监测，保障病人术中的安全。</span></p></section><section style="text-align: left;justify-content: flex-start;display: flex;flex-flow: row;margin: 10px 0px;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;box-sizing: border-box;"><section style="margin: 0.5em 0px;box-sizing: border-box;"><section style="border-top: 1px dashed rgb(171, 215, 247);box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 0 0 auto;min-width: 5%;max-width: 100%;height: auto;padding: 0px 10px;box-sizing: border-box;"><section style="text-align: center;margin: 10px 0px;line-height: 0;box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 39px;height: auto;box-sizing: border-box;"></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;box-sizing: border-box;"><section style="margin: 0.5em 0px;box-sizing: border-box;"><section style="border-top: 1px dashed rgb(171, 215, 247);box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 2;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 1;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 2;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 1;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 2;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><section style="z-index: 1;box-sizing: border-box;"><section style="display: flex;width: 100%;flex-flow: column;box-sizing: border-box;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="text-align: justify;color: rgb(62, 62, 62);letter-spacing: 2px;padding: 0px;box-sizing: border-box;"><p style="text-indent: 0em;white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;">在这里我们用细碎却不可或缺的工作守护着患者，遵循“麻醉无小事”的原则，与麻醉医生携手为患者提供更高效、更安全、更舒适的医疗服务，致力于将优质的麻醉护理带给每一个患者。我将和麻醉护理同仁们一起在未来的道路上继续勇于探索、敢于创新，不断突破自我，推动我院麻醉护理迈向新台阶。</p></section><section style="justify-content: center;display: flex;flex-flow: row;margin: 10px 0px 0px;box-sizing: border-box;"><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 0 0 auto;min-width: 5%;max-width: 100%;height: auto;box-sizing: border-box;"><section style="margin: 0px;line-height: 0;box-sizing: border-box;"><br/></section></section></section></section></section></section><p style="display: none;"><mp-style-type data-value="10000"></mp-style-type></p><p style="color:#999;font-size:.8em;margin-top:1em">转载声明：本文转载自丰县人民医院订阅号</p><p><br/></p><link rel="stylesheet" href="//bbs.221700.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_U2z" id="wcn_editor_css"/> 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