• 제목/요약/키워드: Operating Room

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질산은 치료시$\cdot$수술실에서의 화상 환자 간호 (Operating Room Care of Burned Patients Treated with Silver Nitrate)

  • 대한간호협회
    • 대한간호
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    • 제7권6호통권38호
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    • pp.70-73
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    • 1968
  • 심한 화상환자를 치료하는 동안이나 피부이식을 하는 동안에 어떻게하면 환자를 따뜻하고 안전하게 보호할 수 있을까? 사용할 용액들, 홑이불, 수술대, 회복실 침대를 따뜻하게 준비해 놓고 에어컨을 끈다. 너풀거리는 꺼즈를 잘 다듬어 놓고 stockinette도 준비한다. 피부이식을 위하여 피부를 떼어낸 부위에도 화상부위와 마찬가지로 질산은 드레싱을 하며 피부에 식염수나 기름종류는 사용하지 말아야 한다.

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'계획에 없던 재수술' 의 분석 (An analysis of unplanned reoperation)

  • 김은경;조성현;김창엽;오병희
    • 한국의료질향상학회지
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    • 제2권1호
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    • pp.118-124
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    • 1995
  • Background: Clinical indicators are objective measures of process or outcome of patient care in quantitative terms. This study aims to review the medical records of patients who 'return to operating room during the same admission', which is one of the critical clinical outcomes, and describe the result by unplanned reoperation rate. Methods: Computerized patient registry was used for selecting subject conditions. For medical records retrieved, two nurse evaluators identified the presence of explicit reoperation planning in medical records. Results: Overall reoperation rate was 2.8% and unplanned reoperation rate 1.3%. The main category of reoperation cause was the postoperative bleeding. Duration of stay from previous operation to reoperation of the unplanned group, 12.7 days, was shorter than that of the planned(p< .05). The differences did not reach statistical significance in age, sex and length of stay. Conclusion: Results suggested that unplanned reoperation rate was lower than 'threshold' level other institutions had established. However, this result could become comparable only after management of medical records would be improved and risk adjusted.

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시스템에어컨과 환기시스템 설치 강의실에서 냉방시 열쾌적성 및 실내공기질 연구 (Study on Thermal Comfort and Indoor Air Quality in the Classroom with System Air-conditioner and Ventilation System for Cooling Loads)

  • 노광철;장재수;오명도
    • 대한기계학회논문집B
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    • 제30권1호
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    • pp.57-66
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    • 2006
  • The experimental and the numerical study was performed on the comparison of thermal comfort(TC) and indoor air quality(IAQ) in the lecture room for cooling loads when the operating conditions are changed. PMV value and $CO_2$ concentration of the lecture room were measured and compared with the numerical results. The numerical results showed a good agreement with the experimental one and then the numerical tool was used to analyze thermal comfort and IAQ for a couple of operating conditions. As a result it was found that the increment of the discharge angle of system air-conditioner makes TC uniformity worse, but rarely affects IAQ. Also TC and IAQ were hardly affected by the variation of the discharge airflow. Finally it turned out that TC is merely affected by the increment of the ventilation airflow, but the average $CO_2$ concentration can be satisfied with Japanese IAQ standards of classrooms when the ventilation airflow is more than $800m^3/h$ in this study.

수술 전 구조화된 정보제공이 복강경하 자궁절제술 여성의 수술대기 중 불안과 불확실성에 미치는 효과 (Effect of Structured Information on Immediate Preoperative Anxiety and Uncertainty for Women Undergoing Laparoscopic Hysterectomy)

  • 조윤희;전나미
    • 여성건강간호학회지
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    • 제21권4호
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    • pp.321-331
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    • 2015
  • Purpose: Purpose of this study was to identify the effect of structured information on immediate preoperative anxiety and uncertainty for women undergoing total laparoscopic hysterectomy. Methods: Sixty women who were admitted for total laparoscopic hysterectomy were recruited at a university hospital in Gyeonggi-do from June to October 2014. Thirty women were assigned to either the experimental or the control group. Women in the experimental group were provided structured information, which consisted of visual and auditory materials about surgical preparation and process, practical experience on devices such as IV-PCA pump and Inspiro-meter and actual experience on route to go to the operating room. State-anxiety, uncertainty, and blood pressure and pulse rate as biological indicators were measured before and after the intervention to examine the effect. Results: Significant group differences were found on state anxiety, uncertainty, including ambiguity, inconsistency, and unpredictability at the holding area. There was a significant difference on pulse rate in the operating room between the two groups. Conclusion: Findings demonstrated that the structured information provided for women undergoing laparoscopic hysterectomy preoperatively was effective on immediate preoperative anxiety and uncertainty. Nurses may contribute to decreasing patients' anxiety and uncertainty by utilizing this structured information preoperatively.

수술실 간호사의 방사선 방어행위의 영향 요인 (Factors Affecting Radiation Protection Behaviors among Operating Room Nurses)

  • 김진;김진선;김현례
    • 성인간호학회지
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    • 제28권6호
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    • pp.680-690
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    • 2016
  • Purpose: This study was designed to identify knowledge, attitude, environment, and self-efficacy among perioperative nurses in terms of radiation protection and to describe those factors affecting radiation protection behaviors. Methods: The sample was comprised of 128 perioperative nurses who agreed to participate in this descriptive study. Data were collected from a self-administered questionnaire and were analyzed using the t-test, analysis of variance, Mann-whitney U test, Kruskal-Wallis test, Pearson's correlation, and multiple regression analyses. Results: Radiation protection behaviors were significantly different by participant's gender, length of career as a perioperative nurse, educational level and prior experience with radiation protection education. Radiation protection behaviors were significantly correlated with radiation protection environment and self-efficacy in terms of radiation protection behaviors. In the multiple linear regression models, radiation protection environment and self-efficacy on radiation protection behaviors were statistically significant predictors of radiation protection behaviors, which accounted for 50.3% of variance in dependent variable. Conclusion: This study concluded that radiation protective environment in operating room is important to promote radiation protective behaviors and radiation safety management program to enhance self-efficacy is highly recommended.

선박기관구역 미분무수 소화설비 화재진압 성능 평가 (The Assessment of Fire Suppression Capability of Water-Mist System for Machinery Engine Room)

  • 최병일;한용식;오창보;김명배;김창
    • 한국화재소방학회논문지
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    • 제21권2호
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    • pp.111-117
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    • 2007
  • IMO MSC/circ. 1165 규정에 따라 미분무수를 이용한 선박 기관구역($20m{\times}15m{\times}10m$)에서의 실물화재 소화실험을 수행하였다. K-factor 2.4인 노즐을 사용하였으며 작동압력은 80 bar이다. 미분무수의 화재진압 특성을 수치적으로 예측하기 위하여 FDS를 사용하여 실험과 같은 조건에서의 전산시뮬레이션을 수행하였다. 전산 시뮬레이션 결과 화재 전산 시뮬레이션 기법이 화재소화시간 예측에는 한계를 가지나, IMO MSC/circ. 1165 규정의 공간 내 온도분포 제어 성능의 예측을 위해서 유용하게 활용될 수 있음을 보였다.

Study on Leak Rate of SCC Degraded Alloy 600 Tubings of PWRs

  • Hwang, Seong Sik;Kim, Joung Soo;Kasza, Ken E.;Park, Jangyul
    • Corrosion Science and Technology
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    • 제3권6호
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    • pp.233-239
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    • 2004
  • Primary water stress corrosion cracking of steam generator tubings occur on many tubes in pressurized water reactors(PWRs), and they are repaired using sleeves or plugs. In order to develop proper repair criteria, it is necessary to know the leak behavior of the tubes, which have stress corrosion cracks. Crack development tests were carried out on the tubes at room temperature, and leak rate and burst pressure were measured on the degraded tubes at room temperature and a high temperature. No leakage was detected on the tubes where 100 % through wall crack developed, at 1560 psi, which is an operating pressure difference of pressurized water reactors(PWRs). In some tests, leak rates of the tubes increased with time at a constant internal water pressure. A test tube showed a very small amount of leakage at 2700 psi in a high temperature pressure test at $282^{\circ}C$, but it disappeared after the pressure increased slightly. Even cracks are 100 % through wall, they need to open in order to reach a certain amount of leak rate at the operating pressure difference.

수술실 간호사의 경력개발시스템 개발 (Development of a Clinical Ladder System for Operating Room Nurses)

  • 김희영;장금성
    • 간호행정학회지
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    • 제17권3호
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    • pp.301-314
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    • 2011
  • Purpose: This study was a methodological research conducted to develop a clinical ladder system for operating nurses. Methods: Participants were 20 OR nurses, working in C Hospital, who had a mean tenure of 6 years and 10 months. Data collection consisted of 4 focus group interviews during May and June 2009. The content analysis method of Kim and Lee (1986) was used to analyze the data. Two clinical expert groups consisting of 16 nurses verified the content validity of the preliminary system from September 16 to 26, 2009 using Kim's tool (1999). Results: The final clinical ladder system consisted of goals, core values, and 4 domains of practice related to core values, which were defined as professional value, perioperative nursing practice, education/research, and collaboration/leadership. Eleven nursing competencies and 44 behavior indicators were included in accordance with the 4-step ladder. The 4 operation systems for the clinical ladder system were the promotion system, continuous learning system, reward system, and support system. Conclusion: The results indicate that nursing managers need to pay more attention to developing a clinical ladder system for nurses.