应用五常法加强手术室护理管理

Application of＂ 5S＂ standard in nursing management in orthopedic operating room

目的探讨应用“五常法”（Seiri，Seilon，Seiso，Seikelsu and Shilsue，5S）在手术室护理管理中的效果。方法应用“五常法”原理，对手术室骨科专科人、物、环境进行规范化管理，规范了手术室护士言行和技术，手术物品准备与放置统一标准，形成专科护理准则（标准），并设立五常组和对照组，观察五常法应用效果。结果五常组器械准备完好率、物品准备完好率、贵重仪器使用管理完好率、手术科室及患者满意率均高于对照组。结论五常法能改善手术室的工作方法和环境，提高工作效率和质量。

Objective To explore the application effects of ＂ 5S＂ standard in nursing management in orthopedic operating room. Methods ＂ 5S＂ standard was applied to carry out standardization management in orthopedic operating room, which including aspects of the staff, things and environment. Behavior and skills of nurses in operating room were standardized, preparation and disposing of surgical stuffs were unified, which formed specialist care criterion. ＂ 5S＂ group and control group were set to observe effects of ＂ 5S＂ standard applied. Results Intact rate of surgical instruments preparation and general goods preparation, intact rate of expensive equipment used management and satisfaction rate of orthopedic department and patients in ＂ 5S＂ group were higher than those of control group. Conclusions ＂ 5S＂ standard management could improve methods of work and environment , improve work efficiency and quality in orthopedic operating room as well.