Jarman B
Br J Theatre Nurs. 1992 Aug;2(5):6-11.
Very little, if any, of the care administered by the theatre staff within operating theatres has ever been fully documented. The person 'scrubbed' for the case and the circulating person accountable for the final swab, instrument and needle checks, sign their names in a ledger within theatre. A verbal exchange relating to the patient's operation, the dressings applied, any drains or implants in situ etc. may take place between the 'scub' person and the nurse into whose care the patient is to be entrusted. It is little wonder that we in theatres appear to have lost our identity as nurses and the role envisaged by our colleagues is one of a technician or that of being the surgeon's 'hand-maiden'! As stated in a previous Journal, 'The failure to define the nurse's role in the theatre can only mean one of two things--either nursing is not clearly demonstrated by theatre nurses or nursing does not exist within operating theatres'.
手术室工作人员在手术室内提供的护理,即便有记录,也非常少。负责该病例的“刷手”人员以及负责最终清点纱布、器械和针头的巡回人员,会在手术室内的一本登记簿上签名。“刷手”人员与即将负责护理该患者的护士之间,可能会就患者的手术情况、所敷的敷料、原位的任何引流管或植入物等进行口头交流。难怪我们手术室的护士似乎已经失去了作为护士的身份认同,而我们同事所设想的角色是技术员或者外科医生的“女仆”!正如之前某期期刊中所述,“未能明确手术室护士的角色只能意味着两种情况之一——要么手术室护士没有清晰地展现护理工作,要么手术室不存在护理工作”。