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护士对供体器官获取及来访手术团队的态度。帕普沃思医院的经验。

Attitudes of nurses to donor organ retrieval and visiting surgical teams. The Papworth experience.

作者信息

Lloyd-Jones H

出版信息

Br J Theatre Nurs. 1996 Feb;5(11):28-31.

PMID:8695939
Abstract

Donor organ retrieval can be a stressful procedure for theatre nurses. These experiences may be influenced by the relationship between visiting surgical teams and nurses at donor hospitals. When donor organs are referred to Papworth Hospital and a suitable recipient identified on the waiting list, a visit to the referring hospital is organised in order to retrieve the organs. The multidisciplinary donor team is comprised of a surgeon, anaesthetist, theatre nurse and technician who may find themselves called, often at short notice, to travel anywhere in the United Kingdom. Most donors are multi-organ donors which means that surgical teams, visiting or local, will be working together retrieving the heart and/or lungs, liver, kidneys, pancreas, cornea, long bones and skin. This multi faceted procedure on the donor and the number of visiting medical staff in theatre, may have an impact on local theatre nurses of which the visitors should be aware. The retrieval of thoracic organs takes 3-4 hours and the team needs to leave as soon as the excised organs have been packed so that preservation is not compromised.

摘要

对于手术室护士而言,获取供体器官可能是一个压力很大的过程。这些经历可能会受到供体医院来访手术团队与护士之间关系的影响。当供体器官被转送至帕普沃思医院,且在等待名单上确定了合适的接受者时,会组织一次对转诊医院的访问,以便获取器官。多学科供体团队由一名外科医生、一名麻醉师、一名手术室护士和一名技术人员组成,他们可能会经常在接到通知后不久就被要求前往英国的任何地方。大多数供体是多器官供体,这意味着来访的或当地的手术团队将共同协作获取心脏和/或肺、肝脏、肾脏、胰腺、角膜、长骨和皮肤。这种针对供体的多方面操作以及手术室中来访医务人员的数量,可能会对当地手术室护士产生影响,而访客应该意识到这一点。获取胸腔器官需要3至4个小时,一旦切除的器官包装好,团队就需要尽快离开,以免影响器官保存。

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Br J Theatre Nurs. 1996 Feb;5(11):28-31.
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