Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
A satisfactory operating table may be fashioned in any one of a number
of ways. If the bed is high enough, it may sometimes be made fairly
satisfactory by slipping a board, such as a table leaf, under the
mattress to make it firm. The use of a kitchen table is time-honored,
but it is an unsafe practice unless the available table is very secure
and firm, which is usually not the case with present-day kitchen tables.
A flat-topped chest of drawers, with the casters removed, makes an
excellent operating table, for it is firm, a good height and about the
right size. Or an ordinary bureau may be pressed into service after
taking out the casters and removing the mirror by unscrewing its
supports. The front and sides of a bureau, or chest of drawers so used
should be protected from the damaging effects of fluids and solutions by
being covered with a bed-rubber or newspapers. A pad for the top of the
improvised operating table may be arranged by folding a blanket or quilt
to the proper size and folding over that the rubber draw-sheet and a
clean muslin sheet.
If the operation requires that the patient be held in the lithotomy
position (on her back with thighs and knees flexed and knees well
separated), and the doctor’s equipment does not include a strap to hold
the legs, one may be improvised from a sheet. It should be folded
diagonally, over and over, into a strip possibly a foot wide, passed
over one shoulder and the tapering ends used to tie around the legs,
above the knees, to hold them in the desired position. Bandages or tapes
are not always satisfactory, for the support is subject to a good deal
of strain, and narrow strips sometimes cut painfully into the legs and
shoulders. Certainly if tapes or bandages are used, cotton pads or
folded towels should be interposed between them and the patient’s skin.
In general, the nurse will prepare as for a normal delivery, in each
instance adding such details of equipment, or preparation as the
contemplated operation requires. Rigid asepsis must be observed
throughout the preparations and the operations. When large instruments
or appliances are to be used, a wash boiler is probably the safest thing
in which to boil them, for it is scarcely possible entirely to cover
them with water in a smaller receptacle; and they must be well covered
while boiling, or they will not be sterile.
Public-domain text, read in full here on John Shaqi.
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