From: The application of the spot the difference teaching method in clinical skills training for residents
Standard operation procedure | Difference points |
---|---|
Cardiopulmonary resuscitation | |
Correct compression depth (1.5–2 inches) and fingers off the chest | Compression depth (approximately 0.5 inches) and fingers on the chest |
Remove secretions and foreign bodies from the mouth and nose and keep the airway opening (head tilt and chin lift) | Forget to remove secretions and foreign bodies of the airway and the chin is not lifted before the artificial respiration |
Judge the resuscitation effect after five cycles | Judge the resuscitation effect after six cycles |
Dressing change | |
Remove the inner dressing with a tweezers | Remove the outer and inner dressing with the hand |
The second disinfection scope should be narrower than that of the first | The second disinfection scope is equal to that of the first |
A pair of tweezers contacts the incision, and the other is used to transfer the cleaning items of the dressing bowl. | Two pairs of tweezers are mixed-use |
Wearing and taking off the operating gown and sterile gloves | |
Extend the hands forward (not over the shoulders) during the dressing process | Extend the hands upward slightly (over the shoulders) during the dressing process |
The gloved hand shall not touch the inner surface of the other glove | The thumb of the gloved hand touches the inner surface of the other glove |
With the help of an assistant, take off the operating gown first and then the gloves | Take off the gloves first by oneself and then the operating gown with the help of an assistant |
Disinfection and surgical drapes placement (neck) | |
Disinfection range: Up to the lower lip, down to the nipple line, both sides to the anterior edge of the trapezius muscle | Disinfection range: Up to the submental plane, down to the clavicular pane, both sides to the anterior edge of the sternocleidomastoid |
Keep the tip of the sterilizing forceps lower than the holding end | The tip of the sterilizing forceps is occasionally over the handheld end |
Place four towels in the correct order: the lower part, opposite side, head side and trainee side | Place four towels in the wrong order: opposite side, lower part, trainee side and head side |
Medical history-takinga | |
Remember to ask about the predisposing factors | Forget to ask about the predisposing factors |
Ask about the negative symptoms in detail | Ignore some negative symptoms inquiry |
Good professional quality | Poor professional quality |