File:A reference hand-book of gynecology for nurses (1913) (14753170516).jpg

Identifier: referencehandboo00macf (find matches)
Title: A reference hand-book of gynecology for nurses
Year: 1913 (1910s)
Authors: Macfarlane, Catharine, 1877-1969
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Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ng of the operation, and give a highsoap-suds enema (see p. 138) six hours beforethe operation. If the bowels move more thantwice after this, give a second enema of salt solu-tion. After the bowels are emptied, give a sponge-bathand an alcohol rub. Wash the lower abdomen,inner surface of the thighs, vulva, and perinealregion as far back as the coccyx with soap andwater and absorbent cotton. Wash from abovedownward, separate the labia carefully, and throwaway the cotton after it has touched the anus.Shave the labia, rinse the parts with hot sterilewater, and give a vaginal douche of bichloridsolution 1 : 8000. Wash the lower abdomen,inner surface of thighs, vulva, and perineum withthe bichlorid solution, dry with a sterile towel, andapply a sterile vulvar pad fastened to a T-bandage. Dress the patient in an undervest, drawers,stockings, and short night-gown. Braid her hairin two braids. Shortly before the time set for the operationwheel a stretcher to the bedside and help the56 PLATE I
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MINOR GYNECOLOGIC OPERATIONS 57 patient upon it. Wrap her in a sheet and coversnugly with blankets; wheel the stretcher to theoperating-room or etherizing-room, as the surgeonprefers. The Minor Operating Suite.—The minoroperating suite consists of a dressing-room, scrub-bing-up room, etherizing-room, and operating-room. These rooms are in charge of a supervisingnurse and an operating-room nurse. The Scrubbing-up Room.—This room containsan instrument sterilizer, a hot-water sterilizer,a washstand, and a long shelf for the solutionbasins. A basin of bichlorid solution holding adipper and thermometer for mixing purposesis kept by the hot-water sterilizer. Two largeenameled pails of cold sterile water and one pailof bichlorid solution 1 : 500 stand on the floorunder the solution shelf. The minor operating-room (Plate I) is a smallroom, well lighted by a large window at one end.The floor is cemented; the walls are painted withwhite enamel. The furniture of the room consists of a glasso

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