臨床技能學(xué)考試（胸腔穿刺術(shù)）1.核對(duì)患者信息，簽署知情同意書對(duì)(正確答案)錯(cuò)2.詢問(wèn)藥物過(guò)敏史對(duì)(正確答案)錯(cuò)3.查詢凝血功能對(duì)(正確答案)錯(cuò)4.穿刺前閱胸片對(duì)(正確答案)錯(cuò)5.帽子口罩佩戴正確對(duì)(正確答案)錯(cuò)6.消毒雙手對(duì)(正確答案)錯(cuò)7.準(zhǔn)備腎上腺素對(duì)(正確答案)錯(cuò)8.穿刺部位叩診證實(shí)(有此項(xiàng)動(dòng)作即可)對(duì)(正確答案)錯(cuò)9.穿刺點(diǎn)：肩胛下角線7-8肋間對(duì)(正確答案)錯(cuò)10.穿刺點(diǎn)記號(hào)筆標(biāo)記對(duì)(正確答案)錯(cuò)11.第一次消毒15cm對(duì)(正確答案)錯(cuò)12.第二次消毒不超出第一次消毒范圍對(duì)(正確答案)錯(cuò)13.核對(duì)穿刺包滅菌有效日期并正確打開穿刺包對(duì)(正確答案)錯(cuò)14.戴無(wú)菌手套對(duì)(正確答案)錯(cuò)15.檢查穿刺針和膠管通暢性和密閉性對(duì)(正確答案)錯(cuò)16.鋪孔巾手法正確，并一次到位對(duì)(正確答案)錯(cuò)17.核對(duì)麻藥對(duì)(正確答案)錯(cuò)18.在穿刺點(diǎn)(沿下一肋上緣)進(jìn)針對(duì)(正確答案)錯(cuò)19.打皮丘對(duì)(正確答案)錯(cuò)20.逐層浸潤(rùn)麻醉對(duì)(正確答案)錯(cuò)21.每次推注麻藥前回抽無(wú)血液對(duì)(正確答案)錯(cuò)22.夾閉帶穿刺針的橡皮管對(duì)(正確答案)錯(cuò)23.在麻醉點(diǎn)穿刺進(jìn)針對(duì)(正確答案)錯(cuò)24.緩慢進(jìn)針對(duì)(正確答案)錯(cuò)25.深度適當(dāng)對(duì)(正確答案)錯(cuò)26.在穿刺過(guò)程中觀察有否胸膜反應(yīng)，操作過(guò)程詢問(wèn)病人有否不適對(duì)(正確答案)錯(cuò)27.抽出胸水對(duì)(正確答案)錯(cuò)28.用鑷子或手協(xié)助固定穿刺針對(duì)(正確答案)錯(cuò)29.留取胸水(5ml即可)對(duì)(正確答案)錯(cuò)30.拔針前夾閉膠皮管對(duì)(正確答案)錯(cuò)31.拔針時(shí)消毒紗布?jí)壕o穿刺點(diǎn)對(duì)(正確答案)錯(cuò)32.病原體檢查對(duì)(正確答案)錯(cuò)33.生化對(duì)(正確答案)錯(cuò)34.常規(guī)對(duì)(正確答案)錯(cuò)35.標(biāo)本管標(biāo)記(有寫字即可)對(duì)(正確答案)錯(cuò)36.順序：第一管送病原體檢查，其余不定對(duì)(正確答案)錯(cuò)37.消毒對(duì)(正確答案)錯(cuò)38.覆蓋紗布，膠布固定對(duì)(正確答案)錯(cuò)39.交代術(shù)后注意事項(xiàng)對(duì)(正確答案)錯(cuò)40.術(shù)后測(cè)血壓、脈搏(打開血壓計(jì)即可)對(duì)(正確答案)錯(cuò)41.醫(yī)療廢物處理正確對(duì)(正確答案)錯(cuò)42.人文關(guān)懷有(正確答案)無(wú)如嚴(yán)重違反無(wú)菌原則（以下任意一項(xiàng)或多項(xiàng)）扣除50分（是否扣分）

未消毒進(jìn)行有創(chuàng)穿刺

未戴手套進(jìn)行有創(chuàng)穿刺

操作中無(wú)菌用物或手套污染后直接使用，并穿刺入人體○是○否其它扣分項(xiàng)目：其中1項(xiàng)扣除5分（是否扣分）

物品掉落后申請(qǐng)使用物品重新操作

操作不當(dāng)造