Surgery 4



Patients who are candidates for orthopedic and neurological surgery are transferred to the operating room by referring to this section and doing the initial work, and then undergoing care and continuing treatment after surgery.


Section introduction:

 Surgery 4 is located on the third floor of the hospital. ICU A and ICU B have surgery 3 and surgery 4. Access to this floor is possible through elevators and through the staircase. Surgery section 4 has an entrance from the end The section is designed in the form of H to allow access to all patients as easily as possible.

The Nursing Station is precisely located in the center of the department and has the necessary office space for office. This section has 9 double rooms and 10 private rooms and 2 single-board single rooms for the EEG monitoring unit , and has a total of 32 active beds. Patients requiring orthopedic surgery and neurology are admitted to this section. If other specialties are required, consultation with other services is required for them.

Head of Department: Dr. Tahmasbi

Head Nurse: Ms. Safari

Internal telephone: 2370-2371



The names of orthopedic specialists in the department are:

Dr. Dr. Tahmasbi, Dr. Pirhosseini, Dr. Kalhor, Dr. Arab Panahan, Dr. Nuri, Dr. Sabaghian, Dr. Mortazavi, Dr. Diane, Dr. Motamedi, Dr. Mardani, Dr. Zenouzi



Dr. Khadivi, Dr. Burgahi, Dr. Hamidi, Dr. Montazam, Dr. Kazemi, Dr. Khan Fakhraee, Dr. Tabatabaei, Dr. Pourmohammadian


In each shift, one of the nurses is responsible for the office of patients and in fact responsible for the shift. And at least 3 people are in the clinical department where a number of helpers (gentlemen and ladies) also perform their duties in each shift.

Start working shift from 7 am to 13 am

Start shifting from 13:00 to 19:00

Start shifting at night from 19:30 until 7:00


Surgery performed in surgery department 4:

Restoration and reduction of various types of fractures by various methods such as pinching, concha, screw and plaque, fixation, plastering, aesthetics, replacement of hip and knee joints, hagglos, valgus, disc restoring and spinal canal stenosis, vertebral fixation, hematoma discharge, Removing BT is a brain tumor that deals with all these surgeries depending on who the surgeon is and how they are done in a variety of ways.


In knee replacement surgery:

This surgery is generally done by Dr. Tahmasebi and Dr. Sabaghian.


In the operation of the pelvis:

Generally done by Dr. Kalhor in the department, the nurse and the caregiver assist in moving the patient and inserting the pelvic urine for the patient to be precise and have an unprotected pelvis without excessive internal and external spin and causing a patient's prosthesis to go on Do not go

Generally, patients undergoing postoperative orthopedic surgery and a stable image of the patient who is taken to the radiology (with help of the patient) and graph is taken with the bed.


Transmission of the patient from the operating room to the surgery unit 4:


After the surgeon and the patient's consciousness in the recovery, during the recovery call to the nurse's department to deliver the patient from the OR to the operating room, the patient is examined for the sensory, motor, and color of the surgical limb, and the bleeding from the area of ​​operation is checked. What is Foley and Dran's catheter? Does gypsum plasterboard have gauze? Has OR received blood? Is morphine or marcaine pump connected to the patient?

Sometimes patients get general anesthesia and sometimes they become spinal, and sometimes only IV Sedate , which is an anesthetic type that is important for the patient's PO . It is commonly found in patients who have received complete anesthesia for at least 4h and complete NPO consciousness . the liquid PO are and if you can tolerate a regular diet have fluid in patients with SP are generally up to 2h , NPO and the PO   are and IV Sedate of consciousness PO are.

Depending on the extent of the surgery, the patient may have one or two drains stayed the bag which may be void or not to open depends on the surgery possible for patients in the OR Foley catheter placed in the bag of urine is connected in accordance with prescribed after From 1 or 2 days, Foley's catheter will be removed, and surely after the patient has left the catheter, the Voidshould be checked . The patient drann, depending on the physician's opinion, how long the surgeon should stay, and if he or she orders the surgeon to drain the patient, he or she will be dressed. Physiotherapy may be given during the postoperative period until discharge. Generally, patients are undergoing CBR surgery , and they will be reopened to the OOB on the next day, as maybe with the OOB physiotherapist  Physiotherapy is breathing and limb that is done depending on the patient. Patient pain relief is an important step in the orthopedic surgery department. Occasionally, in a wide range of patients, the morphine or marcaine pumps are constantly in operation and in addition to the opiate from the suppositories Acetaminophen and casein are used, and all this is to allow the patient to recover from postoperative period. After 1 or 2 days, sometimes more patients are discharged with a final visit and a discharge order, and in the case of The need for continued care at home is also provided to prospective brochures in some cases Patients who have long been forced to receive a medication called Calgacin for long periods of time, are given an anticoagulant and are injected into the hospital at the time of hospitalization, which should be continued at home for at least 10 days in these cases At the time of discharge, Calgassan was given to these patients by The nurse runs and the Kalgazan instruction book is available in the section. Usually when discharging a physician, the patient remembers the patient's next referral to the clinic or office, during which time the patient undergoes recovery steps using oral antibiotics and oral analgesics.

In surgery section 4, dressing is one of the basic nursing tasks that is very important, which is usually changed during the morning dressing of the patients. For changing the dressing, depending on the initial dressing the surgeon in ORMade of vibration-bandage-simple gauze-and-gas-dressing-dressing. When bonding, it is important to be careful not to close very tightly as it may interfere with the area affected by the blood pressure. Sometimes, depending on the area of ​​the discharge, it is replaced on the day 2 or 3 times the dressing. The nurse will do this with the help of a full dressing gown. The nurse should examine the area of ​​the operation for secretion, and if there is an unpleasant odor And pushing and infecting and discharging the doctor very much to make sure that the necessary measures are taken. In neurosurgical surgeries, the pupils of the patient-Awareness of the patient and the sensation and movement of the hands and feet are fully checked if the patient has BT (brain tumor) has a dressing head in the head area that may have fixed-headed and 1 dren In this case, the patient's consciousness is checked regularly.

After delivering the patient from OR, all the patient's graphs are accompanied with the patient and placed in the patient's box. Then the nurse and the two assistants place the patient on the bed. Assist the caregiver to arrange the patient's urine bag and drain. Hemoglobin, if fitted, is placed right next to the bedside. The vital signs of the patient are checked every quarter and placed on the top of the patient's chart. One hour for the patient is given to the patient according to the doctor's instructions in my case.The doctor will be executed. Microbials are prescribed for antibiotics above the head of the patient. If the patient needs to remain in the patient's room, the card must be accompanied with a card receipt form provided to receive the card to the ground floor.