Training with an infant bone marrow puncture model is an important part of medical education and clinical practice. Here are detailed steps on how to train with an infant bone marrow puncture model:
1. Preparation
Model preparation: Ensure that the baby bone marrow puncture model is properly placed on the operating table and that all parts of the model are properly installed, such as skin jacket, tibial bone marrow puncture parts, etc.
Tools: Prepare the required bone marrow puncture needle (the model and specification consistent with the actual operation are recommended), disinfectant, sterile gloves, sterile towel, syringe (5ml or 10ml), etc.
Environmental preparation: Ensure that the operating environment is clean, spacious, and meets the requirements of aseptic operation.
2. Operation steps
Lubrication and installation: Use a lubricant powder to lubricate the entire bone marrow puncture component, then install the tibial bone marrow puncture component bottom-up and slide it to the fixed position of the shin bone, and finally cover the calf with a skin coat.
Disinfection: Wash hands according to disinfection principles, wear a hat, mask and sterile gloves. The skin of the puncture area should be disinfected from the center to the periphery, and the disinfection range should be 10-15cm.
Fixation and anesthesia: The skin is fixed around the puncture point with the non-dominant hand (usually the left hand), and the bone marrow puncture needle is taken with the dominant hand (usually the right hand). If necessary, give adequate anesthesia from skin to periosteum.
Puncture: Take the forearm and the bone marrow puncture needle as an axis, and turn it back to the key, and slowly pressure into the bone marrow to prevent excessive pressure. When the needle tip contacts the bone, rotate the puncture needle left and right, slowly drill the piercing substance, when the resistance is reduced and the puncture needle has been fixed in the bone, it indicates that it has entered the bone marrow.
Extraction and injection: If the simulated bone marrow fluid is extracted, do not immediately pull out the needle, but push the simulated bone marrow fluid back into the model, which is conducive to the reuse of the model.
Post-operative treatment: After the piercing is complete, small pieces of wax are used to seal the bone holes to ensure the integrity of the model.
Third, precautions
Operating specifications: strictly in accordance with the medical operating specifications to ensure the safety and accuracy of the operation.
Aseptic operation: During the entire operation process, the principles of aseptic operation must be strictly observed to prevent the occurrence of infection.
Model maintenance: Clean and maintain the model regularly to ensure the good condition and service life of the model.
Through the above steps and precautions, the infant bone marrow puncture model can be safely and effectively used for training, and the clinical operation skills of medical students and medical staff can be improved.