台北榮民總醫院A052病房



台北榮民總醫院Ａ052病房

一 實習單位介紹

病房特性：泌尿外科病房，以男性老年病患為大宗，病患流動率大。採全責護理與成組護理合併之綜合護理模式。

總床數：共43床

地理位置：台北市石牌路二段２０１號中正樓5樓

病房電話：2871-2121 轉 6052 或7052，或直撥 2875-7052

病房護理長：劉春菊護理長

臨床實習指導教師: 古元慈老師

二 常見診斷

|英文縮寫 |全文 |中文 |

|Adrenal |

| |Benign neoplasm of suprarenal gland |腎上腺良性腫瘤 |

| |(Adrenal tumor) | |

| |Hyperaldosteronism |腎上腺醛固淚素功能抗進症 |

| |Retroperitoneoscopy adrenalectomy |經後腹腔行腎上腺腫瘤切除術 |

| |Adrenalectomy |腎上腺腫瘤切除 |

|Renal |

| |Malignant neoplasm of kidney |腎臟惡性腫瘤 |

|RCC |Renal cell carcinoma |腎細胞癌 |

| |Calculus of kidney (renal stone) |腎結石 |

| |Hydronephrosis |腎水腫 |

| |Cyst of kidney |腎囊腫 |

| |TB kidney |腎結核 |

| |Non-function kidney |無功能腎 |

|ESWL |Extracorporeal shock wave lithotripsy |體外電震波碎石術 |

|PCNL |Percutaneous nephrolithotomy |經皮腎臟取石術 |

| |Radical nephroectomy |根除性腎臟切除術 |

| |Partical nephroectomy |部份腎臟切除術 |

| |Nephroureterectomy |腎輸尿管切除術 |

| |Nephrolithotomy |腎石切開術 |

|Ureter |

| |Malignant neoplasm of ureter |輪尿管惡性腫瘤 |

| |Calculus of ureter (ureteral stone) |輸尿管結石 |

| |Ureter stricture |輸尿管狹窄 |

| |Ureteropelvic stenosis |腎盂輸尿管狹窄 |

| |Ureterocele |輸尿管囊腫或赫尼亞 |

| |Ureterolithiasis |輸尿管石病 |

| |Ureteropathy |輸尿管病 |

| |Ureteroscopy |輸尿管鏡 |

| |Ureteroscopy & dye laser lithotripsy |輸尿管鏡與碎石取石術 |

| |lithoclast | |

| |Ureterolithotomy |輸尿管石切除術 |

| |Ureterectomy |輸尿管切除術 |

| |Ureterotomy |輸尿管切開術 |

|U-Bladder |

| |Malignant neoplasm of bladder |膀胱惡性腫瘤 |

| |Calculus of bladder (Vesical stone) |膀胱結石 |

|TCC |Transitional cell carcinoma |移行性上皮細胞癌 |

|V-U reflux |Vesicourecteral reflux |輸尿管膀胱逆流 |

| |Neurogenic bladder |神經性膀胱 |

| |Urinary incontinence |尿失禁 |

|BNC |Bladder neck contracture |膀胱頸攣縮 |

|SUI |Stress urinary incontinence |壓力性尿失禁 |

|EHL |Electrohydraulic lithotripsy |膀胱鏡取石術 |

|TURBT |Transurethral resection of bladder tumor |經尿道膀胱腫瘤切除術 |

|N-D YAG LASER |Neodymium Yttrium aluminum garnet |釹雅各雷射 |

| |Laser photocoagulation |雷射光凝固術 |

| |Partial cystectomy |部分膀胱切除 |

| |Radical cystectomy & |根除性膀胱切除 |

| |Kock pouch | |

| |Neobladder | |

| |Ileal conduit | |

|TUI |Transurethral urinary incision |經尿道切開術 |

| |Bladder neck suspension |膀胱頸懸吊術 |

|Prostate |

|BPH |Hyperplasia of prostate (Benign prostate |攝護腺增生 |

| |hyperplasia) |良性攝護腺肥大 |

| |Malignant neoplasm of prostate (Ca of |攝護腺之惡性腫瘤 |

| |prostate) |攝護腺癌 |

|TUR-P |Transurethral resection of prostate |經尿道攝護腺切除術 |

|TUVP |Transurethral vaporization of prostate |經尿道攝護腺氣化術 |

|TULIP |Transurethral laser induced prostatectomy|經尿道雷射攝護腺手術 |

|VLAP |Visual laser ablation of prostate |經宜視雷射燒灼攝護腺 |

|TUNA |Transurethral needle ablation of prostate|經尿道攝護腺針刺燒灼術 |

| |Orchiectomy |睪丸切除術 |

| |Radical prostatectomy |根除性攝護腺切除術 |

|ILCP |Interstitial laser coagulation of |攝護腺間質雷射切除術 |

| |prostate | |

|TRUS + Bx |Transrectal ultrasound biopsy |經直腸超音波導引攝護腺切片 |

|Urethra |

| |Malignant neoplasm of urethra (urethra |尿道惡性腫瘤 |

| |tumor, ca of urethra) | |

| |Urethral stricture |尿道狹窄 |

| |Hypospadias |尿道下裂 |

| |Urethral caruncle |尿道內阜 |

| |Optic urethrotomy |尿道切開術 |

|Penis |

| |Malignant neoplasm of penis and other |陰莖及其他男性生殖器之惡性腫瘤 |

| |male genital organs | |

| |(Ca of penis) |陰莖癌 |

| |Impotence |性功能失調 |

| |Erectile dysfunction | |

| |Penile prosthesis implantation |人工陰莖植入術 |

| |Penectomy |陰莖切除術 |

|Testis |

| |Malignant neoplasm of testis (testis |睪丸惡性腫瘤 |

| |tumor, Ca of testis) | |

| |Testis torsion |睪丸扭轉 |

| |Testis necrosis |睪丸壞死 |

| |Testis abscess |睪丸膿瘍 |

| |Testis cyst |睪丸囊腫 |

| |Orchitis |睪丸炎 |

| |Epididymitis |副睪丸炎 |

| |Undescended testis |隱睪症 |

| |Epididymal cyst |副睪丸囊腫 |

| |Hydrocele |陰囊水腫 |

| |Varicocele |精索脈曲張 |

| |Spermatocele |精液囊腫 |

| |Fournier’s gangrene |佛尼爾氏壞疽 |

| |Infertility |不孕症 |

| |Varicocelectomy |精索靜脈腫切除術 |

| |Spermatocelectomy |精液囊腫切除術 |

| |Incision & debridement |切開術與擴創術 |

|Other |

|UTI |Urinary tract infection |泌尿道感染 |

| |Malignant neoplasm of retroperitoneum |後腹腔惡性腫瘤 |

| |(retroperitoneal tumor) | |

| |Hematuria |血尿 |

| |High ligation |高位結紮 |

三 常見藥物

|Adalat |CTM |Epradol |Mebron |

|Apresaline |Coracten |Prednisolone |Minipress |

|Aspirin |Dichlotride |Gascon |Napoxin |

|Ativan |Cleocin |Gasgel |Neomycin |

|Ampicilline |Dazen |Gelusil |Novamin |

|Amipicin |Dibenzyline |Glucophage |Madopar |

|Allopurinol |Ditropan |Genurin |MGO |

|Akineton |DES |Halcyon |Persantin |

|Artane |Doxaben |Hytrin |Primperan |

|Androcur |Diamicron |Herbesser |Rhin |

|BM |Digoxin |Inderal |Rohypnol |

|Bactar |Dulcolax |Indocid |Ritalin |

|Benadryl |Eurodine |Ismo-20 |Scanol |

|Benzoflex |Erispan |Isoptin |Solantal |

|Cal-carbonate |Diethylstilbestrol |Ipradol |Slow-K |

|Bokey |Digoxin |Keflex |Stilbestrol |

|Buscopan |Euclidan |Lanitop |Tagamet |

|Bisolven |Erythromycin |Lederscon |Tarivid |

|Biofermin |Euglucon |Losec |Transamin |

|Bonefos |Ferrous Sulfate |Lexotan |Towarat |

|Capoten |Flutamide (Fugerel) |Lopilexin |Trental |

|Colchicines |Fina |Macrodantin |Voltaren |

四 常見技術

|技術 |備註 |

|Foley care & PP care | |

|IV care | |

|IM injection | |

|blood sugar test | |

|blood transmission | |

|Enema | |

|wound care | |

|steam inhalation | |

|Penicillin skin test | |

|協助Toomy之執行 | |

|協助膀胱灌藥之執行 | |

五 常見設備

|常見設備 |備註 |

|IV pump | |

|EKG monitor | |

|電刀鞘& Sounding | |

|One touch | |

六 常見檢查

|縮寫 |英文名稱 |中文名稱 |

|AP |Antegrade pyelogram | |

| |Abdominal angiography | |

| |Barium enema | |

| |Chest X-ray | |

| |Cystoscopy | |

| |CT of Urinary bladder | |

| |Cavernosogram | |

|D-J Insertion |Double-J Insertion | |

|EF + WM | | |

|EKG | | |

|ERPF |Effective Renal Plasma Flow | |

| |Gallium scan | |

|IVP + PV | | |

|KUB | | |

| |Lymphography | |

| |Liver & spleen scan | |

| |M-mode & 2 D echo | |

| |Needle biopsy (prostate biopsy) | |

|PCN | | |

|PBI | | |

| |Penile or corporeal Xe133 Washout study | |

| |Pulmonary Function Test | |

|RP |Retrograde Pyelogram | |

| |Rigiscan | |

| |Sonogram of urinary bladder | |

| |Sono guided for biopsy | |

| |Sono & Doppler of penis | |

|SEP |Somatosensory evoked potential | |

|SMA | | |

| |Stool routine | |

| |膀胱功能檢查 | |

| |(CMG, EMG, UPP, UFR) | |

|VCUG |Voiding Cystourethrography | |

| |UGI endoscopy | |

| |UGI series | |

| |Urine routine | |

| |Urine culture | |

| |Urine cytology | |

|WBBS |Whole Body Bone Scan | |

七 實習進度表

台北榮民總醫院 A052病房 私立康寧護理專科學校二專普通班（日、夜）

實習進度表

|星期 |星期一 |星期二 |星期三 |星期四 |星期五 |

|日期 | | | | | |

|第一週 |醫院及病室環境常規介|臨床見習 |開始照護病患（量Vita|Total Care、口頭交班|Total Care、口頭交班|

| |紹 |(量Vital signs)、 |l signs ＆ 書寫紀錄 | |小考： |

| |選個案及病情討論 |技術複習 |）、 |各種引流管介紹及護理| |

| |作業書寫規範講解 | |練習口頭交班 |，尿管正確固定法 | |

| | | | |( 學姊) | |

|日期 | | | | | |

|第二週 |Total Care、口頭交班|Total Care、口頭交班|Total Care、口頭交班|Total Care、口頭交班|Total Care、口頭交班|

| | | | | |讀書報告: |

| |小考： |讀書報告: |讀書報告: |協助膀胱化學治療之準| |

| | | | |備 ( 學姊) | |

|日期 | | | | | |

|第三週 |Total Care、口頭交班|Total Care、口頭交班|Total Care、口頭交班|Total Care、口頭交班|Total Care、口頭交班|

| | | | | |讀書報告: |

| |小考： |讀書報告: |讀書報告: |人工膀胱造口及腎造口| |

| | | | |之應用( 學姊) | |

|日期 | | | | | |

|第四週 |Total Care、口頭交班|Total Care、口頭交班|Total Care、口頭交班|Total Care、口頭交班|Total Care、口頭交班|

| |小考： |個案報告 | |個案報告、Toomy, 電 |個案報告 |

| | | |個案報告 |刀鞘、Sounding、支管|實習評值檢討會 |

| | | | |針之準備與清潔( | |

| | | | |學姊) | |

台北榮民總醫院 A052病房 私立康寧護理專科學校 二專再職班護理 實習進度表

|星期 |星期一 |星期二 |星期三 |星期四 |

|日期 | | | | |

|第一週 |醫院及病室環境常規介紹 |臨床見習(量Vital signs) |開始照護病患（量Vital |Total Care、口頭交班 |

| |選個案及病情討論 |、技術複習 |signs ＆ 書寫紀錄）、 |小考： |

| |作業書寫規範講解 | |練習口頭交班 |各種引流管介紹及護理，尿|

| | | | |管正確固定法( 學姊) |

|日期 | | | | |

|第二週 |Total Care、口頭交班 |Total Care、口頭交班 |Total Care、口頭交班 |Total Care、口頭交班 |

| |讀書報告: |讀書報告: |讀書報告: |協助膀胱化學治療之準備 (|

| |小考： | | |學姊) |

|日期 |10/22 (8-4) |10/23 (8-4) |10/24 (8-4) |10/25 (8-4) |

|第三週 |Total Care、口頭交班 |Total Care、口頭交班 |Total Care、口頭交班 |Total Care、口頭交班 |

| |讀書報告: |讀書報告: |讀書報告: |人工膀胱造口及腎造口之應|

| |小考： | | |用( 學姊) |

|日期 |10/29 (8-4) |10/30 (8-4) |10/31 (8-4) |11/1 (8-4) |

|第四週 |Total Care、口頭交班 |Total Care、口頭交班 |Total Care、口頭交班 |Total Care、口頭交班 |

| |個案報告 |個案報告 |個案報告 |實習評值檢討會 |

| |小考： | | |Toomy, Sounding 電刀鞘, |

| | | | |支管針之準備與清潔( |

| | | | |學姊) |

八 實習單位注意事項

1. 實習時間：每週四天，共四週／每週五天，共四週

白班8:00~16:00（請務必提早20~30分到病房，以瞭解病

情準備晨報）

2. 實習首日於醫院中正一樓大廳（漢堡王速食餐廳）集合，並依學校實習規定服裝穿裝完畢。

3. 攜帶用物：（1.）褲裝護士服（臂章請縫勞於左手臂）、白護士鞋、護士帽

（2.）紅、藍、黑、色原子筆

（3.）水杯（需有蓋子）

（4.）實習計劃作業本、小記事本（可置口袋為原則）

5. （5.）實習手冊

（6.）2吋照片1張 （護理一實習需準備）

4. 遲到早退及請假事宜，均須依學校實習規定辦理及處分。

5. 首次執行的技術必須在學姐或老師的督導下執行。護生在未通過老師評核前，不得私自以病人為練習技術之對象，違者立即停止實習。

6. 借用單位用物請養成物歸原處習慣，不得造成遺失或毀損之事。

7. 護理記錄一律以黑色原子筆書寫。書寫內容請於1:00前交給老師過目批改。

8. 每日下班前將給藥記錄單（MAR）、IVAR、I/O記錄單、交班單、病程（護理）記錄、等表單讓指導老師check完畢才能離開，工作未完成者以早退計處。

9. 給藥需依三讀五對原則，並由老師及學姐核驗過才行。口服藥需親見病人服下。

10. 專科護生可核對但不處理醫囑、不接受口頭醫囑、不可執行IV push。在老師或護理人員指導下才可給抽血、皮下注射、肌肉注射、給麻醉藥品、抽痰、女病人導尿等侵入性護理技術。

11. 用午餐時間為12:00，請同學按時完成用餐前之治療及護理。

12. 請複習泌尿外科疾病及常規護理，同時參閱榮總網站（如下）之衛教內容並列印。

.tw/pat/gu/gubph.htm

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