Objective To explore the application effects of “ 5S” standard in nursing management in orthopedic operating room.Methods “ 5S” standard was applied to carry out standardization management in orthopedic operating room,which including aspects of the staff,things and environment.Behavior and skills of nurses in operating room were standardized,preparation and disposing of surgical stuffs were unified,which formed specialist care criterion.“ 5S” group and control group were set to observe effects of “ 5S” standard applied.Results Intact rate of surgical instruments preparation and general goods preparation,intact rate of expensive equipment used management and satisfaction rate of orthopedic department and patients in “ 5S” group were higher than those of control group.Conclusions “5S” standard management could improve methods of work and environment,improve work efficiency and quality in orthopedic operating room as well. Key words: “ 5S” standard; Operating room; Nursing management; Standardization