Objective　To explore the application of flipped classroom teaching mode under the perspective of production oriented approach (POA) theory in orthopedic nursing teaching management. Methods　This study randomly enrolled 60 orthopedic clinical nursing interns from August 2018 to August 2019. They were randomly divided into control group (traditional teaching) and observation group (flipped classroom teaching under the perspective of POA theory)

with 30 cases in each group. The out-department assessment results

error statistics of practice assessment

qualification rate of out-department assessment and the evaluation on teachers were compared between the two groups. SPSS 19.0 was used for chi-square test and t test. Results　When the interns leaving the department

the total scores of theoretical knowledge

nursing practice and assessment were higher than those before department admission

which were higher in observation group than in control group (P<0.05). The scores of learning new knowledge

summarizing ability and clinical thinking ability in observation group were higher than those in control group (P<0.05). The error rates such as unskilled physical examination and poor concept of aseptic debridement in observation group were lower than those in control group (P<0.05). The satisfaction of interns with teachers' theoretical teaching ability

practical skill level and teaching attitude in observation group was higher than that in control group (P<0.05). Conclusion　Flipped classroom teaching under the perspective of POA theory is beneficial to improve out-department assessment results and learning ability of orthopedics students

reduce physical examination and debridement errors in practice assessment

and improve higher satisfaction with teachers.