一次(ci)性(xing)使用吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)操作方法(fa)(1)检查(cha)吸(xi)(xi)(xi)引(yin)器(qi)各(ge)部(bu)(bu)连接(jie)是否(fou)完善,有(you)无漏气。接(jie)通电源,打开开关(guan),检查(cha)吸(xi)(xi)(xi)引(yin)器(qi)性(xing)能(neng),调节负(fu)压。一般成人吸(xi)(xi)(xi)痰(tan)(tan)负(fu)压约(yue)40-50 kPa,小(xiao)儿吸(xi)(xi)(xi)痰(tan)(tan)约(yue)13-30kPa,将(jiang)一次(ci)性(xing)使用吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)置于(yu)水中,试(shi)验吸(xi)(xi)(xi)引(yin)力,并(bing)冲(chong)洗皮(pi)管(guan)(guan)。(2)将(jiang)病人头部(bu)(bu)转向护(hu)士,铺(pu)治疗巾(jin)于(yu)颌下。(3)插入一次(ci)性(xing)使用吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan),其顺(shun)序是由(you)(you)口腔(qiang)(qiang)前(qian)庭(ting)→颊部(bu)(bu)→咽(yan)部(bu)(bu),将(jiang)各(ge)部(bu)(bu)吸(xi)(xi)(xi)尽(jin)。如口腔(qiang)(qiang)吸(xi)(xi)(xi)痰(tan)(tan)有(you)困难时,可(ke)由(you)(you)鼻(bi)腔(qiang)(qiang)插入(颅底骨折(zhe)患者禁用),其顺(shun)序由(you)(you)鼻(bi)腔(qiang)(qiang)前(qian)庭(ting)→下鼻(bi)道(dao)→鼻(bi)后孔→咽(yan)部(bu)(bu)→气管(guan)(guan)(约(yue)20-25cm),将(jiang)分泌物逐段吸(xi)(xi)(xi)尽(jin)。若有(you)气管(guan)(guan)插管(guan)(guan)或(huo)(huo)气管(guan)(guan)切开时,可(ke)由(you)(you)插管(guan)(guan)或(huo)(huo)套管(guan)(guan)内(nei)插入,将(jiang)痰(tan)(tan)液吸(xi)(xi)(xi)出。昏迷病人可(ke)用压舌板(ban)或(huo)(huo)开口器(qi)先将(jiang)口启(qi)开,再行吸(xi)(xi)(xi)引(yin)。
一(yi)次性(xing)使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)换(huan)(huan)药(yao)(yao)(yao)包用(yong)(yong)(yong)(yong)(yong)(yong)于(yu)创面(mian)的(de)护(hu)理。现在(zai)(zai)对(dui)我们来(lai)说医(yi)院是不陌生的(de),光顾医(yi)院是在(zai)(zai)所难免的(de),虽说人的(de)一(yi)生无(wu)大(da)灾大(da)难,但是小病(bing)(bing)小灾在(zai)(zai)所难免。有时候,稍微严重(zhong)的(de)一(yi)点的(de)病(bing)(bing)情,医(yi)生则会建(jian)议患者(zhe)动手术(shu)(shu)。而术(shu)(shu)后伤(shang)口和(he)创面(mian)的(de)护(hu)理则是非常(chang)重(zhong)要(yao)的(de)一(yi)步,常(chang)常(chang)需要(yao)通过换(huan)(huan)药(yao)(yao)(yao)包来(lai)清(qing)(qing)洗、包扎伤(shang)口。一(yi)次性(xing)换(huan)(huan)药(yao)(yao)(yao)包经常(chang)用(yong)(yong)(yong)(yong)(yong)(yong)在(zai)(zai)外科的(de)护(hu)理上面(mian),一(yi)次性(xing)换(huan)(huan)药(yao)(yao)(yao)包一(yi)般(ban)内装一(yi)次性(xing)镊子、沙(sha)布、棉球、乳胶手套或(huo)PE手套,居(ju)家常(chang)备实用(yong)(yong)(yong)(yong)(yong)(yong)小药(yao)(yao)(yao)包,有擦伤(shang),磕碰,十分的(de)方便。一(yi)次性(xing)使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)换(huan)(huan)药(yao)(yao)(yao)包一(yi)次性(xing)无(wu)菌(jun)(jun)换(huan)(huan)药(yao)(yao)(yao)包由(you)弯盘、垫单、镊子、纱(sha)布、棉球等组成。经密封包装及环(huan)氧乙烷(wan)灭菌(jun)(jun)仅供一(yi)次性(xing)使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)。主要(yao)用(yong)(yong)(yong)(yong)(yong)(yong)于(yu)临床伤(shang)口、创面(mian)或(huo)手术(shu)(shu)切口换(huan)(huan)药(yao)(yao)(yao)用(yong)(yong)(yong)(yong)(yong)(yong)。克服(fu)了(le)普(pu)通医(yi)疗器(qi)重(zhong)复使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)灭菌(jun)(jun)不严造成的(de)传染(ran)疾(ji)病(bing)(bing)的(de)交叉感(gan)染(ran),又可减少医(yi)院用(yong)(yong)(yong)(yong)(yong)(yong)灭菌(jun)(jun)清(qing)(qing)毒的(de)大(da)量人力和(he)物力,有效(xiao)的(de)提(ti)高了(le)医(yi)院的(de)工作效(xiao)率,为医(yi)生和(he)疾(ji)病(bing)(bing)患者(zhe)提(ti)供了(le)健康保障。那么(me),换(huan)(huan)药(yao)(yao)(yao)包究竟如何使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)?一(yi)起(qi)来(lai)看看!
这个市场的(de)现(xian)状到底(di)怎么(me)样?在国家(jia)医疗(liao)改革诸如(ru)(ru)分(fen)级诊疗(liao)等大的(de)浪潮冲击(ji)下,未来的(de)机会和(he)趋(qu)势如(ru)(ru)何?对于一(yi)(yi)些(xie)想(xiang)在这块(kuai)市场有所行(xing)动的(de)企业(ye)来说,又如(ru)(ru)何下手呢?带着这些(xie)问题,绿豹医疗(liao)经过与(yu)医械(xie)(xie)圈(quan)、医药圈(quan)里多年从(cong)事营(ying)(ying)销(xiao)工(gong)作的(de)同(tong)道(dao)沟通和(he)交流;同(tong)时,也深(shen)入部分(fen)乡镇卫(wei)(wei)生院(yuan)及(ji)(ji)社区卫(wei)(wei)生医疗(liao)机构,与(yu)相关(guan)领导了(le)(le)解(jie)信息;最终结合笔者自身营(ying)(ying)销(xiao)经验,经过梳理后,希望抛(pao)砖引玉,为部分(fen)企业(ye)的(de)低值耗材(cai)推广(guang)提供一(yi)(yi)些(xie)思(si)路和(he)借鉴。1、采购目前在乡镇卫(wei)(wei)生院(yuan)及(ji)(ji)社区医疗(liao)机构,大型医疗(liao)器械(xie)(xie)设(she)备由(you)医院(yuan)提出需求(如(ru)(ru)有具(ju)体参数也要附(fu)上),卫(wei)(wei)计(ji)委负责采购并配发给(ji)卫(wei)(wei)生院(yuan);而小型设(she)备及(ji)(ji)一(yi)(yi)次性使用(yong)的(de)低值耗材(cai)类,具(ju)有最终端决策权的(de)就基本上是(shi)(shi)院(yuan)长一(yi)(yi)个人(ren)了(le)(le),当然一(yi)(yi)般由(you)化(hua)验室提出需求,供货(huo)商多数是(shi)(shi)多年与(yu)该(gai)院(yuan)合作器械(xie)(xie)经营(ying)(ying)或(huo)原药品营(ying)(ying)销(xiao)关(guan)系(xi)转行(xing)从(cong)事器械(xie)(xie)耗材(cai)推广(guang)的(de)公(gong)司,亦(yi)或(huo)和(he)卫(wei)(wei)计(ji)委有一(yi)(yi)定的(de)业(ye)务(wu)关(guan)系(xi)。
导(dao)(dao)尿(niao)(niao)包(bao),主(zhu)要(yao)适(shi)用于导(dao)(dao)尿(niao)(niao)术(shu),导(dao)(dao)尿(niao)(niao)术(shu)是(shi)一种在(zai)无菌操(cao)作(zuo)条件(jian)下,将导(dao)(dao)尿(niao)(niao)管经过(guo)尿(niao)(niao)道插入膀胱,进(jin)(jin)行引流尿(niao)(niao)液的(de)方法。一次(ci)性使用导(dao)(dao)尿(niao)(niao)包(bao)步骤:1、提(ti)前准备导(dao)(dao)尿(niao)(niao)包(bao)产品,可以(yi)是(shi)无菌导(dao)(dao)尿(niao)(niao)包(bao)或者是(shi)一次(ci)性导(dao)(dao)尿(niao)(niao)包(bao);操(cao)作(zuo)者要(yao)进(jin)(jin)行洗(xi)手,佩戴口罩,佩戴手套(tao);3、拆(chai)开导(dao)(dao)尿(niao)(niao)包(bao),将物品放(fang)在(zai)专门的(de)器械(xie)盘上(shang),将物品拿到床边;4、核对病(bing)(bing)(bing)人(ren)(ren)的(de)身(shen)份,并向病(bing)(bing)(bing)人(ren)(ren)解释接下来的(de)操(cao)作(zuo),让病(bing)(bing)(bing)人(ren)(ren)能(neng)够放(fang)松心情(qing);5、将门窗关闭,用病(bing)(bing)(bing)房内独有(you)的(de)屏风(feng)遮挡病(bing)(bing)(bing)床;6、将床旁的(de)椅子放(fang)在(zai)合适(shi)的(de)位置,将便盆放(fang)在(zai)椅子上(shang);7、掀开被子;8、病(bing)(bing)(bing)人(ren)(ren)无法起身(shen)的(de)情(qing)况下,可以(yi)让家属或操(cao)作(zuo)者帮助(zhu)病(bing)(bing)(bing)人(ren)(ren)褪去(qu)裤子,对侧的(de)腿部盖上(shang)被子,近处盖上(shang)毛巾,可以(yi)避免病(bing)(bing)(bing)人(ren)(ren)太过(guo)羞耻,影(ying)响操(cao)作(zuo);
局机关各司局、各直属单位:为加强对药品监管政务公开工作的领导,局党组会议研究决定成立药品监督管理局政务公开领导小组,下设办公室(以下简称政务公开办)。推荐一次性使用医用无菌阴道扩张器现将有关事项通知如下:一、政务公开领导小组组成及职责(一)组成组长:李利焦红副组长:徐景和陈时飞颜江瑛成员:各司局、各直属单位主要负责同志颜江瑛同志负责领导小组日常工作。(二)主要职责。在局党组领导下,负责贯彻落实党中央、一次性使用医用无菌阴道扩张器价格国务(wu)院关于政(zheng)(zheng)(zheng)(zheng)务(wu)公(gong)开(kai)(kai)工(gong)(gong)(gong)作的(de)(de)方针政(zheng)(zheng)(zheng)(zheng)策,研究(jiu)制(zhi)定(ding)落实(shi)措施;研究(jiu)制(zhi)定(ding)药品监(jian)管(guan)政(zheng)(zheng)(zheng)(zheng)务(wu)公(gong)开(kai)(kai)工(gong)(gong)(gong)作的(de)(de)发展规划和政(zheng)(zheng)(zheng)(zheng)策措施;审定(ding)局政(zheng)(zheng)(zheng)(zheng)务(wu)公(gong)开(kai)(kai)工(gong)(gong)(gong)作制(zhi)度(du),研究(jiu)局政(zheng)(zheng)(zheng)(zheng)务(wu)公(gong)开(kai)(kai)工(gong)(gong)(gong)作和实(shi)施方案,研究(jiu)解决政(zheng)(zheng)(zheng)(zheng)务(wu)公(gong)开(kai)(kai)工(gong)(gong)(gong)作中遇(yu)到的(de)(de)重大问题(ti);协调各司局、各单位抓好政(zheng)(zheng)(zheng)(zheng)务(wu)公(gong)开(kai)(kai)工(gong)(gong)(gong)作任务(wu)落实(shi),并加(jia)强(qiang)督促检查。
导(dao)(dao)(dao)尿(niao)设(she)备(bei)在(zai)(zai)(zai)医疗当中也是(shi)(shi)(shi)经常(chang)(chang)(chang)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)的(de)(de)(de)(de)一种产(chan)(chan)(chan)品(pin)(pin)(pin),在(zai)(zai)(zai)泌尿(niao)肛(gang)肠等(deng)医疗科室经常(chang)(chang)(chang)用(yong)(yong)到导(dao)(dao)(dao)尿(niao)设(she)备(bei)一般(ban)(ban)(ban)都(dou)是(shi)(shi)(shi)一次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)的(de)(de)(de)(de)。下面介(jie)绍的(de)(de)(de)(de)这(zhei)种-次性(xing)(xing)的(de)(de)(de)(de)无莹导(dao)(dao)(dao)尿(niao)产(chan)(chan)(chan)品(pin)(pin)(pin)就是(shi)(shi)(shi)同类产(chan)(chan)(chan)品(pin)(pin)(pin)中性(xing)(xing)能(neng)非常(chang)(chang)(chang)优越的(de)(de)(de)(de)一种。产(chan)(chan)(chan)品(pin)(pin)(pin)的(de)(de)(de)(de)用(yong)(yong)途和性(xing)(xing)能(neng),这(zhei)种-次性(xing)(xing)的(de)(de)(de)(de)无菌导(dao)(dao)(dao)尿(niao)包(bao)(bao)主要是(shi)(shi)(shi)给临床上的(de)(de)(de)(de)患者导(dao)(dao)(dao)尿(niao)之用(yong)(yong),这(zhei)种产(chan)(chan)(chan)品(pin)(pin)(pin)是(shi)(shi)(shi)经过(guo)了环氧乙烷灭(mie)莹,非常(chang)(chang)(chang)的(de)(de)(de)(de)卫生(sheng)和安全(quan),使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)起(qi)来也非常(chang)(chang)(chang)方(fang)便。该产(chan)(chan)(chan)品(pin)(pin)(pin)是(shi)(shi)(shi)由(you)洞巾,布和一次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)的(de)(de)(de)(de)导(dao)(dao)(dao)尿(niao)管、橡胶医用(yong)(yong)手套、海绵刷、纱布块、石蜡棉(mian)球(qiu)物品(pin)(pin)(pin)盒和一次性(xing)(xing)的(de)(de)(de)(de)引流袋等(deng)几部分组成。这(zhei)种- -次性(xing)(xing)产(chan)(chan)(chan)品(pin)(pin)(pin)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)起(qi)来也非常(chang)(chang)(chang)方(fang)便。这(zhei)种产(chan)(chan)(chan)品(pin)(pin)(pin)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)起(qi)来也比(bi)较简单,首先(xian),在(zai)(zai)(zai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)前要检查(cha)单包(bao)(bao)装(zhuang)是(shi)(shi)(shi)不是(shi)(shi)(shi)没有(you)(you)损坏,灭(mie)菌的(de)(de)(de)(de)有(you)(you)效期(qi)(qi)是(shi)(shi)(shi)不是(shi)(shi)(shi)正常(chang)(chang)(chang);其次,在(zai)(zai)(zai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)的(de)(de)(de)(de)时候,先(xian)打开(kai)包(bao)(bao)装(zhuang),在(zai)(zai)(zai)将包(bao)(bao)布打开(kai),再戴(dai)上手套,然后;按照常(chang)(chang)(chang)规的(de)(de)(de)(de)方(fang)法来使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)导(dao)(dao)(dao)尿(niao)包(bao)(bao)里(li)的(de)(de)(de)(de)组件;其三,-般(ban)(ban)(ban)的(de)(de)(de)(de)产(chan)(chan)(chan)品(pin)(pin)(pin)的(de)(de)(de)(de)有(you)(you)效期(qi)(qi)是(shi)(shi)(shi)两(liang)年 ,如(ru)果产(chan)(chan)(chan)品(pin)(pin)(pin)已经过(guo)了有(you)(you)效期(qi)(qi),绝对不能(neng)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong);四,如(ru)果包(bao)(bao)装(zhuang)破(po)损了也不能(neng)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong);五(wu),这(zhei)是(shi)(shi)(shi)-次性(xing)(xing)的(de)(de)(de)(de)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)产(chan)(chan)(chan)品(pin)(pin)(pin),禁止重复使(shi)(shi)(shi)(shi)(shi)用(yong)(yong),在(zai)(zai)(zai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)完后要销毁,生(sheng)产(chan)(chan)(chan)日期(qi)(qi)般(ban)(ban)(ban)在(zai)(zai)(zai)包(bao)(bao)装(zhuang)封口处。