一次性使用导尿包是临床护理、抢救和治疗中必须使用的医疗器械。它主要由以下几个部分组成:导尿管、橡胶外壳手套、洞巾、敷料镊、包布、引流袋、大托盘、腰盘、脱脂纱布方、吊带绳、别针、试管、碘伏棉球、滑润纱布方、塑料夹、注射器等主要部件。推荐一次性使用医用换药包不是所有的一次性使用导尿包都是一模一样的,也会出现个别的部件的不同,大同小异。一次性使用医用换药包批发那一(yi)次(ci)性使(shi)用(yong)导(dao)尿(niao)包(bao)(bao)的(de)(de)(de)主要原理(li)是什么(me)呢?它有怎样的(de)(de)(de)制(zhi)作(zuo)标准呢?一(yi)次(ci)性使(shi)用(yong)导(dao)尿(niao)包(bao)(bao)的(de)(de)(de)所(suo)有的(de)(de)(de)部件(jian)(jian)不是随(sui)意的(de)(de)(de),而是按(an)照一(yi)定合理(li)的(de)(de)(de)顺序包(bao)(bao)装(zhuang)(zhuang)在(zai)一(yi)起(qi),不是大(da)家(jia)想(xiang)象的(de)(de)(de)一(yi)大(da)堆(dui)的(de)(de)(de)部件(jian)(jian)随(sui)意放到一(yi)个袋(dai)子(zi)中(zhong),而是已经组合好了(le)。并且所(suo)有的(de)(de)(de)部件(jian)(jian)包(bao)(bao)装(zhuang)(zhuang)都是无(wu)菌的(de)(de)(de)。这样的(de)(de)(de)处理(li)就(jiu)大(da)大(da)降低了(le)在(zai)使(shi)用(yong)过程中(zhong)出现的(de)(de)(de)交叉感染的(de)(de)(de)几率(lv),也(ye)降低了(le)医护人(ren)员的(de)(de)(de)工(gong)作(zuo)负(fu)担,提(ti)升了(le)工(gong)作(zuo)效率(lv),从而提(ti)升了(le)手术(shu)的(de)(de)(de)安全(quan)性和(he)可靠(kao)性,从源头杜绝了(le)疾病的(de)(de)(de)传染和(he)一(yi)些常见(jian)的(de)(de)(de)感染
一次性使(shi)(shi)用(yong)(yong)(yong)导尿包(bao) 产(chan)(chan)(chan)品(pin)卫(wei)生备案 过了(le)有效期怎么办消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)的(de)定义(yi):消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)包(bao)括:消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)剂(ji)(ji)、消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)器(qi)械(含(han)生物(wu)(wu)指(zhi)示(shi)物(wu)(wu)、化学指(zhi)示(shi)物(wu)(wu)和(he)(灭菌(jun)(jun)(jun)物(wu)(wu)品(pin)包(bao)装物(wu)(wu))、卫(wei)生用(yong)(yong)(yong)品(pin)和(he)一次性使(shi)(shi)用(yong)(yong)(yong)医疗用(yong)(yong)(yong)品(pin)。根(gen)据(ju)《中华人民共和(he)国传染(ran)病防治(zhi)法》、《消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)管(guan)(guan)理(li)(li)办法》、《消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)标签说明书(shu)管(guan)(guan)理(li)(li)规(gui)(gui)范》、《消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)卫(wei)生安全评(ping)价规(gui)(gui)定》、《消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)技术(shu)规(gui)(gui)范》、《卫(wei)生行政许可(ke)管(guan)(guan)理(li)(li)办法》、《新消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)和(he)新涉水(shui)(shui)产(chan)(chan)(chan)品(pin)卫(wei)生行政许可(ke)管(guan)(guan)理(li)(li)规(gui)(gui)定》的(de)要(yao)(yao)求(qiu)(qiu),在中国境(jing)内销售和(he)生产(chan)(chan)(chan)的(de)消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)类产(chan)(chan)(chan)品(pin)根(gen)据(ju)风(feng)险不同,实行分类管(guan)(guan)理(li)(li)消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)分类:按照消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)用(yong)(yong)(yong)途、使(shi)(shi)用(yong)(yong)(yong)对象的(de)风(feng)险程度实行分类,具(ju)体如(ru)下:一类是(shi)具(ju)有较高(gao)风(feng)险,需要(yao)(yao)严(yan)格管(guan)(guan)理(li)(li)以保障安全、有效的(de)消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)(chan)(chan)品(pin),包(bao)括用(yong)(yong)(yong)于(yu)医疗器(qi)械的(de)高(gao)水(shui)(shui)平(ping)消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)剂(ji)(ji)和(he)消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)器(qi)械、灭菌(jun)(jun)(jun)剂(ji)(ji)和(he)灭菌(jun)(jun)(jun)器(qi)械、皮肤黏膜消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)剂(ji)(ji),生物(wu)(wu)指(zhi)示(shi)物(wu)(wu)和(he)灭菌(jun)(jun)(jun)效果化学指(zhi)示(shi)物(wu)(wu)。(注:高(gao)水(shui)(shui)平(ping)消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)剂(ji)(ji):是(shi)指(zhi)可(ke)杀(sha)灭一切细(xi)菌(jun)(jun)(jun)繁(fan)殖(zhi)体、分枝杆菌(jun)(jun)(jun)、病毒(du)(du)(du)(du)(du)、真菌(jun)(jun)(jun)及其孢子(zi)等,对致病性细(xi)菌(jun)(jun)(jun)芽孢也(ye)有一定的(de)杀(sha)灭作用(yong)(yong)(yong),达到高(gao)水(shui)(shui)平(ping)消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)要(yao)(yao)求(qiu)(qiu)的(de)消(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)剂(ji)(ji)。)
一(yi)次(ci)性吸(xi)(xi)(xi)(xi)(xi)痰(tan)包的(de)使(shi)(shi)用(yong)方(fang)法(fa)一(yi)次(ci)性使(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)用(yong)于(yu)临床患者(zhe)(zhe)抽取气管(guan)(guan)内(nei)痰(tan)液(ye)或分泌液(ye)用(yong)。一(yi)次(ci)性使(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)吸(xi)(xi)(xi)(xi)(xi)痰(tan)动作要轻、稳。一(yi)次(ci)吸(xi)(xi)(xi)(xi)(xi)痰(tan)时(shi)间不应(ying)超过(guo)15秒,吸(xi)(xi)(xi)(xi)(xi)引器(qi)连(lian)续使(shi)(shi)用(yong)时(shi)间不超过(guo)3分钟(zhong)。1检查(cha)吸(xi)(xi)(xi)(xi)(xi)引器(qi)各部连(lian)接是否完善(shan),有(you)无漏气。接通(tong)电源,打开开关,检查(cha)吸(xi)(xi)(xi)(xi)(xi)引器(qi)性能,调节负压。一(yi)般成(cheng)人吸(xi)(xi)(xi)(xi)(xi)痰(tan)负压约40-50 kPa,小(xiao)儿吸(xi)(xi)(xi)(xi)(xi)痰(tan)约13-30kPa,将(jiang)一(yi)次(ci)性使(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)置(zhi)于(yu)水中,试(shi)验(yan)吸(xi)(xi)(xi)(xi)(xi)引力,并(bing)冲(chong)洗(xi)皮管(guan)(guan)。2将(jiang)病(bing)(bing)人头(tou)部转向护士,铺治(zhi)疗巾于(yu)颌下(xia)。插入(ru)(ru)一(yi)次(ci)性使(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan),其顺序(xu)(xu)是由(you)口(kou)(kou)腔(qiang)(qiang)前庭→颊部→咽部,将(jiang)各部吸(xi)(xi)(xi)(xi)(xi)尽(jin)。如口(kou)(kou)腔(qiang)(qiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)有(you)困难时(shi),可由(you)鼻(bi)腔(qiang)(qiang)插入(ru)(ru)(颅底(di)骨折患者(zhe)(zhe)禁用(yong)),其顺序(xu)(xu)由(you)鼻(bi)腔(qiang)(qiang)前庭→下(xia)鼻(bi)道→鼻(bi)后孔→咽部→气管(guan)(guan)(约20-25cm),将(jiang)分泌物(wu)逐段吸(xi)(xi)(xi)(xi)(xi)尽(jin)。3气管(guan)(guan)内(nei)吸(xi)(xi)(xi)(xi)(xi)痰(tan),待病(bing)(bing)人吸(xi)(xi)(xi)(xi)(xi)气时(shi),快速将(jiang)导管(guan)(guan)插入(ru)(ru),自下(xia)而上(shang)边退(tui)边左右旋(xuan)转导管(guan)(guan),消(xiao)除气道分泌物(wu),并(bing)注意观察(cha)病(bing)(bing)人的(de)呼吸(xi)(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)(xi)引过(guo)程中,如病(bing)(bing)人咳嗽厉害,应(ying)稍(shao)等片(pian)刻(ke)后再行吸(xi)(xi)(xi)(xi)(xi)出。并(bing)随(sui)时(shi)冲(chong)洗(xi)吸(xi)(xi)(xi)(xi)(xi)引管(guan)(guan),以免痰(tan)液(ye)堵(du)塞(sai)。4吸(xi)(xi)(xi)(xi)(xi)毕,关闭(bi)吸(xi)(xi)(xi)(xi)(xi)引器(qi)开关,弃(qi)吸(xi)(xi)(xi)(xi)(xi)痰(tan)导管(guan)(guan)于(yu)小(xiao)桶(tong)内(nei),吸(xi)(xi)(xi)(xi)(xi)引胶管(guan)(guan)玻璃接头(tou)插入(ru)(ru)床栏上(shang)盛有(you)消(xiao)毒液(ye)瓶内(nei)备(bei)用(yong),将(jiang)病(bing)(bing)人口(kou)(kou)腔(qiang)(qiang)周(zhou)围擦净(jing)。观察(cha)吸(xi)(xi)(xi)(xi)(xi)出液(ye)的(de)量、颜色及性质,必要时(shi)做好记录。
插(cha)(cha)(cha)(cha)(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)时(shi)的(de)护(hu)(hu)理⑴清(qing)醒患(huan)者(zhe)(zhe)(zhe):操(cao)纵(zong)中应鼓励其增强(qiang)决心信念,调动(dong)(dong)自我控制(zhi)能(neng)力(li)(li),从(cong)而按捺不良情绪,配合插(cha)(cha)(cha)(cha)(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)。插(cha)(cha)(cha)(cha)(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)时(shi)如碰到(dao)阻力(li)(li),切勿强(qiang)行(xing)(xing)置(zhi)(zhi)入,应查明发生(sheng)原因,如管(guan)(guan)(guan)(guan)(guan)(guan)(guan)腔内有堵塞,可向胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)内注入空气(qi),若(ruo)泛起呃逆(ni),说(shuo)明管(guan)(guan)(guan)(guan)(guan)(guan)(guan)腔启齿部(bu)位在(zai)食(shi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)内,可将胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)向下试插(cha)(cha)(cha)(cha)(cha)(cha)。⑵意识(shi)障碍患(huan)者(zhe)(zhe)(zhe):可采(cai)用(yong)诱导吞(tun)咽(yan)(yan)法(fa)插(cha)(cha)(cha)(cha)(cha)(cha)胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan):患(huan)者(zhe)(zhe)(zhe)取平卧或头高位,操(cao)纵(zong)者(zhe)(zhe)(zhe)两人分站两侧(ce),左(zuo)侧(ce)操(cao)纵(zong)者(zhe)(zhe)(zhe)按传统(tong)方法(fa)将胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)轻(qing)插(cha)(cha)(cha)(cha)(cha)(cha)至14~16cm休止,待患(huan)者(zhe)(zhe)(zhe)不适(shi)症状消(xiao)失(shi)后,左(zuo)侧(ce)操(cao)纵(zong)者(zhe)(zhe)(zhe)用(yong)木帛签蘸水(shui)(shui),轻(qing)擦患(huan)者(zhe)(zhe)(zhe)唇部(bu)及(ji)舌(she)面,见(jian)患(huan)者(zhe)(zhe)(zhe)泛起吞(tun)咽(yan)(yan)动(dong)(dong)作,右侧(ce)操(cao)纵(zong)者(zhe)(zhe)(zhe)即(ji)将胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)向前推进送入食(shi)道再(zai)插(cha)(cha)(cha)(cha)(cha)(cha)至胃(wei)(wei)(wei)(wei)(wei)部(bu)。插(cha)(cha)(cha)(cha)(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)后护(hu)(hu)理(1)胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)留置(zhi)(zhi)时(shi)间(jian):长期鼻(bi)饲患(huan)者(zhe)(zhe)(zhe)7天更(geng)换1次胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan),一(yi)次性(xing)使用(yong)灌肠(chang)包,改插(cha)(cha)(cha)(cha)(cha)(cha)另一(yi)侧(ce)鼻(bi)孔,以(yi)预防鼻(bi)咽(yan)(yan)黏膜(mo)---性(xing)损伤;若(ruo)为(wei)硅胶(jiao)胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)则每月(yue)更(geng)换1次。(2)保持胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)通畅(chang):逐日用(yong)20ml生(sheng)理盐水(shui)(shui)冲(chong)刷2次,防止胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)因堵塞或胃(wei)(wei)(wei)(wei)(wei)液黏稠而引流(liu)不畅(chang)。(3)口腔护(hu)(hu)理:住院(yuan)患(huan)者(zhe)(zhe)(zhe)在(zai)留置(zhi)(zhi)胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)期间(jian)机体抵挡力(li)(li)降低,导致(zhi)口腔的(de)自洁作用(yong)减弱。因此,留置(zhi)(zhi)胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)期间(jian),对意识(shi)障碍患(huan)者(zhe)(zhe)(zhe)进行(xing)(xing)口腔护(hu)(hu)理,对清(qing)醒患(huan)者(zhe)(zhe)(zhe)嘱定时(shi)刷牙。(4)心理护(hu)(hu)理:清(qing)醒患(huan)者(zhe)(zhe)(zhe)留置(zhi)(zhi)胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)时(shi)护(hu)(hu)士应多与其沟通,加(jia)强(qiang)胃(wei)(wei)(wei)(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)护(hu)(hu)理知识(shi)的(de)宣教(jiao),定时(shi)匡助患(huan)者(zhe)(zhe)(zhe)翻(fan)身,推拿(na)背部(bu)、肩颈部(bu),以(yi)减轻(qing)因头颈部(bu)制(zhi)动(dong)(dong)及(ji)被动(dong)(dong)---带(dai)来的(de)不适(shi)。
一(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)(yong)(yong)换(huan)药(yao)包(bao)怎么(me)换(huan)药(yao)?我们(men)应该怎么(me)使(shi)(shi)(shi)用(yong)(yong)(yong)(yong)一(yi)次(ci)性(xing)(xing)(xing)换(huan)药(yao)包(bao)?所谓一(yi)次(ci)性(xing)(xing)(xing)换(huan)药(yao)包(bao),顾名思义当然是作(zuo)为一(yi)款一(yi)次(ci)性(xing)(xing)(xing)换(huan)药(yao)的(de)(de)产品(pin),一(yi)般情况(kuang)下里面都会有一(yi)次(ci)性(xing)(xing)(xing)镊子、纱(sha)布、棉(mian)球(qiu)、乳胶手套/PE手套等等,放在家中,随时随地都可(ke)以(yi)使(shi)(shi)(shi)用(yong)(yong)(yong)(yong),而且就(jiu)算出去旅游时,也可(ke)以(yi)携带一(yi)次(ci)性(xing)(xing)(xing)换(huan)药(yao)包(bao),遇到擦伤或磕(ke)碰的(de)(de)时候(hou),就(jiu)可(ke)直接(jie)使(shi)(shi)(shi)用(yong)(yong)(yong)(yong)。需(xu)要(yao)注意的(de)(de)是,一(yi)次(ci)性(xing)(xing)(xing)换(huan)药(yao)包(bao)内(nei)一(yi)般没有消(xiao)毒(du)酒(jiu)精(jing),所以(yi)家里好配备消(xiao)毒(du)酒(jiu)精(jing)。一(yi)次(ci)性(xing)(xing)(xing)换(huan)药(yao)包(bao)使(shi)(shi)(shi)用(yong)(yong)(yong)(yong)方法:1取(qu)(qu)出一(yi)次(ci)性(xing)(xing)(xing)换(huan)药(yao)包(bao)内(nei)的(de)(de)医用(yong)(yong)(yong)(yong)手套,戴上;2、取(qu)(qu)出镊子、棉(mian)球(qiu),沾(zhan)酒(jiu)精(jing),对(dui)擦伤的(de)(de)伤口进行消(xiao)毒(du)处理(li);3、如(ru)果伤口比(bi)较大,就(jiu)需(xu)要(yao)用(yong)(yong)(yong)(yong)纱(sha)布进行包(bao)扎(zha)。4、使(shi)(shi)(shi)用(yong)(yong)(yong)(yong)后,销毁换(huan)药(yao)包(bao)内(nei)的(de)(de)所有物品(pin),内(nei)置产品(pin)皆为一(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)(yong)(yong)产品(pin),不可(ke)重(zhong)复之(zhi)用(yong)(yong)(yong)(yong)。
一(yi)次(ci)性(xing)使用(yong)(yong)(yong)阴(yin)(yin)道扩(kuo)(kuo)张器(qi)(qi)是一(yi)种一(yi)次(ci)性(xing)无(wu)(wu)菌阴(yin)(yin)道扩(kuo)(kuo)张器(qi)(qi),供妇(fu)科查看(kan)用(yong)(yong)(yong),分(fen)推拉式(shi)(shi)、调(diao)理式(shi)(shi)和(he)钩扣式(shi)(shi)三种。性(xing)能结(jie)构:一(yi)次(ci)性(xing)无(wu)(wu)菌阴(yin)(yin)道扩(kuo)(kuo)张器(qi)(qi) 由上(shang)叶(ye)(ye)、下叶(ye)(ye)和(he)手柄组(zu)成,分(fen)推拉式(shi)(shi)、调(diao)理式(shi)(shi)和(he)钩扣式(shi)(shi)三种,按尺度不同分(fen)三个(ge)规(gui)格。一(yi)次(ci)性(xing)无(wu)(wu)菌阴(yin)(yin)道扩(kuo)(kuo)张器(qi)(qi) 应无(wu)(wu)菌;适用(yong)(yong)(yong)范围:供妇(fu)科查看(kan)用(yong)(yong)(yong);规(gui)格型号:大(da)号、中号、小号;一(yi)次(ci)性(xing)照明阴(yin)(yin)道扩(kuo)(kuo)张器(qi)(qi)在(zai)为妇(fu)科病人(ren)检查、治疗时,我们常会(hui)用(yong)(yong)(yong)到(dao)阴(yin)(yin)道扩(kuo)(kuo)张器(qi)(qi),现在(zai)常用(yong)(yong)(yong)的阴(yin)(yin)道扩(kuo)(kuo)张器(qi)(qi),在(zai)灯光较暗的情(qing)形下,插入阴(yin)(yin)道后,无(wu)(wu)法(fa)看(kan)清阴(yin)(yin)道内(nei)的具(ju)体情(qing)形,以致于无(wu)(wu)法(fa)进行有效检查和(he)治疗。