疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理法(fa)(fa)草案(an)23日首次(ci)提(ti)(ti)请(qing)十三届(jie)人(ren)(ren)大常委会(hui)(hui)第七次(ci)会(hui)(hui)议(yi)(yi)审议(yi)(yi)。草案(an)就疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理单独立法(fa)(fa)，突出疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理特点，强(qiang)化疫(yi)(yi)(yi)苗(miao)(miao)的(de)(de)风险管(guan)(guan)理、全程控制(zhi)、严(yan)格监(jian)管(guan)(guan)和(he)(he)社会(hui)(hui)共(gong)治，切(qie)实疫(yi)(yi)(yi)苗(miao)(miao)安(an)全、有(you)效和(he)(he)规范接(jie)(jie)(jie)种(zhong)。党中央、国务(wu)院(yuan)高(gao)度(du)重视疫(yi)(yi)(yi)苗(miao)(miao)监(jian)管(guan)(guan)工作，要(yao)求(qiu)加快完善疫(yi)(yi)(yi)苗(miao)(miao)药(yao)品监(jian)管(guan)(guan)长(zhang)效机制(zhi)。疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理单独立法(fa)(fa)，有(you)利于进一(yi)步提(ti)(ti)高(gao)疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理措(cuo)施的(de)(de)稳定(ding)性。药(yao)监(jian)局政策(ce)法(fa)(fa)规司有(you)关负责人(ren)(ren)介绍，2005年国务(wu)院(yuan)出台了(le)《疫(yi)(yi)(yi)苗(miao)(miao)流(liu)通(tong)和(he)(he)预防接(jie)(jie)(jie)种(zhong)管(guan)(guan)理条例》，并于2016年进行了(le)修订。此次(ci)提(ti)(ti)交审议(yi)(yi)的(de)(de)疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理法(fa)(fa)草案(an)，对疫(yi)(yi)(yi)苗(miao)(miao)研制(zhi)、生(sheng)产、流(liu)通(tong)、预防接(jie)(jie)(jie)种(zhong)、补偿(chang)(chang)、赔偿(chang)(chang)等以(yi)法(fa)(fa)律形式(shi)进行明确规定(ding)，有(you)利于建立系统(tong)的(de)(de)、全链(lian)条的(de)(de)疫(yi)(yi)(yi)苗(miao)(miao)管(guan)(guan)理制(zhi)度(du)。

一次性使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)使(shi)(shi)用(yong)(yong)(yong)。导(dao)读(du)：如何使(shi)(shi)用(yong)(yong)(yong)一次性吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)？小编为(wei)大家准备(bei)了使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)方(fang)(fang)法和使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)需要(yao)注意的(de)(de)三点，这可(ke)能对你有(you)(you)帮助。使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)方(fang)(fang)法：1.检查(cha)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)，检查(cha)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)装置功能，检查(cha)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)导(dao)管(guan)(guan)(guan)(guan)(guan)(guan)是否通(tong)畅，是否影响(xiang)正常吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)手术(shu)。2.准备(bei)所有(you)(you)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)项目，将这些物品放(fang)(fang)在床(chuang)头(tou)(tou)柜上，向(xiang)病(bing)人(ren)(ren)解释(shi)下(xia)一次手术(shu)，说(shuo)明某(mou)些项目的(de)(de)使(shi)(shi)用(yong)(yong)(yong)情(qing)况，并为(wei)病(bing)人(ren)(ren)做好准备(bei)。3.让病(bing)人(ren)(ren)侧头(tou)(tou)，稍向(xiang)后(hou)，如果病(bing)人(ren)(ren)本身处(chu)于(yu)昏(hun)迷状(zhuang)态，需要(yao)用(yong)(yong)(yong)舌板打(da)开病(bing)人(ren)(ren)的(de)(de)嘴(zui)，然(ran)后(hou)将痰(tan)(tan)(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)侧到(dao)咽喉等，当(dang)病(bing)人(ren)(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)气(qi)时，将吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)插(cha)(cha)入气(qi)管(guan)(guan)(guan)(guan)(guan)(guan)。如果病(bing)人(ren)(ren)很难从(cong)(cong)嘴(zui)里吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)，就可(ke)以从(cong)(cong)鼻腔插(cha)(cha)入痰(tan)(tan)(tan)(tan)(tan)(tan)。当(dang)然(ran)，禁止使(shi)(shi)用(yong)(yong)(yong)颅底骨(gu)折患(huan)者。对于(yu)气(qi)管(guan)(guan)(guan)(guan)(guan)(guan)内(nei)插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)或(huo)(huo)气(qi)管(guan)(guan)(guan)(guan)(guan)(guan)切开术(shu)的(de)(de)病(bing)人(ren)(ren)，可(ke)以从(cong)(cong)插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)或(huo)(huo)插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)中插(cha)(cha)入吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)。4.插(cha)(cha)入吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)入管(guan)(guan)(guan)(guan)(guan)(guan)前(qian)，打(da)开吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)入开关(guan)。然(ran)而，T管(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)侧孔(kong)应(ying)(ying)该(gai)放(fang)(fang)松，当(dang)痰(tan)(tan)(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)在一定深度(du)插(cha)(cha)入气(qi)管(guan)(guan)(guan)(guan)(guan)(guan)时，可(ke)根(gen)据(ju)闭合(he)侧孔(kong)立(li)即吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)。吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)时，吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)应(ying)(ying)从(cong)(cong)底部慢慢抬起，左右旋转，以便吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)。防(fang)止粘(zhan)膜被破坏，通(tong)过(guo)固定一个地方(fang)(fang)，或(huo)(huo)向(xiang)上和向(xiang)下(xia)，以吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引它。吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)取出后(hou)，吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)收水分，冲(chong)洗(xi)管(guan)(guan)(guan)(guan)(guan)(guan)内(nei)痰(tan)(tan)(tan)(tan)(tan)(tan)，以免堵塞痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)。关(guan)掉吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)开关(guan)。

一次(ci)性使(shi)用(yong)(yong)导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)的(de)(de)(de)(de)使(shi)用(yong)(yong)方法1、导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)的(de)(de)(de)(de)配置(zhi)和包(bao)(bao)装(zhuang)设(she)计是根据《中华护(hu)理大全》中关于导(dao)(dao)尿(niao)(niao)(niao)部分的(de)(de)(de)(de)操(cao)(cao)作程序和各医院(yuan)实(shi)际导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作过(guo)程中的(de)(de)(de)(de)要求设(she)计制定(ding)(ding)。2 导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)的(de)(de)(de)(de)使(shi)用(yong)(yong)方法可按各医院(yuan)规(gui)定(ding)(ding)的(de)(de)(de)(de)导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作规(gui)程进行操(cao)(cao)作。3如在(zai)使(shi)用(yong)(yong)过(guo)程中导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)内(nei)的(de)(de)(de)(de)配置(zhi)和包(bao)(bao)装(zhuang)顺序与贵医院(yuan)的(de)(de)(de)(de)导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作规(gui)程有不(bu)相(xiang)符的(de)(de)(de)(de)情(qing)况请向供(gong)应商提出改进建议。4在(zai)使(shi)用(yong)(yong)导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)前(qian)(qian)(qian)请确认您所使(shi)用(yong)(yong)的(de)(de)(de)(de)导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)是否是您选用(yong)(yong)的(de)(de)(de)(de)型号，并确认导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)包(bao)(bao)装(zhuang)完(wan)好无破损(sun)。5 在(zai)操(cao)(cao)作前(qian)(qian)(qian)请做(zuo)好准备(bei)工作，安排患(huan)者(zhe)正确体(ti)位(wei)铺(pu)好洞巾。并对(dui)患(huan)者(zhe)进行安慰。6、请按医院(yuan)的(de)(de)(de)(de)导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作规(gui)程进行外(wai)消(xiao)毒和内(nei)消(xiao)毒两次(ci)消(xiao)毒。消(xiao)毒时不(bu)能(neng)选择对(dui)皮肤有较强刺(ci)激的(de)(de)(de)(de)消(xiao)毒剂(ji)，建议使(shi)用(yong)(yong)0.5％的(de)(de)(de)(de)碘伏(fu)的(de)(de)(de)(de)消(xiao)毒剂(ji)或(huo)其(qi)他低刺(ci)激的(de)(de)(de)(de)消(xiao)毒剂(ji)。7、使(shi)用(yong)(yong)前(qian)(qian)(qian)请将导(dao)(dao)尿(niao)(niao)(niao)管(guan)球(qiu)(qiu)囊进行充水试验，确认导(dao)(dao)尿(niao)(niao)(niao)管(guan)球(qiu)(qiu)囊是否正常。充水后(hou)的(de)(de)(de)(de)球(qiu)(qiu)囊应在(zai)球(qiu)(qiu)囊中留2－3ml蒸(zheng)馏水，用(yong)(yong)于保(bao)障球(qiu)(qiu)囊外(wai)表(biao)光滑。

对业内企业来说，焦点核心的还有：几十种医疗器械的管理类别降了，有从三类降为二类的，也有从二类降为一类的。优质一次性使用会阴护理包也有部分产品是升类了的。一次性使用会阴护理包价格还(hai)(hai)有(you)的产(chan)(chan)(chan)(chan)品将不(bu)再(zai)作为(wei)医疗器(qi)械(xie)管(guan)(guan)理。产(chan)(chan)(chan)(chan)品类(lei)(lei)(lei)别(bie)上(shang)的变化是(shi)要(yao)直接影(ying)响医疗器(qi)械(xie)生(sheng)(sheng)产(chan)(chan)(chan)(chan)经(jing)营企(qi)业的，比如生(sheng)(sheng)产(chan)(chan)(chan)(chan)企(qi)业，原本自家产(chan)(chan)(chan)(chan)品是(shi)三(san)类(lei)(lei)(lei)，降为(wei)二(er)(er)类(lei)(lei)(lei)管(guan)(guan)理之后，企(qi)业将无需再(zai)跑到北京(jing)、到药(yao)监(jian)(jian)总局(ju)来进行产(chan)(chan)(chan)(chan)品注(zhu)册(ce)，只需在(zai)本省药(yao)监(jian)(jian)局(ju)注(zhu)册(ce)即可(ke)(ke)。从二(er)(er)类(lei)(lei)(lei)降为(wei)一类(lei)(lei)(lei)管(guan)(guan)理的，生(sheng)(sheng)产(chan)(chan)(chan)(chan)企(qi)业则更省事，产(chan)(chan)(chan)(chan)品无需注(zhu)册(ce)，只需备案即可(ke)(ke)。降类(lei)(lei)(lei)之后，在(zai)注(zhu)册(ce)更省事之外(wai)，节(jie)省的还(hai)(hai)有(you)注(zhu)册(ce)费(fei)(fei)用。以三(san)类(lei)(lei)(lei)降为(wei)二(er)(er)类(lei)(lei)(lei)为(wei)例(li)，原有(you)境内三(san)类(lei)(lei)(lei)产(chan)(chan)(chan)(chan)品首次注(zhu)册(ce)要(yao)收费(fei)(fei)15.36万元(yuan)，而(er)转到地方注(zhu)册(ce)后，目前收费(fei)(fei)最便宜(yi)的宁夏仅有(you)3.13万元(yuan)，还(hai)(hai)有(you)十多个省份则还(hai)(hai)没开始收费(fei)(fei)呢。当然(ran)，反过来，对升类(lei)(lei)(lei)产(chan)(chan)(chan)(chan)品而(er)言，注(zhu)册(ce)要(yao)比现在(zai)麻烦一些(xie)了，由(you)二(er)(er)类(lei)(lei)(lei)升为(wei)三(san)类(lei)(lei)(lei)的，风险(xian)级别(bie)大增，也将面临药(yao)监(jian)(jian)更为(wei)严(yan)格和密集(ji)的监(jian)(jian)管(guan)(guan)举(ju)措。

使(shi)用(yong)(yong)说明(ming)：1、确认在灭菌(jun)有效期内和包装完(wan)好后，撕开启封(feng)口，取(qu)(qu)(qu)出导尿(niao)(niao)包放置在工作(zuo)台上；2、戴上薄膜手(shou)(shou)套，用(yong)(yong)镊(nie)子(zi)（圆头）镊(nie)取(qu)(qu)(qu)碘伏棉(mian)球(qiu)(qiu)/或(huo)洗(xi)必泰(tai)棉(mian)球(qiu)(qiu)，对患处(chu)消毒处(chu)理3、在换戴灭菌(jun)橡胶(jiao)外科手(shou)(shou)套/医用(yong)(yong)橡胶(jiao)检查手(shou)(shou)套，将治疗巾覆盖在患处(chu)，中(zhong)洞处(chu)露出尿(niao)(niao)道口4、取(qu)(qu)(qu)镊(nie)子(zi)（尖头）镊(nie)取(qu)(qu)(qu)石蜡棉(mian)球(qiu)(qiu)润(run)滑导尿(niao)(niao)管，然后双(shuang)手(shou)(shou)配(pei)合将导尿(niao)(niao)管插入尿(niao)(niao)道，用(yong)(yong)液(ye)体推注(zhu)(zhu)器吸取(qu)(qu)(qu)定(ding)量无(wu)菌(jun)水(shui)充入导尿(niao)(niao)管球(qiu)(qiu)囊(nang)，使(shi)球(qiu)(qiu)囊(nang)与导尿(niao)(niao)壁相接，然后将引流袋与导尿(niao)(niao)管连接进行导尿(niao)(niao)； 5、用(yong)(yong)取(qu)(qu)(qu)样管取(qu)(qu)(qu)样并送检 6、导尿(niao)(niao)完(wan)毕，用(yong)(yong)液(ye)体推助(zhu)器抽出球(qiu)(qiu)囊(nang)内的(de)无(wu)菌(jun)水(shui)，拔出导尿(niao)(niao)管； 7、用(yong)(yong)海绵刷(shua)子(zi)蘸取(qu)(qu)(qu)酒精进行清(qing)洁处(chu)理，再(zai)用(yong)(yong)纱布(bu)叠片或(huo)棉(mian)球(qiu)(qiu)擦(ca)试干(gan)净8、按无(wu)菌(jun)操作(zuo)规(gui)程进行，导尿(niao)(niao)完(wan)毕，丢弃(qi)所有组件。 一(yi)次性(xing)使(shi)用(yong)(yong)导尿(niao)(niao)包。注(zhu)(zhu)意事项(xiang)：1、本产品限一(yi)次性(xing)使(shi)用(yong)(yong)，用(yong)(yong)后销毁；