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。优质一次性使用胃镜检查包也有部分产品是升类了的。一次性使用胃镜检查包批发还有的(de)(de)产(chan)(chan)品(pin)将不再(zai)作(zuo)为(wei)医疗(liao)器械管(guan)理。产(chan)(chan)品(pin)类(lei)别(bie)上的(de)(de)变化是(shi)要(yao)直(zhi)接(jie)影响医疗(liao)器械生产(chan)(chan)经营企(qi)业(ye)的(de)(de),比(bi)如生产(chan)(chan)企(qi)业(ye),原本自(zi)家(jia)产(chan)(chan)品(pin)是(shi)三类(lei),降为(wei)二类(lei)管(guan)理之后,企(qi)业(ye)将无需再(zai)跑到(dao)北京、到(dao)药(yao)监(jian)(jian)总(zong)局(ju)来(lai)进行(xing)产(chan)(chan)品(pin)注(zhu)(zhu)册(ce),只需在本省(sheng)(sheng)(sheng)药(yao)监(jian)(jian)局(ju)注(zhu)(zhu)册(ce)即(ji)可。从(cong)二类(lei)降为(wei)一(yi)类(lei)管(guan)理的(de)(de),生产(chan)(chan)企(qi)业(ye)则更省(sheng)(sheng)(sheng)事,产(chan)(chan)品(pin)无需注(zhu)(zhu)册(ce),只需备案即(ji)可。降类(lei)之后,在注(zhu)(zhu)册(ce)更省(sheng)(sheng)(sheng)事之外,节省(sheng)(sheng)(sheng)的(de)(de)还有注(zhu)(zhu)册(ce)费(fei)(fei)用。以三类(lei)降为(wei)二类(lei)为(wei)例(li),原有境内三类(lei)产(chan)(chan)品(pin)首次注(zhu)(zhu)册(ce)要(yao)收(shou)费(fei)(fei)15.36万元,而转到(dao)地方注(zhu)(zhu)册(ce)后,目前收(shou)费(fei)(fei)最便宜的(de)(de)宁夏仅有3.13万元,还有十多个(ge)省(sheng)(sheng)(sheng)份(fen)则还没开始收(shou)费(fei)(fei)呢。当然,反过来(lai),对升类(lei)产(chan)(chan)品(pin)而言,注(zhu)(zhu)册(ce)要(yao)比(bi)现在麻烦(fan)一(yi)些了,由二类(lei)升为(wei)三类(lei)的(de)(de),风险(xian)级(ji)别(bie)大增,也将面临药(yao)监(jian)(jian)更为(wei)严格和密集的(de)(de)监(jian)(jian)管(guan)举措。
一次(ci)性使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)操作方(fang)法(1)检查(cha)吸(xi)(xi)(xi)引器(qi)各部(bu)连接是否完善,有无漏气(qi)。接通电源,打开开关,检查(cha)吸(xi)(xi)(xi)引器(qi)性能,调节负压。一般成(cheng)人吸(xi)(xi)(xi)痰(tan)负压约(yue)40-50 kPa,小儿吸(xi)(xi)(xi)痰(tan)约(yue)13-30kPa,将(jiang)(jiang)一次(ci)性使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)置于水(shui)中,试验吸(xi)(xi)(xi)引力,并冲(chong)洗皮管(guan)。(2)将(jiang)(jiang)病人头部(bu)转向护士,铺治疗巾于颌下(xia)。(3)插(cha)入一次(ci)性使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan),其(qi)(qi)顺序(xu)(xu)是由口(kou)(kou)腔(qiang)前(qian)庭→颊部(bu)→咽(yan)部(bu),将(jiang)(jiang)各部(bu)吸(xi)(xi)(xi)尽。如口(kou)(kou)腔(qiang)吸(xi)(xi)(xi)痰(tan)有困难时,可(ke)由鼻(bi)腔(qiang)插(cha)入(颅底骨(gu)折患(huan)者禁用(yong)(yong)),其(qi)(qi)顺序(xu)(xu)由鼻(bi)腔(qiang)前(qian)庭→下(xia)鼻(bi)道→鼻(bi)后孔→咽(yan)部(bu)→气(qi)管(guan)(约(yue)20-25cm),将(jiang)(jiang)分泌物逐段吸(xi)(xi)(xi)尽。若有气(qi)管(guan)插(cha)管(guan)或气(qi)管(guan)切开时,可(ke)由插(cha)管(guan)或套(tao)管(guan)内插(cha)入,将(jiang)(jiang)痰(tan)液吸(xi)(xi)(xi)出。昏迷病人可(ke)用(yong)(yong)压舌板或开口(kou)(kou)器(qi)先(xian)将(jiang)(jiang)口(kou)(kou)启开,再行吸(xi)(xi)(xi)引。
一(yi)(yi)(yi)次(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)(guan)的(de)具体(ti)(ti)操作方法(fa)是(shi)怎(zen)样。温馨提示:为(wei)避免病人吸(xi)入(ru)的(de)空气干(gan)(gan)燥(zao)(因无鼻(bi)腔的(de)湿化作用(yong)(yong)(yong)),可(ke)用(yong)(yong)(yong)单层(ceng)或双层(ceng)盐水浸湿的(de)纱布覆盖(gai)一(yi)(yi)(yi)次(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)(guan)管(guan)(guan)(guan)(guan)(guan)(guan)口(kou)(kou),干(gan)(gan)后(hou)随时(shi)更换。那么(me),一(yi)(yi)(yi)次(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)(guan)的(de)具体(ti)(ti)操作方法(fa)是(shi)怎(zen)样? 一(yi)(yi)(yi)次(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)(guan)为(wei)无菌产品,经环氧乙(yi)烷灭菌,灭菌有效期2年;一(yi)(yi)(yi)次(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)(guan)限一(yi)(yi)(yi)次(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)(yong),用(yong)(yong)(yong)后(hou)销毁,禁止重复使(shi)(shi)(shi)用(yong)(yong)(yong);一(yi)(yi)(yi)次(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)(guan)应存放在通(tong)风、干(gan)(gan)燥(zao)、无腐蚀性(xing)(xing)物体(ti)(ti)的(de)室(shi)内。 一(yi)(yi)(yi)次(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)(guan)的(de)具体(ti)(ti)操作方法(fa)如下: 吸(xi)引(yin)(yin)前先检查吸(xi)引(yin)(yin)器(qi)效能(neng)是(shi)否良(liang)好,吸(xi)引(yin)(yin)导管(guan)(guan)(guan)(guan)(guan)(guan)是(shi)否通(tong)畅(chang)。2.备(bei)齐用(yong)(yong)(yong)物,置床(chuang)头(tou)柜,向患(huan)者(zhe)解释。3.将患(huan)者(zhe)头(tou)偏(pian)向一(yi)(yi)(yi)侧,并(bing)略向后(hou)仰。昏(hun)迷患(huan)者(zhe)可(ke)用(yong)(yong)(yong)压舌板将口(kou)(kou)启(qi)开,夹(jia)持吸(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)(guan)由口(kou)(kou)腔颊部插(cha)(cha)至咽喉部,乘患(huan)者(zhe)吸(xi)气时(shi)将吸(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)(guan)插(cha)(cha)入(ru)气管(guan)(guan)(guan)(guan)(guan)(guan)。如口(kou)(kou)腔吸(xi)痰(tan)有困(kun)难时(shi),可(ke)由鼻(bi)腔插(cha)(cha)入(ru)(颅(lu)底骨折患(huan)者(zhe)禁用(yong)(yong)(yong));气管(guan)(guan)(guan)(guan)(guan)(guan)插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)或气管(guan)(guan)(guan)(guan)(guan)(guan)切开患(huan)者(zhe),可(ke)由插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)或套管(guan)(guan)(guan)(guan)(guan)(guan)内插(cha)(cha)入(ru)。
使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)无(wu)菌(jun)(jun)(jun)口(kou)(kou)腔(qiang)(qiang)护(hu)(hu)理(li)(li)(li)(li)(li)包(bao)(bao)应(ying)该(gai)注(zhu)意什么?随着(zhe)人(ren)们(men)(men)生(sheng)活水(shui)平的(de)(de)(de)提(ti)高,人(ren)们(men)(men)越(yue)来越(yue)喜欢野外(wai)(wai)旅(lv)游、探险。人(ren)们(men)(men)在出(chu)发(fa)前(qian)要必(bi)备一(yi)(yi)些药品(pin)(pin),医疗(liao)器械(xie)等,以(yi)(yi)备不(bu)(bu)时(shi)(shi)只(zhi)需,其(qi)中一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)(xing)无(wu)菌(jun)(jun)(jun)空腔(qiang)(qiang)护(hu)(hu)理(li)(li)(li)(li)(li)包(bao)(bao)就(jiu)是其(qi)中之一(yi)(yi)。另外(wai)(wai)我(wo)国又是自然灾(zai)害高发(fa)的(de)(de)(de)地区,在发(fa)生(sheng)自然灾(zai)害时(shi)(shi),人(ren)们(men)(men)需要临时(shi)(shi)的(de)(de)(de)护(hu)(hu)理(li)(li)(li)(li)(li),一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)无(wu)菌(jun)(jun)(jun)口(kou)(kou)腔(qiang)(qiang)护(hu)(hu)理(li)(li)(li)(li)(li)包(bao)(bao)也(ye)会起到很重(zhong)(zhong)要的(de)(de)(de)作(zuo)用(yong)(yong)(yong)(yong)。那(nei)我(wo)们(men)(men)在使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)(xing)无(wu)菌(jun)(jun)(jun)口(kou)(kou)腔(qiang)(qiang)护(hu)(hu)理(li)(li)(li)(li)(li)包(bao)(bao)时(shi)(shi)应(ying)该(gai)注(zhu)意什么呢?一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)无(wu)菌(jun)(jun)(jun)口(kou)(kou)腔(qiang)(qiang)护(hu)(hu)理(li)(li)(li)(li)(li)包(bao)(bao)由方(fang)盘、弯盘、金属镊(nie)子、纸巾、生(sheng)理(li)(li)(li)(li)(li)盐(yan)水(shui)、备用(yong)(yong)(yong)(yong)棉(mian)球、压舌板、围兜、干(gan)棉(mian)球等组成,然后经过(guo)灭(mie)菌(jun)(jun)(jun)处理(li)(li)(li)(li)(li)包(bao)(bao)在一(yi)(yi)个塑料袋内。其(qi)好处就(jiu)是使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)十分方(fang)便,容易携带。在任何时(shi)(shi)间任何地点,都可(ke)以(yi)(yi)取出(chu)来做临时(shi)(shi)的(de)(de)(de)口(kou)(kou)腔(qiang)(qiang)护(hu)(hu)理(li)(li)(li)(li)(li)。同时(shi)(shi)我(wo)们(men)(men)在使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)(xing)无(wu)菌(jun)(jun)(jun)口(kou)(kou)腔(qiang)(qiang)护(hu)(hu)理(li)(li)(li)(li)(li)包(bao)(bao)时(shi)(shi)也(ye)应(ying)该(gai)注(zhu)意,首先,它属于一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)(xing)产(chan)(chan)(chan)品(pin)(pin),因为一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)无(wu)菌(jun)(jun)(jun)口(kou)(kou)腔(qiang)(qiang)护(hu)(hu)理(li)(li)(li)(li)(li)包(bao)(bao)属于医疗(liao)器械(xie),在出(chu)厂(chang)前(qian)已(yi)经做了灭(mie)菌(jun)(jun)(jun)处理(li)(li)(li)(li)(li),所(suo)以(yi)(yi)产(chan)(chan)(chan)品(pin)(pin)不(bu)(bu)可(ke)以(yi)(yi)重(zhong)(zhong)复使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)。同时(shi)(shi)如(ru)果(guo)把包(bao)(bao)装打开,就(jiu)要立即使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong),不(bu)(bu)可(ke)以(yi)(yi)长时(shi)(shi)间存(cun)放(fang)。其(qi)次(ci)(ci)(ci),我(wo)们(men)(men)在使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)无(wu)菌(jun)(jun)(jun)口(kou)(kou)腔(qiang)(qiang)护(hu)(hu)理(li)(li)(li)(li)(li)包(bao)(bao)前(qian)应(ying)注(zhu)意产(chan)(chan)(chan)品(pin)(pin)包(bao)(bao)装袋有(you)无(wu)破损,产(chan)(chan)(chan)品(pin)(pin)是否过(guo)期等,如(ru)存(cun)在上述(shu)情况则禁(jin)止使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)。我(wo)们(men)(men)如(ru)果(guo)对产(chan)(chan)(chan)品(pin)(pin)的(de)(de)(de)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)方(fang)法不(bu)(bu)是很清楚,在使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)前(qian)先咨(zi)询一(yi)(yi)下(xia)医生(sheng)。通过(guo)上面的(de)(de)(de)介绍,相信(xin)大(da)家对一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)无(wu)菌(jun)(jun)(jun)口(kou)(kou)腔(qiang)(qiang)护(hu)(hu)理(li)(li)(li)(li)(li)包(bao)(bao)的(de)(de)(de)注(zhu)意事项都有(you)了一(yi)(yi)定的(de)(de)(de)了解了,
一(yi)次(ci)性婴儿(er)(er)(er)(er)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)的(de)(de)使(shi)(shi)用(yong)(yong)方(fang)法(fa)1、一(yi)次(ci)性婴儿(er)(er)(er)(er)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)的(de)(de)使(shi)(shi)用(yong)(yong)方(fang)法(fa)。胎儿(er)(er)(er)(er)头(tou)(tou)部(bu)(bu)娩出后,迅速(su)用(yong)(yong)左(zuo)手从(cong)鼻根向(xiang)下挤压口(kou)鼻,清除口(kou)鼻内(nei)的(de)(de)粘液(ye)及(ji)羊(yang)水(shui)。婴儿(er)(er)(er)(er)娩出后,立即(ji)将(jiang)(jiang)(jiang)(jiang)婴儿(er)(er)(er)(er)仰头(tou)(tou)平卧,将(jiang)(jiang)(jiang)(jiang)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)轻(qing)轻(qing)插入(ru)婴儿(er)(er)(er)(er)气管(guan)(guan)内(nei)、食管(guan)(guan)内(nei)、胃(wei)内(nei),一(yi)边(bian)吸(xi)(xi)引一(yi)边(bian)将(jiang)(jiang)(jiang)(jiang)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)慢(man)慢(man)往上(shang)拉,由下至上(shang),将(jiang)(jiang)(jiang)(jiang)气管(guan)(guan)、食管(guan)(guan)、胃(wei)、咽腔(qiang)、口(kou)腔(qiang)的(de)(de)羊(yang)水(shui)及(ji)分(fen)泌(mi)物吸(xi)(xi)干净。可(ke)如(ru)此(ci)反(fan)复吸(xi)(xi)引2~3次(ci),直到(dao)婴儿(er)(er)(er)(er)哭声响亮,无(wu)痰(tan)(tan)(tan)鸣(ming)音为(wei)止。2、吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)的(de)(de)使(shi)(shi)用(yong)(yong)操作(zuo)步骤(zhou)。接通电(dian)源,检(jian)查吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)性能是(shi)否良好,吸(xi)(xi)引管(guan)(guan)是(shi)否通畅(chang)。使(shi)(shi)病人(ren)面向(xiang)操作(zuo)者,头(tou)(tou)略(lve)后仰,昏迷病人(ren)可(ke)用(yong)(yong)开口(kou)器帮助张口(kou),再(zai)(zai)将(jiang)(jiang)(jiang)(jiang)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)插入(ru)口(kou)腔(qiang)颊部(bu)(bu)、咽部(bu)(bu)。若(ruo)口(kou)腔(qiang)吸(xi)(xi)痰(tan)(tan)(tan)有(you)(you)困(kun)难(nan),可(ke)由鼻腔(qiang)插管(guan)(guan)至咽部(bu)(bu),当插入(ru)到(dao)适当位置后再(zai)(zai)接通电(dian)源,并使(shi)(shi)吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)左(zuo)右旋(xuan)转,缓慢(man)上(shang)移,向(xiang)上(shang)提(ti)出,将(jiang)(jiang)(jiang)(jiang)咽部(bu)(bu)及(ji)口(kou)、鼻分(fen)泌(mi)物逐段吸(xi)(xi)尽。吸(xi)(xi)引过(guo)程中(zhong),应(ying)随时吸(xi)(xi)水(shui)冲洗汲痰(tan)(tan)(tan)管(guan)(guan),以免(mian)痰(tan)(tan)(tan)液(ye)堵塞(sai)。如(ru)痰(tan)(tan)(tan)液(ye)过(guo)深不易汲出,可(ke)借(jie)助吸(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)插入(ru)的(de)(de)机械刺激,使(shi)(shi)病人(ren)作(zuo)有(you)(you)效咳嗽动作(zuo),待咳嗽停止后再(zai)(zai)吸(xi)(xi)。