使(shi)用一(yi)次性(xing)换(huan)(huan)药包(bao)(bao)时,换(huan)(huan)药拆(chai)线(xian)前(qian)需要做哪些(xie)准备工作(zuo)?首先换(huan)(huan)药室(shi)清(qing)洁消毒(du)，再通知(zhi)病人(ren)准时去换(huan)(huan)药室(shi)拆(chai)线(xian)，然(ran)后操(cao)作(zuo)者(zhe)准备用物。具体准备的用物放治疗车上(shang)，有一(yi)次性(xing)无菌(jun)(jun)换(huan)(huan)药包(bao)(bao)、碘伏(fu)(fu)包(bao)(bao)或(huo)碘伏(fu)(fu)、无菌(jun)(jun)刀片(pian)、无菌(jun)(jun)敷(fu)料(liao)，医(yi)用垃圾(ji)袋，锐器盒(he)，最好带一(yi)个助手，要帮忙(mang)倒(dao)碘伏(fu)(fu)。操(cao)作(zuo)者(zhe)和助手洗(xi)手，戴口罩和帽子(zi)。准备工作(zuo)大概就是这(zhei)些(xie)，因为现在(zai)规定换(huan)(huan)药包(bao)(bao)内不能放碘伏(fu)(fu)包(bao)(bao)，所以只能拿碘伏(fu)(fu)瓶(ping)倒(dao)在(zai)棉球上(shang)或(huo)者(zhe)一(yi)次性(xing)碘伏(fu)(fu)包(bao)(bao)。

一(yi)(yi)(yi)次性使(shi)用(yong)(yong)(yong)导(dao)尿包(bao) 产(chan)(chan)(chan)品(pin)(pin)(pin)卫(wei)生备(bei)案 过了有(you)(you)效(xiao)期怎么(me)办(ban)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)(pin)(pin)的(de)定义：消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)(pin)(pin)包(bao)括(kuo)：消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)剂(ji)(ji)、消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)器(qi)械(xie)(含生物(wu)(wu)(wu)指示(shi)(shi)(shi)物(wu)(wu)(wu)、化学指示(shi)(shi)(shi)物(wu)(wu)(wu)和(he)(灭(mie)菌(jun)物(wu)(wu)(wu)品(pin)(pin)(pin)包(bao)装物(wu)(wu)(wu))、卫(wei)生用(yong)(yong)(yong)品(pin)(pin)(pin)和(he)一(yi)(yi)(yi)次性使(shi)用(yong)(yong)(yong)医疗(liao)用(yong)(yong)(yong)品(pin)(pin)(pin)。根(gen)据(ju)《中华人(ren)民(min)共和(he)国传(chuan)染病(bing)防治法》、《消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)管(guan)(guan)(guan)理(li)(li)(li)(li)(li)办(ban)法》、《消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)(pin)(pin)标签说明书管(guan)(guan)(guan)理(li)(li)(li)(li)(li)规(gui)范》、《消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)(pin)(pin)卫(wei)生安全评价规(gui)定》、《消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)技(ji)术规(gui)范》、《卫(wei)生行政(zheng)许(xu)可(ke)管(guan)(guan)(guan)理(li)(li)(li)(li)(li)办(ban)法》、《新(xin)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)(pin)(pin)和(he)新(xin)涉水(shui)产(chan)(chan)(chan)品(pin)(pin)(pin)卫(wei)生行政(zheng)许(xu)可(ke)管(guan)(guan)(guan)理(li)(li)(li)(li)(li)规(gui)定》的(de)要求，在中国境内销售和(he)生产(chan)(chan)(chan)的(de)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)类(lei)产(chan)(chan)(chan)品(pin)(pin)(pin)根(gen)据(ju)风(feng)险不(bu)同，实(shi)行分(fen)(fen)类(lei)管(guan)(guan)(guan)理(li)(li)(li)(li)(li)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)(pin)(pin)分(fen)(fen)类(lei)：按照消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)(pin)(pin)用(yong)(yong)(yong)途、使(shi)用(yong)(yong)(yong)对象的(de)风(feng)险程(cheng)度实(shi)行分(fen)(fen)类(lei)，具体如下(xia)：一(yi)(yi)(yi)类(lei)是具有(you)(you)较高(gao)风(feng)险，需(xu)要严格(ge)管(guan)(guan)(guan)理(li)(li)(li)(li)(li)以保障安全、有(you)(you)效(xiao)的(de)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)(chan)品(pin)(pin)(pin)，包(bao)括(kuo)用(yong)(yong)(yong)于医疗(liao)器(qi)械(xie)的(de)高(gao)水(shui)平消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)剂(ji)(ji)和(he)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)器(qi)械(xie)、灭(mie)菌(jun)剂(ji)(ji)和(he)灭(mie)菌(jun)器(qi)械(xie)、皮肤黏(nian)膜(mo)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)剂(ji)(ji)，生物(wu)(wu)(wu)指示(shi)(shi)(shi)物(wu)(wu)(wu)和(he)灭(mie)菌(jun)效(xiao)果化学指示(shi)(shi)(shi)物(wu)(wu)(wu)。(注：高(gao)水(shui)平消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)剂(ji)(ji)：是指可(ke)杀灭(mie)一(yi)(yi)(yi)切细菌(jun)繁殖体、分(fen)(fen)枝(zhi)杆菌(jun)、病(bing)毒(du)(du)(du)(du)、真(zhen)菌(jun)及其(qi)孢(bao)子(zi)等，对致病(bing)性细菌(jun)芽孢(bao)也(ye)有(you)(you)一(yi)(yi)(yi)定的(de)杀灭(mie)作(zuo)用(yong)(yong)(yong)，达到(dao)高(gao)水(shui)平消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)要求的(de)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)剂(ji)(ji)。)

如何预防插导尿包时出现感染现象?全科医生是经过全科医学专业培训，临床技能全面、医德高尚的高素质基层医疗保健人才,富有独立工作能力,对个人家庭及社区提供便捷、廉价的防、 治保康全方位的优质服务。医用一次性使用导尿包开展全科医疗服务, 如果没有具有活力的全科医生做坚实的基础,工作将缺乏生气和动力,那种以单纯的专科医疗的服务体系,势必造成医疗秩序的混乱,也没有任何国家的经济能够负担得起。那么,插导尿管如何预防感染呢?导尿包相关尿路感染预防SOP尿路感染(UTI)是二位常见医院感染类型, 75% ~ 80%与留置导尿管相关。为有效预防导尿管相关尿路感染,特制定以下控制措施:插管前准备与插管时的措施1.尽量避免不必要的留置导尿;2.仔细检查无菌导尿包，如过期、外包装破损潮湿,不得使用;3.根据年龄、性别、尿道情况选择合适的导尿管口径、类型。通常成年男性选16F ,女性选14F ;4.规范手卫生和载手套的程序;5.常规的消毒方法:用0.1%的新洁尔灭消毒尿道口及其周围皮肤粘膜,程序如下:男性:自尿道口、龟头向外旋转擦拭消毒,注意洗净包皮及冠状沟。一次性使用导尿包价格女性:先清(qing)洗外阴(yin)(yin),其原则由上至下,由内向外,然(ran)后清(qing)洗尿(niao)道口、前庭、两侧大小(xiao)阴(yin)(yin)唇,后会阴(yin)(yin)、肛(gang)门,每一个棉球不能重(zhong)复使用;6.插管过程严格(ge)执行无菌(jun)操(cao)作(zuo),动作(zuo)要(yao)轻柔,避免(mian)尿(niao)道粘膜损(sun)伤;7.对留置导尿(niao)患者,应(ying)采用密闭式引流系(xi)统(tong)。

一(yi)(yi)次(ci)性使用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的(de)(de)使用(yong)(yong)。导读：如何使用(yong)(yong)一(yi)(yi)次(ci)性吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)？小编为大(da)家(jia)准(zhun)备(bei)了使用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的(de)(de)方(fang)法和使用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)需要(yao)注(zhu)意的(de)(de)三点(dian)，这可能对(dui)你(ni)有(you)帮助。使用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的(de)(de)方(fang)法：1.检查(cha)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)，检查(cha)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(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)导管(guan)(guan)(guan)(guan)(guan)是(shi)否(fou)通畅，是(shi)否(fou)影(ying)响正(zheng)常(chang)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)手(shou)术(shu)。2.准(zhun)备(bei)所有(you)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)项目，将(jiang)这些物品放(fang)在床头柜(ju)上，向病人(ren)解释(shi)下(xia)一(yi)(yi)次(ci)手(shou)术(shu)，说明某些项目的(de)(de)使用(yong)(yong)情(qing)况，并为病人(ren)做好准(zhun)备(bei)。3.让病人(ren)侧(ce)头，稍向后，如果病人(ren)本(ben)身处于(yu)昏迷(mi)状态，需要(yao)用(yong)(yong)舌板打开病人(ren)的(de)(de)嘴，然后将(jiang)痰(tan)(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)侧(ce)到咽喉等，当病人(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)气(qi)(qi)时(shi)(shi)，将(jiang)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)插(cha)入(ru)(ru)气(qi)(qi)管(guan)(guan)(guan)(guan)(guan)。如果病人(ren)很难从(cong)嘴里(li)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)，就可以从(cong)鼻腔插(cha)入(ru)(ru)痰(tan)(tan)(tan)(tan)(tan)。当然，禁止使用(yong)(yong)颅底(di)骨折患者。对(dui)于(yu)气(qi)(qi)管(guan)(guan)(guan)(guan)(guan)内(nei)插(cha)管(guan)(guan)(guan)(guan)(guan)或(huo)气(qi)(qi)管(guan)(guan)(guan)(guan)(guan)切(qie)开术(shu)的(de)(de)病人(ren)，可以从(cong)插(cha)管(guan)(guan)(guan)(guan)(guan)或(huo)插(cha)管(guan)(guan)(guan)(guan)(guan)中插(cha)入(ru)(ru)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)。4.插(cha)入(ru)(ru)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)管(guan)(guan)(guan)(guan)(guan)前，打开吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)开关。然而，T管(guan)(guan)(guan)(guan)(guan)的(de)(de)侧(ce)孔(kong)应该放(fang)松，当痰(tan)(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)在一(yi)(yi)定(ding)深度插(cha)入(ru)(ru)气(qi)(qi)管(guan)(guan)(guan)(guan)(guan)时(shi)(shi)，可根据闭(bi)合侧(ce)孔(kong)立即吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)。吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)时(shi)(shi)，吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)应从(cong)底(di)部慢(man)慢(man)抬(tai)起，左右旋转，以便吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)。防止粘(zhan)膜(mo)被破坏，通过(guo)固定(ding)一(yi)(yi)个地方(fang)，或(huo)向上和向下(xia)，以吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)它。吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)取出(chu)后，吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)收水(shui)分，冲洗管(guan)(guan)(guan)(guan)(guan)内(nei)痰(tan)(tan)(tan)(tan)(tan)，以免堵塞(sai)痰(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)。关掉吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)开关。

使用(yong)(yong)(yong)(yong)说明：1、确认(ren)在灭菌有效(xiao)期内和包装完(wan)(wan)好后，撕(si)开(kai)启封(feng)口，取(qu)出(chu)(chu)导(dao)尿(niao)(niao)(niao)包放(fang)置(zhi)在工作台上(shang)；2、戴(dai)上(shang)薄膜手(shou)套(tao)，用(yong)(yong)(yong)(yong)镊(nie)子（圆头）镊(nie)取(qu)碘伏棉(mian)球(qiu)(qiu)/或洗必泰棉(mian)球(qiu)(qiu)，对患(huan)(huan)处消毒(du)处理3、在换戴(dai)灭菌橡胶(jiao)外科手(shou)套(tao)/医用(yong)(yong)(yong)(yong)橡胶(jiao)检查手(shou)套(tao)，将治疗巾覆(fu)盖在患(huan)(huan)处，中洞处露出(chu)(chu)尿(niao)(niao)(niao)道口4、取(qu)镊(nie)子（尖头）镊(nie)取(qu)石蜡棉(mian)球(qiu)(qiu)润滑导(dao)尿(niao)(niao)(niao)管(guan)，然(ran)后双手(shou)配(pei)合(he)将导(dao)尿(niao)(niao)(niao)管(guan)插入尿(niao)(niao)(niao)道，用(yong)(yong)(yong)(yong)液体(ti)推注(zhu)器吸取(qu)定量(liang)无(wu)菌水充入导(dao)尿(niao)(niao)(niao)管(guan)球(qiu)(qiu)囊，使球(qiu)(qiu)囊与(yu)导(dao)尿(niao)(niao)(niao)壁相接(jie)，然(ran)后将引流袋与(yu)导(dao)尿(niao)(niao)(niao)管(guan)连接(jie)进(jin)行(xing)导(dao)尿(niao)(niao)(niao)； 5、用(yong)(yong)(yong)(yong)取(qu)样(yang)管(guan)取(qu)样(yang)并送检 6、导(dao)尿(niao)(niao)(niao)完(wan)(wan)毕(bi)，用(yong)(yong)(yong)(yong)液体(ti)推助器抽出(chu)(chu)球(qiu)(qiu)囊内的无(wu)菌水，拔出(chu)(chu)导(dao)尿(niao)(niao)(niao)管(guan)； 7、用(yong)(yong)(yong)(yong)海绵刷子蘸取(qu)酒精进(jin)行(xing)清洁处理，再用(yong)(yong)(yong)(yong)纱布(bu)叠(die)片(pian)或棉(mian)球(qiu)(qiu)擦(ca)试干净8、按无(wu)菌操作规程进(jin)行(xing)，导(dao)尿(niao)(niao)(niao)完(wan)(wan)毕(bi)，丢(diu)弃所(suo)有组(zu)件。 一次(ci)性(xing)使用(yong)(yong)(yong)(yong)导(dao)尿(niao)(niao)(niao)包。注(zhu)意事项：1、本(ben)产(chan)品限一次(ci)性(xing)使用(yong)(yong)(yong)(yong)，用(yong)(yong)(yong)(yong)后销毁(hui)；