一次性(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)无(wu)菌(jun)导(dao)(dao)尿包(bao)是(shi)一款身体行(xing)动不(bu)方(fang)便或者手术(shu)后没有办(ban)法自 由(you)行(xing)动患者设(she)计而成的(de)(de)一次性(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)。本产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)是(shi)由(you)注(zhu)射器、导(dao)(dao)尿管(guan)、 导(dao)(dao)管(guan)夹、塑料镊(nie).塑料试管(guan)、孔巾(jin)、展巾(jin)、纱(sha)布(bu)块、止水器、润(run)(run)滑(hua)(hua)剂(ji)(ji)、引流袋托盘、消毒棉球手套组成的(de)(de)-套产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)。那么,本产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)如何使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)?有哪些(xie)注(zhu)意事(shi)项(xiang)?在(zai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)本产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)的(de)(de)时候首先要(yao)润(run)(run)滑(hua)(hua),就(jiu)是(shi)胶(jiao)乳(ru)导(dao)(dao)尿管(guan)插(cha)入前,需(xu)(xu)(xu)用(yong)(yong)(yong)医用(yong)(yong)(yong)润(run)(run)滑(hua)(hua)剂(ji)(ji)润(run)(run)滑(hua)(hua)。超滑(hua)(hua)胶(jiao)乳(ru)导(dao)(dao)尿管(guan)插(cha)入前先用(yong)(yong)(yong)无(wu)菌(jun)水充分湿润(run)(run),即达到超滑(hua)(hua)效果(guo),无(wu)需(xu)(xu)(xu)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)润(run)(run)滑(hua)(hua)剂(ji)(ji)。然后就(jiu)是(shi)插(cha)入和注(zhu)水等的(de)(de)步骤(zhou)了。就(jiu)是(shi)将(jiang)润(run)(run)滑(hua)(hua)后的(de)(de)导(dao)(dao)管(guan)小心(xin)插(cha)入膀(bang)胱(guang),用(yong)(yong)(yong)不(bu)带针(zhen)的(de)(de)注(zhu)射器注(zhu)入定(ding)量(liang)无(wu)菌(jun)水,使(shi)(shi)(shi)(shi)(shi)膨(peng)胀(zhang)了的(de)(de)水妻卡信膀(bang)胱(guang)即可(ke)。后取(qu)出排水管(guan)。还需(xu)(xu)(xu)要(yao)医护人员留置观察以及(ji)护理(li)。在(zai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)时也要(yao)注(zhu)意,不(bu)要(yao)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)含石油基质的(de)(de)润(run)(run)滑(hua)(hua)剂(ji)(ji);而且,本产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)经(jing)环氧(yang)乙(yi)烷灭莹,供一次性(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong),如包(bao)装破损,不(bu)能使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong);本产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)仅(jin)供医护人员操(cao)作使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong),储(chu)藏(zang)要(yao)避光(guang)防热。
一(yi)(yi)(yi)次(ci)(ci)性(xing)(xing)(xing)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)包的(de)使(shi)(shi)用(yong)(yong)(yong)方法一(yi)(yi)(yi)次(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)用(yong)(yong)(yong)于(yu)临床(chuang)患(huan)者(zhe)抽取气(qi)管(guan)内(nei)痰(tan)(tan)液(ye)(ye)或(huo)分(fen)泌(mi)(mi)液(ye)(ye)用(yong)(yong)(yong)。一(yi)(yi)(yi)次(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)动作要轻、稳。一(yi)(yi)(yi)次(ci)(ci)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)时间(jian)不(bu)应(ying)超过(guo)15秒(miao),吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器(qi)连续(xu)使(shi)(shi)用(yong)(yong)(yong)时间(jian)不(bu)超过(guo)3分(fen)钟。1检查吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器(qi)各部(bu)(bu)连接(jie)是(shi)否完善,有无(wu)漏气(qi)。接(jie)通电源(yuan),打(da)开(kai)开(kai)关,检查吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器(qi)性(xing)(xing)(xing)能,调节负压(ya)(ya)。一(yi)(yi)(yi)般成人(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)负压(ya)(ya)约40-50 kPa,小儿(er)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)约13-30kPa,将(jiang)(jiang)一(yi)(yi)(yi)次(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)置于(yu)水中(zhong),试验吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)力,并冲洗皮管(guan)。2将(jiang)(jiang)病人(ren)头部(bu)(bu)转向护士,铺治疗巾(jin)于(yu)颌下。插入一(yi)(yi)(yi)次(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan),其顺(shun)序是(shi)由(you)口腔(qiang)(qiang)前庭→颊部(bu)(bu)→咽(yan)部(bu)(bu),将(jiang)(jiang)各部(bu)(bu)吸(xi)(xi)(xi)(xi)(xi)(xi)尽(jin)。如(ru)口腔(qiang)(qiang)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)有困难时,可由(you)鼻(bi)腔(qiang)(qiang)插入(颅底骨折患(huan)者(zhe)禁(jin)用(yong)(yong)(yong)),其顺(shun)序由(you)鼻(bi)腔(qiang)(qiang)前庭→下鼻(bi)道→鼻(bi)后(hou)(hou)孔→咽(yan)部(bu)(bu)→气(qi)管(guan)(约20-25cm),将(jiang)(jiang)分(fen)泌(mi)(mi)物(wu)逐(zhu)段吸(xi)(xi)(xi)(xi)(xi)(xi)尽(jin)。3气(qi)管(guan)内(nei)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan),待病人(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)气(qi)时,快(kuai)速将(jiang)(jiang)导(dao)管(guan)插入,自下而上边退边左右旋转导(dao)管(guan),消除气(qi)道分(fen)泌(mi)(mi)物(wu),并注意(yi)观(guan)察(cha)病人(ren)的(de)呼吸(xi)(xi)(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)过(guo)程中(zhong),如(ru)病人(ren)咳嗽(sou)厉害,应(ying)稍等片(pian)刻(ke)后(hou)(hou)再(zai)行吸(xi)(xi)(xi)(xi)(xi)(xi)出(chu)。并随时冲洗吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)管(guan),以(yi)免痰(tan)(tan)液(ye)(ye)堵塞。4吸(xi)(xi)(xi)(xi)(xi)(xi)毕,关闭吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器(qi)开(kai)关,弃吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)导(dao)管(guan)于(yu)小桶内(nei),吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)胶管(guan)玻(bo)璃接(jie)头插入床(chuang)栏上盛有消毒(du)液(ye)(ye)瓶内(nei)备用(yong)(yong)(yong),将(jiang)(jiang)病人(ren)口腔(qiang)(qiang)周围擦净。观(guan)察(cha)吸(xi)(xi)(xi)(xi)(xi)(xi)出(chu)液(ye)(ye)的(de)量、颜色及(ji)性(xing)(xing)(xing)质,必要时做好记录。
一次(ci)性使(shi)(shi)(shi)用(yong)(yong)无(wu)(wu)菌导尿包(bao)(bao)注意事项。注意事项。产品按(an)手术室无(wu)(wu)菌操(cao)作(zuo)规定(ding)使(shi)(shi)(shi)用(yong)(yong)。2.包(bao)(bao)装破损切勿(wu)(wu)使(shi)(shi)(shi)用(yong)(yong)。一次(ci)性使(shi)(shi)(shi)用(yong)(yong)导尿包(bao)(bao)3.本品为一次(ci)性产品,切勿(wu)(wu)再次(ci)使(shi)(shi)(shi)用(yong)(yong)。4.产品使(shi)(shi)(shi)用(yong)(yong)后(hou)应按(an)照医(yi)院或环保部门(men)要求进行处(chu)理(li)。【禁(jin)忌症】对橡(xiang)胶、聚丙(bing)烯(xi)塑料、无(wu)(wu)纺布、脱(tuo)脂棉过敏者慎用(yong)(yong)。【使(shi)(shi)(shi)用(yong)(yong)说明】打开产品小(xiao)包(bao)(bao)装后(hou)即可使(shi)(shi)(shi)用(yong)(yong);根据使(shi)(shi)(shi)用(yong)(yong)需(xu)求,依次(ci)将(jiang)产品中(zhong)的(de)组件铺垫好(hao),以获得(de)良好(hao)的(de)使(shi)(shi)(shi)用(yong)(yong)效果。【储(chu)存条件、方法】贮存在阴凉、干燥(zao)、通(tong)风、无(wu)(wu)腐蚀性气体的(de)环境(jing)中(zhong),远(yuan)离火源(yuan)及易(yi)燃(ran)物。
一次(ci)性(xing)使(shi)(shi)用(yong)导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)包(bao)(bao)(bao)(bao)(bao)的(de)(de)(de)(de)使(shi)(shi)用(yong)方法(fa)1、导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)包(bao)(bao)(bao)(bao)(bao)的(de)(de)(de)(de)配置(zhi)和(he)(he)包(bao)(bao)(bao)(bao)(bao)装(zhuang)设计(ji)是(shi)根据《中(zhong)(zhong)(zhong)华护理大全》中(zhong)(zhong)(zhong)关于(yu)(yu)导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)部分(fen)的(de)(de)(de)(de)操(cao)作(zuo)程(cheng)(cheng)序和(he)(he)各(ge)医(yi)院实际(ji)导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)操(cao)作(zuo)过程(cheng)(cheng)中(zhong)(zhong)(zhong)的(de)(de)(de)(de)要求设计(ji)制(zhi)定。2 导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)包(bao)(bao)(bao)(bao)(bao)的(de)(de)(de)(de)使(shi)(shi)用(yong)方法(fa)可按(an)各(ge)医(yi)院规定的(de)(de)(de)(de)导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)操(cao)作(zuo)规程(cheng)(cheng)进行操(cao)作(zuo)。3如在(zai)使(shi)(shi)用(yong)过程(cheng)(cheng)中(zhong)(zhong)(zhong)导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)包(bao)(bao)(bao)(bao)(bao)内的(de)(de)(de)(de)配置(zhi)和(he)(he)包(bao)(bao)(bao)(bao)(bao)装(zhuang)顺(shun)序与贵医(yi)院的(de)(de)(de)(de)导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)操(cao)作(zuo)规程(cheng)(cheng)有不相符的(de)(de)(de)(de)情况请向供应(ying)商提出改进建议。4在(zai)使(shi)(shi)用(yong)导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)包(bao)(bao)(bao)(bao)(bao)前请确认您(nin)所使(shi)(shi)用(yong)的(de)(de)(de)(de)导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)包(bao)(bao)(bao)(bao)(bao)是(shi)否(fou)是(shi)您(nin)选用(yong)的(de)(de)(de)(de)型号,并确认导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)包(bao)(bao)(bao)(bao)(bao)包(bao)(bao)(bao)(bao)(bao)装(zhuang)完(wan)好(hao)无破损。5 在(zai)操(cao)作(zuo)前请做好(hao)准备工作(zuo),安(an)排患者正(zheng)确体位铺好(hao)洞巾。并对患者进行安(an)慰。6、请按(an)医(yi)院的(de)(de)(de)(de)导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)操(cao)作(zuo)规程(cheng)(cheng)进行外消(xiao)毒(du)和(he)(he)内消(xiao)毒(du)两(liang)次(ci)消(xiao)毒(du)。消(xiao)毒(du)时(shi)不能选择(ze)对皮肤(fu)有较强刺激的(de)(de)(de)(de)消(xiao)毒(du)剂,建议使(shi)(shi)用(yong)0.5%的(de)(de)(de)(de)碘伏的(de)(de)(de)(de)消(xiao)毒(du)剂或其他(ta)低(di)刺激的(de)(de)(de)(de)消(xiao)毒(du)剂。7、使(shi)(shi)用(yong)前请将导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)管(guan)球(qiu)(qiu)囊(nang)进行充水(shui)试验,确认导(dao)(dao)(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)(niao)(niao)管(guan)球(qiu)(qiu)囊(nang)是(shi)否(fou)正(zheng)常(chang)。充水(shui)后的(de)(de)(de)(de)球(qiu)(qiu)囊(nang)应(ying)在(zai)球(qiu)(qiu)囊(nang)中(zhong)(zhong)(zhong)留2-3ml蒸馏水(shui),用(yong)于(yu)(yu)保(bao)障(zhang)球(qiu)(qiu)囊(nang)外表光(guang)滑。
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。推荐一次性使用灌肠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。一次性使用灌肠包批发女性:先清(qing)洗外(wai)阴,其原则由上至下,由内向外(wai),然(ran)后清(qing)洗尿(niao)道口(kou)、前(qian)庭、两侧(ce)大小阴唇,后会阴、肛门,每一个棉(mian)球(qiu)不(bu)能重复使用(yong);6.插(cha)管过程严格执行无菌操(cao)作,动作要轻柔,避免尿(niao)道粘(zhan)膜(mo)损伤;7.对留置(zhi)导尿(niao)患者,应采用(yong)密闭式引(yin)流系统。