导(dao)(dao)尿(niao)(niao)包(bao)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)过(guo)(guo)(guo)程中(zhong)(zhong)的禁忌(ji)症及(ji)注意事项1 本(ben)品(pin)请(qing)(qing)在(zai)医(yi)生(sheng)(sheng)处方后使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)，使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)前请(qing)(qing)阅读说明书。2本(ben)产(chan)(chan)(chan)品(pin)在(zai)操(cao)作(zuo)过(guo)(guo)(guo)程中(zhong)(zhong)应(ying)按(an)无菌操(cao)作(zuo)技(ji)术规范进(jin)行(xing)。3 导(dao)(dao)尿(niao)(niao)包(bao)的使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)和导(dao)(dao)尿(niao)(niao)的操(cao)作(zuo)应(ying)由受过(guo)(guo)(guo)专(zhuan)业培训的医(yi)护人员(yuan)进(jin)行(xing)。4、插(cha)入(ru)(ru)导(dao)(dao)尿(niao)(niao)管时(shi)应(ying)让患(huan)者(zhe)保持正确体位，插(cha)管动作(zuo)轻柔，避免损(sun)伤尿(niao)(niao)道(dao)粘(zhan)膜。女性患(huan)者(zhe)如(ru)导(dao)(dao)尿(niao)(niao)管误入(ru)(ru)阴(yin)道(dao)应(ying)换管重新插(cha)入(ru)(ru)。男性患(huan)者(zhe)插(cha)入(ru)(ru)导(dao)(dao)尿(niao)(niao)管时(shi)应(ying)保障阴(yin)茎与腹壁成60度角(jiao)。5、患(huan)有(you)尿(niao)(niao)道(dao)疾病及(ji)橡胶过(guo)(guo)(guo)敏者(zhe)请(qing)(qing)慎重使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)！6 使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)本(ben)产(chan)(chan)(chan)品(pin)的过(guo)(guo)(guo)程中(zhong)(zhong)，如(ru)发现瘙(sao)痒、皮肤发红、荨麻疹、水(shui)肿等过(guo)(guo)(guo)敏症状应(ying)立即停止使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)，并请(qing)(qing)医(yi)生(sheng)(sheng)进(jin)行(xing)处置。7、本(ben)产(chan)(chan)(chan)品(pin)为环(huan)氧乙烷灭菌产(chan)(chan)(chan)品(pin)。产(chan)(chan)(chan)品(pin)有(you)效期(qi)(qi)两年(nian)。8、生(sheng)(sheng)产(chan)(chan)(chan)日期(qi)(qi)见(jian)产(chan)(chan)(chan)品(pin)封口(kou)、消(xiao)毒日期(qi)(qi)见(jian)外(wai)包(bao)装(zhuang)(zhuang)箱(xiang)。9本(ben)产(chan)(chan)(chan)品(pin)仅(jin)限于一(yi)次性使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)，失效日期(qi)(qi)见(jian)产(chan)(chan)(chan)品(pin)外(wai)包(bao)装(zhuang)(zhuang)。

2月13日，联(lian)合整治“保(bao)健”市(shi)(shi)场(chang)(chang)乱象(xiang)(xiang)百日行(xing)(xing)动(dong)(dong)联(lian)合工(gong)(gong)(gong)(gong)作(zuo)组在(zai)市(shi)(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)(zong)局(ju)(ju)召(zhao)(zhao)开工(gong)(gong)(gong)(gong)作(zuo)组会(hui)议(yi)。市(shi)(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)(zong)局(ju)(ju)副局(ju)(ju)长甘霖同(tong)志出席(xi)会(hui)议(yi)并讲话，市(shi)(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)(zong)局(ju)(ju)、工(gong)(gong)(gong)(gong)业(ye)和信(xin)息化部(bu)、公安部(bu)、民政部(bu)、住(zhu)房(fang)和城乡建设部(bu)、农业(ye)农村部(bu)、商务部(bu)、文化和旅(lv)游部(bu)、卫生健康委员(yuan)(yuan)(yuan)会(hui)、广播电视总(zong)(zong)(zong)局(ju)(ju)、中医药(yao)管(guan)(guan)理(li)局(ju)(ju)、药(yao)品监(jian)(jian)(jian)(jian)督管(guan)(guan)理(li)局(ju)(ju)、网(wang)信(xin)办等(deng)(deng)13部(bu)门(men)(men)成员(yuan)(yuan)(yuan)单位(wei)负责(ze)同(tong)志及联(lian)络(luo)员(yuan)(yuan)(yuan)和市(shi)(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)(zong)局(ju)(ju)“百日行(xing)(xing)动(dong)(dong)”工(gong)(gong)(gong)(gong)作(zuo)组成员(yuan)(yuan)(yuan)单位(wei)负责(ze)同(tong)志及联(lian)络(luo)员(yuan)(yuan)(yuan)参加会(hui)议(yi)。“百日行(xing)(xing)动(dong)(dong)”开展(zhan)以(yi)来，各部(bu)门(men)(men)积极(ji)落实(shi)《关(guan)于(yu)开展(zhan)联(lian)合整治“保(bao)健”市(shi)(shi)场(chang)(chang)乱象(xiang)(xiang)百日行(xing)(xing)动(dong)(dong)的通(tong)知》要求(qiu)，立(li)(li)足自身职能，迅速部(bu)署落实(shi)，在(zai)相关(guan)领域(yu)和行(xing)(xing)业(ye)内(nei)开展(zhan)行(xing)(xing)动(dong)(dong)。市(shi)(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)(zong)局(ju)(ju)切实(shi)履行(xing)(xing)监(jian)(jian)(jian)(jian)管(guan)(guan)执法、联(lian)络(luo)调度、汇集(ji)信(xin)息、服务保(bao)障等(deng)(deng)职责(ze)，通(tong)过建立(li)(li)工(gong)(gong)(gong)(gong)作(zuo)协调机制、建立(li)(li)工(gong)(gong)(gong)(gong)作(zuo)台账(zhang)、召(zhao)(zhao)开调度会(hui)议(yi)、加强新闻宣传(chuan)等(deng)(deng)方式，组织各部(bu)门(men)(men)、市(shi)(shi)场(chang)(chang)监(jian)(jian)(jian)(jian)管(guan)(guan)系统迅速深入开展(zhan)“百日行(xing)(xing)动(dong)(dong)”。

接近医生，与医生的第一次接触对于医疗器械销售员来说，是一个很高的门槛。最容易被医生拒绝的时候也在这个时候，没有一定的接近方法，新的医疗器械销售员很难获得与医生交谈的机会。 因为陌生人相识，压力极大。推荐一次性使用吸痰包再说销售工作被很多人误解，也被一些不良的医接近医生，与医生的第一次接触对于医疗器械销售员来说，是一个很高的门槛。一次性使用吸痰包批发最(zui)容易被(bei)医(yi)(yi)(yi)生拒绝(jue)的(de)时候(hou)也在(zai)这个时候(hou)，没有(you)一(yi)(yi)定的(de)接近(jin)(jin)(jin)方法，新(xin)的(de)医(yi)(yi)(yi)疗器(qi)械销(xiao)售员(yuan)很(hen)难获(huo)得与(yu)医(yi)(yi)(yi)生交(jiao)谈(tan)的(de)机会。因为陌(mo)生人相识(shi)，压(ya)力极大。再说销(xiao)售工(gong)作被(bei)很(hen)多人误(wu)解，也被(bei)一(yi)(yi)些不良的(de)医(yi)(yi)(yi)疗器(qi)械销(xiao)售员(yuan)做坏了名声(sheng)，医(yi)(yi)(yi)生一(yi)(yi)般(ban)对医(yi)(yi)(yi)疗器(qi)械销(xiao)售员(yuan)都有(you)拒绝(jue)心(xin)态。医(yi)(yi)(yi)疗器(qi)械销(xiao)售员(yuan)除了需要(yao)(yao)在(zai)接近(jin)(jin)(jin)医(yi)(yi)(yi)生前，做好医(yi)(yi)(yi)生资料(liao)分析、选择拜访路线、熟练产品知识(shi)外(wai)，还要(yao)(yao)决定使用什么接近(jin)(jin)(jin)医(yi)(yi)(yi)生的(de)方法。给(ji)予医(yi)(yi)(yi)生一(yi)(yi)个见面(mian)的(de)理由，是获(huo)得交(jiao)谈(tan)机会的(de)敲门砖。

如(ru)何预(yu)防(fang)(fang)(fang)插(cha)导(dao)(dao)尿(niao)(niao)(niao)包时(shi)出现感(gan)染(ran)现象(xiang)?全(quan)(quan)科(ke)医生(sheng)是经过(guo)(guo)全(quan)(quan)科(ke)医学专(zhuan)业培(pei)训，临床技能(neng)全(quan)(quan)面、医德(de)高(gao)尚的(de)(de)(de)(de)高(gao)素质基层医疗保(bao)健人才(cai),富(fu)有(you)独立工作(zuo)(zuo)能(neng)力(li)(li),对(dui)个人家庭(ting)及(ji)社区(qu)提供便(bian)捷、廉(lian)价的(de)(de)(de)(de)防(fang)(fang)(fang)、 治保(bao)康全(quan)(quan)方(fang)位的(de)(de)(de)(de)优质服(fu)务。开展全(quan)(quan)科(ke)医疗服(fu)务, 如(ru)果没有(you)具有(you)活力(li)(li)的(de)(de)(de)(de)全(quan)(quan)科(ke)医生(sheng)做坚实的(de)(de)(de)(de)基础,工作(zuo)(zuo)将缺乏(fa)生(sheng)气(qi)和动力(li)(li),那种(zhong)以(yi)单纯的(de)(de)(de)(de)专(zhuan)科(ke)医疗的(de)(de)(de)(de)服(fu)务体系(xi),势(shi)必造成医疗秩序(xu)的(de)(de)(de)(de)混乱(luan),也没有(you)任何国家的(de)(de)(de)(de)经济能(neng)够负担得起。那么,插(cha)导(dao)(dao)尿(niao)(niao)(niao)管(guan)(guan)(guan)(guan)如(ru)何预(yu)防(fang)(fang)(fang)感(gan)染(ran)呢(ni)?导(dao)(dao)尿(niao)(niao)(niao)包相(xiang)关(guan)尿(niao)(niao)(niao)路(lu)(lu)感(gan)染(ran)预(yu)防(fang)(fang)(fang)SOP尿(niao)(niao)(niao)路(lu)(lu)感(gan)染(ran)(UTI)是二位常(chang)见医院感(gan)染(ran)类(lei)(lei)型, 75% ~ 80%与留置导(dao)(dao)尿(niao)(niao)(niao)管(guan)(guan)(guan)(guan)相(xiang)关(guan)。为有(you)效预(yu)防(fang)(fang)(fang)导(dao)(dao)尿(niao)(niao)(niao)管(guan)(guan)(guan)(guan)相(xiang)关(guan)尿(niao)(niao)(niao)路(lu)(lu)感(gan)染(ran),特制定以(yi)下(xia)控制措施(shi):插(cha)管(guan)(guan)(guan)(guan)前(qian)准备与插(cha)管(guan)(guan)(guan)(guan)时(shi)的(de)(de)(de)(de)措施(shi)1.尽(jin)量(liang)避免不(bu)(bu)必要的(de)(de)(de)(de)留置导(dao)(dao)尿(niao)(niao)(niao);2.仔(zi)细检查无菌导(dao)(dao)尿(niao)(niao)(niao)包，如(ru)过(guo)(guo)期、外(wai)(wai)包装破损潮湿,不(bu)(bu)得使(shi)用(yong);3.根据年龄、性(xing)(xing)(xing)别、尿(niao)(niao)(niao)道(dao)情况选择合适的(de)(de)(de)(de)导(dao)(dao)尿(niao)(niao)(niao)管(guan)(guan)(guan)(guan)口(kou)径、类(lei)(lei)型。通常(chang)成年男性(xing)(xing)(xing)选16F ,女(nv)性(xing)(xing)(xing)选14F ;4.规范手(shou)卫生(sheng)和载手(shou)套的(de)(de)(de)(de)程序(xu);5.常(chang)规的(de)(de)(de)(de)消毒(du)方(fang)法:用(yong)0.1%的(de)(de)(de)(de)新洁(jie)尔灭消毒(du)尿(niao)(niao)(niao)道(dao)口(kou)及(ji)其(qi)周围皮肤粘膜(mo),程序(xu)如(ru)下(xia):男性(xing)(xing)(xing):自(zi)尿(niao)(niao)(niao)道(dao)口(kou)、龟头(tou)向外(wai)(wai)旋(xuan)转擦拭消毒(du),注意洗净包皮及(ji)冠状沟。女(nv)性(xing)(xing)(xing):先清洗外(wai)(wai)阴,其(qi)原(yuan)则由上(shang)至下(xia),由内(nei)向外(wai)(wai),然后(hou)清洗尿(niao)(niao)(niao)道(dao)口(kou)、前(qian)庭(ting)、两侧大小阴唇,后(hou)会阴、肛(gang)门,每(mei)一个棉球不(bu)(bu)能(neng)重(zhong)复(fu)使(shi)用(yong);6.插(cha)管(guan)(guan)(guan)(guan)过(guo)(guo)程严格执行无菌操作(zuo)(zuo),动作(zuo)(zuo)要轻柔,避免尿(niao)(niao)(niao)道(dao)粘膜(mo)损伤;7.对(dui)留置导(dao)(dao)尿(niao)(niao)(niao)患者,应采用(yong)密闭式引流系(xi)统。