一(yi)次性(xing)(xing)(xing)使用(yong)(yong)导(dao)尿(niao)包(bao)(bao)(bao)(bao)是临床护理、抢救(jiu)和治疗中必须(xu)使用(yong)(yong)的(de)(de)(de)(de)医疗器械(xie)。它主要(yao)由以下(xia)几个部(bu)分组成:导(dao)尿(niao)管(guan)、橡胶外壳手套(tao)、洞巾、敷(fu)料镊、包(bao)(bao)(bao)(bao)布、引(yin)流(liu)袋(dai)、大(da)托盘、腰盘、脱脂(zhi)纱(sha)(sha)布方、吊带(dai)绳、别(bie)针、试管(guan)、碘(dian)伏棉球(qiu)、滑润纱(sha)(sha)布方、塑(su)料夹、注(zhu)射器等主要(yao)部(bu)件(jian)。不(bu)是所(suo)(suo)有(you)(you)的(de)(de)(de)(de)一(yi)次性(xing)(xing)(xing)使用(yong)(yong)导(dao)尿(niao)包(bao)(bao)(bao)(bao)都(dou)是一(yi)模一(yi)样(yang)的(de)(de)(de)(de),也(ye)会(hui)出现个别(bie)的(de)(de)(de)(de)部(bu)件(jian)的(de)(de)(de)(de)不(bu)同(tong),大(da)同(tong)小异。那一(yi)次性(xing)(xing)(xing)使用(yong)(yong)导(dao)尿(niao)包(bao)(bao)(bao)(bao)的(de)(de)(de)(de)主要(yao)原理是什么呢?它有(you)(you)怎样(yang)的(de)(de)(de)(de)制作标准呢?一(yi)次性(xing)(xing)(xing)使用(yong)(yong)导(dao)尿(niao)包(bao)(bao)(bao)(bao)的(de)(de)(de)(de)所(suo)(suo)有(you)(you)的(de)(de)(de)(de)部(bu)件(jian)不(bu)是随(sui)意的(de)(de)(de)(de),而是按照一(yi)定合理的(de)(de)(de)(de)顺(shun)序包(bao)(bao)(bao)(bao)装(zhuang)在一(yi)起,不(bu)是大(da)家想象的(de)(de)(de)(de)一(yi)大(da)堆的(de)(de)(de)(de)部(bu)件(jian)随(sui)意放到(dao)一(yi)个袋(dai)子中,而是已经(jing)组合好了(le)(le)。并(bing)且(qie)所(suo)(suo)有(you)(you)的(de)(de)(de)(de)部(bu)件(jian)包(bao)(bao)(bao)(bao)装(zhuang)都(dou)是无(wu)菌的(de)(de)(de)(de)。这样(yang)的(de)(de)(de)(de)处(chu)理就(jiu)大(da)大(da)降(jiang)低了(le)(le)在使用(yong)(yong)过程中出现的(de)(de)(de)(de)交叉感(gan)染的(de)(de)(de)(de)几率,也(ye)降(jiang)低了(le)(le)医护人员的(de)(de)(de)(de)工作负(fu)担(dan),提升了(le)(le)工作效率,从而提升了(le)(le)手术的(de)(de)(de)(de)安全性(xing)(xing)(xing)和可靠性(xing)(xing)(xing),从源头(tou)杜绝(jue)了(le)(le)疾病(bing)的(de)(de)(de)(de)传染和一(yi)些常见的(de)(de)(de)(de)感(gan)染
一(yi)次性婴(ying)儿(er)(er)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)的(de)使用(yong)方法1、一(yi)次性婴(ying)儿(er)(er)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)的(de)使用(yong)方法。胎儿(er)(er)头部(bu)(bu)娩出后,迅(xun)速用(yong)左手从鼻(bi)根向(xiang)下挤压口(kou)(kou)鼻(bi),清除口(kou)(kou)鼻(bi)内的(de)粘液及羊(yang)水。婴(ying)儿(er)(er)娩出后,立即将(jiang)婴(ying)儿(er)(er)仰头平卧(wo),将(jiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)轻(qing)(qing)轻(qing)(qing)插(cha)(cha)(cha)入(ru)婴(ying)儿(er)(er)气(qi)管(guan)(guan)内、食(shi)管(guan)(guan)内、胃内,一(yi)边吸(xi)(xi)(xi)(xi)(xi)引一(yi)边将(jiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)慢(man)(man)慢(man)(man)往上(shang)拉(la),由下至上(shang),将(jiang)气(qi)管(guan)(guan)、食(shi)管(guan)(guan)、胃、咽(yan)(yan)(yan)腔、口(kou)(kou)腔的(de)羊(yang)水及分(fen)泌物(wu)吸(xi)(xi)(xi)(xi)(xi)干净。可如此(ci)反(fan)复吸(xi)(xi)(xi)(xi)(xi)引2~3次,直到(dao)婴(ying)儿(er)(er)哭声响亮,无痰(tan)(tan)(tan)(tan)鸣音为(wei)止(zhi)。2、吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)的(de)使用(yong)操作(zuo)步骤。接通(tong)电(dian)源,检查吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)性能是否良好,吸(xi)(xi)(xi)(xi)(xi)引管(guan)(guan)是否通(tong)畅(chang)。使病(bing)(bing)人面向(xiang)操作(zuo)者,头略后仰,昏迷病(bing)(bing)人可用(yong)开口(kou)(kou)器帮助张口(kou)(kou),再(zai)将(jiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)插(cha)(cha)(cha)入(ru)口(kou)(kou)腔颊(jia)部(bu)(bu)、咽(yan)(yan)(yan)部(bu)(bu)。若(ruo)口(kou)(kou)腔吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)有(you)困难,可由鼻(bi)腔插(cha)(cha)(cha)管(guan)(guan)至咽(yan)(yan)(yan)部(bu)(bu),当插(cha)(cha)(cha)入(ru)到(dao)适当位置后再(zai)接通(tong)电(dian)源,并(bing)使吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)左右旋转(zhuan),缓慢(man)(man)上(shang)移,向(xiang)上(shang)提出,将(jiang)咽(yan)(yan)(yan)部(bu)(bu)及口(kou)(kou)、鼻(bi)分(fen)泌物(wu)逐段吸(xi)(xi)(xi)(xi)(xi)尽。吸(xi)(xi)(xi)(xi)(xi)引过程中(zhong),应随时吸(xi)(xi)(xi)(xi)(xi)水冲(chong)洗汲痰(tan)(tan)(tan)(tan)管(guan)(guan),以免痰(tan)(tan)(tan)(tan)液堵(du)塞。如痰(tan)(tan)(tan)(tan)液过深(shen)不易汲出,可借助吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)插(cha)(cha)(cha)入(ru)的(de)机械(xie)刺激,使病(bing)(bing)人作(zuo)有(you)效咳(ke)嗽(sou)(sou)动作(zuo),待咳(ke)嗽(sou)(sou)停止(zhi)后再(zai)吸(xi)(xi)(xi)(xi)(xi)。
一次性使用吸痰管操作方法(1)检查吸引器各部连接是否完善,有无漏气。推荐一次性使用医用无菌阴道扩张器接通电源,打开开关,检查吸引器性能,调节负压。一般成人吸痰负压约40-50 kPa,小儿吸痰约13-30kPa,将一次性使用吸痰管置于水中,试验吸引力,并冲洗皮管。(2)将病人头部转向护士,铺治疗巾于颌下。(3)插入一次性使用吸痰管,其顺序是由口腔前庭→颊部→咽部,将各部吸尽。一次性使用医用无菌阴道扩张器厂家如口(kou)腔(qiang)吸(xi)(xi)痰有困难时(shi),可(ke)由鼻(bi)腔(qiang)插入(颅(lu)底骨折(zhe)患(huan)者(zhe)禁用),其顺序(xu)由鼻(bi)腔(qiang)前(qian)庭(ting)→下鼻(bi)道→鼻(bi)后孔→咽(yan)部→气(qi)管(guan)(约(yue)20-25cm),将分泌(mi)物逐(zhu)段吸(xi)(xi)尽(jin)。若有气(qi)管(guan)插管(guan)或气(qi)管(guan)切开(kai)时(shi),可(ke)由插管(guan)或套管(guan)内插入,将痰液吸(xi)(xi)出。昏迷病人(ren)可(ke)用压舌板或开(kai)口(kou)器(qi)先将口(kou)启开(kai),再(zai)行吸(xi)(xi)引(yin)。
使(shi)用(yong)(yong)(yong)说明(ming):1、确认在(zai)灭(mie)菌有效期内(nei)和包装完(wan)好后(hou)(hou),撕开(kai)启封口(kou),取(qu)(qu)(qu)(qu)(qu)出(chu)导(dao)尿(niao)包放置在(zai)工作台上;2、戴(dai)上薄膜手套,用(yong)(yong)(yong)镊子(圆头(tou))镊取(qu)(qu)(qu)(qu)(qu)碘(dian)伏棉球/或(huo)洗必泰棉球,对患处(chu)(chu)消毒处(chu)(chu)理3、在(zai)换(huan)戴(dai)灭(mie)菌橡胶(jiao)外科(ke)手套/医用(yong)(yong)(yong)橡胶(jiao)检(jian)查手套,将(jiang)治疗(liao)巾覆盖在(zai)患处(chu)(chu),中(zhong)洞处(chu)(chu)露出(chu)尿(niao)道(dao)口(kou)4、取(qu)(qu)(qu)(qu)(qu)镊子(尖头(tou))镊取(qu)(qu)(qu)(qu)(qu)石(shi)蜡(la)棉球润(run)滑导(dao)尿(niao)管(guan)(guan)(guan),然后(hou)(hou)双手配合将(jiang)导(dao)尿(niao)管(guan)(guan)(guan)插入尿(niao)道(dao),用(yong)(yong)(yong)液体(ti)推(tui)注器吸(xi)取(qu)(qu)(qu)(qu)(qu)定量无(wu)(wu)菌水充入导(dao)尿(niao)管(guan)(guan)(guan)球囊,使(shi)球囊与导(dao)尿(niao)壁相接,然后(hou)(hou)将(jiang)引流袋与导(dao)尿(niao)管(guan)(guan)(guan)连接进(jin)行导(dao)尿(niao); 5、用(yong)(yong)(yong)取(qu)(qu)(qu)(qu)(qu)样管(guan)(guan)(guan)取(qu)(qu)(qu)(qu)(qu)样并送检(jian) 6、导(dao)尿(niao)完(wan)毕,用(yong)(yong)(yong)液体(ti)推(tui)助(zhu)器抽出(chu)球囊内(nei)的无(wu)(wu)菌水,拔出(chu)导(dao)尿(niao)管(guan)(guan)(guan); 7、用(yong)(yong)(yong)海绵刷子蘸取(qu)(qu)(qu)(qu)(qu)酒精进(jin)行清洁处(chu)(chu)理,再用(yong)(yong)(yong)纱(sha)布叠片或(huo)棉球擦试干净8、按无(wu)(wu)菌操作规(gui)程进(jin)行,导(dao)尿(niao)完(wan)毕,丢弃所(suo)有组件。 一(yi)次性使(shi)用(yong)(yong)(yong)导(dao)尿(niao)包。注意事项:1、本产品限一(yi)次性使(shi)用(yong)(yong)(yong),用(yong)(yong)(yong)后(hou)(hou)销毁;
导尿设(she)备(bei)在医疗(liao)当中也(ye)是经常(chang)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)一(yi)(yi)种(zhong)(zhong)产品(pin)(pin),在泌尿肛肠等医疗(liao)科(ke)室经常(chang)用(yong)(yong)(yong)(yong)(yong)(yong)到导尿设(she)备(bei)一(yi)(yi)般都是一(yi)(yi)次(ci)性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)。下面介绍的(de)(de)(de)这(zhei)种(zhong)(zhong)-次(ci)性(xing)(xing)的(de)(de)(de)无(wu)莹导尿产品(pin)(pin)就(jiu)是同类产品(pin)(pin)中性(xing)(xing)能(neng)非(fei)常(chang)优越的(de)(de)(de)一(yi)(yi)种(zhong)(zhong)。产品(pin)(pin)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)途和(he)(he)性(xing)(xing)能(neng),这(zhei)种(zhong)(zhong)-次(ci)性(xing)(xing)的(de)(de)(de)无(wu)菌导尿包(bao)主要(yao)是给(ji)临床上的(de)(de)(de)患者导尿之用(yong)(yong)(yong)(yong)(yong)(yong),这(zhei)种(zhong)(zhong)产品(pin)(pin)是经过(guo)了(le)环氧乙(yi)烷灭莹,非(fei)常(chang)的(de)(de)(de)卫生(sheng)和(he)(he)安全,使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)起来(lai)(lai)也(ye)非(fei)常(chang)方(fang)便(bian)。该产品(pin)(pin)是由洞巾(jin),布(bu)和(he)(he)一(yi)(yi)次(ci)性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)导尿管、橡胶医用(yong)(yong)(yong)(yong)(yong)(yong)手套、海绵刷、纱布(bu)块(kuai)、石蜡棉球物品(pin)(pin)盒和(he)(he)一(yi)(yi)次(ci)性(xing)(xing)的(de)(de)(de)引流袋等几部分组成(cheng)。这(zhei)种(zhong)(zhong)- -次(ci)性(xing)(xing)产品(pin)(pin)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)起来(lai)(lai)也(ye)非(fei)常(chang)方(fang)便(bian)。这(zhei)种(zhong)(zhong)产品(pin)(pin)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)起来(lai)(lai)也(ye)比较(jiao)简单(dan),首(shou)先(xian),在使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)前(qian)要(yao)检查单(dan)包(bao)装(zhuang)是不是没有(you)损(sun)坏,灭菌的(de)(de)(de)有(you)效期是不是正(zheng)常(chang);其(qi)次(ci),在使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)时候,先(xian)打(da)(da)开(kai)(kai)包(bao)装(zhuang),在将(jiang)包(bao)布(bu)打(da)(da)开(kai)(kai),再戴上手套,然后(hou);按照常(chang)规(gui)的(de)(de)(de)方(fang)法(fa)来(lai)(lai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)导尿包(bao)里的(de)(de)(de)组件;其(qi)三,-般的(de)(de)(de)产品(pin)(pin)的(de)(de)(de)有(you)效期是两年(nian) ,如果产品(pin)(pin)已经过(guo)了(le)有(you)效期,绝对不能(neng)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong);四,如果包(bao)装(zhuang)破损(sun)了(le)也(ye)不能(neng)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong);五,这(zhei)是-次(ci)性(xing)(xing)的(de)(de)(de)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)产品(pin)(pin),禁止重复使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong),在使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)完后(hou)要(yao)销毁(hui),生(sheng)产日(ri)期般在包(bao)装(zhuang)封(feng)口(kou)处(chu)。
使用(yong)一(yi)次(ci)性换(huan)药(yao)(yao)包(bao)(bao)(bao)时,换(huan)药(yao)(yao)拆(chai)线(xian)前需要做(zuo)哪些准(zhun)备(bei)(bei)(bei)工作(zuo)?首先换(huan)药(yao)(yao)室清洁消毒,再通知病人准(zhun)时去换(huan)药(yao)(yao)室拆(chai)线(xian),然后操作(zuo)者准(zhun)备(bei)(bei)(bei)用(yong)物。具体准(zhun)备(bei)(bei)(bei)的用(yong)物放治疗(liao)车上,有一(yi)次(ci)性无菌换(huan)药(yao)(yao)包(bao)(bao)(bao)、碘(dian)伏包(bao)(bao)(bao)或(huo)碘(dian)伏、无菌刀片、无菌敷料(liao),医用(yong)垃圾袋,锐器盒,最好带一(yi)个助手(shou),要帮忙倒碘(dian)伏。操作(zuo)者和助手(shou)洗手(shou),戴口罩和帽(mao)子。准(zhun)备(bei)(bei)(bei)工作(zuo)大(da)概就是这(zhei)些,因为现(xian)在规(gui)定换(huan)药(yao)(yao)包(bao)(bao)(bao)内不能放碘(dian)伏包(bao)(bao)(bao),所以只能拿碘(dian)伏瓶倒在棉球上或(huo)者一(yi)次(ci)性碘(dian)伏包(bao)(bao)(bao)。