局(ju)(ju)(ju)机(ji)关各(ge)司(si)局(ju)(ju)(ju)、各(ge)直属单(dan)(dan)(dan)位(wei)：为加强对药(yao)品(pin)监(jian)管(guan)政(zheng)(zheng)务(wu)(wu)公开(kai)工(gong)(gong)(gong)作(zuo)的(de)(de)(de)领(ling)(ling)(ling)导(dao)，局(ju)(ju)(ju)党组会议研究(jiu)决(jue)定(ding)成立药(yao)品(pin)监(jian)督管(guan)理(li)局(ju)(ju)(ju)政(zheng)(zheng)务(wu)(wu)公开(kai)领(ling)(ling)(ling)导(dao)小(xiao)(xiao)组，下设办(ban)公室（以下简(jian)称政(zheng)(zheng)务(wu)(wu)公开(kai)办(ban)）。现将(jiang)有(you)关事项通(tong)知如下：一(yi)、政(zheng)(zheng)务(wu)(wu)公开(kai)领(ling)(ling)(ling)导(dao)小(xiao)(xiao)组组成及职责(ze)(ze)(ze)（一(yi)）组成组长：李利焦红副组长：徐景和陈(chen)时(shi)飞(fei)颜(yan)(yan)江(jiang)瑛成员：各(ge)司(si)局(ju)(ju)(ju)、各(ge)直属单(dan)(dan)(dan)位(wei)主(zhu)要(yao)负责(ze)(ze)(ze)同(tong)志颜(yan)(yan)江(jiang)瑛同(tong)志负责(ze)(ze)(ze)领(ling)(ling)(ling)导(dao)小(xiao)(xiao)组日常工(gong)(gong)(gong)作(zuo)。（二）主(zhu)要(yao)职责(ze)(ze)(ze)。在局(ju)(ju)(ju)党组领(ling)(ling)(ling)导(dao)下，负责(ze)(ze)(ze)贯(guan)彻落实(shi)(shi)党中(zhong)央(yang)、国(guo)务(wu)(wu)院关于政(zheng)(zheng)务(wu)(wu)公开(kai)工(gong)(gong)(gong)作(zuo)的(de)(de)(de)方针政(zheng)(zheng)策，研究(jiu)制定(ding)落实(shi)(shi)措(cuo)施(shi)；研究(jiu)制定(ding)药(yao)品(pin)监(jian)管(guan)政(zheng)(zheng)务(wu)(wu)公开(kai)工(gong)(gong)(gong)作(zuo)的(de)(de)(de)发展规划和政(zheng)(zheng)策措(cuo)施(shi)；审定(ding)局(ju)(ju)(ju)政(zheng)(zheng)务(wu)(wu)公开(kai)工(gong)(gong)(gong)作(zuo)制度(du)，研究(jiu)局(ju)(ju)(ju)政(zheng)(zheng)务(wu)(wu)公开(kai)工(gong)(gong)(gong)作(zuo)和实(shi)(shi)施(shi)方案，研究(jiu)解决(jue)政(zheng)(zheng)务(wu)(wu)公开(kai)工(gong)(gong)(gong)作(zuo)中(zhong)遇到的(de)(de)(de)重大问题；协调各(ge)司(si)局(ju)(ju)(ju)、各(ge)单(dan)(dan)(dan)位(wei)抓好政(zheng)(zheng)务(wu)(wu)公开(kai)工(gong)(gong)(gong)作(zuo)任(ren)务(wu)(wu)落实(shi)(shi)，并加强督促检查。

一(yi)次(ci)(ci)性(xing)(xing)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)包的(de)使(shi)用(yong)(yong)方法一(yi)次(ci)(ci)性(xing)(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)用(yong)(yong)于临床(chuang)患者抽取气管(guan)内(nei)(nei)痰(tan)(tan)(tan)液(ye)或分(fen)泌液(ye)用(yong)(yong)。一(yi)次(ci)(ci)性(xing)(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)动作要(yao)轻、稳(wen)。一(yi)次(ci)(ci)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)时(shi)(shi)间(jian)不应超过15秒(miao)，吸(xi)(xi)(xi)(xi)(xi)引器连(lian)续使(shi)用(yong)(yong)时(shi)(shi)间(jian)不超过3分(fen)钟。1检查吸(xi)(xi)(xi)(xi)(xi)引器各部连(lian)接(jie)是否完善，有(you)无漏气。接(jie)通电源，打开(kai)(kai)开(kai)(kai)关，检查吸(xi)(xi)(xi)(xi)(xi)引器性(xing)(xing)能，调节负压(ya)。一(yi)般(ban)成人吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)负压(ya)约(yue)40-50 kPa，小儿吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)约(yue)13-30kPa，将(jiang)一(yi)次(ci)(ci)性(xing)(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)置于水中(zhong)，试验吸(xi)(xi)(xi)(xi)(xi)引力(li)，并冲洗皮管(guan)。2将(jiang)病人头(tou)部转(zhuan)向护(hu)士，铺(pu)治疗(liao)巾(jin)于颌下。插(cha)入(ru)(ru)一(yi)次(ci)(ci)性(xing)(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)，其顺序(xu)是由口(kou)(kou)腔(qiang)(qiang)前庭→颊部→咽部，将(jiang)各部吸(xi)(xi)(xi)(xi)(xi)尽。如(ru)口(kou)(kou)腔(qiang)(qiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)有(you)困难(nan)时(shi)(shi)，可由鼻腔(qiang)(qiang)插(cha)入(ru)(ru)(颅底骨(gu)折患者禁用(yong)(yong))，其顺序(xu)由鼻腔(qiang)(qiang)前庭→下鼻道(dao)(dao)→鼻后孔→咽部→气管(guan)(约(yue)20-25cm)，将(jiang)分(fen)泌物(wu)逐段吸(xi)(xi)(xi)(xi)(xi)尽。3气管(guan)内(nei)(nei)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)，待(dai)病人吸(xi)(xi)(xi)(xi)(xi)气时(shi)(shi)，快速(su)将(jiang)导(dao)管(guan)插(cha)入(ru)(ru)，自下而上边退边左(zuo)右旋(xuan)转(zhuan)导(dao)管(guan)，消除气道(dao)(dao)分(fen)泌物(wu)，并注(zhu)意观察(cha)(cha)病人的(de)呼吸(xi)(xi)(xi)(xi)(xi)。在(zai)吸(xi)(xi)(xi)(xi)(xi)引过程中(zhong)，如(ru)病人咳嗽(sou)厉(li)害，应稍等片(pian)刻后再行吸(xi)(xi)(xi)(xi)(xi)出。并随时(shi)(shi)冲洗吸(xi)(xi)(xi)(xi)(xi)引管(guan)，以免(mian)痰(tan)(tan)(tan)液(ye)堵塞(sai)。4吸(xi)(xi)(xi)(xi)(xi)毕，关闭吸(xi)(xi)(xi)(xi)(xi)引器开(kai)(kai)关，弃(qi)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)导(dao)管(guan)于小桶(tong)内(nei)(nei)，吸(xi)(xi)(xi)(xi)(xi)引胶管(guan)玻(bo)璃(li)接(jie)头(tou)插(cha)入(ru)(ru)床(chuang)栏上盛有(you)消毒(du)液(ye)瓶(ping)内(nei)(nei)备(bei)用(yong)(yong)，将(jiang)病人口(kou)(kou)腔(qiang)(qiang)周围擦(ca)净。观察(cha)(cha)吸(xi)(xi)(xi)(xi)(xi)出液(ye)的(de)量、颜(yan)色及(ji)性(xing)(xing)质，必要(yao)时(shi)(shi)做好记录。

一次性使(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)怎么用(yong)(yong)(yong)(yong)(yong)？吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)的(de)使(shi)用(yong)(yong)(yong)(yong)(yong)方法与3个注(zhu)意(yi)事项(xiang)首先是吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)的(de)使(shi)用(yong)(yong)(yong)(yong)(yong)方法：1、检查(cha)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)的(de)情(qing)况，检查(cha)吸(xi)(xi)(xi)(xi)引(yin)(yin)器作用(yong)(yong)(yong)(yong)(yong)，检查(cha)吸(xi)(xi)(xi)(xi)引(yin)(yin)导(dao)管(guan)(guan)是否通畅，是否会影响正常(chang)吸(xi)(xi)(xi)(xi)痰(tan)(tan)操作。2、准备(bei)好吸(xi)(xi)(xi)(xi)痰(tan)(tan)用(yong)(yong)(yong)(yong)(yong)的(de)所有物品，将(jiang)这些物品都放(fang)在床头(tou)柜(ju)上，向患(huan)者(zhe)(zhe)说明接下来的(de)操作，解释部分物品的(de)用(yong)(yong)(yong)(yong)(yong)途，让患(huan)者(zhe)(zhe)做好准备(bei)。3、让患(huan)者(zhe)(zhe)侧头(tou)，并微微后仰，如(ru)果(guo)患(huan)者(zhe)(zhe)本(ben)身(shen)昏迷了(le)，需要用(yong)(yong)(yong)(yong)(yong)压舌板将(jiang)患(huan)者(zhe)(zhe)的(de)嘴巴(ba)张(zhang)开，然(ran)后将(jiang)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)侧插(cha)(cha)(cha)到咽喉部位(wei)，等患(huan)者(zhe)(zhe)吸(xi)(xi)(xi)(xi)气(qi)的(de)时候，将(jiang)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)插(cha)(cha)(cha)入气(qi)管(guan)(guan)。如(ru)果(guo)患(huan)者(zhe)(zhe)本(ben)身(shen)口腔(qiang)吸(xi)(xi)(xi)(xi)痰(tan)(tan)比较困难，可以从(cong)鼻腔(qiang)插(cha)(cha)(cha)入，当然(ran)，颅底骨折的(de)患(huan)者(zhe)(zhe)禁止使(shi)用(yong)(yong)(yong)(yong)(yong)。如(ru)果(guo)是气(qi)管(guan)(guan)插(cha)(cha)(cha)管(guan)(guan)或者(zhe)(zhe)气(qi)管(guan)(guan)切开的(de)患(huan)者(zhe)(zhe)，可以从(cong)插(cha)(cha)(cha)管(guan)(guan)或者(zhe)(zhe)是套管(guan)(guan)内插(cha)(cha)(cha)入吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)。

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。优质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(nv)性:先清(qing)洗外阴(yin),其原则由上至下,由内(nei)向外,然后(hou)(hou)清(qing)洗尿道(dao)口、前庭(ting)、两侧大小(xiao)阴(yin)唇,后(hou)(hou)会(hui)阴(yin)、肛门,每一个棉(mian)球不(bu)能重复使用(yong);6.插管过程严格执行(xing)无菌操作(zuo),动作(zuo)要轻柔,避免尿道(dao)粘膜损伤;7.对留置(zhi)导尿患者,应(ying)采用(yong)密闭式引流(liu)系统。