使(shi)用(yong)(yong)一次性(xing)(xing)换药(yao)(yao)包(bao)(bao)时,换药(yao)(yao)拆(chai)(chai)线前需要做哪些准(zhun)备工(gong)作(zuo)(zuo)?首先换药(yao)(yao)室清洁消(xiao)毒，再通知病人(ren)准(zhun)时去换药(yao)(yao)室拆(chai)(chai)线，然后操作(zuo)(zuo)者(zhe)准(zhun)备用(yong)(yong)物。具体准(zhun)备的用(yong)(yong)物放(fang)治疗车(che)上，有(you)一次性(xing)(xing)无(wu)菌换药(yao)(yao)包(bao)(bao)、碘(dian)(dian)(dian)(dian)(dian)伏(fu)(fu)包(bao)(bao)或碘(dian)(dian)(dian)(dian)(dian)伏(fu)(fu)、无(wu)菌刀(dao)片、无(wu)菌敷料，医用(yong)(yong)垃(la)圾袋(dai)，锐器盒，最好(hao)带一个(ge)助手，要帮忙倒碘(dian)(dian)(dian)(dian)(dian)伏(fu)(fu)。操作(zuo)(zuo)者(zhe)和(he)助手洗手，戴口罩和(he)帽子。准(zhun)备工(gong)作(zuo)(zuo)大(da)概就是(shi)这些，因为(wei)现在规定(ding)换药(yao)(yao)包(bao)(bao)内不(bu)能放(fang)碘(dian)(dian)(dian)(dian)(dian)伏(fu)(fu)包(bao)(bao)，所以(yi)只能拿碘(dian)(dian)(dian)(dian)(dian)伏(fu)(fu)瓶倒在棉球上或者(zhe)一次性(xing)(xing)碘(dian)(dian)(dian)(dian)(dian)伏(fu)(fu)包(bao)(bao)。

对业内企业来说，焦点核心的还有：几十种医疗器械的管理类别降了，有从三类降为二类的，也有从二类降为一类的。优质一次性使用医用换药包也有部分产品是升类了的。一次性使用医用换药包厂家还有(you)的(de)产(chan)品(pin)将(jiang)不再作为(wei)(wei)医(yi)疗器(qi)械管(guan)(guan)理。产(chan)品(pin)类(lei)别上的(de)变化是要(yao)直接(jie)影响医(yi)疗器(qi)械生(sheng)产(chan)经营企(qi)业(ye)的(de)，比(bi)如生(sheng)产(chan)企(qi)业(ye)，原(yuan)本(ben)自家(jia)产(chan)品(pin)是三(san)类(lei)，降为(wei)(wei)二类(lei)管(guan)(guan)理之后，企(qi)业(ye)将(jiang)无(wu)需(xu)再跑到(dao)北京、到(dao)药(yao)监(jian)总局来进行产(chan)品(pin)注(zhu)(zhu)(zhu)册(ce)，只需(xu)在(zai)本(ben)省(sheng)药(yao)监(jian)局注(zhu)(zhu)(zhu)册(ce)即(ji)可。从二类(lei)降为(wei)(wei)一(yi)类(lei)管(guan)(guan)理的(de)，生(sheng)产(chan)企(qi)业(ye)则(ze)更(geng)(geng)省(sheng)事，产(chan)品(pin)无(wu)需(xu)注(zhu)(zhu)(zhu)册(ce)，只需(xu)备案即(ji)可。降类(lei)之后，在(zai)注(zhu)(zhu)(zhu)册(ce)更(geng)(geng)省(sheng)事之外，节省(sheng)的(de)还有(you)注(zhu)(zhu)(zhu)册(ce)费(fei)(fei)用。以三(san)类(lei)降为(wei)(wei)二类(lei)为(wei)(wei)例(li)，原(yuan)有(you)境内三(san)类(lei)产(chan)品(pin)首次注(zhu)(zhu)(zhu)册(ce)要(yao)收(shou)费(fei)(fei)15.36万元(yuan)，而转到(dao)地方注(zhu)(zhu)(zhu)册(ce)后，目前收(shou)费(fei)(fei)最便宜的(de)宁夏仅(jin)有(you)3.13万元(yuan)，还有(you)十多个省(sheng)份则(ze)还没开始收(shou)费(fei)(fei)呢。当(dang)然，反过来，对升类(lei)产(chan)品(pin)而言，注(zhu)(zhu)(zhu)册(ce)要(yao)比(bi)现在(zai)麻烦(fan)一(yi)些了(le)，由二类(lei)升为(wei)(wei)三(san)类(lei)的(de)，风(feng)险(xian)级别大增，也(ye)将(jiang)面(mian)临药(yao)监(jian)更(geng)(geng)为(wei)(wei)严格和(he)密集的(de)监(jian)管(guan)(guan)举措。

一(yi)次(ci)(ci)性(xing)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)包(bao)的(de)(de)使(shi)(shi)(shi)用(yong)方法(fa)一(yi)次(ci)(ci)性(xing)使(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)用(yong)于(yu)临床患(huan)者抽取气(qi)管(guan)内(nei)(nei)痰(tan)(tan)(tan)(tan)液或分泌(mi)液用(yong)。一(yi)次(ci)(ci)性(xing)使(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)动作要轻、稳(wen)。一(yi)次(ci)(ci)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)时(shi)间(jian)不应超过15秒(miao)，吸(xi)(xi)(xi)(xi)引(yin)器连续使(shi)(shi)(shi)用(yong)时(shi)间(jian)不超过3分钟(zhong)。1检查(cha)吸(xi)(xi)(xi)(xi)引(yin)器各部(bu)(bu)连接是(shi)否完善，有(you)(you)无(wu)漏气(qi)。接通电源，打开开关，检查(cha)吸(xi)(xi)(xi)(xi)引(yin)器性(xing)能，调(diao)节负(fu)(fu)压。一(yi)般成(cheng)人(ren)(ren)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)负(fu)(fu)压约40-50 kPa，小儿吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)约13-30kPa，将(jiang)(jiang)一(yi)次(ci)(ci)性(xing)使(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)置于(yu)水中(zhong)，试验吸(xi)(xi)(xi)(xi)引(yin)力，并冲(chong)洗(xi)(xi)皮(pi)管(guan)。2将(jiang)(jiang)病人(ren)(ren)头部(bu)(bu)转向护(hu)士，铺治疗巾(jin)于(yu)颌下。插入一(yi)次(ci)(ci)性(xing)使(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)，其顺(shun)序是(shi)由(you)口(kou)腔前(qian)庭→颊部(bu)(bu)→咽(yan)部(bu)(bu)，将(jiang)(jiang)各部(bu)(bu)吸(xi)(xi)(xi)(xi)尽。如(ru)口(kou)腔吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)有(you)(you)困难时(shi)，可(ke)由(you)鼻腔插入(颅底骨折患(huan)者禁用(yong))，其顺(shun)序由(you)鼻腔前(qian)庭→下鼻道(dao)→鼻后(hou)孔→咽(yan)部(bu)(bu)→气(qi)管(guan)(约20-25cm)，将(jiang)(jiang)分泌(mi)物逐段吸(xi)(xi)(xi)(xi)尽。3气(qi)管(guan)内(nei)(nei)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)，待病人(ren)(ren)吸(xi)(xi)(xi)(xi)气(qi)时(shi)，快(kuai)速将(jiang)(jiang)导(dao)管(guan)插入，自下而上(shang)(shang)边退边左右旋(xuan)转导(dao)管(guan)，消除气(qi)道(dao)分泌(mi)物，并注(zhu)意观察病人(ren)(ren)的(de)(de)呼吸(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)引(yin)过程中(zhong)，如(ru)病人(ren)(ren)咳嗽厉害，应稍(shao)等片刻后(hou)再行吸(xi)(xi)(xi)(xi)出。并随(sui)时(shi)冲(chong)洗(xi)(xi)吸(xi)(xi)(xi)(xi)引(yin)管(guan)，以免痰(tan)(tan)(tan)(tan)液堵(du)塞。4吸(xi)(xi)(xi)(xi)毕，关闭吸(xi)(xi)(xi)(xi)引(yin)器开关，弃吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)导(dao)管(guan)于(yu)小桶内(nei)(nei)，吸(xi)(xi)(xi)(xi)引(yin)胶管(guan)玻璃接头插入床栏上(shang)(shang)盛有(you)(you)消毒(du)液瓶内(nei)(nei)备用(yong)，将(jiang)(jiang)病人(ren)(ren)口(kou)腔周围擦净(jing)。观察吸(xi)(xi)(xi)(xi)出液的(de)(de)量(liang)、颜色及性(xing)质，必(bi)要时(shi)做好记录(lu)。

一(yi)次(ci)性使用(yong)(yong)(yong)导(dao)尿(niao)包 产(chan)品(pin)(pin)(pin)卫(wei)(wei)生(sheng)备案 过(guo)了有(you)效期怎么办(ban)消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)品(pin)(pin)(pin)的定(ding)义：消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)品(pin)(pin)(pin)包括：消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)剂、消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)器械(xie)(xie)(xie)(含生(sheng)物指(zhi)(zhi)示物、化(hua)(hua)学(xue)指(zhi)(zhi)示物和(he)(he)(灭(mie)(mie)菌(jun)物品(pin)(pin)(pin)包装(zhuang)物)、卫(wei)(wei)生(sheng)用(yong)(yong)(yong)品(pin)(pin)(pin)和(he)(he)一(yi)次(ci)性使用(yong)(yong)(yong)医(yi)(yi)疗用(yong)(yong)(yong)品(pin)(pin)(pin)。根据《中华人民共和(he)(he)国传染病防(fang)治(zhi)法》、《消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)管理(li)办(ban)法》、《消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)品(pin)(pin)(pin)标签说(shuo)明(ming)书管理(li)规(gui)范》、《消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)品(pin)(pin)(pin)卫(wei)(wei)生(sheng)安全(quan)评价规(gui)定(ding)》、《消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)技术规(gui)范》、《卫(wei)(wei)生(sheng)行政许可(ke)管理(li)办(ban)法》、《新(xin)消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)品(pin)(pin)(pin)和(he)(he)新(xin)涉水产(chan)品(pin)(pin)(pin)卫(wei)(wei)生(sheng)行政许可(ke)管理(li)规(gui)定(ding)》的要(yao)(yao)求，在(zai)中国境(jing)内销售和(he)(he)生(sheng)产(chan)的消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)类(lei)产(chan)品(pin)(pin)(pin)根据风险不(bu)同，实行分类(lei)管理(li)消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)品(pin)(pin)(pin)分类(lei)：按照(zhao)消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)品(pin)(pin)(pin)用(yong)(yong)(yong)途、使用(yong)(yong)(yong)对(dui)象(xiang)的风险程(cheng)度实行分类(lei)，具体如下：一(yi)类(lei)是(shi)具有(you)较高(gao)风险，需要(yao)(yao)严格管理(li)以保障(zhang)安全(quan)、有(you)效的消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)产(chan)品(pin)(pin)(pin)，包括用(yong)(yong)(yong)于医(yi)(yi)疗器械(xie)(xie)(xie)的高(gao)水平(ping)消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)剂和(he)(he)消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)器械(xie)(xie)(xie)、灭(mie)(mie)菌(jun)剂和(he)(he)灭(mie)(mie)菌(jun)器械(xie)(xie)(xie)、皮(pi)肤黏膜消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)剂，生(sheng)物指(zhi)(zhi)示物和(he)(he)灭(mie)(mie)菌(jun)效果化(hua)(hua)学(xue)指(zhi)(zhi)示物。(注：高(gao)水平(ping)消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)剂：是(shi)指(zhi)(zhi)可(ke)杀(sha)灭(mie)(mie)一(yi)切细(xi)(xi)菌(jun)繁殖体、分枝杆菌(jun)、病毒(du)(du)(du)(du)(du)、真菌(jun)及其孢(bao)子等，对(dui)致病性细(xi)(xi)菌(jun)芽孢(bao)也有(you)一(yi)定(ding)的杀(sha)灭(mie)(mie)作用(yong)(yong)(yong)，达到高(gao)水平(ping)消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)要(yao)(yao)求的消(xiao)(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)(du)剂。)