如何预(yu)防(fang)插导(dao)(dao)(dao)(dao)尿(niao)(niao)包时(shi)出(chu)现感(gan)(gan)染现象?全科(ke)(ke)医生是(shi)经(jing)过(guo)(guo)全科(ke)(ke)医学专(zhuan)(zhuan)业培训(xun),临(lin)床(chuang)技(ji)能全面、医德高尚的(de)(de)(de)(de)(de)(de)高素质(zhi)基层医疗保健(jian)人(ren)才,富有独立(li)工作能力(li),对个人(ren)家庭(ting)及(ji)社区提供便捷、廉价的(de)(de)(de)(de)(de)(de)防(fang)、 治(zhi)保康全方位的(de)(de)(de)(de)(de)(de)优质(zhi)服(fu)务(wu)(wu)。开(kai)展全科(ke)(ke)医疗服(fu)务(wu)(wu), 如果(guo)没有具有活力(li)的(de)(de)(de)(de)(de)(de)全科(ke)(ke)医生做坚实(shi)的(de)(de)(de)(de)(de)(de)基础,工作将缺(que)乏生气和动(dong)力(li),那种以单纯的(de)(de)(de)(de)(de)(de)专(zhuan)(zhuan)科(ke)(ke)医疗的(de)(de)(de)(de)(de)(de)服(fu)务(wu)(wu)体系,势(shi)必造成(cheng)医疗秩序(xu)的(de)(de)(de)(de)(de)(de)混乱,也没有任何国家的(de)(de)(de)(de)(de)(de)经(jing)济能够负担得(de)起。那么(me),插导(dao)(dao)(dao)(dao)尿(niao)(niao)管(guan)(guan)(guan)如何预(yu)防(fang)感(gan)(gan)染呢(ni)?导(dao)(dao)(dao)(dao)尿(niao)(niao)包相(xiang)关(guan)尿(niao)(niao)路(lu)感(gan)(gan)染预(yu)防(fang)SOP尿(niao)(niao)路(lu)感(gan)(gan)染(UTI)是(shi)二位常(chang)见医院感(gan)(gan)染类型(xing), 75% ~ 80%与留置导(dao)(dao)(dao)(dao)尿(niao)(niao)管(guan)(guan)(guan)相(xiang)关(guan)。为有效预(yu)防(fang)导(dao)(dao)(dao)(dao)尿(niao)(niao)管(guan)(guan)(guan)相(xiang)关(guan)尿(niao)(niao)路(lu)感(gan)(gan)染,特制定以下控制措施(shi)(shi):插管(guan)(guan)(guan)前准(zhun)备与插管(guan)(guan)(guan)时(shi)的(de)(de)(de)(de)(de)(de)措施(shi)(shi)1.尽量避免(mian)不必要的(de)(de)(de)(de)(de)(de)留置导(dao)(dao)(dao)(dao)尿(niao)(niao);2.仔细检查(cha)无菌(jun)导(dao)(dao)(dao)(dao)尿(niao)(niao)包,如过(guo)(guo)期、外(wai)包装破损潮湿(shi),不得(de)使用(yong);3.根据年龄(ling)、性别、尿(niao)(niao)道(dao)(dao)情况选(xuan)择(ze)合(he)适的(de)(de)(de)(de)(de)(de)导(dao)(dao)(dao)(dao)尿(niao)(niao)管(guan)(guan)(guan)口径、类型(xing)。通常(chang)成(cheng)年男性选(xuan)16F ,女性选(xuan)14F ;4.规范手卫(wei)生和载(zai)手套的(de)(de)(de)(de)(de)(de)程(cheng)(cheng)序(xu);5.常(chang)规的(de)(de)(de)(de)(de)(de)消(xiao)毒(du)(du)方法:用(yong)0.1%的(de)(de)(de)(de)(de)(de)新洁尔灭消(xiao)毒(du)(du)尿(niao)(niao)道(dao)(dao)口及(ji)其周围皮肤粘膜(mo),程(cheng)(cheng)序(xu)如下:男性:自尿(niao)(niao)道(dao)(dao)口、龟头(tou)向外(wai)旋转擦拭消(xiao)毒(du)(du),注意洗(xi)净包皮及(ji)冠状沟(gou)。女性:先(xian)清(qing)洗(xi)外(wai)阴(yin),其原则由(you)上(shang)至下,由(you)内向外(wai),然(ran)后清(qing)洗(xi)尿(niao)(niao)道(dao)(dao)口、前庭(ting)、两侧(ce)大(da)小阴(yin)唇(chun),后会阴(yin)、肛门,每一个棉球不能重复使用(yong);6.插管(guan)(guan)(guan)过(guo)(guo)程(cheng)(cheng)严格执(zhi)行(xing)无菌(jun)操(cao)作,动(dong)作要轻柔(rou),避免(mian)尿(niao)(niao)道(dao)(dao)粘膜(mo)损伤;7.对留置导(dao)(dao)(dao)(dao)尿(niao)(niao)患者,应采用(yong)密(mi)闭式引(yin)流系统。
导(dao)尿(niao)(niao)包(bao)使(shi)用(yong)过(guo)程中的(de)(de)禁忌症及注意(yi)事项1 本品(pin)(pin)请在医生处方后使(shi)用(yong),使(shi)用(yong)前请阅读说(shuo)明(ming)书(shu)。2本产(chan)品(pin)(pin)在操作过(guo)程中应(ying)按无菌操作技术(shu)规范进行(xing)(xing)。3 导(dao)尿(niao)(niao)包(bao)的(de)(de)使(shi)用(yong)和(he)导(dao)尿(niao)(niao)的(de)(de)操作应(ying)由(you)受过(guo)专业培(pei)训的(de)(de)医护(hu)人员(yuan)进行(xing)(xing)。4、插(cha)(cha)(cha)入导(dao)尿(niao)(niao)管(guan)时应(ying)让患(huan)(huan)者(zhe)保持正确体位,插(cha)(cha)(cha)管(guan)动作轻(qing)柔,避免损伤尿(niao)(niao)道(dao)粘膜。女性患(huan)(huan)者(zhe)如(ru)导(dao)尿(niao)(niao)管(guan)误入阴道(dao)应(ying)换管(guan)重(zhong)(zhong)新插(cha)(cha)(cha)入。男(nan)性患(huan)(huan)者(zhe)插(cha)(cha)(cha)入导(dao)尿(niao)(niao)管(guan)时应(ying)保障(zhang)阴茎与腹壁成(cheng)60度角(jiao)。5、患(huan)(huan)有尿(niao)(niao)道(dao)疾病及橡胶过(guo)敏者(zhe)请慎(shen)重(zhong)(zhong)使(shi)用(yong)!6 使(shi)用(yong)本产(chan)品(pin)(pin)的(de)(de)过(guo)程中,如(ru)发现瘙痒、皮肤发红、荨麻疹(zhen)、水肿等过(guo)敏症状应(ying)立即停止使(shi)用(yong),并请医生进行(xing)(xing)处置(zhi)。7、本产(chan)品(pin)(pin)为环氧(yang)乙烷灭菌产(chan)品(pin)(pin)。产(chan)品(pin)(pin)有效期(qi)两年。8、生产(chan)日(ri)期(qi)见产(chan)品(pin)(pin)封口、消毒(du)日(ri)期(qi)见外(wai)包(bao)装箱。9本产(chan)品(pin)(pin)仅限(xian)于(yu)一次性使(shi)用(yong),失效日(ri)期(qi)见产(chan)品(pin)(pin)外(wai)包(bao)装。
这个市场的现状到底怎么样?在国家医疗改革诸如分级诊疗等大的浪潮冲击下,未来的机会和趋势如何?对于一些想在这块市场有所行动的企业来说,推荐一次性使用无菌塑柄手术刀又如何下手呢?带着这些问题,绿豹医疗经过与医械圈、医药圈里多年从事营销工作的同道沟通和交流;同时,也深入部分乡镇卫生院及社区卫生医疗机构,一次性使用无菌塑柄手术刀厂家与相关(guan)(guan)领导了(le)解(jie)信息;最终结合笔者自(zi)身营(ying)销经(jing)验,经(jing)过梳(shu)理后,希望抛砖(zhuan)引玉,为部分企业(ye)的(de)(de)低值耗材(cai)推广(guang)提(ti)供一(yi)(yi)些思路(lu)和借鉴。1、采(cai)购目前在乡镇卫(wei)(wei)生(sheng)院及社区医疗(liao)机构,大型(xing)(xing)医疗(liao)器械(xie)设备由医院提(ti)出(chu)需(xu)求(如有(you)具体参数也要附上(shang)),卫(wei)(wei)计委负责采(cai)购并(bing)配发给卫(wei)(wei)生(sheng)院;而小型(xing)(xing)设备及一(yi)(yi)次性使(shi)用(yong)的(de)(de)低值耗材(cai)类(lei),具有(you)最终端决策权的(de)(de)就(jiu)基本上(shang)是(shi)院长一(yi)(yi)个(ge)人了(le),当然一(yi)(yi)般(ban)由化验室提(ti)出(chu)需(xu)求,供货商多(duo)数是(shi)多(duo)年与该院合作器械(xie)经(jing)营(ying)或原药(yao)品营(ying)销关(guan)(guan)系转(zhuan)行从事器械(xie)耗材(cai)推广(guang)的(de)(de)公司,亦或和卫(wei)(wei)计委有(you)一(yi)(yi)定的(de)(de)业(ye)务(wu)关(guan)(guan)系。
如(ru)何使(shi)用(yong)(yong)(yong)一(yi)次性(xing)采血(xue)(xue)(xue)护理包(bao)方法/步骤1、基础配置:消毒(du)(du)湿巾、垫(dian)巾、碘伏棉签、医用(yong)(yong)(yong)采血(xue)(xue)(xue)贴、压脉带。 还可(ke)根据客户需(xu)求添加其(qi)它耗材,如(ru)一(yi)次性(xing)手套(tao)等。2、适用(yong)(yong)(yong)范围:本产(chan)品(pin)适用(yong)(yong)(yong)于(yu)采血(xue)(xue)(xue)、输(shu)血(xue)(xue)(xue)前后消毒(du)(du)和护理使(shi)用(yong)(yong)(yong)。3、使(shi)用(yong)(yong)(yong)说明: 1)开(kai)启密封包(bao)装(zhuang)袋(dai)取出产(chan)品(pin); 2)消毒(du)(du)棉棒使(shi)用(yong)(yong)(yong)时,需(xu)将带有标记的(de)一(yi)端用(yong)(yong)(yong)手掰断。待液体(ti)流到下(xia)部的(de)棉签时,可(ke)以(yi)使(shi)用(yong)(yong)(yong);3)按(an)照常规操作(zuo)程(cheng)序,进行(xing)采输(shu)血(xue)(xue)(xue)护理。
一次(ci)性使(shi)用(yong)(yong)无(wu)菌导尿包注意事项(xiang)。注意事项(xiang)。产(chan)品(pin)(pin)按手术(shu)室无(wu)菌操作(zuo)规定使(shi)用(yong)(yong)。2.包装(zhuang)破(po)损(sun)切(qie)勿(wu)使(shi)用(yong)(yong)。一次(ci)性使(shi)用(yong)(yong)导尿包3.本品(pin)(pin)为一次(ci)性产(chan)品(pin)(pin),切(qie)勿(wu)再次(ci)使(shi)用(yong)(yong)。4.产(chan)品(pin)(pin)使(shi)用(yong)(yong)后(hou)应(ying)按照医院或环保部门(men)要求(qiu)(qiu)进行处理。【禁忌症】对橡胶、聚(ju)丙(bing)烯塑料、无(wu)纺(fang)布、脱(tuo)脂棉(mian)过敏者慎(shen)用(yong)(yong)。【使(shi)用(yong)(yong)说明】打开产(chan)品(pin)(pin)小包装(zhuang)后(hou)即可使(shi)用(yong)(yong);根(gen)据(ju)使(shi)用(yong)(yong)需求(qiu)(qiu),依次(ci)将(jiang)产(chan)品(pin)(pin)中的(de)组件铺垫好,以获得良好的(de)使(shi)用(yong)(yong)效果。【储(chu)存条件、方法】贮存在阴(yin)凉(liang)、干燥、通风、无(wu)腐蚀(shi)性气体的(de)环境中,远离火源及易燃物。
一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)胃(wei)(wei)(wei)(wei)镜检(jian)查包(bao)(bao)相关(guan)问(wen)(wen)(wen)答(da)(da)(da)问(wen)(wen)(wen): 一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)口(kou)(kou)腔(qiang)(qiang)包(bao)(bao)为(wei)何(he)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)?答(da)(da)(da):因为(wei)该口(kou)(kou)腔(qiang)(qiang)包(bao)(bao)里(li)(li)的(de)(de)(de)(de)东西没有(you)办法进行高(gao)温高(gao)压消(xiao)(xiao)毒(du)(du),会(hui)变形(xing)融(rong)化(hua)(hua),所以是(shi)(shi)(shi)(shi)(shi)(shi)(shi)一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)的(de)(de)(de)(de),污染后就不(bu)(bu)能用(yong)(yong)(yong)(yong)了(le)(le)口(kou)(kou)腔(qiang)(qiang)科(ke) 1个(ge)回(hui)答(da)(da)(da) 问(wen)(wen)(wen): 胃(wei)(wei)(wei)(wei)镜检(jian)查的(de)(de)(de)(de)器(qi)材(cai)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)的(de)(de)(de)(de)吗(ma)比(bi)如(ru)咬(yao)口(kou)(kou)大(da)夫(fu)手(shou)套?答(da)(da)(da):病情(qing)(qing)分(fen)析: 你(ni)好(hao)!胃(wei)(wei)(wei)(wei)镜检(jian)查为(wei)侵入性(xing)(xing)(xing)操作,如(ru)果不(bu)(bu)注意(yi)会(hui)引起交叉感(gan)染。 指导意(yi)见: 正规医院(yuan)的(de)(de)(de)(de)胃(wei)(wei)(wei)(wei)镜耗材(cai)均为(wei)一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing),胃(wei)(wei)(wei)(wei)镜不(bu)(bu)可能为(wei)一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing),但是(shi)(shi)(shi)(shi)(shi)(shi)(shi)都经过(guo)严格(ge)消(xiao)(xiao)毒(du)(du)的(de)(de)(de)(de)。内科(ke) 1个(ge)回(hui)答(da)(da)(da) 问(wen)(wen)(wen): 一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)口(kou)(kou)腔(qiang)(qiang)包(bao)(bao)的(de)(de)(de)(de)材(cai)料是(shi)(shi)(shi)(shi)(shi)(shi)(shi)什么?答(da)(da)(da):应(ying)(ying)该是(shi)(shi)(shi)(shi)(shi)(shi)(shi)托盘(pan)还有(you)开口(kou)(kou)器(qi)之类的(de)(de)(de)(de)。 希望对你(ni)有(you)帮助。 麻烦(fan)好(hao)评,谢谢商业 1个(ge)回(hui)答(da)(da)(da) 问(wen)(wen)(wen): 什么情(qing)(qing)况(kuang)下(xia)应(ying)(ying)该使(shi)用(yong)(yong)(yong)(yong)胃(wei)(wei)(wei)(wei)镜做检(jian)查?答(da)(da)(da):对于(yu)(yu)钝形(xing)物体(ti)在胃(wei)(wei)(wei)(wei)内已存(cun)留2周(zhou),或在十二指肠内存(cun)留1周(zhou)时,都应(ying)(ying)用(yong)(yong)(yong)(yong)内镜取出消(xiao)(xiao)化(hua)(hua)内科(ke) 1个(ge)回(hui)答(da)(da)(da) 问(wen)(wen)(wen): 一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)手(shou)术(shu)材(cai)料包(bao)(bao)包(bao)(bao)括那些?答(da)(da)(da):一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)手(shou)术(shu)材(cai)料包(bao)(bao)(手(shou)术(shu)包(bao)(bao)、参与包(bao)(bao)、产(chan)包(bao)(bao)、流产(chan)包(bao)(bao))产(chan)科(ke) 1个(ge)回(hui)答(da)(da)(da)问(wen)(wen)(wen): 一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)无菌敷料包(bao)(bao)适用(yong)(yong)(yong)(yong)于(yu)(yu)什么?答(da)(da)(da):适用(yong)(yong)(yong)(yong)于(yu)(yu)医疗单位手(shou)术(shu)后、创伤的(de)(de)(de)(de)换药。医疗健康 1个(ge)回(hui)答(da)(da)(da)问(wen)(wen)(wen): 一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)手(shou)术(shu)包(bao)(bao)标配(pei)和常规的(de)(de)(de)(de)区别?答(da)(da)(da):这(zhei)个(ge)各(ge)个(ge)医院(yuan)有(you)自己的(de)(de)(de)(de)常规和标配(pei),具体(ti)看规定(ding)答(da)(da)(da):这(zhei)个(ge)区别也不(bu)(bu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)很大(da) 具体(ti)相同的(de)(de)(de)(de)很多(duo)的(de)(de)(de)(de)。 点(dian)(dian)击好(hao)评,祝你(ni)事事顺利。眼部(bu)整形(xing) 2个(ge)回(hui)答(da)(da)(da)问(wen)(wen)(wen): 一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)使(shi)用(yong)(yong)(yong)(yong)口(kou)(kou)腔(qiang)(qiang)包(bao)(bao)为(wei)何(he)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)?答(da)(da)(da):因为(wei)该腔(qiang)(qiang)包(bao)(bao)里(li)(li)的(de)(de)(de)(de)东西没有(you)办法进行高(gao)温高(gao)压消(xiao)(xiao)毒(du)(du),会(hui)变形(xing)融(rong)化(hua)(hua),所以是(shi)(shi)(shi)(shi)(shi)(shi)(shi)一(yi)(yi)(yi)(yi)次性(xing)(xing)(xing)的(de)(de)(de)(de),污染后就不(bu)(bu)能用(yong)(yong)(yong)(yong)了(le)(le)口(kou)(kou)腔(qiang)(qiang)科(ke) 1个(ge)回(hui)答(da)(da)(da)问(wen)(wen)(wen): 胃(wei)(wei)(wei)(wei)镜检(jian)查有(you)点(dian)(dian)包(bao)(bao)块要紧(jin)?答(da)(da)(da):出现这(zhei)样的(de)(de)(de)(de)情(qing)(qing)况(kuang)考(kao)虑是(shi)(shi)(shi)(shi)(shi)(shi)(shi)由于(yu)(yu)明显的(de)(de)(de)(de)乳腺(xian)增生疾病有(you)很大(da)关(guan)系的(de)(de)(de)(de),需要去乳腺(xian)科(ke)做个(ge)检(jian)查消(xiao)(xiao)化(hua)(hua)内科(ke) 1个(ge)回(hui)答(da)(da)(da)问(wen)(wen)(wen): 胃(wei)(wei)(wei)(wei)镜检(jian)查包(bao)(bao)和胃(wei)(wei)(wei)(wei)管包(bao)(bao)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)一(yi)(yi)(yi)(yi)个(ge)东西吗(ma)答(da)(da)(da):不(bu)(bu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)一(yi)(yi)(yi)(yi)个(ge)东西