2月13日(ri)，联(lian)(lian)合整治“保(bao)健(jian)”市场(chang)(chang)乱(luan)象(xiang)百(bai)日(ri)行(xing)(xing)动(dong)联(lian)(lian)合工作(zuo)(zuo)组在市场(chang)(chang)监(jian)(jian)管(guan)(guan)总局召(zhao)开工作(zuo)(zuo)组会议。市场(chang)(chang)监(jian)(jian)管(guan)(guan)总局副(fu)局长甘(gan)霖同(tong)(tong)志(zhi)出席会议并讲话，市场(chang)(chang)监(jian)(jian)管(guan)(guan)总局、工业和(he)信(xin)息(xi)化部(bu)(bu)(bu)(bu)、公安部(bu)(bu)(bu)(bu)、民政(zheng)部(bu)(bu)(bu)(bu)、住房(fang)和(he)城(cheng)乡建设部(bu)(bu)(bu)(bu)、农业农村部(bu)(bu)(bu)(bu)、商务部(bu)(bu)(bu)(bu)、文化和(he)旅游部(bu)(bu)(bu)(bu)、卫生健(jian)康委员(yuan)会、广播电(dian)视总局、中医药管(guan)(guan)理(li)局、药品监(jian)(jian)督管(guan)(guan)理(li)局、网信(xin)办(ban)等(deng)13部(bu)(bu)(bu)(bu)门成员(yuan)单位(wei)负责(ze)同(tong)(tong)志(zhi)及联(lian)(lian)络(luo)员(yuan)和(he)市场(chang)(chang)监(jian)(jian)管(guan)(guan)总局“百(bai)日(ri)行(xing)(xing)动(dong)”工作(zuo)(zuo)组成员(yuan)单位(wei)负责(ze)同(tong)(tong)志(zhi)及联(lian)(lian)络(luo)员(yuan)参加(jia)会议。“百(bai)日(ri)行(xing)(xing)动(dong)”开展(zhan)以(yi)来，各部(bu)(bu)(bu)(bu)门积极(ji)落实(shi)《关于开展(zhan)联(lian)(lian)合整治“保(bao)健(jian)”市场(chang)(chang)乱(luan)象(xiang)百(bai)日(ri)行(xing)(xing)动(dong)的通知》要求，立足自身职能，迅速部(bu)(bu)(bu)(bu)署落实(shi)，在相关领(ling)域和(he)行(xing)(xing)业内开展(zhan)行(xing)(xing)动(dong)。市场(chang)(chang)监(jian)(jian)管(guan)(guan)总局切实(shi)履行(xing)(xing)监(jian)(jian)管(guan)(guan)执(zhi)法、联(lian)(lian)络(luo)调度、汇集(ji)信(xin)息(xi)、服务保(bao)障等(deng)职责(ze)，通过建立工作(zuo)(zuo)协调机制、建立工作(zuo)(zuo)台账(zhang)、召(zhao)开调度会议、加(jia)强新闻宣传(chuan)等(deng)方(fang)式，组织各部(bu)(bu)(bu)(bu)门、市场(chang)(chang)监(jian)(jian)管(guan)(guan)系(xi)统(tong)迅速深入开展(zhan)“百(bai)日(ri)行(xing)(xing)动(dong)”。

使用(yong)(yong)(yong)(yong)说明：1、确(que)认在灭菌(jun)(jun)有效期内和包(bao)(bao)(bao)装完好后(hou)，撕开启封口，取(qu)(qu)出导(dao)(dao)(dao)尿(niao)(niao)包(bao)(bao)(bao)放置在工作(zuo)台(tai)上；2、戴上薄膜手(shou)(shou)(shou)套，用(yong)(yong)(yong)(yong)镊(nie)(nie)(nie)子(zi)(zi)（圆(yuan)头）镊(nie)(nie)(nie)取(qu)(qu)碘(dian)伏棉(mian)球(qiu)(qiu)(qiu)/或(huo)洗必泰棉(mian)球(qiu)(qiu)(qiu)，对患(huan)处(chu)(chu)消毒处(chu)(chu)理3、在换戴灭菌(jun)(jun)橡(xiang)胶外(wai)科手(shou)(shou)(shou)套/医用(yong)(yong)(yong)(yong)橡(xiang)胶检查手(shou)(shou)(shou)套，将治(zhi)疗(liao)巾(jin)覆盖在患(huan)处(chu)(chu)，中(zhong)洞处(chu)(chu)露出尿(niao)(niao)道口4、取(qu)(qu)镊(nie)(nie)(nie)子(zi)(zi)（尖头）镊(nie)(nie)(nie)取(qu)(qu)石蜡棉(mian)球(qiu)(qiu)(qiu)润滑导(dao)(dao)(dao)尿(niao)(niao)管(guan)，然后(hou)双(shuang)手(shou)(shou)(shou)配合(he)将导(dao)(dao)(dao)尿(niao)(niao)管(guan)插入尿(niao)(niao)道，用(yong)(yong)(yong)(yong)液(ye)体(ti)推(tui)注器吸取(qu)(qu)定量无菌(jun)(jun)水(shui)充入导(dao)(dao)(dao)尿(niao)(niao)管(guan)球(qiu)(qiu)(qiu)囊，使球(qiu)(qiu)(qiu)囊与导(dao)(dao)(dao)尿(niao)(niao)壁相接(jie)，然后(hou)将引流(liu)袋与导(dao)(dao)(dao)尿(niao)(niao)管(guan)连接(jie)进行(xing)导(dao)(dao)(dao)尿(niao)(niao)； 5、用(yong)(yong)(yong)(yong)取(qu)(qu)样(yang)管(guan)取(qu)(qu)样(yang)并送检 6、导(dao)(dao)(dao)尿(niao)(niao)完毕，用(yong)(yong)(yong)(yong)液(ye)体(ti)推(tui)助器抽出球(qiu)(qiu)(qiu)囊内的无菌(jun)(jun)水(shui)，拔(ba)出导(dao)(dao)(dao)尿(niao)(niao)管(guan)； 7、用(yong)(yong)(yong)(yong)海绵刷(shua)子(zi)(zi)蘸取(qu)(qu)酒精(jing)进行(xing)清洁处(chu)(chu)理，再用(yong)(yong)(yong)(yong)纱布(bu)叠片或(huo)棉(mian)球(qiu)(qiu)(qiu)擦试干净8、按无菌(jun)(jun)操作(zuo)规程进行(xing)，导(dao)(dao)(dao)尿(niao)(niao)完毕，丢弃所(suo)有组件(jian)。 一(yi)次性使用(yong)(yong)(yong)(yong)导(dao)(dao)(dao)尿(niao)(niao)包(bao)(bao)(bao)。注意事项：1、本(ben)产品限一(yi)次性使用(yong)(yong)(yong)(yong)，用(yong)(yong)(yong)(yong)后(hou)销毁；

导(dao)(dao)尿(niao)(niao)(niao)设(she)备在(zai)(zai)医(yi)疗(liao)当中也是(shi)(shi)经常(chang)(chang)使(shi)(shi)(shi)用(yong)(yong)(yong)的(de)(de)一种(zhong)(zhong)产(chan)品(pin)(pin)(pin)(pin)(pin),在(zai)(zai)泌(mi)尿(niao)(niao)(niao)肛肠(chang)等医(yi)疗(liao)科室经常(chang)(chang)用(yong)(yong)(yong)到导(dao)(dao)尿(niao)(niao)(niao)设(she)备一般都是(shi)(shi)一次(ci)(ci)性(xing)使(shi)(shi)(shi)用(yong)(yong)(yong)的(de)(de)。下面介(jie)绍的(de)(de)这(zhei)(zhei)种(zhong)(zhong)-次(ci)(ci)性(xing)的(de)(de)无(wu)莹(ying)导(dao)(dao)尿(niao)(niao)(niao)产(chan)品(pin)(pin)(pin)(pin)(pin)就(jiu)是(shi)(shi)同类(lei)产(chan)品(pin)(pin)(pin)(pin)(pin)中性(xing)能(neng)非(fei)(fei)常(chang)(chang)优越(yue)的(de)(de)一种(zhong)(zhong)。产(chan)品(pin)(pin)(pin)(pin)(pin)的(de)(de)用(yong)(yong)(yong)途和(he)(he)性(xing)能(neng),这(zhei)(zhei)种(zhong)(zhong)-次(ci)(ci)性(xing)的(de)(de)无(wu)菌导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)主要(yao)是(shi)(shi)给(ji)临床上(shang)的(de)(de)患者导(dao)(dao)尿(niao)(niao)(niao)之用(yong)(yong)(yong)，这(zhei)(zhei)种(zhong)(zhong)产(chan)品(pin)(pin)(pin)(pin)(pin)是(shi)(shi)经过了环氧乙烷灭莹(ying),非(fei)(fei)常(chang)(chang)的(de)(de)卫生和(he)(he)安全，使(shi)(shi)(shi)用(yong)(yong)(yong)起来(lai)也非(fei)(fei)常(chang)(chang)方便。该产(chan)品(pin)(pin)(pin)(pin)(pin)是(shi)(shi)由洞巾,布(bu)(bu)和(he)(he)一次(ci)(ci)性(xing)使(shi)(shi)(shi)用(yong)(yong)(yong)的(de)(de)导(dao)(dao)尿(niao)(niao)(niao)管、橡胶医(yi)用(yong)(yong)(yong)手套、海绵刷、纱布(bu)(bu)块、石蜡(la)棉球物(wu)品(pin)(pin)(pin)(pin)(pin)盒和(he)(he)一次(ci)(ci)性(xing)的(de)(de)引流(liu)袋等几部分组成。这(zhei)(zhei)种(zhong)(zhong)- -次(ci)(ci)性(xing)产(chan)品(pin)(pin)(pin)(pin)(pin)使(shi)(shi)(shi)用(yong)(yong)(yong)起来(lai)也非(fei)(fei)常(chang)(chang)方便。这(zhei)(zhei)种(zhong)(zhong)产(chan)品(pin)(pin)(pin)(pin)(pin)使(shi)(shi)(shi)用(yong)(yong)(yong)起来(lai)也比较简(jian)单(dan),首先,在(zai)(zai)使(shi)(shi)(shi)用(yong)(yong)(yong)前要(yao)检查(cha)单(dan)包(bao)(bao)装(zhuang)是(shi)(shi)不是(shi)(shi)没(mei)有损坏,灭菌的(de)(de)有效期(qi)是(shi)(shi)不是(shi)(shi)正常(chang)(chang);其次(ci)(ci),在(zai)(zai)使(shi)(shi)(shi)用(yong)(yong)(yong)的(de)(de)时候(hou),先打开(kai)包(bao)(bao)装(zhuang),在(zai)(zai)将包(bao)(bao)布(bu)(bu)打开(kai),再戴上(shang)手套,然(ran)后(hou);按照常(chang)(chang)规的(de)(de)方法来(lai)使(shi)(shi)(shi)用(yong)(yong)(yong)导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)里的(de)(de)组件;其三(san),-般的(de)(de)产(chan)品(pin)(pin)(pin)(pin)(pin)的(de)(de)有效期(qi)是(shi)(shi)两(liang)年(nian) ,如果(guo)产(chan)品(pin)(pin)(pin)(pin)(pin)已经过了有效期(qi),绝对不能(neng)使(shi)(shi)(shi)用(yong)(yong)(yong);四,如果(guo)包(bao)(bao)装(zhuang)破损了也不能(neng)使(shi)(shi)(shi)用(yong)(yong)(yong);五,这(zhei)(zhei)是(shi)(shi)-次(ci)(ci)性(xing)的(de)(de)使(shi)(shi)(shi)用(yong)(yong)(yong)产(chan)品(pin)(pin)(pin)(pin)(pin)，禁止重(zhong)复使(shi)(shi)(shi)用(yong)(yong)(yong),在(zai)(zai)使(shi)(shi)(shi)用(yong)(yong)(yong)完后(hou)要(yao)销毁,生产(chan)日期(qi)般在(zai)(zai)包(bao)(bao)装(zhuang)封口处。

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。医用一次性使用换药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。一次性使用换药包厂家女性:先清洗外阴,其(qi)原则由(you)上至下,由(you)内向外,然后(hou)清洗尿(niao)(niao)道口、前庭、两侧(ce)大小阴唇(chun),后(hou)会阴、肛门(men),每一个棉球不能重复使用;6.插(cha)管过程严格执行(xing)无菌操作,动(dong)作要轻柔(rou),避免尿(niao)(niao)道粘膜损伤;7.对留(liu)置导尿(niao)(niao)患者,应采用密(mi)闭式引流系统。

一次性使(shi)(shi)用(yong)(yong)(yong)(yong)导(dao)(dao)尿(niao)(niao)(niao)包的(de)(de)使(shi)(shi)用(yong)(yong)(yong)(yong)方法1、导(dao)(dao)尿(niao)(niao)(niao)包的(de)(de)配置和包装设(she)计是根据《中(zhong)(zhong)(zhong)华护(hu)理(li)大(da)全》中(zhong)(zhong)(zhong)关于导(dao)(dao)尿(niao)(niao)(niao)部分的(de)(de)操(cao)(cao)(cao)作程(cheng)序和各(ge)(ge)医(yi)院(yuan)(yuan)实际导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)(cao)作过程(cheng)中(zhong)(zhong)(zhong)的(de)(de)要求设(she)计制定(ding)。2 导(dao)(dao)尿(niao)(niao)(niao)包的(de)(de)使(shi)(shi)用(yong)(yong)(yong)(yong)方法可按各(ge)(ge)医(yi)院(yuan)(yuan)规(gui)定(ding)的(de)(de)导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)(cao)作规(gui)程(cheng)进行(xing)(xing)操(cao)(cao)(cao)作。3如(ru)在(zai)使(shi)(shi)用(yong)(yong)(yong)(yong)过程(cheng)中(zhong)(zhong)(zhong)导(dao)(dao)尿(niao)(niao)(niao)包内的(de)(de)配置和包装顺序与贵医(yi)院(yuan)(yuan)的(de)(de)导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)(cao)作规(gui)程(cheng)有不相符的(de)(de)情况(kuang)请(qing)(qing)向供应商提出改(gai)进建(jian)议(yi)。4在(zai)使(shi)(shi)用(yong)(yong)(yong)(yong)导(dao)(dao)尿(niao)(niao)(niao)包前(qian)请(qing)(qing)确(que)(que)认(ren)(ren)(ren)您(nin)所使(shi)(shi)用(yong)(yong)(yong)(yong)的(de)(de)导(dao)(dao)尿(niao)(niao)(niao)包是否是您(nin)选用(yong)(yong)(yong)(yong)的(de)(de)型号，并(bing)确(que)(que)认(ren)(ren)(ren)导(dao)(dao)尿(niao)(niao)(niao)包包装完好(hao)无破损。5 在(zai)操(cao)(cao)(cao)作前(qian)请(qing)(qing)做(zuo)好(hao)准备工作，安排患(huan)者(zhe)正(zheng)确(que)(que)体位铺(pu)好(hao)洞巾。并(bing)对患(huan)者(zhe)进行(xing)(xing)安慰。6、请(qing)(qing)按医(yi)院(yuan)(yuan)的(de)(de)导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)(cao)作规(gui)程(cheng)进行(xing)(xing)外消毒(du)(du)(du)和内消毒(du)(du)(du)两(liang)次消毒(du)(du)(du)。消毒(du)(du)(du)时不能(neng)选择对皮肤有较强刺(ci)激的(de)(de)消毒(du)(du)(du)剂，建(jian)议(yi)使(shi)(shi)用(yong)(yong)(yong)(yong)0.5％的(de)(de)碘伏的(de)(de)消毒(du)(du)(du)剂或其他低(di)刺(ci)激的(de)(de)消毒(du)(du)(du)剂。7、使(shi)(shi)用(yong)(yong)(yong)(yong)前(qian)请(qing)(qing)将(jiang)导(dao)(dao)尿(niao)(niao)(niao)管球囊(nang)进行(xing)(xing)充(chong)水试验，确(que)(que)认(ren)(ren)(ren)导(dao)(dao)尿(niao)(niao)(niao)管球囊(nang)是否正(zheng)常。充(chong)水后的(de)(de)球囊(nang)应在(zai)球囊(nang)中(zhong)(zhong)(zhong)留2－3ml蒸(zheng)馏水，用(yong)(yong)(yong)(yong)于保障球囊(nang)外表光滑。