一(yi)次(ci)性(xing)(xing)(xing)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)包的使(shi)(shi)用(yong)(yong)(yong)方法一(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)用(yong)(yong)(yong)于临床患者抽取气(qi)(qi)管(guan)(guan)内(nei)(nei)痰(tan)(tan)液(ye)或(huo)分(fen)泌(mi)液(ye)用(yong)(yong)(yong)。一(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)动(dong)作要轻、稳。一(yi)次(ci)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)时(shi)间不(bu)应(ying)超过(guo)15秒,吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器连续使(shi)(shi)用(yong)(yong)(yong)时(shi)间不(bu)超过(guo)3分(fen)钟。1检(jian)查吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器各部(bu)(bu)(bu)连接是否完(wan)善,有(you)无(wu)漏气(qi)(qi)。接通电(dian)源,打(da)开开关(guan),检(jian)查吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器性(xing)(xing)(xing)能,调节负(fu)压(ya)。一(yi)般成人(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)负(fu)压(ya)约(yue)40-50 kPa,小儿吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)约(yue)13-30kPa,将(jiang)一(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)置于水中,试(shi)验吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)力,并(bing)冲洗(xi)皮管(guan)(guan)。2将(jiang)病(bing)(bing)人(ren)头(tou)(tou)部(bu)(bu)(bu)转(zhuan)向护(hu)士(shi),铺治疗巾(jin)于颌下(xia)。插入(ru)(ru)一(yi)次(ci)性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan),其(qi)顺(shun)序(xu)是由口(kou)腔(qiang)前(qian)庭→颊部(bu)(bu)(bu)→咽部(bu)(bu)(bu),将(jiang)各部(bu)(bu)(bu)吸(xi)(xi)(xi)(xi)(xi)(xi)尽。如(ru)口(kou)腔(qiang)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)有(you)困(kun)难时(shi),可由鼻腔(qiang)插入(ru)(ru)(颅底骨折患者禁用(yong)(yong)(yong)),其(qi)顺(shun)序(xu)由鼻腔(qiang)前(qian)庭→下(xia)鼻道(dao)→鼻后孔→咽部(bu)(bu)(bu)→气(qi)(qi)管(guan)(guan)(约(yue)20-25cm),将(jiang)分(fen)泌(mi)物逐段吸(xi)(xi)(xi)(xi)(xi)(xi)尽。3气(qi)(qi)管(guan)(guan)内(nei)(nei)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan),待(dai)病(bing)(bing)人(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)气(qi)(qi)时(shi),快速将(jiang)导(dao)管(guan)(guan)插入(ru)(ru),自下(xia)而上(shang)边退边左右旋转(zhuan)导(dao)管(guan)(guan),消除气(qi)(qi)道(dao)分(fen)泌(mi)物,并(bing)注(zhu)意观察病(bing)(bing)人(ren)的呼吸(xi)(xi)(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)过(guo)程(cheng)中,如(ru)病(bing)(bing)人(ren)咳嗽厉害(hai),应(ying)稍等(deng)片刻(ke)后再(zai)行吸(xi)(xi)(xi)(xi)(xi)(xi)出(chu)。并(bing)随时(shi)冲洗(xi)吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)管(guan)(guan),以免(mian)痰(tan)(tan)液(ye)堵塞。4吸(xi)(xi)(xi)(xi)(xi)(xi)毕,关(guan)闭(bi)吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器开关(guan),弃吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)导(dao)管(guan)(guan)于小桶内(nei)(nei),吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)胶管(guan)(guan)玻璃(li)接头(tou)(tou)插入(ru)(ru)床栏上(shang)盛(sheng)有(you)消毒液(ye)瓶内(nei)(nei)备用(yong)(yong)(yong),将(jiang)病(bing)(bing)人(ren)口(kou)腔(qiang)周围擦净(jing)。观察吸(xi)(xi)(xi)(xi)(xi)(xi)出(chu)液(ye)的量、颜色及性(xing)(xing)(xing)质,必要时(shi)做好(hao)记录。
疫(yi)(yi)苗(miao)(miao)管(guan)(guan)(guan)理(li)法(fa)草(cao)案23日首次(ci)提请十(shi)三届人大常委(wei)会(hui)第(di)七(qi)次(ci)会(hui)议审议。草(cao)案就疫(yi)(yi)苗(miao)(miao)管(guan)(guan)(guan)理(li)单独立(li)(li)法(fa),突出(chu)疫(yi)(yi)苗(miao)(miao)管(guan)(guan)(guan)理(li)特点,强化疫(yi)(yi)苗(miao)(miao)的风险(xian)管(guan)(guan)(guan)理(li)、全(quan)程控制(zhi)(zhi)、严(yan)格监管(guan)(guan)(guan)和(he)社会(hui)共(gong)治,切实疫(yi)(yi)苗(miao)(miao)安全(quan)、有效和(he)规范接(jie)种。党中央、国务院(yuan)高度重视疫(yi)(yi)苗(miao)(miao)监管(guan)(guan)(guan)工作,要求加(jia)快(kuai)完善(shan)疫(yi)(yi)苗(miao)(miao)药品监管(guan)(guan)(guan)长效机制(zhi)(zhi)。疫(yi)(yi)苗(miao)(miao)管(guan)(guan)(guan)理(li)单独立(li)(li)法(fa),有利于进一步提高疫(yi)(yi)苗(miao)(miao)管(guan)(guan)(guan)理(li)措(cuo)施的稳定(ding)性。药监局政(zheng)策法(fa)规司(si)有关(guan)负责(ze)人介绍,2005年(nian)国务院(yuan)出(chu)台了《疫(yi)(yi)苗(miao)(miao)流(liu)通和(he)预(yu)防接(jie)种管(guan)(guan)(guan)理(li)条例(li)》,并于2016年(nian)进行(xing)了修(xiu)订。此次(ci)提交审议的疫(yi)(yi)苗(miao)(miao)管(guan)(guan)(guan)理(li)法(fa)草(cao)案,对疫(yi)(yi)苗(miao)(miao)研制(zhi)(zhi)、生(sheng)产、流(liu)通、预(yu)防接(jie)种、补偿、赔偿等以法(fa)律形式进行(xing)明(ming)确规定(ding),有利于建立(li)(li)系统的、全(quan)链条的疫(yi)(yi)苗(miao)(miao)管(guan)(guan)(guan)理(li)制(zhi)(zhi)度。
一(yi)(yi)次(ci)(ci)性使(shi)(shi)用(yong)(yong)(yong)(yong)换(huan)药(yao)(yao)(yao)包(bao)(bao)用(yong)(yong)(yong)(yong)于创面(mian)(mian)的(de)(de)护(hu)理。现在(zai)(zai)对我们(men)来(lai)说(shuo)(shuo)医(yi)院(yuan)是(shi)不(bu)陌生(sheng)的(de)(de),光顾医(yi)院(yuan)是(shi)在(zai)(zai)所难免的(de)(de),虽说(shuo)(shuo)人的(de)(de)一(yi)(yi)生(sheng)无大(da)灾大(da)难,但(dan)是(shi)小(xiao)病小(xiao)灾在(zai)(zai)所难免。有时候,稍微严重的(de)(de)一(yi)(yi)点的(de)(de)病情,医(yi)生(sheng)则(ze)会建议患(huan)者动手(shou)术(shu)。而术(shu)后伤(shang)口(kou)和(he)创面(mian)(mian)的(de)(de)护(hu)理则(ze)是(shi)非(fei)常重要(yao)的(de)(de)一(yi)(yi)步(bu),常常需要(yao)通(tong)过换(huan)药(yao)(yao)(yao)包(bao)(bao)来(lai)清洗、包(bao)(bao)扎伤(shang)口(kou)。一(yi)(yi)次(ci)(ci)性换(huan)药(yao)(yao)(yao)包(bao)(bao)经(jing)(jing)常用(yong)(yong)(yong)(yong)在(zai)(zai)外科的(de)(de)护(hu)理上面(mian)(mian),一(yi)(yi)次(ci)(ci)性换(huan)药(yao)(yao)(yao)包(bao)(bao)一(yi)(yi)般内装一(yi)(yi)次(ci)(ci)性镊子(zi)、沙(sha)布(bu)、棉(mian)球、乳胶手(shou)套或PE手(shou)套,居家常备实用(yong)(yong)(yong)(yong)小(xiao)药(yao)(yao)(yao)包(bao)(bao),有擦伤(shang),磕(ke)碰,十(shi)分的(de)(de)方便(bian)。一(yi)(yi)次(ci)(ci)性使(shi)(shi)用(yong)(yong)(yong)(yong)换(huan)药(yao)(yao)(yao)包(bao)(bao)一(yi)(yi)次(ci)(ci)性无菌(jun)换(huan)药(yao)(yao)(yao)包(bao)(bao)由弯盘(pan)、垫(dian)单、镊子(zi)、纱布(bu)、棉(mian)球等组成。经(jing)(jing)密(mi)封(feng)包(bao)(bao)装及环氧乙烷灭(mie)(mie)菌(jun)仅供一(yi)(yi)次(ci)(ci)性使(shi)(shi)用(yong)(yong)(yong)(yong)。主要(yao)用(yong)(yong)(yong)(yong)于临(lin)床伤(shang)口(kou)、创面(mian)(mian)或手(shou)术(shu)切口(kou)换(huan)药(yao)(yao)(yao)用(yong)(yong)(yong)(yong)。克(ke)服了(le)普通(tong)医(yi)疗器重复使(shi)(shi)用(yong)(yong)(yong)(yong)灭(mie)(mie)菌(jun)不(bu)严造成的(de)(de)传(chuan)染疾病的(de)(de)交叉感染,又可(ke)减(jian)少(shao)医(yi)院(yuan)用(yong)(yong)(yong)(yong)灭(mie)(mie)菌(jun)清毒的(de)(de)大(da)量人力(li)和(he)物力(li),有效的(de)(de)提高了(le)医(yi)院(yuan)的(de)(de)工作效率(lv),为医(yi)生(sheng)和(he)疾病患(huan)者提供了(le)健康保(bao)障。那么,换(huan)药(yao)(yao)(yao)包(bao)(bao)究竟如(ru)何使(shi)(shi)用(yong)(yong)(yong)(yong)?一(yi)(yi)起来(lai)看看!
一(yi)(yi)(yi)次性使(shi)用(yong)(yong)口(kou)腔(qiang)护(hu)理(li)包(bao)(bao),包(bao)(bao)括方(fang)盘(pan)、弯(wan)盘(pan)、金属镊(nie)子、纸(zhi)巾、生(sheng)理(li)盐(yan)水、备(bei)(bei)用(yong)(yong)棉(mian)球(qiu)(qiu)、压(ya)舌板、围(wei)兜(dou)、干棉(mian)球(qiu)(qiu),其特征在于上述药品及用(yong)(yong)具(ju)均(jun)密(mi)封于一(yi)(yi)(yi)塑(su)(su)料(liao)薄(bo)(bo)膜(mo)(mo)包(bao)(bao)内(nei)(nei)。该塑(su)(su)料(liao)薄(bo)(bo)膜(mo)(mo)包(bao)(bao)置(zhi)于另一(yi)(yi)(yi)密(mi)封外(wai)包(bao)(bao)装塑(su)(su)料(liao)薄(bo)(bo)膜(mo)(mo)包(bao)(bao)内(nei)(nei),护(hu)理(li)包(bao)(bao)内(nei)(nei)配(pei)备(bei)(bei)有严格消毒过(guo)的方(fang)盘(pan)1个、弯(wan)盘(pan)1个、金属镊(nie)子2把、纸(zhi)巾1张、生(sheng)理(li)盐(yan)水1袋(dai)、备(bei)(bei)用(yong)(yong)棉(mian)球(qiu)(qiu)1袋(dai)、压(ya)舌板1根、围(wei)兜(dou)1块(kuai)、干棉(mian)球(qiu)(qiu)19个,可(ke)(ke)满足临床(chuang)上一(yi)(yi)(yi)次口(kou)腔(qiang)护(hu)理(li)操作(zuo)所需(xu)。适(shi)合在灾害、野外(wai)救护(hu)、战争(zheng)条件(jian)下使(shi)用(yong)(yong),当遇有患者(zhe)需(xu)进行口(kou)腔(qiang)护(hu)理(li)时,即可(ke)(ke)打开护(hu)理(li)包(bao)(bao),针对护(hu)理(li)所需(xu)采用(yong)(yong)不同用(yong)(yong)品用(yong)(yong)具(ju)进行口(kou)腔(qiang)护(hu)理(li)操作(zuo)。
一次性使用导尿包的使用方法1、导尿包的配置和包装设计是根据《中华护理大全》中关于导尿部分的操作程序和各医院实际导尿操作过程中的要求设计制定。2 导尿包的使用方法可按各医院规定的导尿操作规程进行操作。3如在使用过程中导尿包内的配置和包装顺序与贵医院的导尿操作规程有不相符的情况请向供应商提出改进建议。4在使用导尿包前请确认您所使用的导尿包是否是您选用的型号,医用一次性使用无菌塑柄手术刀并确认导尿包包装完好无破损。5 在操作前请做好准备工作,安排患者正确体位铺好洞巾。一次性使用无菌塑柄手术刀批发并对患者进(jin)行安慰。6、请(qing)按(an)医院的(de)(de)导尿(niao)操作规程进(jin)行外消(xiao)(xiao)(xiao)毒(du)和(he)内消(xiao)(xiao)(xiao)毒(du)两次(ci)消(xiao)(xiao)(xiao)毒(du)。消(xiao)(xiao)(xiao)毒(du)时不能(neng)选择(ze)对皮肤有较强(qiang)刺(ci)激(ji)(ji)的(de)(de)消(xiao)(xiao)(xiao)毒(du)剂,建议(yi)使用(yong)0.5%的(de)(de)碘伏的(de)(de)消(xiao)(xiao)(xiao)毒(du)剂或其(qi)他低(di)刺(ci)激(ji)(ji)的(de)(de)消(xiao)(xiao)(xiao)毒(du)剂。7、使用(yong)前请(qing)将导尿(niao)管球(qiu)(qiu)囊(nang)进(jin)行充水试验(yan),确认导尿(niao)管球(qiu)(qiu)囊(nang)是(shi)否正常。充水后(hou)的(de)(de)球(qiu)(qiu)囊(nang)应在球(qiu)(qiu)囊(nang)中(zhong)留2-3ml蒸馏(liu)水,用(yong)于(yu)保障(zhang)球(qiu)(qiu)囊(nang)外表光滑(hua)。
使(shi)用(yong)(yong)说明:1、确认在灭菌(jun)有效期内(nei)和包装完(wan)好后,撕开启封口,取(qu)(qu)出导(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)包放置在工作台上;2、戴上薄(bo)膜(mo)手套(tao)(tao),用(yong)(yong)镊(nie)(nie)子(zi)(zi)(圆头)镊(nie)(nie)取(qu)(qu)碘伏(fu)棉(mian)球/或(huo)洗必(bi)泰棉(mian)球,对患(huan)处(chu)(chu)消毒处(chu)(chu)理3、在换戴灭菌(jun)橡(xiang)胶外科(ke)手套(tao)(tao)/医用(yong)(yong)橡(xiang)胶检查手套(tao)(tao),将治疗巾覆盖在患(huan)处(chu)(chu),中洞处(chu)(chu)露(lu)出尿(niao)(niao)(niao)(niao)道(dao)口4、取(qu)(qu)镊(nie)(nie)子(zi)(zi)(尖头)镊(nie)(nie)取(qu)(qu)石蜡棉(mian)球润(run)滑导(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)(guan),然后双手配合将导(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)(guan)插入尿(niao)(niao)(niao)(niao)道(dao),用(yong)(yong)液体推注(zhu)器吸(xi)取(qu)(qu)定量无菌(jun)水充入导(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)(guan)球囊(nang),使(shi)球囊(nang)与(yu)(yu)导(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)壁相接,然后将引流(liu)袋与(yu)(yu)导(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)(guan)连接进行导(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao); 5、用(yong)(yong)取(qu)(qu)样(yang)管(guan)(guan)(guan)取(qu)(qu)样(yang)并送检 6、导(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)完(wan)毕,用(yong)(yong)液体推助器抽出球囊(nang)内(nei)的(de)无菌(jun)水,拔出导(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)(guan); 7、用(yong)(yong)海绵刷子(zi)(zi)蘸(zhan)取(qu)(qu)酒精进行清洁处(chu)(chu)理,再用(yong)(yong)纱(sha)布叠片或(huo)棉(mian)球擦试干净8、按无菌(jun)操作规程进行,导(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)完(wan)毕,丢弃所有组件。 一次性使(shi)用(yong)(yong)导(dao)(dao)(dao)(dao)尿(niao)(niao)(niao)(niao)包。注(zhu)意(yi)事项:1、本产(chan)品限一次性使(shi)用(yong)(yong),用(yong)(yong)后销毁(hui);