局(ju)机关各(ge)司局(ju)、各(ge)直(zhi)属单(dan)位(wei)：为(wei)加强(qiang)对药(yao)品(pin)监管政(zheng)务(wu)(wu)(wu)(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)(kai)工(gong)作(zuo)(zuo)的(de)领(ling)导(dao)，局(ju)党组(zu)(zu)(zu)会议研究(jiu)决定成(cheng)立(li)药(yao)品(pin)监督管理局(ju)政(zheng)务(wu)(wu)(wu)(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)(kai)领(ling)导(dao)小(xiao)组(zu)(zu)(zu)，下(xia)(xia)设办公(gong)(gong)(gong)(gong)室（以下(xia)(xia)简称(cheng)政(zheng)务(wu)(wu)(wu)(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)(kai)办）。现将有(you)关事项通(tong)知(zhi)如下(xia)(xia)：一、政(zheng)务(wu)(wu)(wu)(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)(kai)领(ling)导(dao)小(xiao)组(zu)(zu)(zu)组(zu)(zu)(zu)成(cheng)及(ji)职责（一）组(zu)(zu)(zu)成(cheng)组(zu)(zu)(zu)长：李利焦红副组(zu)(zu)(zu)长：徐景和(he)陈时飞颜(yan)江(jiang)瑛(ying)(ying)成(cheng)员：各(ge)司局(ju)、各(ge)直(zhi)属单(dan)位(wei)主要负责同志颜(yan)江(jiang)瑛(ying)(ying)同志负责领(ling)导(dao)小(xiao)组(zu)(zu)(zu)日常工(gong)作(zuo)(zuo)。（二(er)）主要职责。在局(ju)党组(zu)(zu)(zu)领(ling)导(dao)下(xia)(xia)，负责贯彻(che)落实(shi)(shi)党中(zhong)(zhong)央、国务(wu)(wu)(wu)(wu)院关于政(zheng)务(wu)(wu)(wu)(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)(kai)工(gong)作(zuo)(zuo)的(de)方(fang)针政(zheng)策(ce)，研究(jiu)制(zhi)定落实(shi)(shi)措施(shi)；研究(jiu)制(zhi)定药(yao)品(pin)监管政(zheng)务(wu)(wu)(wu)(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)(kai)工(gong)作(zuo)(zuo)的(de)发展规划(hua)和(he)政(zheng)策(ce)措施(shi)；审(shen)定局(ju)政(zheng)务(wu)(wu)(wu)(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)(kai)工(gong)作(zuo)(zuo)制(zhi)度，研究(jiu)局(ju)政(zheng)务(wu)(wu)(wu)(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)(kai)工(gong)作(zuo)(zuo)和(he)实(shi)(shi)施(shi)方(fang)案，研究(jiu)解决政(zheng)务(wu)(wu)(wu)(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)(kai)工(gong)作(zuo)(zuo)中(zhong)(zhong)遇到的(de)重大问题；协调各(ge)司局(ju)、各(ge)单(dan)位(wei)抓好(hao)政(zheng)务(wu)(wu)(wu)(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)(kai)工(gong)作(zuo)(zuo)任务(wu)(wu)(wu)(wu)落实(shi)(shi)，并加强(qiang)督促(cu)检查。

导尿包，主要适用于导尿术，医用一次性使用无菌阴道扩张器导尿术是一种在无菌操作条件下，将导尿管经过尿道插入膀胱，进行引流尿液的方法。一次性使用导尿包步骤：1、提前准备导尿包产品，可以是无菌导尿包或者是一次性导尿包；操作者要进行洗手，佩戴口罩，一次性使用无菌阴道扩张器厂家佩戴手套；3、拆开导尿包，将物品放(fang)在专门的器械盘上(shang)(shang)，将物品拿到床(chuang)(chuang)(chuang)边；4、核对(dui)病(bing)(bing)人(ren)(ren)的身份，并(bing)向病(bing)(bing)人(ren)(ren)解释接下来的操(cao)作(zuo)(zuo)，让病(bing)(bing)人(ren)(ren)能够放(fang)松(song)心情；5、将门窗关(guan)闭(bi)，用病(bing)(bing)房内独有(you)的屏风(feng)遮挡(dang)病(bing)(bing)床(chuang)(chuang)(chuang)；6、将床(chuang)(chuang)(chuang)旁的椅子(zi)(zi)(zi)放(fang)在合适的位置，将便盆(pen)放(fang)在椅子(zi)(zi)(zi)上(shang)(shang)；7、掀开被(bei)子(zi)(zi)(zi)；8、病(bing)(bing)人(ren)(ren)无法起身的情况下，可以让家属或操(cao)作(zuo)(zuo)者帮助病(bing)(bing)人(ren)(ren)褪去裤子(zi)(zi)(zi)，对(dui)侧(ce)的腿(tui)部(bu)盖(gai)上(shang)(shang)被(bei)子(zi)(zi)(zi)，近处盖(gai)上(shang)(shang)毛(mao)巾，可以避免病(bing)(bing)人(ren)(ren)太过羞耻(chi)，影响操(cao)作(zuo)(zuo)；

一次性(xing)使(shi)用(yong)(yong)导(dao)(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)的(de)(de)(de)(de)使(shi)用(yong)(yong)方法1、导(dao)(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)的(de)(de)(de)(de)配置和(he)包(bao)(bao)(bao)装设(she)计(ji)是(shi)(shi)根据《中(zhong)华护理大全(quan)》中(zhong)关于导(dao)(dao)(dao)尿(niao)(niao)(niao)部(bu)分的(de)(de)(de)(de)操(cao)作程(cheng)序和(he)各(ge)医(yi)院(yuan)(yuan)实(shi)际导(dao)(dao)(dao)尿(niao)(niao)(niao)操(cao)作过程(cheng)中(zhong)的(de)(de)(de)(de)要求设(she)计(ji)制(zhi)定。2 导(dao)(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)的(de)(de)(de)(de)使(shi)用(yong)(yong)方法可按各(ge)医(yi)院(yuan)(yuan)规定的(de)(de)(de)(de)导(dao)(dao)(dao)尿(niao)(niao)(niao)操(cao)作规程(cheng)进行(xing)操(cao)作。3如(ru)在使(shi)用(yong)(yong)过程(cheng)中(zhong)导(dao)(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)内的(de)(de)(de)(de)配置和(he)包(bao)(bao)(bao)装顺序与贵医(yi)院(yuan)(yuan)的(de)(de)(de)(de)导(dao)(dao)(dao)尿(niao)(niao)(niao)操(cao)作规程(cheng)有不(bu)相符的(de)(de)(de)(de)情况请(qing)向供应商(shang)提出改(gai)进建议(yi)。4在使(shi)用(yong)(yong)导(dao)(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)前请(qing)确(que)认您(nin)所(suo)使(shi)用(yong)(yong)的(de)(de)(de)(de)导(dao)(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)是(shi)(shi)否是(shi)(shi)您(nin)选用(yong)(yong)的(de)(de)(de)(de)型号，并确(que)认导(dao)(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)包(bao)(bao)(bao)装完好(hao)(hao)无破损(sun)。5 在操(cao)作前请(qing)做好(hao)(hao)准备工作，安排患者正确(que)体位铺好(hao)(hao)洞(dong)巾。并对患者进行(xing)安慰。6、请(qing)按医(yi)院(yuan)(yuan)的(de)(de)(de)(de)导(dao)(dao)(dao)尿(niao)(niao)(niao)操(cao)作规程(cheng)进行(xing)外(wai)消(xiao)(xiao)(xiao)毒和(he)内消(xiao)(xiao)(xiao)毒两(liang)次消(xiao)(xiao)(xiao)毒。消(xiao)(xiao)(xiao)毒时(shi)不(bu)能选择对皮肤(fu)有较(jiao)强刺激(ji)的(de)(de)(de)(de)消(xiao)(xiao)(xiao)毒剂(ji)，建议(yi)使(shi)用(yong)(yong)0.5％的(de)(de)(de)(de)碘(dian)伏的(de)(de)(de)(de)消(xiao)(xiao)(xiao)毒剂(ji)或其他低刺激(ji)的(de)(de)(de)(de)消(xiao)(xiao)(xiao)毒剂(ji)。7、使(shi)用(yong)(yong)前请(qing)将导(dao)(dao)(dao)尿(niao)(niao)(niao)管球(qiu)(qiu)囊(nang)进行(xing)充水(shui)试验，确(que)认导(dao)(dao)(dao)尿(niao)(niao)(niao)管球(qiu)(qiu)囊(nang)是(shi)(shi)否正常。充水(shui)后的(de)(de)(de)(de)球(qiu)(qiu)囊(nang)应在球(qiu)(qiu)囊(nang)中(zhong)留(liu)2－3ml蒸馏水(shui)，用(yong)(yong)于保障球(qiu)(qiu)囊(nang)外(wai)表光(guang)滑。

一(yi)次性(xing)使用(yong)(yong)吸(xi)痰(tan)(tan)管(guan)(guan)操作(zuo)方法(1)检查吸(xi)引(yin)器各(ge)部(bu)(bu)连接(jie)是否完善，有无漏气(qi)(qi)。接(jie)通电源，打(da)开(kai)开(kai)关(guan)，检查吸(xi)引(yin)器性(xing)能(neng)，调(diao)节负(fu)压。一(yi)般成人(ren)吸(xi)痰(tan)(tan)负(fu)压约40-50 kPa，小儿(er)吸(xi)痰(tan)(tan)约13-30kPa，将一(yi)次性(xing)使用(yong)(yong)吸(xi)痰(tan)(tan)管(guan)(guan)置于水中，试验吸(xi)引(yin)力，并冲洗皮管(guan)(guan)。(2)将病(bing)人(ren)头部(bu)(bu)转向(xiang)护(hu)士，铺治(zhi)疗(liao)巾于颌下。(3)插(cha)入一(yi)次性(xing)使用(yong)(yong)吸(xi)痰(tan)(tan)管(guan)(guan)，其(qi)顺序(xu)是由口(kou)(kou)腔(qiang)前(qian)庭→颊(jia)部(bu)(bu)→咽部(bu)(bu)，将各(ge)部(bu)(bu)吸(xi)尽。如(ru)口(kou)(kou)腔(qiang)吸(xi)痰(tan)(tan)有困(kun)难时(shi)，可由鼻(bi)(bi)腔(qiang)插(cha)入(颅底骨折患者禁用(yong)(yong))，其(qi)顺序(xu)由鼻(bi)(bi)腔(qiang)前(qian)庭→下鼻(bi)(bi)道(dao)→鼻(bi)(bi)后孔(kong)→咽部(bu)(bu)→气(qi)(qi)管(guan)(guan)(约20-25cm)，将分泌(mi)物逐段吸(xi)尽。若有气(qi)(qi)管(guan)(guan)插(cha)管(guan)(guan)或(huo)气(qi)(qi)管(guan)(guan)切开(kai)时(shi)，可由插(cha)管(guan)(guan)或(huo)套管(guan)(guan)内插(cha)入，将痰(tan)(tan)液(ye)吸(xi)出。昏迷(mi)病(bing)人(ren)可用(yong)(yong)压舌板(ban)或(huo)开(kai)口(kou)(kou)器先将口(kou)(kou)启开(kai)，再行吸(xi)引(yin)。

一(yi)次(ci)(ci)性婴(ying)(ying)儿吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)使(shi)用(yong)方法1、一(yi)次(ci)(ci)性婴(ying)(ying)儿吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)使(shi)用(yong)方法。胎儿头(tou)部娩出(chu)后(hou),迅速(su)用(yong)左(zuo)手从鼻(bi)根向下(xia)(xia)挤(ji)压口鼻(bi),清除口鼻(bi)内的(de)(de)粘液及羊水(shui)。婴(ying)(ying)儿娩出(chu)后(hou),立(li)即将(jiang)婴(ying)(ying)儿仰头(tou)平卧,将(jiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)轻轻插(cha)(cha)入婴(ying)(ying)儿气管(guan)(guan)(guan)(guan)(guan)(guan)(guan)内、食管(guan)(guan)(guan)(guan)(guan)(guan)(guan)内、胃内,一(yi)边吸(xi)(xi)(xi)(xi)(xi)引(yin)一(yi)边将(jiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)慢慢往上(shang)(shang)拉,由下(xia)(xia)至上(shang)(shang),将(jiang)气管(guan)(guan)(guan)(guan)(guan)(guan)(guan)、食管(guan)(guan)(guan)(guan)(guan)(guan)(guan)、胃、咽(yan)腔、口腔的(de)(de)羊水(shui)及分泌物吸(xi)(xi)(xi)(xi)(xi)干净。可如此反复吸(xi)(xi)(xi)(xi)(xi)引(yin)2～3次(ci)(ci),直(zhi)到婴(ying)(ying)儿哭声响(xiang)亮,无痰(tan)(tan)鸣音为止(zhi)。2、吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)使(shi)用(yong)操(cao)作步骤。接(jie)通电源,检查吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)性能(neng)是(shi)(shi)否(fou)良(liang)好,吸(xi)(xi)(xi)(xi)(xi)引(yin)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)是(shi)(shi)否(fou)通畅(chang)。使(shi)病(bing)人(ren)面向操(cao)作者,头(tou)略后(hou)仰,昏迷(mi)病(bing)人(ren)可用(yong)开口器帮(bang)助张口,再将(jiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)插(cha)(cha)入口腔颊部、咽(yan)部。若口腔吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)有困(kun)难,可由鼻(bi)腔插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)至咽(yan)部,当(dang)(dang)插(cha)(cha)入到适当(dang)(dang)位置后(hou)再接(jie)通电源,并使(shi)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)左(zuo)右(you)旋转,缓慢上(shang)(shang)移,向上(shang)(shang)提出(chu),将(jiang)咽(yan)部及口、鼻(bi)分泌物逐段吸(xi)(xi)(xi)(xi)(xi)尽。吸(xi)(xi)(xi)(xi)(xi)引(yin)过(guo)程中,应随时吸(xi)(xi)(xi)(xi)(xi)水(shui)冲洗汲(ji)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan),以(yi)免痰(tan)(tan)液堵(du)塞。如痰(tan)(tan)液过(guo)深(shen)不易(yi)汲(ji)出(chu),可借助吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)插(cha)(cha)入的(de)(de)机(ji)械刺激,使(shi)病(bing)人(ren)作有效咳(ke)嗽(sou)动作,待咳(ke)嗽(sou)停(ting)止(zhi)后(hou)再吸(xi)(xi)(xi)(xi)(xi)。

一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)的(de)(de)(de)具体(ti)(ti)操作(zuo)方法是(shi)怎(zen)样。温馨(xin)提示：为避免病人吸(xi)(xi)(xi)入(ru)(ru)的(de)(de)(de)空气(qi)(qi)干(gan)燥(zao)(因无(wu)鼻腔(qiang)(qiang)的(de)(de)(de)湿(shi)化作(zuo)用(yong)(yong)(yong)(yong)(yong))，可用(yong)(yong)(yong)(yong)(yong)单层或(huo)双层盐水浸湿(shi)的(de)(de)(de)纱布覆盖一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)管(guan)(guan)(guan)(guan)口(kou)(kou)，干(gan)后随时更换。那么(me)，一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)的(de)(de)(de)具体(ti)(ti)操作(zuo)方法是(shi)怎(zen)样? 一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)为无(wu)菌(jun)产品，经环氧乙(yi)烷灭菌(jun)，灭菌(jun)有(you)效期2年(nian);一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)限(xian)一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)，用(yong)(yong)(yong)(yong)(yong)后销毁，禁止重(zhong)复使(shi)(shi)用(yong)(yong)(yong)(yong)(yong);一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)应(ying)存(cun)放(fang)在通(tong)风、干(gan)燥(zao)、无(wu)腐蚀性(xing)(xing)(xing)(xing)物(wu)体(ti)(ti)的(de)(de)(de)室内。 一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)的(de)(de)(de)具体(ti)(ti)操作(zuo)方法如下： 吸(xi)(xi)(xi)引(yin)前先检(jian)查吸(xi)(xi)(xi)引(yin)器(qi)效能(neng)是(shi)否(fou)(fou)良好，吸(xi)(xi)(xi)引(yin)导管(guan)(guan)(guan)(guan)是(shi)否(fou)(fou)通(tong)畅。2.备齐用(yong)(yong)(yong)(yong)(yong)物(wu)，置床头柜，向患(huan)者(zhe)(zhe)(zhe)解(jie)释。3.将患(huan)者(zhe)(zhe)(zhe)头偏向一(yi)侧，并略向后仰。昏(hun)迷患(huan)者(zhe)(zhe)(zhe)可用(yong)(yong)(yong)(yong)(yong)压舌(she)板将口(kou)(kou)启开，夹持吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)由口(kou)(kou)腔(qiang)(qiang)颊部插至咽喉部，乘患(huan)者(zhe)(zhe)(zhe)吸(xi)(xi)(xi)气(qi)(qi)时将吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)插入(ru)(ru)气(qi)(qi)管(guan)(guan)(guan)(guan)。如口(kou)(kou)腔(qiang)(qiang)吸(xi)(xi)(xi)痰(tan)有(you)困难时，可由鼻腔(qiang)(qiang)插入(ru)(ru)(颅底骨折患(huan)者(zhe)(zhe)(zhe)禁用(yong)(yong)(yong)(yong)(yong));气(qi)(qi)管(guan)(guan)(guan)(guan)插管(guan)(guan)(guan)(guan)或(huo)气(qi)(qi)管(guan)(guan)(guan)(guan)切(qie)开患(huan)者(zhe)(zhe)(zhe)，可由插管(guan)(guan)(guan)(guan)或(huo)套管(guan)(guan)(guan)(guan)内插入(ru)(ru)。