2月(yue)13日(ri)，聯(lian)(lian)合整治“保健(jian)(jian)”市(shi)場亂象百日(ri)行(xing)(xing)動(dong)(dong)(dong)聯(lian)(lian)合工(gong)(gong)作(zuo)組在(zai)市(shi)場監(jian)(jian)(jian)(jian)管(guan)(guan)總(zong)局(ju)召開(kai)(kai)工(gong)(gong)作(zuo)組會(hui)(hui)議(yi)(yi)。市(shi)場監(jian)(jian)(jian)(jian)管(guan)(guan)總(zong)局(ju)副局(ju)長甘霖(lin)同(tong)志出席會(hui)(hui)議(yi)(yi)并(bing)講話，市(shi)場監(jian)(jian)(jian)(jian)管(guan)(guan)總(zong)局(ju)、工(gong)(gong)業(ye)(ye)和(he)信(xin)(xin)息(xi)化部、公安部、民政部、住房和(he)城(cheng)鄉建(jian)設部、農業(ye)(ye)農村部、商務部、文(wen)化和(he)旅游部、衛生健(jian)(jian)康委員(yuan)會(hui)(hui)、廣(guang)播電視總(zong)局(ju)、中醫(yi)藥管(guan)(guan)理局(ju)、藥品監(jian)(jian)(jian)(jian)督管(guan)(guan)理局(ju)、網(wang)信(xin)(xin)辦(ban)等(deng)13部門成員(yuan)單(dan)位負責同(tong)志及(ji)聯(lian)(lian)絡(luo)員(yuan)和(he)市(shi)場監(jian)(jian)(jian)(jian)管(guan)(guan)總(zong)局(ju)“百日(ri)行(xing)(xing)動(dong)(dong)(dong)”工(gong)(gong)作(zuo)組成員(yuan)單(dan)位負責同(tong)志及(ji)聯(lian)(lian)絡(luo)員(yuan)參加(jia)會(hui)(hui)議(yi)(yi)。“百日(ri)行(xing)(xing)動(dong)(dong)(dong)”開(kai)(kai)展(zhan)以(yi)來，各(ge)部門積極落(luo)實(shi)(shi)《關于開(kai)(kai)展(zhan)聯(lian)(lian)合整治“保健(jian)(jian)”市(shi)場亂象百日(ri)行(xing)(xing)動(dong)(dong)(dong)的通(tong)知》要求，立足自身職(zhi)能，迅(xun)速部署落(luo)實(shi)(shi)，在(zai)相(xiang)關領域和(he)行(xing)(xing)業(ye)(ye)內(nei)開(kai)(kai)展(zhan)行(xing)(xing)動(dong)(dong)(dong)。市(shi)場監(jian)(jian)(jian)(jian)管(guan)(guan)總(zong)局(ju)切實(shi)(shi)履行(xing)(xing)監(jian)(jian)(jian)(jian)管(guan)(guan)執法、聯(lian)(lian)絡(luo)調度、匯集信(xin)(xin)息(xi)、服(fu)務保障等(deng)職(zhi)責，通(tong)過(guo)建(jian)立工(gong)(gong)作(zuo)協調機制(zhi)、建(jian)立工(gong)(gong)作(zuo)臺賬、召開(kai)(kai)調度會(hui)(hui)議(yi)(yi)、加(jia)強新聞(wen)宣傳等(deng)方式，組織各(ge)部門、市(shi)場監(jian)(jian)(jian)(jian)管(guan)(guan)系(xi)統迅(xun)速深入(ru)開(kai)(kai)展(zhan)“百日(ri)行(xing)(xing)動(dong)(dong)(dong)”。

使用(yong)(yong)說(shuo)明(ming)：1、確(que)認在(zai)滅(mie)菌有效期內和包(bao)(bao)裝完(wan)好(hao)后，撕開(kai)啟(qi)封(feng)口，取(qu)(qu)出導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)放置(zhi)在(zai)工(gong)作(zuo)臺上(shang)；2、戴上(shang)薄膜手套(tao)(tao)，用(yong)(yong)鑷子(zi)（圓頭）鑷取(qu)(qu)碘伏棉(mian)球/或洗必泰棉(mian)球，對患處(chu)消毒處(chu)理3、在(zai)換戴滅(mie)菌橡(xiang)膠(jiao)外科手套(tao)(tao)/醫(yi)用(yong)(yong)橡(xiang)膠(jiao)檢查手套(tao)(tao)，將(jiang)治療巾覆(fu)蓋在(zai)患處(chu)，中洞(dong)處(chu)露出尿(niao)(niao)(niao)道(dao)口4、取(qu)(qu)鑷子(zi)（尖頭）鑷取(qu)(qu)石蠟(la)棉(mian)球潤(run)滑導(dao)(dao)尿(niao)(niao)(niao)管，然(ran)后雙手配合將(jiang)導(dao)(dao)尿(niao)(niao)(niao)管插入(ru)尿(niao)(niao)(niao)道(dao)，用(yong)(yong)液體(ti)(ti)推注器(qi)吸取(qu)(qu)定量(liang)無(wu)(wu)菌水充入(ru)導(dao)(dao)尿(niao)(niao)(niao)管球囊(nang)，使球囊(nang)與(yu)導(dao)(dao)尿(niao)(niao)(niao)壁(bi)相接(jie)，然(ran)后將(jiang)引流袋(dai)與(yu)導(dao)(dao)尿(niao)(niao)(niao)管連(lian)接(jie)進行導(dao)(dao)尿(niao)(niao)(niao)； 5、用(yong)(yong)取(qu)(qu)樣管取(qu)(qu)樣并送檢 6、導(dao)(dao)尿(niao)(niao)(niao)完(wan)畢，用(yong)(yong)液體(ti)(ti)推助器(qi)抽出球囊(nang)內的無(wu)(wu)菌水，拔出導(dao)(dao)尿(niao)(niao)(niao)管； 7、用(yong)(yong)海綿刷(shua)子(zi)蘸取(qu)(qu)酒精進行清(qing)潔處(chu)理，再用(yong)(yong)紗布(bu)疊片(pian)或棉(mian)球擦試干凈(jing)8、按無(wu)(wu)菌操作(zuo)規程進行，導(dao)(dao)尿(niao)(niao)(niao)完(wan)畢，丟(diu)棄所有組件。 一次性使用(yong)(yong)導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)。注意事項：1、本產品限一次性使用(yong)(yong)，用(yong)(yong)后銷毀；

導(dao)(dao)(dao)尿(niao)設(she)備在(zai)(zai)醫(yi)療(liao)當(dang)中也(ye)是(shi)(shi)經(jing)常(chang)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)(de)一(yi)種(zhong)(zhong)產(chan)(chan)(chan)品(pin)(pin)(pin)(pin),在(zai)(zai)泌尿(niao)肛腸等醫(yi)療(liao)科室(shi)經(jing)常(chang)用(yong)(yong)(yong)(yong)(yong)到導(dao)(dao)(dao)尿(niao)設(she)備一(yi)般都是(shi)(shi)一(yi)次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)(de)。下面介紹的(de)(de)(de)(de)(de)(de)(de)(de)這(zhe)種(zhong)(zhong)-次性(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)無(wu)瑩(ying)(ying)導(dao)(dao)(dao)尿(niao)產(chan)(chan)(chan)品(pin)(pin)(pin)(pin)就是(shi)(shi)同類產(chan)(chan)(chan)品(pin)(pin)(pin)(pin)中性(xing)(xing)能(neng)非常(chang)優(you)越的(de)(de)(de)(de)(de)(de)(de)(de)一(yi)種(zhong)(zhong)。產(chan)(chan)(chan)品(pin)(pin)(pin)(pin)的(de)(de)(de)(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)途和(he)性(xing)(xing)能(neng),這(zhe)種(zhong)(zhong)-次性(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)無(wu)菌(jun)導(dao)(dao)(dao)尿(niao)包(bao)主要(yao)是(shi)(shi)給臨床上的(de)(de)(de)(de)(de)(de)(de)(de)患者(zhe)導(dao)(dao)(dao)尿(niao)之用(yong)(yong)(yong)(yong)(yong)，這(zhe)種(zhong)(zhong)產(chan)(chan)(chan)品(pin)(pin)(pin)(pin)是(shi)(shi)經(jing)過了(le)(le)環氧(yang)乙烷滅瑩(ying)(ying),非常(chang)的(de)(de)(de)(de)(de)(de)(de)(de)衛生(sheng)和(he)安(an)全(quan)，使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)起(qi)來(lai)也(ye)非常(chang)方便(bian)。該(gai)產(chan)(chan)(chan)品(pin)(pin)(pin)(pin)是(shi)(shi)由(you)洞巾,布(bu)和(he)一(yi)次性(xing)(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)(de)導(dao)(dao)(dao)尿(niao)管、橡(xiang)膠醫(yi)用(yong)(yong)(yong)(yong)(yong)手套(tao)、海綿刷、紗布(bu)塊、石蠟棉球物品(pin)(pin)(pin)(pin)盒和(he)一(yi)次性(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)引流袋等幾部(bu)分組(zu)成。這(zhe)種(zhong)(zhong)- -次性(xing)(xing)產(chan)(chan)(chan)品(pin)(pin)(pin)(pin)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)起(qi)來(lai)也(ye)非常(chang)方便(bian)。這(zhe)種(zhong)(zhong)產(chan)(chan)(chan)品(pin)(pin)(pin)(pin)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)起(qi)來(lai)也(ye)比較簡(jian)單,首(shou)先,在(zai)(zai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)前要(yao)檢(jian)查單包(bao)裝(zhuang)是(shi)(shi)不是(shi)(shi)沒有損壞,滅菌(jun)的(de)(de)(de)(de)(de)(de)(de)(de)有效(xiao)期(qi)(qi)是(shi)(shi)不是(shi)(shi)正常(chang);其(qi)(qi)次,在(zai)(zai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)(de)時候,先打開包(bao)裝(zhuang),在(zai)(zai)將包(bao)布(bu)打開,再(zai)戴上手套(tao),然后(hou);按照常(chang)規的(de)(de)(de)(de)(de)(de)(de)(de)方法來(lai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)導(dao)(dao)(dao)尿(niao)包(bao)里的(de)(de)(de)(de)(de)(de)(de)(de)組(zu)件;其(qi)(qi)三,-般的(de)(de)(de)(de)(de)(de)(de)(de)產(chan)(chan)(chan)品(pin)(pin)(pin)(pin)的(de)(de)(de)(de)(de)(de)(de)(de)有效(xiao)期(qi)(qi)是(shi)(shi)兩年 ,如(ru)果(guo)產(chan)(chan)(chan)品(pin)(pin)(pin)(pin)已經(jing)過了(le)(le)有效(xiao)期(qi)(qi),絕對不能(neng)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong);四,如(ru)果(guo)包(bao)裝(zhuang)破(po)損了(le)(le)也(ye)不能(neng)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong);五,這(zhe)是(shi)(shi)-次性(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)產(chan)(chan)(chan)品(pin)(pin)(pin)(pin)，禁止重復使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong),在(zai)(zai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)完(wan)后(hou)要(yao)銷毀(hui),生(sheng)產(chan)(chan)(chan)日期(qi)(qi)般在(zai)(zai)包(bao)裝(zhuang)封口處。

如何預防插導尿包時出現感染現象?全科醫生是經過全科醫學專業培訓，臨床技能全面、醫德高尚的高素質基層醫療保健人才,富有獨立工作能力,對個人家庭及社區提供便捷、廉價的防、 治保康全方位的優質服務。醫用一次性使用換藥包開展全科醫療服務, 如果沒有具有活力的全科醫生做堅實的基礎,工作將缺乏生氣和動力,那種以單純的專科醫療的服務體系,勢必造成醫療秩序的混亂,也沒有任何國家的經濟能夠負擔得起。那么,插導尿管如何預防感染呢?導尿包相關尿路感染預防SOP尿路感染(UTI)是二位常見醫院感染類型, 75% ~ 80%與留置導尿管相關。為有效預防導尿管相關尿路感染,特制定以下控制措施:插管前準備與插管時的措施1.盡量避免不必要的留置導尿;2.仔細檢查無菌導尿包，如過期、外包裝破損潮濕,不得使用;3.根據年齡、性別、尿道情況選擇合適的導尿管口徑、類型。通常成年男性選16F ,女性選14F ;4.規范手衛生和載手套的程序;5.常規的消毒方法:用0.1%的新潔爾滅消毒尿道口及其周圍皮膚粘膜,程序如下:男性:自尿道口、龜頭向外旋轉擦拭消毒,注意洗凈包皮及冠狀溝。一次性使用換藥包廠家女(nv)性:先清洗外陰(yin),其原(yuan)則由(you)上(shang)至(zhi)下,由(you)內向(xiang)外,然后清洗尿(niao)道口、前庭、兩側大小陰(yin)唇,后會(hui)陰(yin)、肛門,每一個棉球(qiu)不(bu)能重復使(shi)用;6.插管過程嚴格執行無菌(jun)操(cao)作,動作要輕柔(rou),避免尿(niao)道粘膜損傷;7.對(dui)留(liu)置(zhi)導尿(niao)患者(zhe),應采用密(mi)閉(bi)式引(yin)流系統。

一(yi)次(ci)性使用(yong)導(dao)尿(niao)包(bao)(bao)(bao)的(de)(de)(de)(de)使用(yong)方(fang)法1、導(dao)尿(niao)包(bao)(bao)(bao)的(de)(de)(de)(de)配置(zhi)(zhi)和(he)包(bao)(bao)(bao)裝設計(ji)是(shi)根據《中(zhong)華護(hu)理(li)大全》中(zhong)關于導(dao)尿(niao)部分(fen)的(de)(de)(de)(de)操(cao)作(zuo)(zuo)(zuo)程(cheng)序和(he)各醫(yi)院(yuan)實際導(dao)尿(niao)操(cao)作(zuo)(zuo)(zuo)過程(cheng)中(zhong)的(de)(de)(de)(de)要求設計(ji)制(zhi)定。2 導(dao)尿(niao)包(bao)(bao)(bao)的(de)(de)(de)(de)使用(yong)方(fang)法可按各醫(yi)院(yuan)規(gui)定的(de)(de)(de)(de)導(dao)尿(niao)操(cao)作(zuo)(zuo)(zuo)規(gui)程(cheng)進(jin)行操(cao)作(zuo)(zuo)(zuo)。3如在(zai)使用(yong)過程(cheng)中(zhong)導(dao)尿(niao)包(bao)(bao)(bao)內的(de)(de)(de)(de)配置(zhi)(zhi)和(he)包(bao)(bao)(bao)裝順(shun)序與貴醫(yi)院(yuan)的(de)(de)(de)(de)導(dao)尿(niao)操(cao)作(zuo)(zuo)(zuo)規(gui)程(cheng)有不(bu)相符的(de)(de)(de)(de)情況(kuang)請(qing)向供(gong)應商提出改(gai)進(jin)建議。4在(zai)使用(yong)導(dao)尿(niao)包(bao)(bao)(bao)前(qian)請(qing)確(que)認您(nin)所使用(yong)的(de)(de)(de)(de)導(dao)尿(niao)包(bao)(bao)(bao)是(shi)否是(shi)您(nin)選用(yong)的(de)(de)(de)(de)型號，并確(que)認導(dao)尿(niao)包(bao)(bao)(bao)包(bao)(bao)(bao)裝完(wan)好無破損。5 在(zai)操(cao)作(zuo)(zuo)(zuo)前(qian)請(qing)做好準備工作(zuo)(zuo)(zuo)，安排患者正確(que)體位(wei)鋪(pu)好洞(dong)巾。并對患者進(jin)行安慰。6、請(qing)按醫(yi)院(yuan)的(de)(de)(de)(de)導(dao)尿(niao)操(cao)作(zuo)(zuo)(zuo)規(gui)程(cheng)進(jin)行外(wai)消(xiao)毒(du)(du)和(he)內消(xiao)毒(du)(du)兩(liang)次(ci)消(xiao)毒(du)(du)。消(xiao)毒(du)(du)時不(bu)能選擇(ze)對皮膚有較強刺(ci)激(ji)的(de)(de)(de)(de)消(xiao)毒(du)(du)劑(ji)，建議使用(yong)0.5％的(de)(de)(de)(de)碘伏的(de)(de)(de)(de)消(xiao)毒(du)(du)劑(ji)或其他低刺(ci)激(ji)的(de)(de)(de)(de)消(xiao)毒(du)(du)劑(ji)。7、使用(yong)前(qian)請(qing)將導(dao)尿(niao)管(guan)(guan)球囊(nang)進(jin)行充(chong)水(shui)(shui)試驗，確(que)認導(dao)尿(niao)管(guan)(guan)球囊(nang)是(shi)否正常。充(chong)水(shui)(shui)后的(de)(de)(de)(de)球囊(nang)應在(zai)球囊(nang)中(zhong)留2－3ml蒸(zheng)餾水(shui)(shui)，用(yong)于保(bao)障球囊(nang)外(wai)表光滑。