一次性使(shi)用(yong)(yong)導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)的(de)使(shi)用(yong)(yong)方法(fa)1、導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)的(de)配置和包(bao)(bao)(bao)裝設計(ji)是(shi)根據《中華護理大全(quan)》中關于導(dao)(dao)尿(niao)(niao)(niao)部分的(de)操(cao)(cao)作程序(xu)和各醫(yi)院(yuan)實際導(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作過程中的(de)要求設計(ji)制定(ding)。2 導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)的(de)使(shi)用(yong)(yong)方法(fa)可按(an)各醫(yi)院(yuan)規定(ding)的(de)導(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作規程進行(xing)操(cao)(cao)作。3如在(zai)(zai)使(shi)用(yong)(yong)過程中導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)內的(de)配置和包(bao)(bao)(bao)裝順(shun)序(xu)與貴醫(yi)院(yuan)的(de)導(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作規程有(you)不(bu)相符的(de)情況請(qing)(qing)向供(gong)應(ying)商提出改進建議。4在(zai)(zai)使(shi)用(yong)(yong)導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)前請(qing)(qing)確(que)認(ren)您所使(shi)用(yong)(yong)的(de)導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)是(shi)否(fou)是(shi)您選用(yong)(yong)的(de)型號,并確(que)認(ren)導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)(bao)包(bao)(bao)(bao)裝完好無破損(sun)。5 在(zai)(zai)操(cao)(cao)作前請(qing)(qing)做(zuo)好準備工(gong)作,安排患(huan)者正(zheng)確(que)體位(wei)鋪好洞(dong)巾。并對患(huan)者進行(xing)安慰。6、請(qing)(qing)按(an)醫(yi)院(yuan)的(de)導(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作規程進行(xing)外(wai)消(xiao)(xiao)毒和內消(xiao)(xiao)毒兩次消(xiao)(xiao)毒。消(xiao)(xiao)毒時不(bu)能選擇對皮(pi)膚有(you)較強刺激的(de)消(xiao)(xiao)毒劑,建議使(shi)用(yong)(yong)0.5%的(de)碘伏的(de)消(xiao)(xiao)毒劑或其他低刺激的(de)消(xiao)(xiao)毒劑。7、使(shi)用(yong)(yong)前請(qing)(qing)將導(dao)(dao)尿(niao)(niao)(niao)管球囊(nang)進行(xing)充(chong)水(shui)試驗,確(que)認(ren)導(dao)(dao)尿(niao)(niao)(niao)管球囊(nang)是(shi)否(fou)正(zheng)常(chang)。充(chong)水(shui)后的(de)球囊(nang)應(ying)在(zai)(zai)球囊(nang)中留2-3ml蒸餾水(shui),用(yong)(yong)于保障(zhang)球囊(nang)外(wai)表光滑(hua)。
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。醫用無菌塑柄手術刀開展全科醫療服務, 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。無菌塑柄手術刀批發女性:先清洗外陰(yin)(yin),其原則(ze)由上至(zhi)下,由內向外,然后(hou)清洗尿(niao)道口、前庭、兩側大小陰(yin)(yin)唇(chun),后(hou)會陰(yin)(yin)、肛門,每一(yi)個棉球不能重復使用(yong);6.插管(guan)過程(cheng)嚴格執行無菌操(cao)作,動作要輕柔,避(bi)免(mian)尿(niao)道粘膜損(sun)傷;7.對留置導尿(niao)患(huan)者,應(ying)采用(yong)密閉式引流系(xi)統。
一次(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)導(dao)尿包(bao)相關問答(da)(da)問:有(you)(you)什么區別次(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)導(dao)尿包(bao)+18?答(da)(da):導(dao)尿包(bao)咨詢(xun)熱(re)線 :0512-66615979答(da)(da):導(dao)尿管的(de)(de)外直徑,一般男性(xing)(xing)(xing)臨床(chuang)用(yong)(yong)12~16比較多見(jian),問: 一次(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)引(yin)尿包(bao)的(de)(de)注(zhu)意事項有(you)(you)哪(na)些?答(da)(da):1、本品經環(huan)氧乙(yi)環(huan)滅菌(jun),使(shi)(shi)(shi)用(yong)(yong)前請注(zhu)意內(nei)袋(dai)包(bao)裝(zhuang)上(shang)滅菌(jun)指示標志。2、本品滅菌(jun)后,在包(bao)裝(zhuang)完好時,包(bao)內(nei)所有(you)(you)器件均為無毒、無菌(jun)。3、包(bao)裝(zhuang)破損,禁止使(shi)(shi)(shi)用(yong)(yong)。4、本產品滅菌(jun)有(you)(you)效期兩年,生產日期見(jian)封口處。5、本產品僅限于一次(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)用(yong)(yong),用(yong)(yong)后銷毀。問: 一次(ci)(ci)性(xing)(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)引(yin)尿包(bao)的(de)(de)使(shi)(shi)(shi)用(yong)(yong)方法是怎樣(yang)的(de)(de)?答(da)(da):1、取出本品,從啟口處撕開(kai),取出無菌(jun)內(nei)包(bao),放置工作臺中央。2、打開(kai)內(nei)包(bao),戴上(shang)無菌(jun)醫(yi)用(yong)(yong)手(shou)套,按操(cao)作規程進行操(cao)作。3、使(shi)(shi)(shi)用(yong)(yong)時注(zhu)意正確使(shi)(shi)(shi)用(yong)(yong)引(yin)流袋(dai)等各種配件。4、本產品使(shi)(shi)(shi)用(yong)(yong)結(jie)束后,丟棄(qi)所有(you)(you)組件,不可(ke)重(zhong)復使(shi)(shi)(shi)用(yong)(yong)。
一(yi)次性使(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的使(shi)(shi)(shi)用(yong)。導(dao)讀:如(ru)何使(shi)(shi)(shi)用(yong)一(yi)次性吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)?小編(bian)為大(da)家準(zhun)備了(le)使(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的方(fang)法和(he)使(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)需要(yao)(yao)注(zhu)意的三(san)點,這可(ke)能(neng)對你有(you)幫(bang)助。使(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的方(fang)法:1.檢查吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan),檢查吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)裝置功能(neng),檢查吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)導(dao)管(guan)(guan)(guan)(guan)(guan)是(shi)(shi)否通暢(chang),是(shi)(shi)否影響正常吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)手(shou)術(shu)。2.準(zhun)備所有(you)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)項目,將(jiang)(jiang)這些物品放在床頭(tou)(tou)柜(ju)上(shang),向(xiang)病(bing)(bing)人(ren)(ren)解釋下一(yi)次手(shou)術(shu),說明某些項目的使(shi)(shi)(shi)用(yong)情(qing)況,并(bing)為病(bing)(bing)人(ren)(ren)做好準(zhun)備。3.讓病(bing)(bing)人(ren)(ren)側(ce)(ce)頭(tou)(tou),稍(shao)向(xiang)后(hou)(hou)(hou),如(ru)果病(bing)(bing)人(ren)(ren)本身處于(yu)昏迷(mi)狀態,需要(yao)(yao)用(yong)舌板打(da)(da)開(kai)病(bing)(bing)人(ren)(ren)的嘴,然(ran)后(hou)(hou)(hou)將(jiang)(jiang)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)側(ce)(ce)到咽喉等(deng),當病(bing)(bing)人(ren)(ren)吸(xi)(xi)(xi)(xi)氣(qi)時,將(jiang)(jiang)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)插(cha)(cha)入(ru)(ru)氣(qi)管(guan)(guan)(guan)(guan)(guan)。如(ru)果病(bing)(bing)人(ren)(ren)很難從嘴里吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan),就可(ke)以(yi)從鼻腔插(cha)(cha)入(ru)(ru)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)。當然(ran),禁(jin)止使(shi)(shi)(shi)用(yong)顱(lu)底(di)骨折患者。對于(yu)氣(qi)管(guan)(guan)(guan)(guan)(guan)內插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)或氣(qi)管(guan)(guan)(guan)(guan)(guan)切開(kai)術(shu)的病(bing)(bing)人(ren)(ren),可(ke)以(yi)從插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)或插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)中(zhong)插(cha)(cha)入(ru)(ru)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)。4.插(cha)(cha)入(ru)(ru)吸(xi)(xi)(xi)(xi)入(ru)(ru)管(guan)(guan)(guan)(guan)(guan)前,打(da)(da)開(kai)吸(xi)(xi)(xi)(xi)入(ru)(ru)開(kai)關。然(ran)而(er),T管(guan)(guan)(guan)(guan)(guan)的側(ce)(ce)孔應該放松,當痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)在一(yi)定深(shen)度插(cha)(cha)入(ru)(ru)氣(qi)管(guan)(guan)(guan)(guan)(guan)時,可(ke)根(gen)據閉(bi)合側(ce)(ce)孔立(li)即吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)。吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)時,吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)應從底(di)部慢(man)慢(man)抬起,左右旋轉,以(yi)便(bian)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)。防止粘膜被(bei)破壞(huai),通過固(gu)定一(yi)個地方(fang),或向(xiang)上(shang)和(he)向(xiang)下,以(yi)吸(xi)(xi)(xi)(xi)引它。吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)取(qu)出后(hou)(hou)(hou),吸(xi)(xi)(xi)(xi)收(shou)水(shui)分(fen),沖洗管(guan)(guan)(guan)(guan)(guan)內痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan),以(yi)免堵塞痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)。關掉吸(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)開(kai)關。