局(ju)(ju)機關各司局(ju)(ju)、各直屬(shu)單位(wei)(wei)：為(wei)加強對藥(yao)品監管(guan)(guan)政(zheng)務(wu)(wu)(wu)(wu)(wu)(wu)公(gong)開(kai)(kai)(kai)工(gong)(gong)(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)的(de)領導(dao)，局(ju)(ju)黨組(zu)(zu)(zu)(zu)會議研(yan)(yan)究決定(ding)(ding)成(cheng)立藥(yao)品監督管(guan)(guan)理局(ju)(ju)政(zheng)務(wu)(wu)(wu)(wu)(wu)(wu)公(gong)開(kai)(kai)(kai)領導(dao)小(xiao)組(zu)(zu)(zu)(zu)，下設(she)辦(ban)公(gong)室(shi)（以下簡稱政(zheng)務(wu)(wu)(wu)(wu)(wu)(wu)公(gong)開(kai)(kai)(kai)辦(ban)）。現將有關事項通知如下：一(yi)、政(zheng)務(wu)(wu)(wu)(wu)(wu)(wu)公(gong)開(kai)(kai)(kai)領導(dao)小(xiao)組(zu)(zu)(zu)(zu)組(zu)(zu)(zu)(zu)成(cheng)及職責(ze)(ze)（一(yi)）組(zu)(zu)(zu)(zu)成(cheng)組(zu)(zu)(zu)(zu)長：李利焦紅副組(zu)(zu)(zu)(zu)長：徐(xu)景和陳時飛顏(yan)江瑛(ying)成(cheng)員：各司局(ju)(ju)、各直屬(shu)單位(wei)(wei)主(zhu)要負(fu)責(ze)(ze)同志顏(yan)江瑛(ying)同志負(fu)責(ze)(ze)領導(dao)小(xiao)組(zu)(zu)(zu)(zu)日常工(gong)(gong)(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)。（二(er)）主(zhu)要職責(ze)(ze)。在局(ju)(ju)黨組(zu)(zu)(zu)(zu)領導(dao)下，負(fu)責(ze)(ze)貫徹落實黨中央、國(guo)務(wu)(wu)(wu)(wu)(wu)(wu)院(yuan)關于政(zheng)務(wu)(wu)(wu)(wu)(wu)(wu)公(gong)開(kai)(kai)(kai)工(gong)(gong)(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)的(de)方針政(zheng)策(ce)，研(yan)(yan)究制定(ding)(ding)落實措施；研(yan)(yan)究制定(ding)(ding)藥(yao)品監管(guan)(guan)政(zheng)務(wu)(wu)(wu)(wu)(wu)(wu)公(gong)開(kai)(kai)(kai)工(gong)(gong)(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)的(de)發展規劃和政(zheng)策(ce)措施；審定(ding)(ding)局(ju)(ju)政(zheng)務(wu)(wu)(wu)(wu)(wu)(wu)公(gong)開(kai)(kai)(kai)工(gong)(gong)(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)制度，研(yan)(yan)究局(ju)(ju)政(zheng)務(wu)(wu)(wu)(wu)(wu)(wu)公(gong)開(kai)(kai)(kai)工(gong)(gong)(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)和實施方案，研(yan)(yan)究解決政(zheng)務(wu)(wu)(wu)(wu)(wu)(wu)公(gong)開(kai)(kai)(kai)工(gong)(gong)(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)中遇到的(de)重(zhong)大(da)問(wen)題；協(xie)調各司局(ju)(ju)、各單位(wei)(wei)抓好政(zheng)務(wu)(wu)(wu)(wu)(wu)(wu)公(gong)開(kai)(kai)(kai)工(gong)(gong)(gong)(gong)(gong)(gong)作(zuo)(zuo)(zuo)(zuo)任務(wu)(wu)(wu)(wu)(wu)(wu)落實，并加強督促檢查。

一次性使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)怎么用(yong)(yong)？吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的(de)(de)使(shi)用(yong)(yong)方法(fa)與3個注意(yi)事(shi)項(xiang)首(shou)先是(shi)(shi)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的(de)(de)使(shi)用(yong)(yong)方法(fa)：1、檢(jian)查吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的(de)(de)情(qing)況，檢(jian)查吸(xi)(xi)(xi)(xi)(xi)引器(qi)作用(yong)(yong)，檢(jian)查吸(xi)(xi)(xi)(xi)(xi)引導管(guan)(guan)(guan)(guan)(guan)是(shi)(shi)否(fou)(fou)通暢，是(shi)(shi)否(fou)(fou)會影響正常(chang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)操作。2、準備(bei)好吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)用(yong)(yong)的(de)(de)所有物(wu)品(pin)，將(jiang)(jiang)這些物(wu)品(pin)都放(fang)在床頭柜上，向患(huan)者(zhe)(zhe)(zhe)說明接下來的(de)(de)操作，解釋部(bu)分物(wu)品(pin)的(de)(de)用(yong)(yong)途，讓(rang)患(huan)者(zhe)(zhe)(zhe)做(zuo)好準備(bei)。3、讓(rang)患(huan)者(zhe)(zhe)(zhe)側(ce)(ce)頭，并微(wei)微(wei)后仰，如果(guo)患(huan)者(zhe)(zhe)(zhe)本(ben)身昏(hun)迷了，需要(yao)用(yong)(yong)壓(ya)舌板將(jiang)(jiang)患(huan)者(zhe)(zhe)(zhe)的(de)(de)嘴巴張(zhang)開，然后將(jiang)(jiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)側(ce)(ce)插(cha)(cha)到咽喉部(bu)位，等患(huan)者(zhe)(zhe)(zhe)吸(xi)(xi)(xi)(xi)(xi)氣(qi)(qi)的(de)(de)時候，將(jiang)(jiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)插(cha)(cha)入(ru)氣(qi)(qi)管(guan)(guan)(guan)(guan)(guan)。如果(guo)患(huan)者(zhe)(zhe)(zhe)本(ben)身口腔吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)比較(jiao)困難，可以從鼻(bi)腔插(cha)(cha)入(ru)，當然，顱底骨折的(de)(de)患(huan)者(zhe)(zhe)(zhe)禁(jin)止使(shi)用(yong)(yong)。如果(guo)是(shi)(shi)氣(qi)(qi)管(guan)(guan)(guan)(guan)(guan)插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)或者(zhe)(zhe)(zhe)氣(qi)(qi)管(guan)(guan)(guan)(guan)(guan)切開的(de)(de)患(huan)者(zhe)(zhe)(zhe)，可以從插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)或者(zhe)(zhe)(zhe)是(shi)(shi)套管(guan)(guan)(guan)(guan)(guan)內(nei)插(cha)(cha)入(ru)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)。

一(yi)次性(xing)嬰(ying)兒(er)(er)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)(de)使用(yong)方(fang)法1、一(yi)次性(xing)嬰(ying)兒(er)(er)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)(de)使用(yong)方(fang)法。胎兒(er)(er)頭(tou)部娩(mian)出(chu)后(hou),迅速用(yong)左(zuo)手從(cong)鼻根向下擠壓口鼻,清除口鼻內(nei)的(de)(de)(de)粘液及羊(yang)水(shui)(shui)。嬰(ying)兒(er)(er)娩(mian)出(chu)后(hou),立即將(jiang)嬰(ying)兒(er)(er)仰(yang)頭(tou)平臥,將(jiang)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)輕輕插(cha)入嬰(ying)兒(er)(er)氣管(guan)(guan)(guan)(guan)(guan)(guan)內(nei)、食(shi)管(guan)(guan)(guan)(guan)(guan)(guan)內(nei)、胃(wei)內(nei),一(yi)邊吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)一(yi)邊將(jiang)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)慢(man)慢(man)往上拉,由下至(zhi)上,將(jiang)氣管(guan)(guan)(guan)(guan)(guan)(guan)、食(shi)管(guan)(guan)(guan)(guan)(guan)(guan)、胃(wei)、咽(yan)腔、口腔的(de)(de)(de)羊(yang)水(shui)(shui)及分(fen)泌物吸(xi)(xi)(xi)(xi)(xi)(xi)干凈。可(ke)如此反(fan)復吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)2～3次,直到(dao)嬰(ying)兒(er)(er)哭聲(sheng)響亮,無(wu)痰(tan)(tan)鳴音(yin)為止。2、吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)(de)使用(yong)操(cao)作步驟。接通電(dian)源,檢查吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)性(xing)能是否良好,吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)管(guan)(guan)(guan)(guan)(guan)(guan)是否通暢。使病(bing)人面向操(cao)作者(zhe),頭(tou)略后(hou)仰(yang),昏(hun)迷病(bing)人可(ke)用(yong)開(kai)口器幫助(zhu)張口,再(zai)將(jiang)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)插(cha)入口腔頰部、咽(yan)部。若口腔吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)有困(kun)難(nan),可(ke)由鼻腔插(cha)管(guan)(guan)(guan)(guan)(guan)(guan)至(zhi)咽(yan)部,當插(cha)入到(dao)適當位置后(hou)再(zai)接通電(dian)源,并使吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)左(zuo)右(you)旋轉,緩慢(man)上移(yi),向上提出(chu),將(jiang)咽(yan)部及口、鼻分(fen)泌物逐段(duan)吸(xi)(xi)(xi)(xi)(xi)(xi)盡。吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)過程中,應隨時(shi)吸(xi)(xi)(xi)(xi)(xi)(xi)水(shui)(shui)沖洗汲痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan),以免(mian)痰(tan)(tan)液堵塞。如痰(tan)(tan)液過深(shen)不(bu)易汲出(chu),可(ke)借助(zhu)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)插(cha)入的(de)(de)(de)機械刺(ci)激,使病(bing)人作有效(xiao)咳嗽(sou)動作,待(dai)咳嗽(sou)停止后(hou)再(zai)吸(xi)(xi)(xi)(xi)(xi)(xi)。

指導要(yao)點1.告知(zhi)(zhi)(zhi)患(huan)者(zhe)(zhe)胸(xiong)腔引(yin)流的(de)(de)目(mu)的(de)(de)及配合方(fang)(fang)(fang)法。2.鼓勵患(huan)者(zhe)(zhe)咳嗽，深(shen)呼(hu)吸及變換(huan)體(ti)位(wei)，并告知(zhi)(zhi)(zhi)正確咳嗽、深(shen)呼(hu)吸、變換(huan)體(ti)位(wei)的(de)(de)方(fang)(fang)(fang)法。（四(si)）注意(yi)事項。1.出(chu)(chu)血量多于(yu)100ml／h，呈鮮紅(hong)色(se)，有血凝塊，同時伴有脈搏增快，提示(shi)有活動性出(chu)(chu)血的(de)(de)可能，及時通(tong)知(zhi)(zhi)(zhi)醫(yi)生(sheng)。2.水(shui)封(feng)瓶打破或(huo)接(jie)頭滑脫(tuo)時，要(yao)立(li)即夾閉(bi)(bi)或(huo)反折(zhe)近(jin)胸(xiong)端胸(xiong)引(yin)管(guan)。3.引(yin)流管(guan)自(zi)胸(xiong)壁傷口(kou)脫(tuo)出(chu)(chu)，立(li)即用手(shou)順皮(pi)膚(fu)紋理(li)方(fang)(fang)(fang)向捏緊引(yin)流口(kou)周圍(wei)皮(pi)膚(fu)（注意(yi)不要(yao)直接(jie)接(jie)觸傷口(kou)），并立(li)即通(tong)知(zhi)(zhi)(zhi)醫(yi)生(sheng)處理(li)。4.患(huan)者(zhe)(zhe)下(xia)床活動時，引(yin)流瓶的(de)(de)位(wei)置應低(di)于(yu)膝蓋且(qie)保持平穩，保障長管(guan)沒入液面下(xia)；外(wai)出(chu)(chu)檢(jian)查前須將引(yin)流管(guan)夾閉(bi)(bi)，漏氣(qi)明顯的(de)(de)患(huan)者(zhe)(zhe)不可夾閉(bi)(bi)胸(xiong)引(yin)管(guan)。5.拔管(guan)后(hou)注意(yi)觀察患(huan)者(zhe)(zhe)有無胸(xiong)悶、憋氣(qi)，皮(pi)下(xia)氣(qi)腫，傷口(kou)滲(shen)液及出(chu)(chu)血等(deng)(deng)癥狀，有異(yi)常及時通(tong)知(zhi)(zhi)(zhi)醫(yi)生(sheng)。一次性使用導尿包(bao)（三(san)）指導要(yao)點。1.告知(zhi)(zhi)(zhi)患(huan)者(zhe)(zhe)心包(bao)、縱膈引(yin)流的(de)(de)目(mu)的(de)(de)、配合方(fang)(fang)(fang)法。2.告知(zhi)(zhi)(zhi)患(huan)者(zhe)(zhe)更(geng)換(huan)體(ti)位(wei)時防(fang)止(zhi)引(yin)流管(guan)意(yi)外(wai)脫(tuo)出(chu)(chu)或(huo)打折(zhe)、受壓等(deng)(deng)措施。

一次性使用導尿包的使用方法1、導尿包的配置和包裝設計是根據《中華護理大全》中關于導尿部分的操作程序和各醫院實際導尿操作過程中的要求設計制定。2 導尿包的使用方法可按各醫院規定的導尿操作規程進行操作。3如在使用過程中導尿包內的配置和包裝順序與貴醫院的導尿操作規程有不相符的情況請向供應商提出改進建議。4在使用導尿包前請確認您所使用的導尿包是否是您選用的型號，推薦一次性使用醫用導尿包并確認導尿包包裝完好無破損。5 在操作前請做好準備工作，安排患者正確體位鋪好洞巾。一次性使用醫用導尿包批發并對(dui)患者進行(xing)安慰。6、請按醫(yi)院的導尿(niao)(niao)操作規(gui)程進行(xing)外消毒(du)(du)和內消毒(du)(du)兩(liang)次消毒(du)(du)。消毒(du)(du)時不能(neng)選擇對(dui)皮膚(fu)有(you)較強刺(ci)激的消毒(du)(du)劑，建議使(shi)用(yong)0.5％的碘伏的消毒(du)(du)劑或其他低刺(ci)激的消毒(du)(du)劑。7、使(shi)用(yong)前請將導尿(niao)(niao)管(guan)球(qiu)囊進行(xing)充水(shui)試驗，確認導尿(niao)(niao)管(guan)球(qiu)囊是否正常。充水(shui)后的球(qiu)囊應在球(qiu)囊中留(liu)2－3ml蒸餾(liu)水(shui)，用(yong)于保障球(qiu)囊外表光滑(hua)。