一(yi)(yi)次性吸(xi)(xi)(xi)(xi)(xi)痰(tan)包的使(shi)用(yong)(yong)方(fang)法一(yi)(yi)次性使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)用(yong)(yong)于(yu)(yu)臨床患者抽取氣(qi)(qi)管(guan)(guan)內(nei)(nei)(nei)痰(tan)液(ye)或(huo)分泌液(ye)用(yong)(yong)。一(yi)(yi)次性使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)吸(xi)(xi)(xi)(xi)(xi)痰(tan)動作要(yao)輕(qing)、穩。一(yi)(yi)次吸(xi)(xi)(xi)(xi)(xi)痰(tan)時(shi)(shi)間(jian)不應(ying)超過15秒,吸(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)器(qi)連(lian)續使(shi)用(yong)(yong)時(shi)(shi)間(jian)不超過3分鐘。1檢(jian)查(cha)吸(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)器(qi)各部連(lian)接是(shi)否(fou)完善,有(you)無(wu)漏(lou)氣(qi)(qi)。接通(tong)電源,打開開關,檢(jian)查(cha)吸(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)器(qi)性能,調節(jie)負壓(ya)。一(yi)(yi)般成人(ren)(ren)吸(xi)(xi)(xi)(xi)(xi)痰(tan)負壓(ya)約40-50 kPa,小兒吸(xi)(xi)(xi)(xi)(xi)痰(tan)約13-30kPa,將一(yi)(yi)次性使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)置(zhi)于(yu)(yu)水中(zhong),試驗吸(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)力,并(bing)(bing)沖洗皮(pi)管(guan)(guan)。2將病人(ren)(ren)頭部轉向護士,鋪(pu)治療巾(jin)于(yu)(yu)頜下。插入(ru)(ru)一(yi)(yi)次性使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan),其(qi)順(shun)序是(shi)由口腔(qiang)前庭(ting)→頰部→咽部,將各部吸(xi)(xi)(xi)(xi)(xi)盡(jin)(jin)。如(ru)口腔(qiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)有(you)困難(nan)時(shi)(shi),可由鼻(bi)腔(qiang)插入(ru)(ru)(顱底骨折患者禁用(yong)(yong)),其(qi)順(shun)序由鼻(bi)腔(qiang)前庭(ting)→下鼻(bi)道→鼻(bi)后(hou)孔→咽部→氣(qi)(qi)管(guan)(guan)(約20-25cm),將分泌物(wu)逐段吸(xi)(xi)(xi)(xi)(xi)盡(jin)(jin)。3氣(qi)(qi)管(guan)(guan)內(nei)(nei)(nei)吸(xi)(xi)(xi)(xi)(xi)痰(tan),待(dai)病人(ren)(ren)吸(xi)(xi)(xi)(xi)(xi)氣(qi)(qi)時(shi)(shi),快速將導(dao)管(guan)(guan)插入(ru)(ru),自(zi)下而上(shang)邊(bian)(bian)退邊(bian)(bian)左右旋(xuan)轉導(dao)管(guan)(guan),消除氣(qi)(qi)道分泌物(wu),并(bing)(bing)注(zhu)意觀察病人(ren)(ren)的呼吸(xi)(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)過程(cheng)中(zhong),如(ru)病人(ren)(ren)咳(ke)嗽厲害(hai),應(ying)稍等片刻后(hou)再行吸(xi)(xi)(xi)(xi)(xi)出(chu)。并(bing)(bing)隨時(shi)(shi)沖洗吸(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)管(guan)(guan),以免痰(tan)液(ye)堵塞。4吸(xi)(xi)(xi)(xi)(xi)畢(bi),關閉吸(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)器(qi)開關,棄吸(xi)(xi)(xi)(xi)(xi)痰(tan)導(dao)管(guan)(guan)于(yu)(yu)小桶內(nei)(nei)(nei),吸(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)膠管(guan)(guan)玻璃接頭插入(ru)(ru)床欄上(shang)盛(sheng)有(you)消毒液(ye)瓶(ping)內(nei)(nei)(nei)備用(yong)(yong),將病人(ren)(ren)口腔(qiang)周圍擦凈。觀察吸(xi)(xi)(xi)(xi)(xi)出(chu)液(ye)的量、顏色及性質,必要(yao)時(shi)(shi)做好記錄。
一(yi)(yi)(yi)(yi)次(ci)性換(huan)藥包(bao)(bao)如何(he)使用一(yi)(yi)(yi)(yi)次(ci)性換(huan)藥包(bao)(bao)經常(chang)用在外科的護(hu)理上(shang)面,一(yi)(yi)(yi)(yi)次(ci)性換(huan)藥包(bao)(bao)一(yi)(yi)(yi)(yi)般(ban)內裝一(yi)(yi)(yi)(yi)次(ci)性鑷(nie)子(zi)(zi)、沙布、棉球(qiu)、乳膠手套(tao)(tao)或PE手套(tao)(tao),居家常(chang)備實用小藥包(bao)(bao),有(you)擦傷(shang),磕碰,十分(fen)的方便1一(yi)(yi)(yi)(yi)次(ci)性換(huan)藥包(bao)(bao)是一(yi)(yi)(yi)(yi)個很實用的物件,居家旅行(xing),家中(zhong)常(chang)備,當出現擦傷(shang)碰傷(shang)時(shi)使用非(fei)常(chang)方便。2打開藥包(bao)(bao),里面得物品時(shi)非(fei)常(chang)齊全(quan)的,一(yi)(yi)(yi)(yi)點不足的是沒有(you)消(xiao)毒(du)酒(jiu)精。3取出鑷(nie)子(zi)(zi),棉球(qiu),沾酒(jiu)精對(dui)擦傷(shang)傷(shang)口(kou)進行(xing)消(xiao)毒(du)處理,如過需要(yao)紗布包(bao)(bao)的話可以包(bao)(bao)一(yi)(yi)(yi)(yi)下。
女(nv)性在(zai)進(jin)(jin)行(xing)婦科(ke)檢(jian)查(cha)(cha)時(shi)發(fa)現(xian)一(yi)(yi)種輔助(zhu)性檢(jian)查(cha)(cha)器(qi)械(xie),人們將其稱為陰(yin)道(dao)(dao)擴(kuo)張器(qi)。很多女(nv)性對這個檢(jian)查(cha)(cha)器(qi)械(xie)不(bu)甚了解,因此(ci)在(zai)檢(jian)查(cha)(cha)時(shi)都(dou)存在(zai)畏懼心理。那么,在(zai)進(jin)(jin)行(xing)婦科(ke)檢(jian)查(cha)(cha)時(shi)陰(yin)道(dao)(dao)擴(kuo)張器(qi)的(de)使用(yong)方(fang)法是怎樣的(de)呢?以下就(jiu)相關方(fang)面(mian)的(de)知識(shi)內容為您進(jin)(jin)行(xing)相應的(de)介紹。1.術者或者檢(jian)查(cha)(cha)者帶無菌手套,準備好(hao)陰(yin)道(dao)(dao)擴(kuo)張器(qi)。一(yi)(yi)手執器(qi),一(yi)(yi)手輕(qing)輕(qing)分(fen)開(kai)兩側小陰(yin)唇,暴(bao)露(lu)陰(yin)道(dao)(dao)。 2.將陰(yin)道(dao)(dao)擴(kuo)張器(qi)輕(qing)輕(qing)順著陰(yin)道(dao)(dao)走(zou)行(xing)、陰(yin)道(dao)(dao)縱線與擴(kuo)張器(qi)大的(de)橫徑呈0度角度送入(ru)。慢慢張開(kai)上下雙葉。3.暴(bao)露(lu)宮頸。至(zhi)此(ci),觀(guan)察陰(yin)道(dao)(dao)壁、陰(yin)道(dao)(dao)穹窿部情況(kuang),是否(fou)有腫(zhong)(zhong)瘤、擦傷、紅腫(zhong)(zhong);贅生(sheng)物等。繼而觀(guan)察陰(yin)道(dao)(dao)分(fen)泌(mi)物的(de)性狀(zhuang):味兒、色、粘稠(chou)度等,記錄(lu)(lu)(lu)之(zhi)。宮頸情況(kuang)所見:表面(mian)是否(fou)光滑、是否(fou)有贅生(sheng)物以及腫(zhong)(zhong)瘤、息肉;宮頸表面(mian)是否(fou)有隱藏(zang)或暴(bao)露(lu)的(de)囊腫(zhong)(zhong)等。是否(fou)肥大、出(chu)血、腫(zhong)(zhong)脹,記錄(lu)(lu)(lu)之(zhi);是否(fou)紅腫(zhong)(zhong)紫,記錄(lu)(lu)(lu)之(zhi)。
一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使用(yong)導(dao)尿(niao)包(bao)(bao)(bao)是(shi)(shi)臨床(chuang)護(hu)(hu)理、搶救和治療(liao)中(zhong)必須使用(yong)的(de)(de)(de)(de)(de)(de)醫療(liao)器械。它(ta)主(zhu)要由以下幾個部(bu)分(fen)組成:導(dao)尿(niao)管、橡膠外(wai)殼手(shou)(shou)套(tao)、洞巾(jin)、敷料(liao)鑷、包(bao)(bao)(bao)布(bu)、引流袋(dai)、大托盤、腰(yao)盤、脫脂紗布(bu)方、吊(diao)帶繩(sheng)、別針、試(shi)管、碘伏(fu)棉(mian)球、滑潤紗布(bu)方、塑料(liao)夾、注射器等(deng)主(zhu)要部(bu)件(jian)。不(bu)是(shi)(shi)所有的(de)(de)(de)(de)(de)(de)一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使用(yong)導(dao)尿(niao)包(bao)(bao)(bao)都是(shi)(shi)一(yi)(yi)(yi)模一(yi)(yi)(yi)樣的(de)(de)(de)(de)(de)(de),也會出現(xian)個別的(de)(de)(de)(de)(de)(de)部(bu)件(jian)的(de)(de)(de)(de)(de)(de)不(bu)同(tong),大同(tong)小(xiao)異。那(nei)一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使用(yong)導(dao)尿(niao)包(bao)(bao)(bao)的(de)(de)(de)(de)(de)(de)主(zhu)要原理是(shi)(shi)什么呢(ni)?它(ta)有怎樣的(de)(de)(de)(de)(de)(de)制(zhi)作標(biao)準呢(ni)?一(yi)(yi)(yi)次(ci)性(xing)(xing)(xing)使用(yong)導(dao)尿(niao)包(bao)(bao)(bao)的(de)(de)(de)(de)(de)(de)所有的(de)(de)(de)(de)(de)(de)部(bu)件(jian)不(bu)是(shi)(shi)隨意的(de)(de)(de)(de)(de)(de),而是(shi)(shi)按照(zhao)一(yi)(yi)(yi)定合(he)理的(de)(de)(de)(de)(de)(de)順序(xu)包(bao)(bao)(bao)裝(zhuang)在一(yi)(yi)(yi)起,不(bu)是(shi)(shi)大家想象的(de)(de)(de)(de)(de)(de)一(yi)(yi)(yi)大堆的(de)(de)(de)(de)(de)(de)部(bu)件(jian)隨意放到一(yi)(yi)(yi)個袋(dai)子中(zhong),而是(shi)(shi)已(yi)經組合(he)好了。并且所有的(de)(de)(de)(de)(de)(de)部(bu)件(jian)包(bao)(bao)(bao)裝(zhuang)都是(shi)(shi)無菌的(de)(de)(de)(de)(de)(de)。這樣的(de)(de)(de)(de)(de)(de)處理就大大降(jiang)低了在使用(yong)過程中(zhong)出現(xian)的(de)(de)(de)(de)(de)(de)交叉感染(ran)的(de)(de)(de)(de)(de)(de)幾率(lv),也降(jiang)低了醫護(hu)(hu)人員的(de)(de)(de)(de)(de)(de)工(gong)作負擔,提(ti)升了工(gong)作效率(lv),從而提(ti)升了手(shou)(shou)術的(de)(de)(de)(de)(de)(de)安(an)全性(xing)(xing)(xing)和可靠性(xing)(xing)(xing),從源(yuan)頭杜絕了疾病的(de)(de)(de)(de)(de)(de)傳染(ran)和一(yi)(yi)(yi)些(xie)常(chang)見的(de)(de)(de)(de)(de)(de)感染(ran)
局(ju)機關(guan)各(ge)(ge)司局(ju)、各(ge)(ge)直(zhi)屬單(dan)位:為加(jia)強對藥(yao)品監管政(zheng)務(wu)(wu)(wu)(wu)公(gong)(gong)(gong)開工(gong)(gong)作(zuo)的(de)領導,局(ju)黨(dang)(dang)(dang)組(zu)(zu)(zu)會議研究(jiu)決定成(cheng)立藥(yao)品監督管理局(ju)政(zheng)務(wu)(wu)(wu)(wu)公(gong)(gong)(gong)開領導小組(zu)(zu)(zu),下(xia)(xia)設辦公(gong)(gong)(gong)室(以(yi)下(xia)(xia)簡稱政(zheng)務(wu)(wu)(wu)(wu)公(gong)(gong)(gong)開辦)。現將有關(guan)事項通知(zhi)如下(xia)(xia):一、政(zheng)務(wu)(wu)(wu)(wu)公(gong)(gong)(gong)開領導小組(zu)(zu)(zu)組(zu)(zu)(zu)成(cheng)及(ji)職(zhi)責(ze)(ze)(ze)(一)組(zu)(zu)(zu)成(cheng)組(zu)(zu)(zu)長:李(li)利焦(jiao)紅副組(zu)(zu)(zu)長:徐景和陳時飛顏(yan)江(jiang)瑛成(cheng)員:各(ge)(ge)司局(ju)、各(ge)(ge)直(zhi)屬單(dan)位主要(yao)(yao)負責(ze)(ze)(ze)同(tong)志(zhi)顏(yan)江(jiang)瑛同(tong)志(zhi)負責(ze)(ze)(ze)領導小組(zu)(zu)(zu)日常工(gong)(gong)作(zuo)。(二)主要(yao)(yao)職(zhi)責(ze)(ze)(ze)。在局(ju)黨(dang)(dang)(dang)組(zu)(zu)(zu)領導下(xia)(xia),負責(ze)(ze)(ze)貫(guan)徹(che)落(luo)實(shi)(shi)黨(dang)(dang)(dang)中央、國務(wu)(wu)(wu)(wu)院關(guan)于政(zheng)務(wu)(wu)(wu)(wu)公(gong)(gong)(gong)開工(gong)(gong)作(zuo)的(de)方針(zhen)政(zheng)策,研究(jiu)制(zhi)(zhi)(zhi)定落(luo)實(shi)(shi)措施;研究(jiu)制(zhi)(zhi)(zhi)定藥(yao)品監管政(zheng)務(wu)(wu)(wu)(wu)公(gong)(gong)(gong)開工(gong)(gong)作(zuo)的(de)發(fa)展(zhan)規劃和政(zheng)策措施;審(shen)定局(ju)政(zheng)務(wu)(wu)(wu)(wu)公(gong)(gong)(gong)開工(gong)(gong)作(zuo)制(zhi)(zhi)(zhi)度(du),研究(jiu)局(ju)政(zheng)務(wu)(wu)(wu)(wu)公(gong)(gong)(gong)開工(gong)(gong)作(zuo)和實(shi)(shi)施方案,研究(jiu)解決政(zheng)務(wu)(wu)(wu)(wu)公(gong)(gong)(gong)開工(gong)(gong)作(zuo)中遇到的(de)重(zhong)大(da)問題;協(xie)調各(ge)(ge)司局(ju)、各(ge)(ge)單(dan)位抓好政(zheng)務(wu)(wu)(wu)(wu)公(gong)(gong)(gong)開工(gong)(gong)作(zuo)任務(wu)(wu)(wu)(wu)落(luo)實(shi)(shi),并加(jia)強督促檢查。
對業內企業來說,焦點核心的還有:幾十種醫療器械的管理類別降了,有從三類降為二類的,也有從二類降為一類的。推薦一次性使用吸痰管也有部分產品是升類了的。一次性使用吸痰管價格還有(you)的產(chan)(chan)(chan)(chan)(chan)品(pin)(pin)(pin)將(jiang)不再作為醫療器械管理。產(chan)(chan)(chan)(chan)(chan)品(pin)(pin)(pin)類(lei)(lei)別上的變(bian)化(hua)是要(yao)直接影響(xiang)醫療器械生(sheng)產(chan)(chan)(chan)(chan)(chan)經營(ying)企業(ye)的,比(bi)如生(sheng)產(chan)(chan)(chan)(chan)(chan)企業(ye),原本自家(jia)產(chan)(chan)(chan)(chan)(chan)品(pin)(pin)(pin)是三類(lei)(lei),降(jiang)(jiang)為二類(lei)(lei)管理之(zhi)(zhi)后,企業(ye)將(jiang)無(wu)(wu)需(xu)再跑到(dao)(dao)北京、到(dao)(dao)藥監(jian)總(zong)局來進(jin)行產(chan)(chan)(chan)(chan)(chan)品(pin)(pin)(pin)注(zhu)冊(ce)(ce)(ce),只需(xu)在(zai)(zai)本省(sheng)藥監(jian)局注(zhu)冊(ce)(ce)(ce)即可。從二類(lei)(lei)降(jiang)(jiang)為一(yi)類(lei)(lei)管理的,生(sheng)產(chan)(chan)(chan)(chan)(chan)企業(ye)則更省(sheng)事,產(chan)(chan)(chan)(chan)(chan)品(pin)(pin)(pin)無(wu)(wu)需(xu)注(zhu)冊(ce)(ce)(ce),只需(xu)備案即可。降(jiang)(jiang)類(lei)(lei)之(zhi)(zhi)后,在(zai)(zai)注(zhu)冊(ce)(ce)(ce)更省(sheng)事之(zhi)(zhi)外,節省(sheng)的還有(you)注(zhu)冊(ce)(ce)(ce)費(fei)用。以三類(lei)(lei)降(jiang)(jiang)為二類(lei)(lei)為例,原有(you)境(jing)內三類(lei)(lei)產(chan)(chan)(chan)(chan)(chan)品(pin)(pin)(pin)首次注(zhu)冊(ce)(ce)(ce)要(yao)收(shou)費(fei)15.36萬元,而轉到(dao)(dao)地方注(zhu)冊(ce)(ce)(ce)后,目前收(shou)費(fei)最(zui)便宜的寧夏僅有(you)3.13萬元,還有(you)十多個省(sheng)份(fen)則還沒開始收(shou)費(fei)呢。當然,反過來,對升類(lei)(lei)產(chan)(chan)(chan)(chan)(chan)品(pin)(pin)(pin)而言,注(zhu)冊(ce)(ce)(ce)要(yao)比(bi)現(xian)在(zai)(zai)麻(ma)煩(fan)一(yi)些了,由(you)二類(lei)(lei)升為三類(lei)(lei)的,風險(xian)級別大增,也將(jiang)面臨藥監(jian)更為嚴(yan)格和密集的監(jian)管舉措。