局(ju)(ju)(ju)機關(guan)(guan)各(ge)(ge)(ge)司(si)(si)局(ju)(ju)(ju)、各(ge)(ge)(ge)直屬單位：為加強(qiang)對藥品監(jian)管政(zheng)(zheng)務(wu)公(gong)開工(gong)(gong)作(zuo)(zuo)的領導(dao)，局(ju)(ju)(ju)黨組會議研(yan)(yan)究(jiu)決定(ding)(ding)成(cheng)立藥品監(jian)督管理局(ju)(ju)(ju)政(zheng)(zheng)務(wu)公(gong)開領導(dao)小(xiao)組，下(xia)(xia)設辦公(gong)室（以下(xia)(xia)簡稱政(zheng)(zheng)務(wu)公(gong)開辦）。現將有關(guan)(guan)事(shi)項通知如下(xia)(xia)：一、政(zheng)(zheng)務(wu)公(gong)開領導(dao)小(xiao)組組成(cheng)及職(zhi)責（一）組成(cheng)組長：李利焦紅副組長：徐景和陳時飛顏江瑛成(cheng)員：各(ge)(ge)(ge)司(si)(si)局(ju)(ju)(ju)、各(ge)(ge)(ge)直屬單位主(zhu)要負(fu)責同志顏江瑛同志負(fu)責領導(dao)小(xiao)組日常工(gong)(gong)作(zuo)(zuo)。（二(er)）主(zhu)要職(zhi)責。在局(ju)(ju)(ju)黨組領導(dao)下(xia)(xia)，負(fu)責貫徹落(luo)(luo)實(shi)黨中央、國務(wu)院(yuan)關(guan)(guan)于政(zheng)(zheng)務(wu)公(gong)開工(gong)(gong)作(zuo)(zuo)的方針政(zheng)(zheng)策，研(yan)(yan)究(jiu)制定(ding)(ding)落(luo)(luo)實(shi)措施；研(yan)(yan)究(jiu)制定(ding)(ding)藥品監(jian)管政(zheng)(zheng)務(wu)公(gong)開工(gong)(gong)作(zuo)(zuo)的發展規劃和政(zheng)(zheng)策措施；審(shen)定(ding)(ding)局(ju)(ju)(ju)政(zheng)(zheng)務(wu)公(gong)開工(gong)(gong)作(zuo)(zuo)制度，研(yan)(yan)究(jiu)局(ju)(ju)(ju)政(zheng)(zheng)務(wu)公(gong)開工(gong)(gong)作(zuo)(zuo)和實(shi)施方案，研(yan)(yan)究(jiu)解決政(zheng)(zheng)務(wu)公(gong)開工(gong)(gong)作(zuo)(zuo)中遇(yu)到的重大(da)問題；協調各(ge)(ge)(ge)司(si)(si)局(ju)(ju)(ju)、各(ge)(ge)(ge)單位抓好政(zheng)(zheng)務(wu)公(gong)開工(gong)(gong)作(zuo)(zuo)任務(wu)落(luo)(luo)實(shi)，并加強(qiang)督促檢(jian)查(cha)。

導尿包，主要適用于導尿術，醫用一次性使用無菌陰道擴張器導尿術是一種在無菌操作條件下，將導尿管經過尿道插入膀胱，進行引流尿液的方法。一次性使用導尿包步驟：1、提前準備導尿包產品，可以是無菌導尿包或者是一次性導尿包；操作者要進行洗手，佩戴口罩，一次性使用無菌陰道擴張器廠家佩戴手套；3、拆開導尿包(bao)，將(jiang)(jiang)物品放在(zai)專門的(de)器(qi)械盤上，將(jiang)(jiang)物品拿(na)到床邊；4、核對病(bing)人(ren)的(de)身份，并向病(bing)人(ren)解釋接(jie)下(xia)來(lai)的(de)操作(zuo)，讓病(bing)人(ren)能夠放松心情(qing)；5、將(jiang)(jiang)門窗關閉，用病(bing)房內獨(du)有的(de)屏風遮擋病(bing)床；6、將(jiang)(jiang)床旁的(de)椅子放在(zai)合適(shi)的(de)位置，將(jiang)(jiang)便(bian)盆放在(zai)椅子上；7、掀(xian)開被(bei)子；8、病(bing)人(ren)無法起(qi)身的(de)情(qing)況下(xia)，可以(yi)讓家(jia)屬或操作(zuo)者幫助病(bing)人(ren)褪去褲子，對側(ce)的(de)腿部(bu)蓋(gai)上被(bei)子，近處蓋(gai)上毛巾，可以(yi)避(bi)免(mian)病(bing)人(ren)太過羞恥，影響操作(zuo)；

一次(ci)性使(shi)(shi)用(yong)(yong)(yong)導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)的(de)(de)使(shi)(shi)用(yong)(yong)(yong)方法1、導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)的(de)(de)配置和包(bao)(bao)裝設計(ji)是根據《中(zhong)(zhong)華護理大全》中(zhong)(zhong)關(guan)于(yu)導(dao)(dao)尿(niao)(niao)(niao)部(bu)分的(de)(de)操(cao)(cao)作(zuo)程(cheng)序和各醫(yi)(yi)(yi)(yi)院實(shi)際(ji)導(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作(zuo)過程(cheng)中(zhong)(zhong)的(de)(de)要(yao)求設計(ji)制定。2 導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)的(de)(de)使(shi)(shi)用(yong)(yong)(yong)方法可按(an)(an)各醫(yi)(yi)(yi)(yi)院規(gui)(gui)定的(de)(de)導(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作(zuo)規(gui)(gui)程(cheng)進(jin)行(xing)(xing)操(cao)(cao)作(zuo)。3如在(zai)使(shi)(shi)用(yong)(yong)(yong)過程(cheng)中(zhong)(zhong)導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)內(nei)的(de)(de)配置和包(bao)(bao)裝順序與貴醫(yi)(yi)(yi)(yi)院的(de)(de)導(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作(zuo)規(gui)(gui)程(cheng)有不(bu)相符的(de)(de)情(qing)況請(qing)(qing)向供應商提出改進(jin)建議。4在(zai)使(shi)(shi)用(yong)(yong)(yong)導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)前(qian)請(qing)(qing)確(que)認您所使(shi)(shi)用(yong)(yong)(yong)的(de)(de)導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)是否(fou)是您選(xuan)(xuan)用(yong)(yong)(yong)的(de)(de)型(xing)號(hao)，并確(que)認導(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)包(bao)(bao)裝完(wan)好(hao)(hao)無破損。5 在(zai)操(cao)(cao)作(zuo)前(qian)請(qing)(qing)做好(hao)(hao)準備工作(zuo)，安排(pai)患者正(zheng)(zheng)確(que)體(ti)位(wei)鋪(pu)好(hao)(hao)洞(dong)巾(jin)。并對(dui)患者進(jin)行(xing)(xing)安慰。6、請(qing)(qing)按(an)(an)醫(yi)(yi)(yi)(yi)院的(de)(de)導(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作(zuo)規(gui)(gui)程(cheng)進(jin)行(xing)(xing)外(wai)消毒(du)(du)和內(nei)消毒(du)(du)兩次(ci)消毒(du)(du)。消毒(du)(du)時(shi)不(bu)能選(xuan)(xuan)擇對(dui)皮膚有較強刺(ci)激(ji)的(de)(de)消毒(du)(du)劑，建議使(shi)(shi)用(yong)(yong)(yong)0.5％的(de)(de)碘伏的(de)(de)消毒(du)(du)劑或其他低刺(ci)激(ji)的(de)(de)消毒(du)(du)劑。7、使(shi)(shi)用(yong)(yong)(yong)前(qian)請(qing)(qing)將(jiang)導(dao)(dao)尿(niao)(niao)(niao)管球(qiu)(qiu)囊進(jin)行(xing)(xing)充(chong)水(shui)試驗，確(que)認導(dao)(dao)尿(niao)(niao)(niao)管球(qiu)(qiu)囊是否(fou)正(zheng)(zheng)常。充(chong)水(shui)后(hou)的(de)(de)球(qiu)(qiu)囊應在(zai)球(qiu)(qiu)囊中(zhong)(zhong)留2－3ml蒸餾水(shui)，用(yong)(yong)(yong)于(yu)保障球(qiu)(qiu)囊外(wai)表光滑。

一(yi)次性(xing)(xing)使用(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)操(cao)作方法(1)檢(jian)查(cha)吸(xi)(xi)(xi)(xi)引器各部(bu)(bu)連接(jie)是(shi)否完善，有(you)(you)無(wu)漏(lou)氣(qi)。接(jie)通(tong)電(dian)源，打開(kai)(kai)開(kai)(kai)關，檢(jian)查(cha)吸(xi)(xi)(xi)(xi)引器性(xing)(xing)能，調節負壓。一(yi)般成人(ren)(ren)吸(xi)(xi)(xi)(xi)痰(tan)(tan)負壓約40-50 kPa，小兒吸(xi)(xi)(xi)(xi)痰(tan)(tan)約13-30kPa，將(jiang)(jiang)一(yi)次性(xing)(xing)使用(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)置于水中(zhong)，試驗(yan)吸(xi)(xi)(xi)(xi)引力，并沖洗皮管(guan)。(2)將(jiang)(jiang)病人(ren)(ren)頭部(bu)(bu)轉(zhuan)向護士，鋪治療(liao)巾于頜下。(3)插入一(yi)次性(xing)(xing)使用(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)，其順(shun)序是(shi)由(you)(you)(you)口(kou)(kou)腔前庭(ting)→頰部(bu)(bu)→咽部(bu)(bu)，將(jiang)(jiang)各部(bu)(bu)吸(xi)(xi)(xi)(xi)盡(jin)。如口(kou)(kou)腔吸(xi)(xi)(xi)(xi)痰(tan)(tan)有(you)(you)困難時(shi)，可由(you)(you)(you)鼻(bi)(bi)腔插入(顱底(di)骨(gu)折患者禁用(yong)(yong))，其順(shun)序由(you)(you)(you)鼻(bi)(bi)腔前庭(ting)→下鼻(bi)(bi)道→鼻(bi)(bi)后孔→咽部(bu)(bu)→氣(qi)管(guan)(約20-25cm)，將(jiang)(jiang)分泌物逐段吸(xi)(xi)(xi)(xi)盡(jin)。若有(you)(you)氣(qi)管(guan)插管(guan)或氣(qi)管(guan)切(qie)開(kai)(kai)時(shi)，可由(you)(you)(you)插管(guan)或套(tao)管(guan)內插入，將(jiang)(jiang)痰(tan)(tan)液(ye)吸(xi)(xi)(xi)(xi)出。昏(hun)迷病人(ren)(ren)可用(yong)(yong)壓舌板或開(kai)(kai)口(kou)(kou)器先將(jiang)(jiang)口(kou)(kou)啟(qi)開(kai)(kai)，再行吸(xi)(xi)(xi)(xi)引。

一(yi)(yi)次(ci)(ci)性嬰兒(er)(er)吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)的(de)(de)(de)使(shi)(shi)(shi)用(yong)(yong)方法(fa)1、一(yi)(yi)次(ci)(ci)性嬰兒(er)(er)吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)的(de)(de)(de)使(shi)(shi)(shi)用(yong)(yong)方法(fa)。胎兒(er)(er)頭(tou)部娩出后,迅速用(yong)(yong)左(zuo)手從鼻(bi)根(gen)向(xiang)下(xia)擠壓口(kou)(kou)(kou)鼻(bi),清(qing)除口(kou)(kou)(kou)鼻(bi)內的(de)(de)(de)粘液及(ji)羊水。嬰兒(er)(er)娩出后,立即將(jiang)嬰兒(er)(er)仰頭(tou)平臥,將(jiang)吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)輕(qing)輕(qing)插入(ru)嬰兒(er)(er)氣管(guan)(guan)內、食管(guan)(guan)內、胃內,一(yi)(yi)邊(bian)吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)一(yi)(yi)邊(bian)將(jiang)吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)慢(man)慢(man)往上(shang)(shang)拉,由下(xia)至上(shang)(shang),將(jiang)氣管(guan)(guan)、食管(guan)(guan)、胃、咽腔、口(kou)(kou)(kou)腔的(de)(de)(de)羊水及(ji)分(fen)泌物吸(xi)(xi)(xi)(xi)干凈。可(ke)如此反復(fu)吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)2～3次(ci)(ci),直到嬰兒(er)(er)哭聲響亮,無痰(tan)鳴音為止。2、吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)的(de)(de)(de)使(shi)(shi)(shi)用(yong)(yong)操作(zuo)步(bu)驟。接通電(dian)源(yuan)(yuan),檢查吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)性能是(shi)否(fou)良好,吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)管(guan)(guan)是(shi)否(fou)通暢。使(shi)(shi)(shi)病人(ren)(ren)面向(xiang)操作(zuo)者,頭(tou)略(lve)后仰,昏迷(mi)病人(ren)(ren)可(ke)用(yong)(yong)開口(kou)(kou)(kou)器幫(bang)助張口(kou)(kou)(kou),再將(jiang)吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)插入(ru)口(kou)(kou)(kou)腔頰部、咽部。若口(kou)(kou)(kou)腔吸(xi)(xi)(xi)(xi)痰(tan)有困(kun)難(nan),可(ke)由鼻(bi)腔插管(guan)(guan)至咽部,當插入(ru)到適當位置(zhi)后再接通電(dian)源(yuan)(yuan),并使(shi)(shi)(shi)吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)左(zuo)右旋(xuan)轉(zhuan),緩(huan)慢(man)上(shang)(shang)移(yi),向(xiang)上(shang)(shang)提出,將(jiang)咽部及(ji)口(kou)(kou)(kou)、鼻(bi)分(fen)泌物逐段吸(xi)(xi)(xi)(xi)盡(jin)。吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)過程(cheng)中,應隨(sui)時吸(xi)(xi)(xi)(xi)水沖洗(xi)汲痰(tan)管(guan)(guan),以(yi)免痰(tan)液堵塞。如痰(tan)液過深(shen)不(bu)易(yi)汲出,可(ke)借助吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)插入(ru)的(de)(de)(de)機械刺激,使(shi)(shi)(shi)病人(ren)(ren)作(zuo)有效咳嗽(sou)動作(zuo),待咳嗽(sou)停止后再吸(xi)(xi)(xi)(xi)。

一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)的(de)具(ju)體(ti)(ti)操作(zuo)方法是怎樣。溫馨提(ti)示：為避免病人吸(xi)(xi)(xi)入(ru)的(de)空(kong)氣(qi)(qi)干燥(zao)(因無(wu)(wu)鼻腔的(de)濕化作(zuo)用(yong)(yong))，可(ke)用(yong)(yong)單層或雙層鹽水(shui)浸濕的(de)紗布覆蓋(gai)一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)管(guan)(guan)(guan)(guan)口(kou)(kou)，干后隨時更換。那么(me)，一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)的(de)具(ju)體(ti)(ti)操作(zuo)方法是怎樣? 一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)為無(wu)(wu)菌(jun)(jun)產品(pin)，經環氧乙烷滅(mie)(mie)菌(jun)(jun)，滅(mie)(mie)菌(jun)(jun)有效期2年;一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)限一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)，用(yong)(yong)后銷(xiao)毀，禁止重復使(shi)(shi)(shi)用(yong)(yong);一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)應存(cun)放在(zai)通風、干燥(zao)、無(wu)(wu)腐蝕性(xing)(xing)物體(ti)(ti)的(de)室(shi)內。 一(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)的(de)具(ju)體(ti)(ti)操作(zuo)方法如下： 吸(xi)(xi)(xi)引前先檢查吸(xi)(xi)(xi)引器效能是否良好，吸(xi)(xi)(xi)引導(dao)管(guan)(guan)(guan)(guan)是否通暢。2.備齊用(yong)(yong)物，置(zhi)床(chuang)頭(tou)柜，向(xiang)患(huan)(huan)者解(jie)釋。3.將患(huan)(huan)者頭(tou)偏向(xiang)一(yi)(yi)側，并(bing)略向(xiang)后仰。昏迷患(huan)(huan)者可(ke)用(yong)(yong)壓舌(she)板將口(kou)(kou)啟(qi)開(kai)，夾持吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)由(you)(you)口(kou)(kou)腔頰部(bu)插至咽(yan)喉部(bu)，乘患(huan)(huan)者吸(xi)(xi)(xi)氣(qi)(qi)時將吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)插入(ru)氣(qi)(qi)管(guan)(guan)(guan)(guan)。如口(kou)(kou)腔吸(xi)(xi)(xi)痰(tan)(tan)有困(kun)難(nan)時，可(ke)由(you)(you)鼻腔插入(ru)(顱(lu)底骨折患(huan)(huan)者禁用(yong)(yong));氣(qi)(qi)管(guan)(guan)(guan)(guan)插管(guan)(guan)(guan)(guan)或氣(qi)(qi)管(guan)(guan)(guan)(guan)切(qie)開(kai)患(huan)(huan)者，可(ke)由(you)(you)插管(guan)(guan)(guan)(guan)或套管(guan)(guan)(guan)(guan)內插入(ru)。