PICC初级16__培训课件.pptVIP

? Becton, Dickinson and Company, 2003 * ? Becton, Dickinson and Company, 2003 * Core competency overview ? Becton, Dickinson and Company, 2003 * ? Becton, Dickinson and Company, 2003 * Introduction ? Becton, Dickinson and Company, 2003 * 50% of nosocomial infections could be prevented by proper handwashing Studies indicate hands of medical personnel are only washed 50% of the time in patient care settings Effective handwashing consists of a 15 second scrub with an antimicrobial soap, cleanser, or foam product 结果监测 保证患者安全性及积极的患者最终利益 前后一致的监测导管的完整性 全整跟踪：植入-维护-取管 Site Preparation 穿刺部位的准备 ?2003 Becton, Dickinson and Company Infection Control Measures感控的评估 Principles of Infection Control感控的原则 Skin Preparation皮肤准备 Universal and Standard Precautions通用及标准的预防 Maximum Sterile Barrier Precautions最大程度的消毒 Overview总论 ?2003 Becton, Dickinson and Company 感染的四大因素 宿主（感染源） 传播方式 寄主因素 器材特点 Handwashing洗手 The primary infection control measure Site Preparation Infection Control Measures感控评估Principles of Infection Control感控的基本要求 院内洗手分型-APIC 要求 方法 普通洗手 消除污垢和暂驻菌 肥皂或清洗剂至少15秒 消毒洗手 清除和杀死暂驻菌 抗菌皂液或无水洗手液擦拭至少15秒 外科洗手 清除或杀死暂驻菌减少常驻菌 抗菌皂液擦拭至少120秒或无水洗手液擦拭至少20秒 Infection Control Measures感控评估Principles of Infection Control感控的基本要求 穿刺部位的准备 无菌衣，敷料 输液器 减少接换次数及对血管的穿刺 使用正压接头 ? Becton, Dickinson and Company, 2003 * ? Becton, Dickinson and Company, 2003 * The evolution of infusion therapy Use your own clinical experience to discuss change Discuss advanced practice issues in the 2000s ? Becton, Dickinson and Company, 2003 * This is a central venous catheter Right atrial tip placement or other alternative tip placement is not consistent with standards of practice Cite NAVAN Position Paper (1998) Cite INS (2000) FDA (1997) “Central Venous Catheter – a tubular device, or cannula, placed within a vein and whose distal end is intended to be located within the vena cava (inferior or superior)” Any alternative tip placement means the catheter is not a PICC ? Becton, Dickinson and Company, 2003 * Literature a