英国皇家自由医院消毒湿巾的应用经验.ppt

Implementation of wet wipe cleaning;Environmental contamination环境污染;Changing the culture of cleaning环境污染;*;Don’t like mop and buckets – water splashing everywhere, carrying heavy buckets. Did not know how often to change dirty water. Collecting mop, bucket, cloths and cleaning agent took a lot of time and then time to put them away again. Complicated to know what to use for what purpose. Didn’t know if cleaning product was working. Cloths often left marks or streaks across cleaned surfaces. Did not know how wet a cloth should be to ensure good coverage and contact time. Diluting chlorine tablets/powder. Often got the wrong concentration. Did not like the smell of the cleaning products. Some products made the eyes and nose sting or weep. Cleaning agent was inhaled from spray bottles.;broad spectrum: wide antimicrobial spectrum fast acting: rapidly kills – short ‘contact’ time odourless: have a pleasant odour or no odour economical: not be too high in cost stability: be stable in concentrated state and when diluted one step removal of surface bio-matter and disinfection single use - re-use encourages bacterial growth no transfer of bacteria while wiping;Evidence for wet wipe cleaning – what do I get out of it?使用湿巾清洁的依据 - 我该放弃哪些陋习？;How will patients benefit?病患者如何受益？;Drug resistant organisms耐药性微生物;Cost benefits成本效益;CDI rates not improving. antibiotic policies and clinical practices recently reviewed. focus on environmental hygiene. traditional chlorine agents- not user-friendly. alternative effective product – Sporicidal wipe. all patients over 2 years included in infection reporting. wipes introduced April 2008. April 2009 infections 72% lower. cost per infection about ￡4,000, representing saving of ￡660.000. ;Clear and simple简单明了;Clear and simple简明清楚;Making the change做出改变;Making the change做出改变;Cleaning in practice清洁的实际操作;‘S’ style cleaning “S”形擦拭方式;High touch surfaces高接触率物体表面;Cleaning – who is responsible?清洁消毒 – 谁负责？;Cleaning- who is responsible清洁