外来手术器械在消毒供应中心管理中问题及对策.docVIP

外来手术器械在消毒供应中心管理中问题及对策[摘要] 目的：介绍消毒供应中心承接外来手术器械管理中存在的问题和管理对策。方法：将外来手术器械分为长期定点存放和临时外送两部分，并将这两部分器械全面纳入消毒供应中心标准化管理流程，规范了接收、清洗、消毒、包装、灭菌、存放、发放、质量检测标准，构建了质量监控管理、质量追溯登记制度。结果：提升了洁净手术室空气的洁净度，提高了外来手术器械清洗、包装、灭菌质量，确保外来器械的安全使用，有效控制医院感染的发生。结论：消毒供应中心承接外来手术器械管理，可充分利用中心供应室现代化清洗、消毒、灭菌资源，使护理工作更加专业化、标准化 [关键词] 消毒供应中心；外来器械；医院感染 [中图分类号] R197.323 [文献标识码] B [文章编号] 1673-7210（2011）12（a）-164-02 Problems and solutions of management of external surgical instruments in sterilization supply center WU Lijuan, LIU Chunyu The Central Hospital in Liaoyuan City, Jilin Province, Liaoyuan 136200, China [Abstract] Objective: To introduce the problems and management strategies of taking over external surgical instruments by the sterilization supply center. Methods: The external surgical instruments were divided into the long-term fixed site storage and temporary outgoing delivery, of which both were included into the standardized management processes of the sterilization supply center entirely. The criteria for receiving, cleaning, disinfection, packaging, sterilization, storage, distribution and quality inspection were standardized, and the quality control management and quality retrospective registration system were established. Results: The air cleanliness of the operating room was promoted and the cleaning, packaging and sterilization quality of external surgical instruments were improved, which guaranteed the safe use of external instruments and the effective control of hospital infection. Conclusion: The sterilization supply center taking over external surgical instruments can make the best of the modern cleaning, disinfection and sterilization resources of the center, thereby making the nursing work more specialized and standardized. [Key words] Sterilization supply center; External instruments; Hospital infection 外来手术器械是医疗器械生产厂家、公司租赁或免费提供给医院手术室可重复使用的医疗器械，以满足各种新型手术开展的需要，如全髋关节置换术、胫骨骨折、带锁髓内钉内固定术、脊椎骨折AF钉内固定术等。由于受到时间和专业知识的限制，这类手术器械的清洗、消毒、包装、灭菌效果缺乏专业化指导和监督，成为医院管理的薄弱环节[1]。为了保证手术患者的安全利