其他笔记（Other notes）.docVIP

其他笔记（Other notes） Other First section: aseptic technique Sterilization and disinfection concepts and methods Sterilization is the killing of all living microorganisms. (wider scope) And disinfection refers to the killing of pathogenic microorganisms and other harmful microorganisms (spores can not be eliminated) Commonly used sterilization and disinfection: 1., the most common use of high pressure steam, the effect is also very reliable, mainly dressing disinfection. 2. boiling method 3. burning method is only used for metal instruments 4. soak in liquid medicine 0.1% benzalkonium, soak for 30 minutes. 5. formaldehyde vapor fumigation Two, surgical hand washing methods and principles 1. soapy water brush technique (1) wash your arms with soap and water first. (2) scrub your arm with a sterile brush dipped in boiled soap, ointment, or 2% disinfectant soap. From fingertips to elbows, 10cm Wash it 3 times this way, on the elbow, lower 2cm each time, (3) immerse the arm in 70% alcohol barrel for 5 minutes, range to elbow 6cm. 2. iodophor brush technique (1) scrub your hands, forearms, elbows, 6cm, and brush two times for 5 minutes with soap and water. (2) rinse with water and dry with sterile gauze. (3) apply the hands and forearms two times with gauze soaked with iodine Three 、 scope and principle of disinfection in different operation areas The range of disinfection shall include at least 15cm of the area around the incision Four 、 aseptic principle in operation 1., surgical personnel wearing sterile surgical clothing and wearing sterile gloves, hands can not touch the bacteria zone. 2., surgical instruments and supplies can not be delivered behind the operating personnel. 3. surgical gloves such as broken or exposed to bacteria should be replaced with sterile gloves. 4., in the course of surgery, the same side of the surgical staff in order to change the position, one should step back, back to the rear, turn to another Position. 5. before skin incision and suture of