消毒供应中心集中处理腔镜器械的效果探讨-中国护理管理.PDF

医源性感染 Hospital Acquired Infection 消毒供应中心集中处理腔镜器械的效果探讨 戴李中 朱亚君 董爱英 倪佳音 [ 摘 要] 目的：提高腔镜器械的清洗消毒灭菌质量，控制医院感染，保证医疗安全。方法：将全院所有腔镜器械纳入消毒 供应中心集中处理，运用专业设备，专业人员对腔镜器械进行清洗、消毒、包装、灭菌。腔镜器械集中处理前和处理后分别用目测、 放大镜检查和潜血试验进行清洗质量检查。结果：腔镜器械集中处理前、后的清洗质量合格率有统计学差异，集中处理后的器 械清洗质量优于集中处理前。结论：消毒供应中心集中处理腔镜器械，能提高腔镜器械的处理质量，保障患者安全。 [ 关键词 ] 腔镜器械；消毒供应中心；集中处理 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.11.025 Effect of the integrative management of endoscopes in Central Sterile Services Department / DAI Lizhong, ZHU Yajun, DONG Aiying, et al. // Central sterile services department, Shaoxing Peoples Hospital, Shaoxing Hospital of Zhejiang University, Zhejiang province, 312000 China /// Chinese Nursing Management-2014,14(11): 1198-1201 [Abstract] Objective: To improve the endoscopic cleaning and sterilization, control hospital infection and ensure medical safety. Methods: Integrative management of endoscopes in Central Sterile Services Department was performed with specific equipements, and specific personnel to clean, sterilize and pack the endoscopes. Quality inspection was conducted through visual observation, maginifier examination and occult blood test before and after the integrative management of endoscopies. Result: There were significant differences in the qualified rates between the endoscopic cleaning with and without the integrative management, and the former was much better than the latter. Conclusion: Integrative management of endoscopes in Central Sterile Services Department could improve the quality of cleaning and thus ensure patient safety. [Key words] endoscopes; Central Sterile Services Department; integrative management 腔镜手术具有创伤小、患者术后恢 室清洗间部分拆分后超声清洗，再由消 护士1人、消毒员3人、其他8人。 复快的优点，已经逐渐成为现代手术发 毒供应中心消毒员回收灭菌；门诊泌尿 1.2 方法 展的方向。由于腔镜器械具有价格昂 科膀胱镜器械由泌尿科治疗护士在治疗 1.2.1 设施