管道护理护理查房.pptVIP

Class I tubes: tracheal intubation, tracheotomy, chest tube, ventricular drainage tube, arteriovenous catheterization, etc Class II pipes: postoperative gastric tube and nutrition tube, double cannula, drainage tube, T tube/gastric bile duct, etc Type Ⅲ : stomach tube, urine tube, oxygen tube, infusion tube, etc Are there consistent standards of care for the same catheter in different patients?Identification, fixing method, height, location, replacement time, etc.?How compliant is the nurse with the standard?How to improve the quality of pipeline care at the hospital level? * Midstream urine culture Catheter urine: alcohol was used to disinfect the catheter joint, and 10ml catheter urine was extracted with a sterile syringe. Submit immediately, otherwise store at 4℃ Urethral management In the event of a break in sterility, disconnection of the joint, or leakage of urine, the catheter and sterile device should be replaced using aseptic methods Make sure the catheter and drainage bag are free of entanglement Routine hygiene measures are taken without the need to clean the urethral opening area with antibacterial solution Avoid catheter irrigation Do not replace catheters routinely Continuous drainage without clamping or regular opening Common principles of care Clearly marked secure Keep clear The properties of drainage fluid and drainage volume were observed Pay attention to aseptic practice Dressings on invasive pipes should be changed once a day Are there consistent standards of care for the same catheter in different patients?Mark location, fixing method, height, replacement time, etc.?How compliant is the nurse with the standard?How to improve the quality of pipeline care at the hospital level? * Nursing risk assessment: Causes The inner diameter is too small, the drainage fluid is viscous, and the blood clots are blocked The pipe is improperly located and displaced Shut down Arteriovenous blood return The chemical action of drugs and food