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1、瑞典洁定.中国机构.技术部GETINGE AB现代手术部物流及器械处理 2003/8/15徐 锋瑞典洁定公司Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GET
2、INGE AB 主要内容一、手术部物流二、清洗消毒重要性三、清洗消毒器工作原理四、就地处理原则五、器械生锈与预防六、清洗消毒器维护Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.
3、中国机构.技术部GETINGE AB一、手术部物流 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB手术过程中产生的待处理物品大 体分为五类：
4、 1. 手术器械 a. 一般手术器械 b. 昂贵手术器械Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB 2.呼吸麻醉管道 3.室间清洁工具（
5、抹布、地拖） 4.可再次利用污染敷料（如手术衣、辅料包 布） 5. 废弃污染物 a. 一次性物品：针头、刀片、一次性吸引 瓶、尿袋 b. 不可再次利用污染敷料（如吸血面纱） Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-201
6、1 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB手 术 间冲 洗 消 毒 灭菌及无菌存放分类封装后运至废物处理手 术 间打 包 灭 菌清 洗 消 毒 洗衣房敷料一次性物品清洁工具手术器械呼吸麻醉管道废弃敷料只需清洗消毒的非侵入器械Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright
7、 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB清洗：可以去除很大比例的存在的微生物。消毒：杀灭或清除传播媒介上的病源微生物。灭菌：杀灭或清除传播媒介上的一切微生物， 包括细菌芽孢。二、清洗消毒重要性二、清洗消毒重要性Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET
8、 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB为什么要清洗？Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2
9、004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB1任何残留的有机物质如血块、脓、蛋白质、粘液、油污等都会妨碍微生物与灭菌媒介有效接触，且会产生细菌的保护膜而影响灭菌效果，导致化学消毒，气体、蒸汽、热空气、以及低温灭菌的失败。2 灭菌过程是不包括任何清洗的过程，有污物的物品在灭菌后污物继续存在。Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0
10、.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB3正确的清洗处理过程，可最大限度地减少器材的受腐蚀程度。4正确的清洗处理过程，可最大限度地减少操作人员被感染的机会。Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Prof
11、ile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB为什么要消毒？Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides f
12、or .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB 清洗中具有感染危险的 主要微生物 肝炎病毒（乙型、丙型） 艾滋病病毒（HIV） 结核杆菌 抗药型金黄色葡萄球菌 溶血性链球菌 绿浓杆菌Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created
13、 with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB因为 -现今的清洗方法还不能有效 去除所有包含致病微生物的污 物！ Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.
14、Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB清洗消毒工作中的问题、清洗与消毒的矛盾先清洗后消毒还是先消毒后清洗？Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .N
15、ET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB目前清洗消毒工作中的问题、手工操作的局限性 a.由器械结构带来的手工操作无法处 理或处理难度大的因素 b. 认识不足、工作态度等因素带来的 清洗消毒效果不理想。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0
16、.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.瑞典洁定.中国机构.技术部GETINGE AB 目前清洗消毒工作中的问题、手工操作的局限性 c.手工操作无法实现真正意义上的分 区感染控制。 d.人员安全考虑 e.经济成本的降低(人工、器械保护角 度) Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 A
