Pick an operating room stretcher patients vehicle, to surgery, emergency, who can not walk more convenient. Our hospital is currently using aluminum docking exchange car, it has the advantage that the inner and outer sliding frame can be separated, thus avoiding the outside of the vehicle into the operating room pollution, ensuring clean sterile operating room, by doctors and patients welcome. Due to surgery patients and more frequent use of the stretcher, stretcher car especially clothing, can not guarantee a set of people, the hospital is a potential infection risk. Therefore, strengthening the stretcher and clothing disinfection management, it is one of the important work to prevent infection and cross-infection in hospitals.
Cross-infection occurs reasons stretcher
(1) due to surgical patients to a limited number of stretcher is not guaranteed to be 1 1 1 car. (2) No person to see the car and managed, doctors trouble, when to send patients inside and outside the car is not exchanged directly pushed to the ward in the car, causing contamination within the vehicle occurs in the ward, resulting in the operating room contamination. (3) emergency rescue, trauma and other patients, faced with high risk of the disease is unknown, uncertain factors, which does not rule out the risk of infectious diseases and are patient secretions, fecal contamination, and can easily result in the doctor-patient between infection and cross contamination with the car. (4) the delivery of goods as stretcher transport, before use after use without cleaning, disinfection, and also caused damage stretcher cross cause of the infection. (5) current disinfection management awareness most people use the stretcher and clothing indifference, ignoring it is a potential infection and cross-infection in hospitals factors.
Management
(1) the development of the stretcher disinfection management system. Weekly sent a nurse turns the patient entrance on duty day and night for the second embodiment stretcher cleaned and disinfected with 1: 200 "84" disinfectant wipe. Exchange inside and outside the vehicle when the patient is responsible for pick-up work, supervision of a doctor to perform the exchange car situation. Single-use disposable towel blanket, comforter sets with dirty with the change, special elective surgery HbsAg positive infections such as when using a private car is, for trauma and emergency patients to use disposable towel single loaded with dirt bags after incineration.
(2) enhance the training of knowledge of nosocomial infections. The advantage of using butt stretcher exchanged it be effective in prevention of nosocomial infections, ensure clean sterile operating room, surgical personnel to promote its sterilization, infection control and self-protection knowledge. The couple family or his staff to study and practice in education, to ensure that the system put in place.
(3) inspection and supervision of implementation. Made a charge nurse are responsible for the cleaning and disinfection stretcher, inside and outside the exchange, the surgeon and other compliance checks on offenders criticism, depending on the circumstances treatment, to ensure that no cross infection and nosocomial infections.
Ensure that special car
Pick-stretcher only as patient transport, as he can not use. Shuttle bus because the stretcher patient infection caused by a problem at present not yet occurred, but it exists on the use and management of the case, the medical staff should be aroused attention, to prevent cross infection and nosocomial infections, to increase the suffering of the patient and cause economic loss prevent the occurrence of medical disputes.
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