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探讨消毒供应中心对外来手术器械的规范化管理方式及方法。方法:将外来手术器械到设备科规范登记备案,经过主刀医生的确认及手术室核对,经消毒供应中心人员接收分类、清洗消毒、检查与保养、包装灭菌、储存发放、质量监测标准、质量追溯登记制度进行科学管理,全面纳入标准化、规范化的管理流程。随着手术精密程度的不断提高,为了更好地适应不同手术方式以及不同部位的需要,使用特定的器械和材料就成为必然,尤其是骨科。由于其价格昂贵、规格多、使用频率低,医院不作为常规医疗器械备用,多数依赖供应商的临时供应,而供应商不具备专业洁洗知识,清洗条件有限,因此,由供应商负责清洗和保管,质量难以得到保证,加之在不同医院之间来回传递使用,医院感染风险甚大。为保证消毒或灭菌成功,外来器械应建立接收清点登记制度及遵循厂家提供的使用说明和指导手册[1]制订清洗操作规范,负责人员在对器械及工具的结构、原理、作用和使用方法熟悉掌握后,按照WS310.2的规定由CSSD统一清洗、消毒、灭菌,保证外来器械的灭菌质量,以保障患者安全。
To discuss the standardized management methods and methods of disinfection supply center to foreign surgical instruments. Methods: The external surgical instruments to the equipment section of the registration record, after the doctor’s confirmation and the operating room check, disinfection supply center personnel to receive classification, cleaning and disinfection, inspection and maintenance, packaging and sterilization, storage and release, quality monitoring standards, quality Traceability registration system for scientific management, fully integrated into standardized and standardized management processes. With the continuous improvement of the precision of the operation, in order to better adapt to different surgical procedures and the needs of different parts, the use of specific instruments and materials becomes inevitable, especially orthopedics. Because of their high cost, size, and low frequency of use, hospitals are not routinely used as a backup for medical devices and most rely on temporary supply from suppliers who do not have the expertise to clean and have limited cleaning. Therefore, the supplier is responsible for cleaning and Storage, quality is difficult to be guaranteed, combined with the transfer back and forth between different hospitals, hospitals have a high risk of infection. To ensure the success of disinfection or sterilization, foreign instruments should be established to receive the inventory system and follow the manufacturer’s instructions and instruction manual [1] to develop cleaning practices, responsible for the equipment and tools in the structure, principle, role and use Familiar with the master, in accordance with the provisions of WS310.2 by CSSD unified cleaning, disinfection, sterilization, to ensure the quality of foreign instruments sterilization in order to protect the safety of patients.