Blood transfusion and blood transfusion apparatus (hereinafter referred to as blood transfusion apparatus) shall be washed with clear water immediately after use. Scalp needles, syringes and puncture needles are immediately soaked with disinfectant that can kill hepatitis B virus (there should be no gas in the needle cylinder, pinhole and scalp needle tube), and then sent to the supply room for washing.
The recycled supply room should be completely disassembled and treated separately according to the characteristics of different parts. The whole washing process should include decontamination, pyrogen removal, detergent and fine washing.
1. Glass cleaning method:
(1) Rinse with ordinary water, wash off the residue, rinse with appropriate detergent until it is bright, and then rinse with detergent.
(2) Hang potassium dichromate sulfuric acid lotion on the inner wall of the barrel, soak the syringe in the lotion, soak Murphy's dropper and needle mouth in the lotion for more than 4 hours, or dry heat to remove pyrogen.
(3) Wash the emulsion with ordinary water.
(4) Rinse with distilled water twice, and then rinse with fresh (pyrogen-free) filtered distilled water twice.
2. Cleaning method of rubber hose and rubber plug:
(1) Wash the residual blood clots and liquid medicine with ordinary water in time, then wipe with a small amount of alkaline water, and then wash off the alkaline water and sloughs with ordinary water.
(2) Immerse in 4%(g/ml) hydrochloric acid solution for 12 hours, and pay attention to the fact that there is no gas in the middle of the rubber hose.
(3) After taking it out, rinse it with ordinary water until it is neutral.
(4) Rinse with distilled water for 2-4 times, and then rinse with fresh filtered distilled water for 2 times.
3. Needle cleaning method:
(1) Take out the needle and soak it in ordinary water.
(2) Put it into an ultrasonic machine, add a cleaning disinfectant, and perform ultrasonic treatment for 30 minutes, or soak it in 2-3% sodium carbonate or sodium bicarbonate solution and boil it for 65438 05 minutes. Then rinse the needle hole with a needle machine or wipe the needle hole with copper wire, and wipe the needle plug with a cotton swab to remove the residual blood clot and liquid medicine.
(3) Rinse with ordinary water.
(4) Rinse with distilled water, and then rinse with fresh filtered distilled water.
4. Scalp needle cleaning method:
(1) Rinse the residue with ordinary water.
(2) Inject disinfectant that can kill hepatitis B virus for soaking.
(3) After taking it out, inject 3-5% hydrogen peroxide solution and let it stand for 12 hours.
(4) Rinse with ordinary water.
(5) Rinse with fresh filtered distilled water for 2-4 times.
5. the cloth should be washed dry with a special washing machine (or sent to a special pot in the laundry room). Other packaging containers should also be cleaned.
6. Assembly sterilization:
(1) The assembly room should be separated from other operations and disinfected with ultraviolet rays after cleaning.
(2) After assembling the cleaned infusion set, clean the inside and outside with fresh filtered distilled water again.
(3) Pack or box the infusion set and syringe, and stick a card with the washer, quality controller and sterilization date on it.
(4) high-pressure steam sterilization.
(5) Note: It shall not exceed 1-2 hours from the last washing with fresh filtered distilled water to sterilization.
7. Sterilized infusion sets and syringes should be stored in special cabinets, and the storage date under dry conditions should be 1 week.
Extended data:
Management requirements of disinfection supply room:
1. Strictly implement the management regulations of supply room issued by the Ministry, such as hospital working system and disinfection management measures. Improve the post responsibility system, articles washing, packaging, sterilization, storage, quality control, material management and other systems. Strengthen the implementation of "Operating Rules for Washing Blood Transfusion, Blood Transfusion and Syringe" and "Quality Inspection Standard for Washing Blood Transfusion, Blood Transfusion and Syringe". Do a good job in recycling and disinfection of disposable injection instruments.
2. According to the nature, tasks and personnel of the hospital, it should be generally divided into washing group, packaging group, dressing group, disinfection group, distribution group, instrument group and quality inspection group (or inspected by pharmacy department). If possible, needles, syringes, infusion tubes and other equipment and catheters should be handled in a separate room. Disinfected areas and unsterilized areas must be strictly separated.
3. Disinfection room personnel must establish a serious working attitude, strict aseptic concept, conscientiously implement various technical operating procedures and quality inspection standards, and be familiar with the performance of various instruments and spare parts, disinfection methods and washing operation techniques to ensure the applicability and absolute sterility of the supplied items and ensure medical safety.
4. Quality control: The head nurse or quality supervisor is responsible for the quality inspection of raw materials and regular quantitative quality monitoring of sterile medical supplies. Establish a system to track the causes of pyrogen reaction and a system to report the occurrence of pyrogen reaction every month. If there is pyrogen reaction, it must be reported to the drug laboratory immediately, and the relevant infusion and injection equipment and drugs should be submitted for inspection.