First, the standard prevention system: 1, contact with blood, body fluids, secretions, excreta and other substances and articles contaminated by it should wear gloves;
2. Wash your hands immediately after taking off your gloves; Wearing gloves is no substitute for washing hands.
3. Wash your hands immediately after touching blood, body fluids, secretions, excreta and other substances and articles contaminated by it;
4. When handling all sharp instruments, special attention should be paid to prevent stabbing. For example, it is forbidden to put the disposable needle back on the needle cover after use; It is forbidden to touch the used needles and blades directly with your hands; Used sharp tools must be put into a sharp tool box.
5. Medical personnel's work clothes, face and eyes may be splashed by blood, body fluids, secretions and other substances. They should wear disposable surgical masks or medical protective masks, protective glasses or masks, and wear isolation gown or apron.
6. Correct disinfection measures should be taken for medical instruments and instruments used by patients, and instruments used by non-infected patients should be soaked and cleaned with enzyme-containing detergent. The instruments used by infected patients are disinfected by physical or chemical methods first, then cleaned routinely, and finally disinfected or sterilized.
7. Environmental cleaning: Each department has daily cleaning standards and sanitary treatment procedures. On the basis of thorough cleaning, bed units, equipment and environmental surfaces, bed railings, door handles, wheelchairs, etc. It should be properly disinfected.
8. Isolation room: Patients infected by the same pathogen can live in the same isolation room, which limits the patient's going out. For example, when respiratory patients have to leave the isolation room due to illness, they should wear masks.
9, in the need to use mouth-to-mouth artificial respiration area should be equipped with equipment that can replace mouth-to-mouth artificial respiration.
10, medical staff should stand in the windward direction of patients with respiratory infection.
Two, one, two, three personal protection systems
General protection: suitable for ordinary doors? Urgent? Medical staff in clinics and general wards.
(1) Strictly abide by the principle of standard prevention. ?
⑵ Work clothes and surgical masks should be worn at work. ?
(3) Seriously implement hand hygiene.
First-class protection: suitable for medical staff with fever, outpatient service and emergency treatment. ?
(1) Strictly abide by the principle of standard prevention. ?
(2) Strictly abide by the rules and regulations of disinfection and isolation. ?
(3) Wear work clothes, isolation gown, working cap and surgical mask when working? Wear latex gloves if necessary. ?
(4) Strictly implement hand hygiene. ?
5] Carry out personal hygiene treatment after work, and pay attention to the protection of respiratory tract and mucosa.
Secondary protection: it is suitable for medical personnel who enter the observation room and isolation ward (room) of suspected and diagnosed patients; Medical personnel who come into contact with patients' blood, body fluids, secretions, excreta and articles used by patients; Medical staff and drivers who transport patients. ?
(1) Strictly abide by the principle of standard prevention.
(2) Strictly abide by the rules and regulations of disinfection and isolation. ?
(3) Medical personnel entering isolation wards and isolation wards must wear medical protective masks? Wear work clothes, isolation gown or protective clothing, shoe covers, gloves and working caps. Strictly follow the division of clean area, potential pollution area and pollution area, wear and take off protective articles correctly, and pay attention to the hygiene and protection of respiratory tract, mouth, nasal mucosa and eyes.
Three-level protection: it is suitable for medical personnel who perform operations that may trigger aerosols.
The operations that can trigger aerosol include tracheal intubation, atomization therapy, induced sputum examination, bronchoscopy, respiratory tract sputum aspiration, tracheal incision nursing, chest physiotherapy, nasopharyngeal aspiration, positive pressure ventilation with mask, high-frequency shock ventilation, resuscitation surgery, and postmortem lung biopsy.
In addition to secondary protection, wear a mask or a full-scale respiratory protector.