Maternity ward as a place for pregnant women to give birth, but also a place for newborns to be born, to do a good job of disinfection and isolation measures, to avoid airborne bacteria on the newborns to cause harm. So what are the sterilization and isolation measures in the maternity ward? The following is the information I have compiled, for reference only, welcome to read.
Maternity ward disinfection and isolation measures1. Maternity ward includes office, general waiting room, isolation waiting room, delivery room, isolation delivery room, emergency surgery room, aseptic articles storage room. Strictly distinguish between restricted, semi-restricted, non-restricted areas, each area has a clear sign, strict implementation of the ? The three customs are strictly enforced. Management.
2. Before entering the labor and delivery room, the staff must change the hat, mask, shoes (or shoe covers) in the designated place of the staff channel, wash hands or disinfect the hands before entering the semi-restricted area, and enter the semi-restricted area, after entering the semi-restricted area, they must carry out a second change of shoes and clothes before entering the restricted area, and go out to change the going-out clothes and going-out shoes, and the non-staff members shall not be allowed to enter the room at will. Visitors should strictly follow the above provisions.
3. Mothers entering the labor and delivery room need to change the patient's clothes, slippers (or shoe covers) and then enter through the patient's channel, personal belongings should not be brought into the labor and delivery room. Accompanying into the waiting room, must wear a mask, hat, change clothes, slippers (or shoe covers) before entering.
4. The cleanliness of the labor room is managed by a special person, and the walls and floors are cleaned daily by wet cleaning, and cleaned as dirty as possible. When there is blood, feces, body fluids, pathogenic bacteria infection, immediately with chlorine (500mg / L) disinfectant mopping. Slippers for the delivery room are cleaned and sterilized daily.
5. Oxygen humidification bottles, suction bottles, all kinds of catheters, connectors, nebulizers, warming boxes and other instruments that come into contact with the skin and mucous membranes should be sterilized for one person for one use, and the soft tape measure and pelvic gauge used by the mothers should be disinfected with chlorine-containing (500mg/L) disinfectant soaking and stored in dry condition for spare use.
6. Every Monday, cuff cleaning, instrument maintenance once a week, weekly replacement of disinfectant, disinfection and sterilization of disinfection instruments twice.
7. Cleaning supplies (such as mops and rags) in the labor room are used in strict accordance with the zoning, and are well labeled.
8. Waiting for labor or delivery after the bed linen and items in strict accordance with the final disinfection of discharged patients, the mother with infectious diseases, placed in isolation in the waiting room or delivery room, waiting for labor or delivery in the process of the use of goods, equipment, etc., according to the strict treatment of infectious medical waste.
9. Healthcare workers strictly follow the standard precautionary implementation of occupational protection, and must wear protective clothing and protective masks when delivering babies.
10. Placenta and other pathological waste is handled strictly in accordance with relevant regulations, and medical waste is transferred through the dirt channel.
11. Sterile goods are stored in the sterile goods cabinet of the sterile goods room, with clear sterilization markings, and the date and expiration date of sterilization are indicated, and the handover is done on a shift-by-shift basis. The instruments needed in the delivery room are autoclaved and sterilized for one person for one use.
12. Resuscitation of newborns after the use of objects (such as laryngoscopes, tracheal intubation, etc.) must be one person, one use, one sterilized and ready for use.
13. After the use of LEEP knife instruments by the delivery room midwife in strict accordance with the implementation of the cleaning process, glutaraldehyde immersion sterilization spare. After use, the bed linen will be disinfected in accordance with the final disinfection process.
Disinfection and isolation measuresPurpose: Effective prevention and control of hospital-acquired infections.
1, the Department of Nursing is responsible for supervising and guiding nursing staff to strictly implement the system of disinfection, sterilization, isolation, disposable medical supplies management, to assist the Hospital Infection Management Department of the hospital nursing staff for the prevention and control of hospital-acquired infections related to the knowledge of training.
2, each nursing unit set up hospital infection monitoring nurse, check and supervise the department of disinfection and isolation work.
3, nursing staff should be neatly dressed at work, do not wear a ring, do not wear work clothes into the cafeteria or out of the hospital.
4, nursing staff must comply with the principle of sterilization, in accordance with the Ministry of Health, "Disinfection Technical Specification", all highly dangerous items, must be selected for sterilization method; where the medium-dangerous items, you can choose to use medium- or high-efficiency disinfection method; where the low-dangerous items, can be used to use low-efficiency disinfection method, or only for general cleaning treatment.
5, according to the performance of the items to choose the appropriate method of sterilization. Surgical instruments and items, a variety of puncture needles, syringes, etc. preferred pressure steam to sterilization method; oil, powder, paste, etc. preferred dry heat sterilization method. Heat-resistant items such as a variety of catheters, precision instruments, artificial grafts, etc. can choose chemical sterilization method.
6, nursing staff must understand the performance of the disinfectant, role, method of use
7, factors affecting the effect of sterilization or disinfection, etc., preparation, pay attention to the effective concentration, and regular monitoring. Replacement of the sterilizing agent, you must first sterilize the container used to soak the sterilized items.
8, continuous use of oxygen humidifier bottle, nebulizer, ventilator tubing, preterm infant warmer humidifier and other equipment, must be regularly disinfected and after each use of the end of the final disinfection, dry storage. The humidifying solution in the oxygen humidifying cylinder is sterilized water.
9, the following situations must wash their hands: before and after contact with patients; before and after aseptic operation; enter and leave the isolation ward, ICU, mother and baby room, neonatal ward, burns ward, infectious disease ward and other key departments; before and after wearing masks and wearing and removing isolation gowns. Contact with blood, body fluids and contaminated items should wear gloves and wash their hands.
10, wards and diagnostic departments should be equipped with mobile water hand-washing facilities, the switch using foot, elbow or inductive. Hand washing with soap should be kept clean, dry, conditional hospitals should be liquid soap. Optional paper towels, air dryer, hand towels and other dry hands. Hand towel should be disposable. Inconvenient hand washing should be equipped with rapid hand sanitizer.
11, sterile containers and dressings cyanosis weekly sterilization 1-2 times; thermometer after use with a highly effective disinfectant two-step disinfection (preferably a one-time use or dedicated); iodine, alcohol, and other disinfectant containers should be kept closed, regularly sterilized; injections to do one person, one needle, one cylinder with a pad.
12, outpatient, ward rooms should be ventilated on a regular basis, the ground should be wet sweeping, bedside tables, chairs, daily wet wipe, keep clean, weekly cleaning. When there is blood, feces, body fluids and other contamination, it should be wiped clean with effective disinfectant. Rag, mop should be partitioned for special use, disinfected, washed and dried after use.
13, after the patient is discharged from the hospital, the hospital room and indoor items must be good final disinfection. Patients with infectious diseases according to the infectious disease management system and its nursing routine, special infected patients in addition to strict isolation, its used instruments, clothing, sickroom should be strictly disinfected, used dressings and other items should be burned.
14, the patient clothes, sheets, covers, pillowcases at least once a week to change, if there are special circumstances should be replaced in a timely manner. Dirty linen can not be counted in the sickroom and corridor.
15, single-use medical supplies, such as collocation, storage, use, disposal, deformation and other aspects, should be strictly in accordance with the "Provincial Medical and Health Care Institutions, single-use medical supplies management norms" implementation, after the use of disposable medical items in the premise of airtight preservation, can not be disfigured and disinfection of the immersion.
16, the specific departments, key departments of disinfection and isolation management with reference to the Ministry of Health "hospital infection norms" and the norms of the relevant provisions of departmental management.
Disinfection isolation requirements:1, treatment room, drug exchange room (disposal room)
The above rooms are aseptic operation room operations such as dispensing, puncture, injection are carried out here, so the disinfection and isolation management requirements are as follows
(1) health care workers into the room, neatly dressed, wearing a mask, before operation should wash their hands (1:100?84?), and then the first time, they will be able to use the same method of disinfection, so that they can be used in the same way.
(1) Healthcare workers enter the room fully clothed and hooded, wearing masks, and should wash their hands before operation (1:100?84?) Hand towel daily
Soak in 1:50?84? 2 times, each time for 30 minutes.
(2) Each department strictly differentiate between the sterile operation area and the bacterial processing area, between the two areas of 1 meter, clearly marked, sterilized items and bacterial items placed separately.
(3) Strictly implement the system of one person, one needle, one tube, one hand-washing system, blood collection, blood transfusion, transfusion of blood, one person, one needle, one tube, one tourniquet, one avoidance of dirt paper, one hand-washing.
(4) The rooms should be ventilated daily, ultraviolet irradiation, wipe, mopping disinfection twice a day, fumigation once a day, culture once a month, wipe disinfection for 1:50?1:100?84?or 0.2?0.5% peroxide acetic acid, air fumigation for 1g/m?peroxide acetic acid, airtight for 2 hours, and thoroughly cleaned once a day.
(5) Classification of aseptic articles in the aseptic cabinet is arranged neatly according to the sequence of sterilization date, and the recent days are in the distance, and the distant days are in the near future, and the aseptic packages are placed in the aseptic cabinet, which is 20㎝ from the ground, 50㎝ from the roof, and 5㎝ from the wall, and the articles in the supply room should be accepted to check the date of sterilization, and the indication tape is qualified whether it is out of gas or not, and whether the cloth packages are wet (?3%) Autoclave is valid for one week, and the aseptic packages are valid for more than one week, and the aseptic packages are valid for one week. Open the package?24 hours or wet should be re-sterilized, where the sterile items have been taken out, although unused, but also can not be put back into the sterile container, sterile items continue to use the time 4 hours.
(6) sterile holding forceps autoclaved 2 times a week, the disinfectant solution is replaced 2 times a week (0.2% Neosporin + 0.5% sodium nitrite) container with a lid. Dispensary, gynecological treatment room once a week to replace each container, each container to store a, take and put the tip of the sterile holding forceps closed, can not touch the container liquid surface above the inner wall of the container, fingers can not touch the immersion part, the use of the tip down can not be inverted upward, immediately after use back into the container, such as taking the distant items, sterilization holding forceps should be moved with the container next to the sterile items, sterile holding forceps can not touch the unsterile items, also can not be used for dressing change and sterilization. The sterile holding forceps should not touch the unsterilized articles, and should not be used for dressing change and skin disinfection. If contaminated or suspected contamination should be re-sterilized.
(7) containing iodine, povidone-iodine, alcohol, cotton ball bottles, dressing canisters should be autoclaved 1 - 2 times a week, clearly labeled, dated, bottles (canisters) in the remaining items prohibited from use or according to the treatment of bacterial items.
(8) all items in the dressing room must remain sterile, strictly enforce the one-person, two-tray, two-tweezer system, dressing operation should be clean wounds, infected wounds, isolation of wounds at one time to deal with. The solution used for drug exchange (saline) is more than 24 hours after the opening of the bottle. Instruments used after smashing 1:100 ?84? solution soaked for 30 minutes before refreshing, wipe dry on the oil high pressure. For infectious hepatitis B, Pseudomonas aeruginosa infection, change the curved disk alone using 0.5 - 1% peroxyacetic acid or 1:50 ?84? solution soaked for 60 minutes, high pressure 2 times.
Operating room:
(1) The operating room is divided into rooms according to aseptic, semi-aseptic and bacterial surgery.
(2) Staff entering the operating room need to change clothes, hats, masks, shoes, close clothing can not be exposed. Outdoor must change out clothes, shoes.
(3) Before surgery, use disinfectant to wipe the surfaces of objects in the operating room, the operating table, and the floor. Daily preoperative air disinfection, weekly cleaning, airtight fumigation 1 time.
(4) slippers in all areas of strict distinction, refresh 1 time a week. Pollution at any time to refresh.
(5) Where the need for surgery patients, all pre-operative check liver function and other required tests, positive or emergency surgery according to the infectious disease isolation technology, infectious disease patients used instruments, cleaning, disinfection of object surfaces, floors, doorknobs with peroxyacetic acid wipe disinfection, air fumigation disinfection, the ground, the surface of the object, objects, the air 3 consecutive checks are negative before you can use (tetanus, pneumatic gangrene, Pseudomonas aeruginosa infection, typhoid fever, hepatitis B, etc.).
(6) consecutive surgeries should be first sterilized surgery, semi-sterile surgery, bacteriological surgery to carry out, the operating table, object surfaces, the ground with 0.5% peroxyacetic acid wipe disinfection after the next surgery.
(7) None of the surgical patient's belongings should be brought into the operating room, and clean clothes should be changed and hats should be worn before surgery. Wear less clothing when possible. Outside staff can not enter the operating room without authorization.
(8) operating room volume is less than or equal to 30 * 30 * 25cm, weight metal is less than or equal to 7kg, cloth bag is less than or equal to 5kg.
(9) infectious disease patients with liquid excreta and obstetrics and gynecology, operating room drainage bottle drainage I suspected infectious disease with 1:50 ?84? solution mixed static for 60 minutes after dumping.
(10) labor and delivery room requirements with the operating room.
Ward, observation room:
1. Patients admitted to the ward should be admitted according to infectious and non-infectious diseases respectively.
2. The windows in the ward should be opened regularly to ventilate the room for 2 times, 30 minutes each time.
3. Morning care to take wet sweeping bed, a bed a towel, bedside table wiping a table a towel, after using 1: 200?84? soaked for 30 minutes, bedside tables, door knobs, window sills, bedposts and other objects on the surface of the 1: 100?84? wiped 2 times.
4. The patient's bedclothes are changed once a week, and the pollution is replaced at any time.
5. Wet sweeping and mopping the floor of the ward and corridor 2 times a day.
6. The patient's tableware, commode and other supplies fixed use, commode after use should be 1:50?84?soak 30 minutes to clean spare.
7. Discharge, transfer, transfer, death of patients need to carry out final disinfection, the first ultraviolet irradiation for 60 minutes. 1: 50?84?disinfectant wipe beds, bedside tables, benches, floors.
8. Hepatitis B patients bedside, the list card has H said, the implementation of bedside isolation, to prevent cross-infection.
9. If there is a spittoon, it should be filled with 1:200?84?liquid and replaced at any time.
10. The patient's used fruit peel and other items should be placed in the living garbage bag, not allowed to throw on the ground or in the corridor, and not allowed to be thrown to the outside along the window.
Management requirements for the use of commonly used items
1, thermometer 1:20?84?75% alcohol for 30 minutes
2, nebulizer on the mouth of the mouth, mask suction bottle, gastric lavage tube 1:50?84?30 minutes
3, tourniquet 1:200 (1:100)?84?
4, the air ring hot water bag, ice packs, Cuff, sphygmomanometer cuff after use 1:200?84?
5, humidification bottle 1:200
Ultraviolet disinfection
220W relative humidity of 60%, the temperature of 20?40 ℃, or else to extend the irradiation time, the radiation intensity is not less than 70W/cm2 Lifespan of 1,000
irradiation distance of 2m +- 0.2m
Installation wattage?1.5W/m3 volume
The injection room must be closed doors and windows
Weekly alcohol wipe 1 time
In the irradiation before the prohibition of sanitation cleaning