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运用幻灯片指导手术器械包装的体会

目的:为了方便消毒供应中心(英文缩写CSSD)器械打包人员准确无误的制作手术器械包,减少混淆手术器械配置等问题,减少错包,提高手术器械包质量。方法:制作了手术器械包的幻灯片—打包索引。结果:使用手术器械包幻灯片近半年,手术室反馈手术器械型号、数量错误极少出现,提高了手术器械包质量。结论:手术器械包幻灯片为CSSD器械包装人员操作提供了方便,工作压力减轻了,手术器械包质量提高了,解决了工作中的实际问题。

Experimental Study of the Influence of the Validity Period of Glassware Packaging on Sterilizing Instrument inside the Bio-safety Cabinet

ObjectiveTo explore the validity period of oral sterilizing instruments in different packages inside the bio-safety cabinet. MethodsInside the bio-safety cabinet, we brought the autoclaved dental gadgets packed in glassware and paper-plastic into microbial sampling cultivation experiment, and made observation of the bacteria growth at the 4th, 8th, 24th hour after sterilizing, with the sampling of once per 24 hours, lasting 10 days. Samples taken from the gadgets in paper-plastic each time when samples were taken from the gadgets in glassware were as the control. ResultsUnder the condition that the bio-safety cabinet was not contaminated, no colony grew in neither group in 144 hours; 168 hours later, the cultivation results indicated that colonies started to grow（P<0.05）. ConclusionUnder the condition that the bio-safety cabinet is pollution-free, the validity period of gadgets in glassware packaging for dental clinic practices is far longer than the 4-hour limit after the sterilized packages are opened, as is stipulated in the "Operating Specifications for Sterilization Technology on Dental Instruments of Medical Institutions".

一种新型压舌板包装方法的应用实践体会

消毒后吸痰用储液瓶重复使用保存时间探讨

目的探讨可重复使用消毒吸痰用储液瓶的保存时限，为临床安全使用提供依据，减少不必要浪费。 方法2014年1月－2015年6月，供应室集中清洗、酸化电位水浸泡消毒、干燥处理后的储液瓶采用市购的自封塑料袋独力包装后，随机分为A组（n=240）和B组（n=240），A组分别储存于临床各科室的抢救室塑料袋内，B组存放在供应室无菌物品存放间，储存环境温度均为22～25℃，湿度为50%～70%，采样监测消毒后1～40 d储液瓶细菌污染情况。 结果A组分别于第14、28天各检出1个储液瓶污染，污染的储液瓶自封塑料袋封口处密闭性破坏；30 d后自封塑料袋封口处密闭性未破坏情况下开始检出污染储液瓶。B组36 d内未出现污染。 结论为便于全院统一管理，使用独立包装消毒备用存放在临床科室抢救室的消毒后吸痰用储液瓶和存放在供应室的消毒后吸痰用储液瓶保存有效期建议为30 d，一旦发现独立包装密闭性破坏则不得使用。