Tuesday, June 26, 2012

Dialyse a patient and all look into the liver of

Dialyse a patient and all look into the liver of hepatitis B third for the first time
Staff reporter Sun Meng

Admitted to hospital and dialyse a patient to sift and check hepatitis B, third liver, syphilis, HIV first for the first time. The patient infecting the above-mentioned virus wants to isolate and dialyse. Each patient should sterilize surface and waterway of the dialysing machine after dialysing. This is a content stipulated in " the blood of medical organization dialysed the standardard management of the room " which Ministry of Public Health released a few days ago. These are near during these days, another one that Ministry of Public Health issues strengthens action that blood dialyses management.

Transmit a disease patient through blood to all isolate and dialyse

Stipulate " the norm ",it dialyse room if you can't should have, if you can't isolate, if you can't dialyse, treat or person last treating area the independent segregations, hepatitis B and virus, patient that third liver virus, syphilis and HIV infected, it should carry on special plane separately at isolated areas each blood dialyse,it treat or person treating area, each other can't use with in blood dialysing machine. Allocate and specially treat articles and relatively fixed staff member in the isolated area.

Blood room should carry on hepatitis B, third liver, syphilis, relevant inspection that HIV is infect to all patient that dialyse for the first time completely, reexamine once every half a year.

Ministry of Public Health cures the relevant department head of policy department and says, the blood dialyses low patient's resistance, easy to infect, under our country's present technological condition, can't totally avoid the transmitting through blood cross infection in dialysing a patient of disease, so determine to suffer from to the patient who transmits disease through blood all to isolate and dialyse.

This person in charge reminds, in order to prevent the transmitting spread of the room completely in the blood of disease of the blood source, attenbant should notice cleaning of hand sterilize and change glove often, prevent from among the patient sharing articling.

Sterilize the machine after each dialysis

" the norm " stipulate after the each dialysis, should to dialyse person who dialyse the intersection of apparatus and the intersection of facility and surface, surface of article polish and sterilize in the unit, sterilize the effective waterway, carry on to dialysing the ground of unit clean to the dialysing machine, blood, body fluid and secretion use antiseptic to polish while polluting on the ground.

The medical equipment, utensil and article which enter patient's organizing, aseptic organ must reach and sterilize the level; Medical equipment, utensil and article exposed to patient's skin, mucous membrane must reach and sterilize competence; Various medical apparatuses used for injecting, puncturing, collecting blood etc. and is created and operated must use a sterilization. Throwaway medical equipment, utensil can't be reused. The intersection of sheet, quilt cover, pillowcase,etc. and article that patient use should one people make use of it first change. It is not that staff members enter and dialyse the treating area that the patient should restrain to dialyse from strictly while treating the blood.

The blood should develop and sterilize water process system regularly while dialysing the room, and carry on water quality detection regularly. Should determine the remaining amount of antiseptic in the pipeline after washing and sterilizing each time.

It says, the disinfection of the dialysing machine is different on the basis of type of the dialysing machine in frequency that Ministry of Public Health cures the relevant department head of policy department, there is no clear regulation. There is not a unified regulation to the disinfection frequency of the dialysing machine waterway, most hospitals sterilize once every day, also some hospitals are to pay sterilizing after each dialysis treats end. According to the description in " the European blood dialyses the guide ", water process system should sterilize once in an all-round way every month at least.

Each person's per tour attends to the patient without exceeding 5

" norm " stipulates, each nurse's patient whose per tour takes charge of treating and attending to should be relatively centralized, and the quantity does not exceed 5 to dialyse a patient. The medical organization should appoint the quality that the relevant department is responsible for the blood and dialyse the room to control, rules and regulations of the room of checking blood completely, curing the source infection management system to implement the situation etc..

Ministry of Public Health cure the intersection of policy and the intersection of department and relevant department head say medical organization all right the intersection of designated hospital and infectious disease department, the intersection of medical matters and or nursing dept. responsible for blood specially the quality of the room is controlled completely, in order to change a lot of blood at present in the room completely to run and lack the current situation supervised oneself. Control the nurse to attend to the patient's quantity, will lead to the fact that attend to quality to drop for preventing patients from being too many, increase the probability of cross infection.



Dialyse a patient and all look into the liver of hepatitis B third for the first time

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