It is required safely that the management of operating room is prominent

It is required safely that the management of operating room is prominent
It is required safely that the management of operating room is prominent
Staff reporter Sun Meng The office of Ministry of Public Health was printed and distributed a few days ago <>,Stipulate surgery department ' Room) Set up and build the primary condition needing to possess, emphasize the medical organization should strengthen safe management to operation and to the operation department (room) Prevention and control which the hospital infected. Ministry of Public Health cures the relevant person of policy department to say when being interviewed by staff reporter, according to rough statistics, each the intersection of hospital and average half of patient undergo an operation treatment. So, strengthen the operation department (room) Manage important meaning. Guarantee the operation is done on the correct position a 17 -year-old high school student is injured on the arm of match left in the middle of baseball. Before operation, doctors did not confirm the operation position carefully, causing his right arm not injured does the operation instead. The similar incident happening in reality in the operating room is of common occurrence, the consequence that a lot of mistakes cause is even more serious, for example the doctor cuts lower extremities,etc. by mistake for the patient. In order to prevent from presenting operation position, operation course or the operation patient's mistake, " norm " is proposed, the operation department (room) Should set up operation, verify system safely, guarantee the intersection of operation and patient, position, skill type and spend the thing with clinical department related departments correct together; Should strengthen patient's body posture safety management of operation, find a room for the suitable body posture, prevent because the body posture is improper to cause the operation patient's skin, nerve, limb,etc. to damage; Should set up operation sample management system, standardize procedure such as the save of the sample, registration, inspecting by ready samples, in order to prevent the sample mistake effectively. "So, the hospital should confirm the procedure before setting up a set of skills. For example make a list, include all files, images, plant into the thing, special instrument correlated to operation, in order to have a look around. " Ministry of Public Health cures the relevant person of policy department to say. Setting up and using medicine in the operation safely, the medicine mistake of operating room happens in the system there are many potential inducements: The operation is quick rhythm, will use the apparatus of a lot of Hi-Tech and high dangerous medicine of degree, all these will cause for the medicine mistake. In the operating room, various medicines and liquid must be sent under the aseptic condition to the aseptic district, this requires that must remove the external packing and use the medicines label instead before conveyance. If the medicines label writing has no label fuzzily and at all, the mistake extremely incident of using medicine. Have one research show, take place give medicine mistake at operating table, than in be taken place at the operating table, give medicine mistake to lead to the fact the injury easily to patient. " norm " is clear, operation department (room) Should set up and implement the system of using medicine safely in the operation, strengthen the management of special medicines, the appointed special messenger is responsible for, prevent the mistake of using medicine. "The medical organization can consider setting up mandatory mechanism. Such as while managing special medicines, can stipulate the dosage that the medical worker uses exceeds a certain demarcation line and is raised questions, go beyond the dosage and exercise restraint in needing permitting etc. specially. " Ministry of Public Health cure relevant person, department of policy, point out, in addition, carry on safe administration train, form one to medical worker person who punish report system,etc., reduce the mistake effective tactics of medicine. Must notice clinic and environmental factor studying to reveal, the mortality that the operation position infects the patient is 2 times not infecting the patient while defending institute's sense, 60% of the surgery positions infect a patient to need to enter ICU to treat, hospital stays are 2 times not infecting the patient, the in hospitalling rate is 6 times not infecting the patient again. Infecting will bring the financial burden to patient, will bring the extra agony to patient even more, even life danger. Ministry of Public Health cures the relevant person of policy department to point out, the operation department (room) Infection control and include not lasting patienting to infect, prevent by patient infection against medical personnel, and prevent from infecting and spread to the area beyond the operating room. Control the result in order to obtain the best infection, the medical organization must consider environment and 2 clinical factors. For stop up related to environment hospital, infect loophole, " the norm " require the surgery department (room) Job area should sterilizing by every one. Even between the sets of operation and the same day, after operation finish all, should sterilize among the operation while being clean in time. Perform the operation ' Room) Should exercise restraint in not performing the operation strictly personnel enter, should infect and monitor through the effective hospital, the quality control of air, clean environment management, washing of medical apparatus and operation apparatus sterilize the measure of sterilizing etc. and reduce the risk of infecting. " the norm " infect clinical control of factor, it displays to be here to hospital, require the operation portion (room) Implement the precautionary measures that patient's operation position infects with clinical department,etc. together, including preparing against covers correctly, controlling blood glucose effectively, using the antibacterial medicine rationally etc.. " norm " emphasizes, the medical worker must carry out the hand hygiene norm strictly in the course of implementing the operation, perform the operation ' Room) Should strengthen the occupational health safe protection of the medical worker. Reduce " triangle of fire " Take place risk have data reveal surgical fire to use electric the intersection of operation and apparatus and laser in most common reason. In 2003, the evaluation of American medical organization united the committee and proposed " triangle of fire " in " alert news incident alarm " that it was released Concept,point out "fire triangle " 3 piece by: Fuel, oxygen source and fire source. The operation course is easy to facilitate " The triangle of fire " Forming. For example, a patient who carries on facial operation is sucking a large number of oxygen (oxygen source) ,If employ electrodes at the same time ' Fire source) ,Then the most advanced heat energy of the electrode may light the oxygen. If involve the patient's operation form ' Fuel) ,The fire may take place. " norm " is pointed out, the operation department (room) Should prevent the accident of the patient in operation from burning, should keep and use flammable and explosive apparatus, facilities and gas,etc. safely properly effectively; Also strengthen the safety management of fire control, make and improve emergency preplan and treatment procedure of all kinds of accidents, ability of risk of improving the precaution. It says, in order to reduce " triangle of fire " that Ministry of Public Health cures the relevant person of policy department Danger taking place, medical personnel can also be a good role and divide the work. For example, the nurse checks and reduces and can " breed " especially The fuel of the fire, the doctor is responsible for using the medical apparatus in order to reduce the fire source correctly, the anaesthetist is responsible for dispelling the surplus oxygen. In addition, the medical organization should also strengthen the fire control safety education of the medical worker, let the medical worker find out about the special dangerous factor of some types operation.


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