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目的为急救车内急救物品寻找一种经济、有效、可操作的清洗、消毒、包装、灭菌方法,以提高消毒、灭菌质量。方法将使用后急救物品(开口器、舌钳、压舌板)分为两组,试验组:2011年5-7月全院使用后急救物品由消毒供应中心集中处理,共处理115件;对照组:2011年2-4月全院急救物品由各病房分散处理,共处理112件;比较两种处理模式的清洗质量,目测、隐血试验、菌落数合格率、消毒液的消耗量、耗费的时间。结果试验组、对照组清洗质量目测合格率分别为98.3%、75.9%,隐血试验合格率分别为98.0%、86.0%,菌落数合格率分别100.0%、60.0%,差异均有统计学意义(P<0.05);试验组节约施康480片,节约时间13.4h。结论急救物品由供应中心集中处理,既能保证清洗质量,还能减少消毒液的用量,节省了时间、成本,减少了环境污染和对人体的伤害。
Objective To find an economical, effective and operable method of cleaning, disinfecting, packaging and sterilizing emergency vehicles in ambulance to improve the quality of disinfection and sterilization. Methods After the use of first aid items (openers, tongue pliers, tongue depressor) were divided into two groups, the experimental group: from May to July 2011 after the hospital use of emergency supplies by the disinfection supply center to deal with a total of 115; control Group: From January to April in 2011, first-aid items in the hospital were distributed by each ward and handled a total of 112 pieces. The cleaning quality, visual inspection, occult blood test, colony passing rate, consumption of disinfectant, time. Results The passing rate of cleaning quality in test group and control group were 98.3% and 75.9%, respectively. The passing rates of occult blood test were 98.0% and 86.0%, respectively. The passing rates of colonies were 100.0% and 60.0% respectively, with significant differences (P <0.05). The experimental group saved 480 tablets and saved 13.4 hours. Conclusions The first-aid items are centrally handled by the supply center, which not only ensures the quality of cleaning but also reduces the amount of disinfectant used, saving time and costs and reducing environmental pollution and harm to the human body.