蓝鱼o_0 发表于 2014-7-18 08:22

非手术室人员应该如何着装!?来自SHEA2014的推荐

对于非手术室人员该如何着装一直是困扰感染管理专职人员的一大困惑。

那在最新的SHEA官方GUIDELINE上面,推荐了这一要求。
Healthcare Personnel Attire in Non-Operating-Room Settings
Infect Control Hosp Epidemiol 2014;35(2):107-121
Healthcare personnel (HCP) attire is an aspect of the medical profession steeped in culture and tradition. The role of attire in crosstransmission
remains poorly established, and until more definitive information exists priority should be placed on evidence-based measures
to prevent healthcare-associated infections (HAIs). This article aims to provide general guidance to the medical community regarding HCP
attire outside the operating room. In addition to the initial guidance statement, the article has 3 major components: (1) a review and
interpretation of the medical literature regarding (a) perceptions of HCP attire (from both HCP and patients) and (b) evidence for
contamination of attire and its potential contribution to cross-transmission; (2) a review of hospital policies related to HCP attire, as
submitted by members of the Society for Healthcare Epidemiology of America (SHEA) Guidelines Committee; and (3) a survey of SHEA
and SHEA Research Network members that assessed both institutional HCP attire policies and perceptions of HCP attire in the crosstransmission
of pathogens. Recommendations for HCP attire should attempt to balance professional appearance, comfort, and practicality
with the potential role of apparel in the cross-transmission of pathogens
既要考虑预防交叉感染的目的,也要考虑到是否得体,舒适度,实际情况。
Although the optimal choice of HCP attire for inpatient care remains undefined, we provide recommendations on the use of white coats, neckties, footwear, the bare-below-the-elbows strategy, and laundering. Institutions considering these optional measures should introduce them with a well-organized communication and education effort directed at both HCP and patients. Appropriately designed studies are needed to better define the relationship between HCP attire and HAIs.
里面强调了,白大褂(要露出手肘,这个是出于更好的手卫生考虑。不过冬天应该比较冷吧,呵呵),领带(冬天看到不少医生戴,夏天少见,原因你懂的)。鞋子和洗涤要求。

吐槽一下:我们想到了,我们一直在争论的东西,为啥没有想过弄个指南呢,一直追着老外的步调,想必都很累。
我想起来我们泌尿外科主任的一句话:

Chinese should not be follower but would be partner!
我们不能一直跟随,我们应该去创新,可以是合作者甚至是发明者!

共勉吧!

老朽 发表于 2014-7-18 08:35

多人不是没有想过或提过,只是无名之辈提出的观点,往往被大腕、LD认为是异想天开、天方夜谭;但是往往数年之后会得到印证。

老朽 发表于 2014-7-18 08:36

吁:相关部门是否应该出台发生医院感染后处理的司法依据??
呼吁:建立《医务人员职业服装的规格和使用规范》
讨论:高值易耗的一次性物品应该鼓励在严格的控制下有条件的重复使用
呼吁国家卫生行政部门在出台规范时应该对不同级别医院设立不同的标准体系!

月光依旧 发表于 2014-7-18 08:53

师说的很对!:我们不能一直跟随,我们应该去创新,可以是合作者甚至是发明者!
更糟糕的是,有时候会是“盲从”的跟随,让我们基层人员无所适从。

黔西南妇幼 发表于 2014-7-18 09:00

习了,老师们都说的很好,谢谢!

落花生 发表于 2014-7-18 09:14

果需要合作者,我们义不容辞。也希望分享年轻高层次人才创新和发明{:1_17:}

蓝鱼o_0 发表于 2014-7-18 10:36

落花生 发表于 2014-7-18 09:14
如果需要合作者,我们义不容辞。也希望分享年轻高层次人才创新和发明

非常感谢您的支持,我相信一定有机会合作的。
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