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不好意思，尊敬的“无极紫晶”老师：“放到酶液里是最好的办法”这个说法值得讨论：
酶往往并非人们想想的那么“灵”
提供一个链接供参考：http://www.wfhss.com/html/educ/qtg/qtg0002_en.htm
Recommendations by the Quality Task Group
Since these problems derive from the existing transportation system and from the given structural circumstances, changes cannot be ushered in overnight. But already for reasons relating to the economical implications of complete utilisation of the machine and to personnel deployment within the framework of quality management, the CSSD managers will find willing listeners among those persons responsible for implementation of the Medical Device Act and for costs, if they can, on the basis of flow charts and evidence of any damage to instruments, furnish proof of the aforementioned transportation modalities and attendant problems and request help in improving this situation.
The following measures can bring about IMPROVEMENT:
- The collection and delivery service must be optimised by having a CSSD staff member collect the instruments after receiving a signal (bell, lamp).
- Delicate instruments should be rinsed after long operations and placed in a solution (e.g. Varis needle for prostate operations, immersion in hydrogen peroxide solution after HF surgery). But caution is warranted here: if the Ringer's solution or saline solution remains in contact with stainless-steel instruments over a long period of time pitting will be manifest.
- An emergency service should be organised for the weekend (e.g. 4 hours on Saturday afternoon, but not in the mornings as instruments will not have yet collected).
- Cleaning, disinfection and drying can be carried out in a machine installed at a non-central location and operated by an OR assistant, e.g. in a disposal room adjacent to the emergency OR. The instruments must be dried because instruments stored while damp quickly become rusty.
- If there is no emergency service, the instruments should be stored in a container that is closed with a lid (moist chamber). Yet a better solution would be storage in an alkaline detergent and disinfectant solution with inhibitors, because this prevents corrosion and makes provision already for decontamination.
- MIS instruments should not be dismantled before embarking on a long transportation journey or before a long storage period. Even if the emergency service staff are not familiar with dismantling procedures, it is recommended that minimally invasive instruments be left assembled so that they can be processed by specialist personnel.
再推荐一本书《器械清洗消毒的正确处理》，到以下网站下载中文版：http://www.a-k-i.org/pdf/red_ch.pdf
[ 本帖最后由 康富-昭明-国杰 于 2007-9-30 01:06 编辑 ] |
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