医学授课ppt模板：消毒手套的使用和说明PhysicalB

PARTBPhysicalBarrierProtectionPersonalProtectiveEquipment(PPE):isimportantandincludesGlovesMasksEyewearGownsGLOVESTypesClinicalandNon-ClinicaluseTypesforclinicaluse•Sterile,singleuseforsurgicalprocedures.•Non-sterile,singleuse;toprotectthehandsfromcontactwithblood,salivaandbodyfluids.UseChangeaftereachpatientprocedureORduringmultipleproceduresonsamepatientGlovesTypesfornon-clinicaluseReusable:–Latex–Non-latex(Nitrile,Neoprene)UseWhilstreprocessingequipmentandforhousekeeping,cleaningchair,surfacesifcontaminatedbybloodorbodyfluidSingleuseGloves•Examinationglovesshouldbecheckedwhendonned•Changedwhenholedortorn•HandsmustbewashedordecontaminatedwhenglovesremovedSingleuseGlovesSingleuseLatexexaminationglovesAdvantagesofLatexgloves:•Economical•Flexibleandelastic,easytodonandremove•CandoublegloveifrequiredSingleuseLatexsurgicalgloves•Excellentqualitycontrol•Canbewornforlongperiodsoftime,60minutesormorebeforegloveintegrityispotentiallychangedSingleuseNon-latexexaminationglovesNitrileexaminationglovesIndicationsLatexsensitivityforHCWsORpatient.SingleuseNon-latexexaminationglovesNeopreneexaminationglovesIndicationsLatexsensitivityforhealthcareworkerandpatientSingleuseNonlatexsurgicalgloves-NeopreneglovesAdvantagesMoreelasticitythannitrileglovesExcellentqualitycontrolEasytowearDurableforlongproceduresBut,moreexpensivethannitrilegloves•Polyethylene“overgloves”MASKSSurgicalmask.Particulatefilter[N95],forairbornediseases.Amust•whenapossibilityofsplashingorsplatteringofbloodorotherbodyfluidstotheface.•ProtectionfromAerosolcontamination.Masks•Masksshouldbeusedtoreducetheamountofdropletsthatwillbeinhaledduringtheoperativeprocedure.•Masksshouldbereplacedaftereachpatientoratleastevery30minutesafterdonningtoensuretheprotectivemechanismofthemaskisnotcompromised.MASKSDO’S&DON'TSDO:Fitandwearaccordingtomanufacturer’sinstructionsCoverboththemouthandnoseRemoveASAPifmoistorsoiledRemoveanddiscardedassoonaspracticableafteruseDON’T:TouchthemaskonceonHangaroundneckEYEPROTECTION•Opticallyclearandanti-fog•Closefitting•ShieldedatthesidesGOWNSANDPLASTICAPRONSImpermeable,waterrepellentgownsand/orplasticapronsprotecttheworkerfromcontaminationwithbloodandbodysubstances.Useforspecificactivity(donotleaveonallday!).Removeassoonaspossibleaftercontaminationoruse.Bagforlaunderingordisposal.Principlesofinfectioncontrol:StandardPrecautionsBarrierProtection:Environmentalbarriers•Clinicalareashouldbeclearlydividedintoclean,clericalanddirtyareas.•Environmentalbarriersmaybemoreeffectivethanmanualdecontamination(cleaning)•Environmentalbarrierscansavetimebydecreasing“change-overtime”betweenpatients.•SomevirusescansurviveinsalinesolutionforaslongassixdaysBarriersonsurfacesWhatcanbecaughtfromasurface?•Headlice•Fungalorganisms•SARS•MRSA[methicillinresistantstaphylococcusaureus]Whentousebarriersonsurfaces•Areasinthezoneofcontamination.•Difficulttocleanareas.PlasticbagBarriersonsurfacesDifficulttocleanareas•Spittoonscanbedifficulttoclean•Patientsoftenmissthespittoonandspitonfloororsurroundingenvironment,especiallyifnumb•YoungchildrenfinditdifficulttorinseandspitBarriersonsurfacesDifficulttocleanareas•Alternativestoaspittooninclude:–Denturecup–AFunnelattachedtothesuctionwherebythefunnelcanberemovedaftereachpatient,cleanedandsterilised–Norinsing,lavagewithtriplesyringeandremovewaterwithsuctionEnvironmentalcleaning•Footcontrolsuselimitcontamination.•Floorsshouldbeeasilywashedandmadeofimpermeablematerial.•Carpetshouldnotbeusedinatreatmentarea.•Neutraldetergentshouldbeusedforenvironmentalcleaning;–Doesn’tsmear–Doesn’tcorrodeequipment