In clinical treatment, the hospital supply room is an important department of the hospital, The main work for the cleaning of repeated practical equipment, disinfection and sterilization operations[1].In order to study and analyze the application effect of multi-enzyme cleaning agent in the supply room, select2016Year2month ~2016Year6of the month200Recovery of medical instruments to be processed in the parts supply roomThe following is the report.

1. 1. 1. data and method
         1. General InformationSelect2016Year2month ~2016Year6Recovery of Medical Devices to be Processed in the Supply Room of the Second People's Hospital of Shaanxi Province in January200As the research object,.The machine is divided into control group and experimental group, each group100pieces.200Main medical devicesIncluding surgical scissors, various types of puncture needles, tweezers and syringes and knife handles.
         2. Method

 

Introduction to the author:Wu Hua, Correspondence Author, Female, Undergraduate, Supervisor Nurse, Research Direction: Disinfection and Sterilization,E-mail：wdzhur1981@126.com.

1. 1. 1. 1. 1. Treatment method: the control group was cleaned with traditional cleaning agent, Open the shaft section of the instrument, take out the inner trocar, soak in the solution, and take out the puncture needle.Out of the needle core, the application of flowing water carefully rinse the needle core and needle tube, its surfaceRemove substances such as blood and body tissues, and then use a high-pressure water gun to carefully flush the inside.wall, soaked in conventional proportions1/200Configure cleaning fluid, which shall be guaranteed during soaking.The instrument is filled with cleaning agent solution.[2]. After the immersion is completed, remove the instrument and make it.Use a special cleaning brush to scrub, ensure that the scrubbing is complete and completely clean, and eliminate it.Poison is dry. The experimental group use will be more than the United States enzyme cleaning agent for cleaning,1/200configuration, water temperature25℃ ~30C, and other operations were the same as the control group.

In addition, it is necessary to pay attention to the training of nursing staff, guide the relevant nursing staff to master the name of the instrument, and accurately record the number of relevant surgical instruments,Develop an efficient workflow, conduct regular assessments, learn how to correctly recycle instruments, and correctly perform operations such as disinfection and cleaning. Do a good job of recycling and cleaning, after cleaning dirt or blood stains[3], specially-assigned person to carry out inventory and put it into sorting

Box, if there is any non-conformity, need to carefully check, find out the reason. Check the quality of packaging instruments, carefully check, affix corresponding labels, and send them to the operating room after sterilization, and count them again.

1. 1. 1. 1. 2. Observation indicators: comparative analysis2Group visual inspection pass rate and Jieli test paper inspection pass rate.
1. Jieli test paper qualified detection: Jieli test paper detection principle is proteinDetermination, the application of cotton ball to wipe the instrument groove gap and needle core and other parts, dipped in the cotton ball residual water on the Jeli test paper, if inorganic tissue or blood and other organic matter residue, Then1The test paper does not change color within minutes, and the test result is negative, which is judged as qualified.[4].
2. Visual inspection: apply a magnifying glass to the groove seam of the medical device after cleaningCareful observation of different parts of the gap and surface, if no blood, scale, the overall bright and clean, is qualified.
   1. 1. 3. Statistical Methods Mining_UseSPSS20.0The software performs statistics on the data.analysis, measurement data using“x±s"He said, be.tInspection, counting data

The adoption rate indicates that it isQ2Inspection,P＜0.05The difference is statistically significant.

1. 1. 2. Results
         1. 2Visual inspection of group instrumentsAfter the corresponding cleaning methodAfter that, the experimental group visually inspected the number of unqualified pieces.2Pieces, the number of qualified pieces is98Pieces,The qualified rate is98.0%. The number of unqualified pieces in the control group was21Pieces, the number of qualified pieces is79pieces, the pass rate is79.0%. Available, the control group visual inspection pass rate is.79.0%significantly lower than the qualified rate of the experimental group98.0%. See Table1.

Table1 2Group of instruments visual cleaning qualified comparison

Tab.1 Comparison of visual inspection qualified between two groups

Group Number of pieces The instrument is qualified for visual inspection and cleaning Qualified rate（%） control group 100 79 79.0

experimental group 100 98 98.0#

#P＜0.05Compared with the control group,compared with control group

1. 1. 1. 2. 2Group of instruments Jieli test paper inspection inspection qualifiedJeli test stripIn the test, the number of qualified pieces in the experimental group was97Pieces, the number of unqualified pieces is3Pieces, The qualified rate is97.0%. The number of qualified pieces in the experimental group is75Pieces, the number of unqualified pieces is25 pieces, the pass rate is75.0%,2Group differences were statistically significant（P＜0.05). See Table2.

Table2 2Comparison of Qualified Inspection of Group Jieli Test Paper

Tab.2ComparisonofJialitestpaper inspectionandinspection qualified between

two groups

      Group Number of pieces Number of qualified instruments Qualified rate (%）  

#P＜0.05Compared with the control group,compared with control group

1. 1. 3. Discussion

The quality of work in the hospital's disinfection supply room directly affects the quality of care and work quality of the entire hospital. It is an important department in the hospital. The main work is to clean and reuse the equipment, carry out disinfection and sterilization operations, and distribute it to different departments.

Cleaning refers to the application of certain methods to remove contaminants from articles or medical devices, and the quality of cleaning has an important impact on the safety of the entire medical process.[5]. Thorough cleaning is the basis for ensuring the quality of disinfection and sterilization.

The amount is not up to the standard, the residual blood and body tissue may carry a large number of pathogenic microorganisms, providing a favorable environment for the growth and reproduction of microorganisms, forming a layer of biofilm[6]Affect the subsequent sterilization effect. In addition, the residual pollutants are not cleaned in time, which can form old stains and rust spots, which will affect the subsequent cleaning effect.[7]Increase the difficulty of cleaning. The structure of some reusable medical devices is more complex, the residue is not easy to remove, it is difficult to completely remove, it affects the subsequent use, and the possibility of reuse carrying pathogens is large.[8]It can increase the probability of cross-infection and affect the safety of medical work. Related studies have shown that the choice of cleaning agent is closely related to the cleaning effect. Application of multi-enzyme cleaning agent, which can play a role in digestion and decomposition of protease hydrolysis, surfactants can significantly reduce the surface tension of the cleaning solution, anti-deposition[9]. In addition, lipase can be emulsified to remove oil and improve cleaning quality. Bijimei multi-enzyme cleaning agent can reduce the adhesion of pollutants, the difficulty of fatty acid emulsification is lower, and the carbohydrate decomposition ability is strong, and the cleaning effect is better. In the actual application of the supply room, it is necessary to clarify the work tasks of the relevant personnel, improve work efficiency, ensure the quality of care, and avoid the spread of contamination and cross-infection. In this study, the visual inspection pass rate of the control group was79.0%significantly lower than the qualified rate of the experimental group98.0%. In the test of Jeli test paper, the qualified rate of the experimental group is97.0%, the qualified rate of the control group was75.0%,2Group differences were statistically significant (P＜0.05). From this, the application of multi-enzyme cleaning agent in the supply room has a significant effect, which can ensure the quality of cleaning and sterilization and improve the service life of related medical devices.

In summary, the application effect of multi-enzyme cleaning agent in the supply room is ideal, and the application of multi-enzyme cleaning agent for emotion can significantly improve the cleaning quality and is convenient to operate.

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