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The hospital's Poison Supply Center is an important department responsible for the recycling, cleaning, Poisoning, sterilization and distribution of reusable instruments in the hospital, especially for surgical device combs. During each operation, the surface may be stained with a large amount of organic matter, blood, and other essential substances. After the operation, the cleaning and sterilization are not complete, and it is very easy to cause the hospital to feel the flower again. At present, many hospitals are short of staff due to limited conditions and heavy workload, and the surgical instruments used in the afternoon and evening are not cleaned in time. According to the literatureRoad, Surgical instruments need to be cleared in time after useXian, Less cleaning timeIn1 h, The qualified rate of cleaning is99.21° 0' And the cleaning time is too long.over1 h, Qualified rate of cleaningFor63.99°0' The cleaning is complete is the key to ensure the success of sterilization, therefore, the different time after the action of the surgical comb for proper insulation treatment is the key to ensure the quality of surgical instruments cleaning.

1. data and method
   1. Data Selection： Selection of instruments after cesarean section900 The pieces include round forceps, hemostatic forceps, etc., randomly dividedI , II , old group, Each group of instruments300Piece, conduct research.
   2. Method： After the use of surgical instruments with flowing water immediately rinse clean , Comb shaftJoint open in convertible UTransparent plastic with cover on the rackBox, It is best to use a sieve.basket of nets , Box built-in（ Wanfuquan'an1 :200)Drink more cleaning solution, Immersion of the cleaning solution through the instrument2 cm,I Group insulation2 h ,II Group Moisturizing12 h,  The old group does not moisturize12Clear, Multi-drink moisturizerAfter the moisturizing treatment time is up, rinse with running water immediately and then use a cleaning machine.The machine is cleaned according to the daily use procedure, and the bolt check is carried out after cleaning.
   3. Evaluation criteria： The quality bolt of the cleaned surgical instruments shall be checked by the quality bolt operator.
      1. Visual method and mirror boltLaw： By the bolt personnel Check the bolt with the naked eye and the light source magnifying glass. ,

Clinical provides valuable diagnostic letter soap. When the clinical quality of the suppository test questions, professionals should immediately find out the cause of the problem, review the relevant responsibilities, and formulate a corrective plan in a timely manner,Give a clinically reasonable response. Clinical departments should also pay more attention to the suppository examination departments, strengthen their understanding of the characteristics of the suppository examination work, and continuously expand their own medical knowledge. They cannot completely rely on the test results, because the test is erroneous. They should make a comprehensive analysis of the patient's condition and contact the suppository examination department in time when the test results are found to be inconsistent with the actual situation to prevent delayed diagnosis and treatment.

1671-8194 (2015) 19-0297-02

The cleanliness standard of the instrument is: the comb surface and teeth are clean, especially blood stains, stains, especially scale,Especially residues, especially corrosion spots, any of which is not up to standard.

1. 1. 2. test paper method： Used for bolt checking and instrument cleaningsurface after washing, The embolus test of residual blood in the lumen gap shows that when the amount of blood contamination is large, the color is fast and dark, and the test strip contains peroxide and visibleColoring agent, the trace amount of hemoglobin mortar and muscle red egg mortar remaining on the instrument can make it react chemically, which is an objective and scientific chemical bolt measurement method different from subjective visual method. The quality bolt inspector drops sterilized water for injection on the surface, teeth and shaft joints of the cleaned instruments, and then repeatedly wipes with test paper to observe whether the test paper changes color, does not change to negative, changes color to positive, and is judged as unqualified.
      3. Statistical Methods： UseSPSS19.0Statistical software for allCollect data for statisticsAnalysis, Using chi-square bolt test , TakeP <0.05For the difference is statistically.Righteousness.
2. knotFruit

Compare the qualified rate of each group, I Group（ Moisturizing2 h )and II Group（ Moisturizing12 h )surgical devicemechanic,In the comparison between the visual mirror and the test paper boltx'The values are respectively 5.44,6.8 ,7.32 ,  P

< 0.05 The difference is statistically significant.righteousness,I Group of clean pass rate is higher 1I The cleaning of the group is qualified

rate, I Groups and Old Groups（ Not moisturized12 h )The surgical instruments are cleaned and qualified under the visual microscope.Test paper bolt test in comparisonx'The values are respectively 19 .45,23.16,23.48 ,   P <0.01 Differences are uniform

Learning is actually meaningful. I The qualified rate of cleaning in the group was significantly higher than that in the old group. , II Groups and Old Groups（ Not moisturized

12 h )The comparison/value of the surgical device comb cleaning pass rate is respectively. 8.675,5.797 ,6.279,P

< 0.05The difference is statistically meaningful. IIThe qualified rate of the group was higher than that of the old group. See Tablel.

In line with the "patient as the center"The principle of strengthening academic exchanges and information communication with clinical,Observe clinical understanding and support, cooperate closely with each other, and better serve the vast number of patients in the hospital.to improve the overall level of medical diagnosis and treatment. 

We can see from the above point of view that modern medicine has been limited to science and technology, information and diversification, which requires mutual penetration and mutual support among various disciplines. It requires effective communication and common coordination among various departments of medical institutions, especially between suppository medicine and clinical medicine. Strengthening the communication between suppository examination and clinical medicine is an important link to improve the level of clinical diagnosis and treatment, it is also a way to promote the common development of disciplines. This is not only the requirements of total quality management in laboratory departments, but also the requirements of modern rapid development of bolt inspection and clinical medicine. Therefore, as first-line bolt inspection workers, we should proceed from the perspective of following medicine,

References

[1]Gu ke Liang jiaStrong medical thrombus test and clinical communication[J]ProJournal of Bed Bolt Inspection2003 Gas21 (4):282-2844

[2]Wan HaiyingClinical significance of information node control in the process of suppository specimen testing[J]ProJournal of Bed Bolt Inspection2008Gas26(6 ):408-410