腹腔內(nèi)窺鏡在清洗時(shí)有哪些操作規(guī)范?
What are the operation specifications for cleaning the abdominal endoscope?
1. 器械要專人保管,定期檢查。
1. The equipment shall be kept by special personnel and inspected regularly.
2. 每次手術(shù)結(jié)束,均要將腹腔鏡器械的螺絲關(guān)節(jié)等可拆卸部分拆開,在流水下徹底清 洗,管腔內(nèi)用軟毛刷徹底刷洗,刷洗時(shí)注意避免劃傷鏡面。除去黏液及殘留組織,并用軟布 擦干。
2. At the end of each operation, the screw joint and other detachable parts of the laparoscopic instrument shall be disassembled and thoroughly cleaned under running water. The lumen shall be thoroughly brushed with a soft bristle brush to avoid scratching the mirror surface. Remove mucus and residual tissue and dry with a soft cloth.
3. 將擦干后的器械除內(nèi)鏡外置于超聲清洗器中,用1 :400的3 M低泡多酶洗液浸泡 超聲5分鐘。
3. Place the dried instrument in the ultrasonic cleaner except endoscope, and soak it in 1:400 3M low foam multi enzyme lotion for 5 minutes.
4. 流水沖盡擦干。
4. Flush and dry the water.
5. 內(nèi)腔用高壓氣槍吹干后滅菌。
5. The inner cavity is dried with high-pressure air gun and sterilized.
6. 滅菌首選過氧化氫等離子低溫滅菌,按流程執(zhí)行。
6. Hydrogen peroxide plasma low temperature sterilization is preferred for sterilization, which shall be carried out according to the process.
7. 不能采用上述滅菌的內(nèi)鏡及附件可以使用2%堿性戊二醛溶液浸泡10小時(shí)以上 滅菌。
7. Endoscopes and accessories that cannot be sterilized can be sterilized by soaking in 2% alkaline glutaraldehyde solution for more than 10 hours.
8. 用2%堿性戊二醛進(jìn)行滅菌時(shí),所有器械應(yīng)當(dāng)充分打開軸節(jié),帶管腔的器械腔內(nèi)應(yīng) 充分注入消毒液,使用前應(yīng)用無菌水徹底沖洗,再用無菌紗布擦干。器械浸泡前必須檢測(cè) 戊二醛濃度,合格后方可使用。
8. When 2% alkaline glutaraldehyde is used for sterilization, the coupling of all instruments shall be fully opened, and the instrument cavity with lumen shall be fully injected with disinfectant. Before use, it shall be thoroughly rinsed with sterile water, and then dried with sterile gauze. The glutaraldehyde concentration of the instrument must be tested before immersion, and it can be used only after it is qualified.
9. 腹腔鏡頭切勿用手擦或其他物品摩擦碰撞,清洗時(shí)可用水沖凈后用擦鏡紙輕拭,每 次清潔后及用前均應(yīng)檢查鏡頭是否完好。
9. The celiac lens shall not be rubbed and collided by hand or other articles. When cleaning, it can be washed with water and then wiped lightly with lens wiping paper. Check whether the lens is in good condition after cleaning and before using.
10. 腹腔鏡器械用畢要固定放置在專用器械盒內(nèi),攝像頭避免與其他物品碰撞。攝像 頭鏡面應(yīng)用擦鏡紙輕拭,勿用手觸摸。
10. The laparoscopic instruments shall be fixed in the special instrument box after use, and the camera shall not collide with other articles. The mirror surface of the camera shall be lightly wiped with a mirror paper, and shall not be touched by hand.
11. 光源線應(yīng)盤曲成自然弧度,不可將其彎折成角,以免造成光導(dǎo)纖維斷裂。
11. The light source line shall be coiled into a natural arc, and shall not be bent into an angle, so as to avoid the fracture of the optical fiber.
12. 器械使用后進(jìn)行登記,內(nèi)容包括:病人姓名、使用內(nèi)鏡編碼、清洗酶洗時(shí)間、滅菌時(shí) 間及操作人員姓名。
12. The device shall be registered after use, including the patient's name, endoscopic code, cleaning enzyme washing time, sterilization time and operator's name.
13. 滅菌后備用的內(nèi)鏡及附件儲(chǔ)存于無菌物品間。
13. Sterilized backup endoscopes and accessories shall be stored in sterile articles room.
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