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Oral out-patient care management in the prevention and control of infection in an important position

Infection of the rules and regulations, strengthen management measures are implemented, the responsibility to the people. Results: The nurses by improving hospital infection prevention and control knowledge, strengthen key parts of the examination environment, materials management, aseptic technique and other aspects of management, so to minimize the incidence of nosocomial infection. Conclusions: Oral standardized patient care management, prevention and control of oral outpatient hospital infections, improve the quality of medical care is very important. [Key words] hospital infection; care management; preventive measures CLC: R473.98 Document code: B Article ID :1004-0412 (2004) 05-0080.01 our department is a complex set, the mouth, estuary, Orthodontics, video teaching, diagnosis and treatment of oral center; with advanced equipment, first-class technology, excellent treatment environment, the number of outpatient visits per year up to 6 million visits, and disease and more staff turnover rate. Therefore, the prevention of nosocomial infection is essential. And care throughout all aspects of prevention of nosocomial infection among intensive care management in the prevention of nosocomial infections is very important. A sound management system. Responsibilities to the people is an important guarantee for infection control management practices according to hospital infection, combined with the characteristics of dental rooms, will implement every aspect of people. Each set of professional full-time nurses in sterile supply work on the disinfection of the implementation of standardized management, regular and irregular inspections of the nursing work by rules and regulations to implement and improve the care of registration and statistics, so that each work well documented, rule-based. 2 implementation of management measures. Increasing management intensity is the key to control hospital infection 2.1 Organization and Management: The hospital dental clinic located in the mouth, estuary, set complex, orthodontics, images, patient to lZl cavity triage clinic for medical treatment, disinfection equipment is responsible for setting a full-time nurses sterilization and supply work. Staff must strictly enforce the rules, uniforms, hats, masks and tidy, operate before and after treatment for each patient must wash hands as required, the operation wearing sterile gloves, if necessary, wear protective glasses. 2.2 The key parts of management: standardized sterile areas, contaminated areas, strictly follow the dirt sterile cabinets and boxes of use, cleaning, disinfection tank storage system, adhere to sterile storage and distribution system, regular, regular, Tingri, conscientiously object surface, air, sterile disinfectant sampling, monitoring and post-registration monitoring earnestly to ensure patient safety operation. 2.3 Inventory management: one person, one machine handpiece with dirt and then clean the surface after the ultrasonic cleaning, oiling sealed plastic bags after the high-pressure steam sterilization equipment Author: PAN Xiao Xin (1963), female, people in Wuxi City, Jiangsu Province. Charge nurse, college is mainly engaged in clinical care. Use. Sterilized items by the date of sterilization has placed in sterile cabinet package may not have expired; sterile solution of classified storage, shall not be mixed; containers, cans, buckets regular tweezers pressure sterilization, all with the object positioning storage, hand management. All items can be high-pressure autoclave sterilization, and all to do with the matter after the first use of the early immersion disinfection of plastic bags and then sealed after cleaning, the last high-pressure sterilization use. Items can not be autoclaved, after 2% glutaraldehyde disinfectant before use, clean again before using water jets to use, so as not to damage the oral mucosa disinfectant. 2.4 The one-time items management: the use of disposable items in the process to check whether the broken items, expired, damaged and other quality problems. After use, disposable items would all be sterilized by the beginning of cross-packing supply room disfigurement after treatment. Specification recycle, disfigurement, and sound processing procedures, to avoid being contaminated medical equipment shed society. 2.5 strictly aseptic technique: to strengthen the nurses mixing drugs for weeks to check the items, the monthly check. Strict inspection mixing knives, glass items, gauze, cotton balls disinfection use, operation, masks, gloves, regularly on the air, sterile material goods table, disinfectant, autoclave sterilizer, ultraviolet disinfection lamps monitoring and random checks, and carefully registered. 2.6 treatment environment management: specification and the waiting area and treatment area Road area, adhere to any clean, so that the second brush, the second delay; daily air disinfection; on the dental chair,[link widoczny dla zalogowanych], cut off the treatment table for consultation before the disinfectant polished; prohibit the aisle in the consulting room or indoor clean up pollution, medical waste bags with a yellow cross-packing supply room after the treatment; mop compartment used to mark clearly. At the same time, strengthen the prevention of cross infection care workers knowledge of education, to ensure that consulting room, waiting area tidy and clean. 3 Conclusion enhanced care management, strictly to good quality care, conscientiously sum up experiences, and continuously improve the management rules specifications, so that at the lowest infection rate, improving medical standards, to ensure the safety of both doctors and patients. [Received :2003-12-19]