手术人员的准备与消毒.ppt

第四节 手术人员的准备与消毒,（一）更衣 术前在更衣室穿着清洁的衣服和套鞋，上衣为超短袖衫，并戴好手术帽和口罩。手术帽应把头发全部遮住。手术口罩应完全遮住口和鼻。在眼镜镜片上涂抹薄层肥皂，并用干布擦干净，以免呼吸的水气使镜片模糊。,The correct way to wear a mans surgical hood and mask,The correct way to wear a womans surgical hood and mask,Beard Cover,Short Hair Cap with a duck-billed mask,Long Hair Cap with a pleated mask,Boots used in small animal surgery,Boots used in large animal surgery,（二）手、臂的清洁与消毒,1.手、臂的洗刷 剪短指甲 洗刷的顺序 国外涂草木灰 用流水，注意设计为脚踏开关或肘部开关,Properly trim nails.,Clean under nails,Dont have long nails.,Dont wear jewelry or watches,注意：未戴口罩！水管位置和开关！,Trim fingernails and clean with disposable nail file,Wash for 30-60 seconds with surgical scrub. Scrub fingers with a sterile scrub brush Make sure to scrub all sides of each finger, including the area between fingers.,Scrub hands and arms with a sterile scrub brush. Make sure to scrub each surface of each hand and arm. An accepted contact time is 10 brush strokes per surface,Rinse hands and rescrub as in step 3. During scrubbing, rinsing and drying, hands are held above elbows. This is done so that water will not be dripping from upper arms onto lower arms and hands. After both scrubs and rinses, total contact time should be 5 minutes. Some surgeons do not rinse off the chlorhexidine in order to enhance residual activity.,Packaged with antiseptic already contained within the brush,Can be resterilized before each use,2.手臂的消毒,70% 酒精 浸泡或擦拭5min 0.1% 新洁尔灭或杜米芬、洗必泰 浸泡5min,注意：未戴口罩！,注意：未戴口罩,3穿戴无菌手术衣,注意：未戴口罩！,4戴手套,注意：未戴口罩,A sterile towel is included within the sterile gown pack. The towel is lifted away from the table and folded in half lengthwise. One hand and forearm are dried by one side of the towel. Always dry in the direction of hand to elbow so that contamination of the upper arm is not spread by the towel to the surgeons hand.,The second hand and forearm are then dried by the other side of the towel in the direction of hand to elbow. The towel is then discarded away from the surgeon, making sure that the towel doesnt contact the sterile gown,All gowns are folded and packaged for sterilization with the inside exposed so that the surgeon may handle the gown without contaminating the outside of the gown. Grasp the exposed inside of the gown and lift the gown away from the table,Unfold the gown by placing hands into the white arm holes. Continue placing hands and arms through the sleeves. If you are planning on closed gloving, do not thrust hands through the cuffs.,An assistant fastens the neck tie and the inside waist tie,Proceed with closed gloving before the fastening of the final outside tie. Once the surgeon is gloved, the sterile left tie is grasped by the surgeon and the white tab is handed to an assistant.,The assistant pulls the back tie around the surgeon using the white tab. The surgeon grasps the right tie from the white tab (not touching the now contaminated white tab) and right and left are tied together.,The cloth gown is also known as a front sterile gown. The gown is just tied in the back.,Step 1: An assistant opens the sterile pack of gloves and drops them into the sterile field.,Step 2: Left hand (within the gown) lifts the right glove by its cuff,Step 3: Right glove is laid on the palm of the right hand (cuff to cuff with the gown sleeve) with fingers of the glove pointing toward the elbow and the thumb of the glove positioned on top of the surgeons covered right thumb,Step 4: The inside of the cuff of the glove is grasped by the right hand (still within the gown) and the left hand folds the cuff of the glove over the back of the right hand.,Step 5: The left hand then pulls the cuff of the right glove and sleeve of the right gown towards the elbow as the right hand slides into the glove. Wait to adjust the glove until both gloves are on and sterility is ensured,left fingers may slip out of the gown while trying to adjust the right glove prematurely.,Step 6: With the gloved right hand lift left glove by its cuff and place on palm of left hand (aligned with the cuff of the gown), with glove fingers pointing toward the elbow and the left thumb of the glove over the covered left thumb of surgeon,Step 7: Left fingers (still within the gown) grasp the inside of the glove and the right hand pulls left glove cuff over the back of the hand.,Step 8: Pull the glove cuff and gown sleeve toward elbow as left hand slides into the glove,Step 9: Now that both gloves are on, pull glove cuffs over gown sleeves and adjust gloves for comfort,手术手套的另一种戴法 第一步同前面一种方法,Step 2: Lift right glove by grasping the inside of the cuff with left hand,Step 3:Slide right hand into glove without touching the gown or the outside of the glove. Do not adjust glove or cuff until both gloves are on.,Step 4: Lift the left glove by sliding fingers of gloved hand in between the upturned cuff and outside surface of glove,Step 5: With gloved finger