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美國消毒供應中心專業人員訓練手冊.doc

(2011-09-19 23:12:52)
标签:

美國

消毒供應中心

專業人員

訓練

手冊

杂谈

分类: 院感护理CSSD相关

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The sterilizer area of the CSD is where packaged items are subjected to a process that destroys all microorganisms. This can be accomplished through a number of different methods, but most commonly through steam, ethylene oxide(EtO), gas plasma (Sterrad), or peracetic acid (Steris) sterilization. Other means of sterilization include dry heat and liquid chemicals (e.g., 2 percent glutaraldehyde).

CSD的灭菌区是对已包装物品进行消灭所有微生物处理的区域。这可以通过若干不同方法完成,但最常见的是蒸汽、环氧乙烷(EtO) 气体等离子体(Sterrad)或过氧乙酸(Steris)消毒。其它消毒方法包括干热和液体化学剂 (如2%戊二醛)。

Sterile storage is the area of the CSD where items are stored until distributed for use. There may be a separate area for the storage of clean, nonsterile items. The entire storage area must be subject to the principles of sterile storage. These principles include controlled temperature and humidity, limited traffic, ventilation requirements, and mechanisms that ensure that the environment remains as clean and dust-free as possible. Many times sterile trays are stored in this area until needed for surgery. Sterile storage is detailed in Chapter Eight.

CSD的无菌贮藏区是在分发使用前存放物品的地方。可能有一个单独的区域存放清洁的有菌物品。整个贮藏区必须遵守无菌储存原则。这些原则包括:受控的温度和湿度、受限的交通、通风及确保环境尽可能一尘不染的机制。很多时候无菌托盘在手术需要使用前也存放在这一区域。无菌贮存详见第八章。

Several major CSD functions are performed in the distribution area, induding the preparation and delivery of exchange carts, case carts, orders, patient care equipment, and linens. In addition, CSD technicians are often responsible for replenishing stock (par level) of frequently used supplies on patient care units.

CSD的几个主要职能是在分离的区域进行,包括交换车、 手术个案车、订单、病人护理设备、织物的准备和提供。此外,CSD技术员通常负责向病人护理部门补充常用物品的原材料(标准水平)。

The CSD staff members are responsible for furthering the objectives of the department, while performing functions in a timely and conscientious manner and maintaining high standards of ethics, safety, and cleanliness. They must comply with all departmental rules and regulations.

CSD职员则负责推动部门目标,同时以及时、认真的态度履行职责,保持高水准的道德、安全和清洁。他们必须遵守所有的部门规章制度。

Ethics

伦理学

In the normal course of their duties, CSD personnel often have access to patient information and have a responsibility to keep all such information confidential. Only the information necessary to perform CSD functions should be discussed within the health care facility, and patient information should never be communicated outside the institution. Not only do patients have a right to privacy, but also inappropriate discussions concerning patients may be overheard and misinterpreted by visitors, patient relatives, or other staff members.

CSD人员一般在执行职务时经常接触病人资料,他们有责任对这些资料保密。只有当履行CSD职能需要这些信息时,才能在医疗机构中进行对其讨论,且决不能在机构外交流病人信息。因为不仅病人有隐私权, 而且有关病人的不当讨论可能会被访客、病人亲属或其他工作人员听到并曲解。

Information or rumors regarding employees and physicians must also be considered confidential. Employees having tests or procedures have the same right to privacy as other patients. Inappropriate discussions concerning employees and physicians may be overheard and misinterpreted.

对于员工的资料或传闻,医师也必须视为机密。进行测试和操作的员工具有和其他病人相同的隐私权。有关雇员和医师的不当讨论可能会被听到并曲解。

Central service department staff members have access to many items useful in the home. Just as shoplifting from department stores ultimately increases prices for all consumers, taking these supplies for personal use drives up costs. This action constitutes theft.

中央服务部的人员有机会接触到许多在家里有用的物品。就像从部门仓库入店行窃最终会造成所有消费者花费增长,拿走这些用品自用会增加成本。这一行动构成盗窃罪.

All tasks should be performed according to established procedures. Taking shortcuts or breaking protocol may appear to save time; however, supplies may not be prepared correctly and may not be usable. Not following established procedures may also have serious consequences that jeopardize the safety of both patients and staff. Additional time and money may be needed to correct errors or treat injuries resulting from improper work performance. So please check with a supervisor before attempting to make a change.

所有工作都要按照既定程序进行。走捷径或破坏协议看似节省时间; 但是,用品未必正确准备,也未必可以运用。不遵守既定程序也可能造成严重后果,危及病人和工作人员的安全。纠正错误或处理不当操作带来的伤害可能需要更多的时间和金钱。所以在进行改变前,请与管理者进行检查。

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