每年有關(guān)醫(yī)療器械、醫(yī)療廢棄物引發(fā)的醫(yī)院感染事件屢見(jiàn)不鮮，這一系列的問(wèn)題盡管已經(jīng)引起了醫(yī)院相關(guān)部分的重視，并采取了預(yù)防措施，但是關(guān)于醫(yī)護(hù)人員工作服穿戴過(guò)程中引發(fā)的感染相對(duì)比較淡薄。醫(yī)院工作人員，特別是臨床一線的醫(yī)護(hù)人員，每天需求與林林總總的患者免除，在進(jìn)行諸如靜脈穿刺、導(dǎo)尿、換藥以及床邊生活護(hù)理等操作時(shí)，極易帶著各種院內(nèi)病原微生物，是導(dǎo)致院內(nèi)穿插感染的主要原因。

　　Every year, hospital infection events caused by medical devices and medical wastes are common. Although this series of problems have attracted the attention of the relevant parts of the hospital and taken preventive measures, the infection caused by the wearing process of medical staff's work clothes is relatively weak. Hospital staff, especially clinical front-line medical staff, need to be exempted from a large number of patients every day. When carrying out operations such as venipuncture, catheterization, dressing change and bedside life care, it is easy to carry a variety of hospital pathogenic microorganisms, which is the main cause of hospital infection.

　　在大多數(shù)醫(yī)院，醫(yī)務(wù)人員工作服仍為自主替換，相當(dāng)多的醫(yī)務(wù)人員因?yàn)榕R床工作繁忙或衛(wèi)生觀念缺乏等原因，穿戴時(shí)間和替換間隔過(guò)長(zhǎng)。白大衣上沾染的病人血液、體液、帶色液、藥液甚油漬、墨漬等，十分顯著，不光影響了漂亮整潔的白衣天使形象，更為院內(nèi)感染提供時(shí)機(jī)。據(jù)有關(guān)資料數(shù)據(jù)顯示，護(hù)士穿戴的工作服第三天帶菌量已超過(guò)衛(wèi)生部規(guī)定的普通病房物體表面帶菌標(biāo)準(zhǔn)，第六天則高達(dá)三倍。在國(guó)內(nèi)即便少量實(shí)行一致替換工作服制度的醫(yī)院，間隔時(shí)間也通常為傳統(tǒng)的每周一次。此外，一年四季中細(xì)菌的繁衍狀況也是不同的，一年中的初春和秋冬空氣枯燥、氣候寒冷，不利于細(xì)菌繁殖。4月、5月是春季和初夏，空氣濕度高，氣候溫暖，是微生物生長(zhǎng)繁殖旺季，8、9月屆時(shí)高溫氣候，人體排汗量大，工作服濕潤(rùn)，有異味，一周替換一次極易導(dǎo)致污染。種種狀況調(diào)集在一起，加強(qiáng)工作服管理，是醫(yī)療職業(yè)特別性的需求，也是大多數(shù)醫(yī)院等待解決的問(wèn)題。為此小編提此如下主張:

　　In most hospitals, the work clothes of medical staff are still replaced on their own. Because of the busy clinical work or the lack of health concept, a considerable number of medical staff wear long time and replacement interval. The patient's blood, body fluid, colored disinfectant, medicine liquid and even oil and ink stains on the white coat are very significant, which not only affects the beautiful and clean image of the angel in white coat, but also provides the opportunity for hospital infection. According to relevant authoritative data, the amount of bacteria carried by nurses' work clothes on the third day has exceeded the standard of bacteria carried on the surface of ordinary ward objects stipulated by the Ministry of health, and on the sixth day it is up to three times. In China, even in a small number of hospitals with uniform replacement of work clothes, the interval is usually once a week. In addition, the reproduction of bacteria in the four seasons of a year is also different. In the early spring and autumn and winter of a year, the air is dry and the climate is cold, which is not conducive to bacterial reproduction. April and may are spring and early summer. The air humidity is high and the climate is warm, which is the peak season for microbial growth and reproduction. In August and September, when the climate is high, the human body will sweat a lot, the work clothes will be wet and have peculiar smell. Replacing once a week is very easy to cause pollution. It is the special demand of medical profession and the problem waiting to be solved in most hospitals to gather all kinds of conditions and strengthen the management of work clothes. For this reason, the following suggestions are put forward by the editor:

　　1、在如今醫(yī)護(hù)人員原有兩件工作服的基礎(chǔ)上，添加一件工作服，便于特別狀況下的隨時(shí)替換，也為添加清潔與替換次數(shù)提供可能性。

　　1. On the basis of the original two work clothes of medical staff, adding one work clothes is convenient for replacement at any time under special conditions, and also provides the possibility of adding cleaning and replacement times.

　　2、在綜合考慮醫(yī)院本錢、洗刷環(huán)境調(diào)劑的狀況下，添加工作服清潔次數(shù)，每周替換2-3次較為合理，特別要求的科室像呼吸科、重癥監(jiān)護(hù)科可每日一換。醫(yī)院擬定“工作服限期替換制度 ”，涉及對(duì)象有必要要依照規(guī)章制度嚴(yán)格執(zhí)行，附帶上相應(yīng)的獎(jiǎng)懲制度。

　　2. Under the condition of comprehensive consideration of hospital cost and environment adjustment, it is reasonable to add cleaning times of work clothes and replace them 2-3 times a week. Specially required departments such as respiratory department and intensive care department can be replaced once a day. The hospital formulates the "replacement system of work clothes within a time limit", and it is necessary for the involved objects to strictly implement the rules and regulations, with the corresponding reward and punishment system attached.

　　3、關(guān)于一部分特別人群，如每年相關(guān)醫(yī)院都有進(jìn)修醫(yī)生、在校實(shí)習(xí)學(xué)生等，要有一致的工作服樣式，其清洗替換相同嚴(yán)格遵守院內(nèi)的工作服管理制度。

　　3. For a part of special population, such as the relevant hospitals each year have further education doctors, students on campus, etc., there should be consistent work clothes style, and the same cleaning and replacement should strictly abide by the hospital's work clothes management system.

　　4、在院內(nèi)設(shè)定醫(yī)療與非醫(yī)療區(qū)域，明確工作服的區(qū)域限制，不允許無(wú)關(guān)的人員隨便在限制區(qū)域內(nèi)隨便走動(dòng)。

　　4. Set up medical and non-medical areas in the hospital, make clear the area limit of work clothes, and do not allow irrelevant personnel to walk around in the restricted area.

　　5、加強(qiáng)醫(yī)務(wù)人員的衛(wèi)生防范意識(shí)，制止洗手后在腋下、后背等部位擦手，避免在濕潤(rùn)狀態(tài)下添加細(xì)菌繁殖與傳達(dá)的時(shí)機(jī)。

　　5. Strengthen the health prevention awareness of medical staff, prevent hand washing in armpit, back and other parts after hand washing, and avoid adding the opportunity of bacteria propagation and communication in the wet state.

　　以上關(guān)于醫(yī)護(hù)工作服定制管理的相關(guān)內(nèi)容，由濟(jì)南職業(yè)裝友情分享，想要了解更多歡迎咨詢http://www.03gdf.cn官網(wǎng)。

　　The above content about customized management of medical work clothes is shared by Jinan professional clothing. If you want to know more, please consult http://www.03gdf.cn Official website.