After the injection in the hospital, what should I do with the infusion tube? How are the equipment and instruments that enter the human body for inspection? Are there any safety hazards when using it again?

On March 9, the autonomous region and Nanning Municipal Health Supervision Institute jointly enforced the law and inspected the disinfection management and medical waste disposal of medical institutions in Nanning City. Law enforcement officers found that individual medical institutions urgently need to strengthen waste disposal and disinfection of medical equipment.

Medical equipment disinfection site

Instrument disinfection must reach “hard indicators”

Yesterday, under the leadership of the hospital staff, the reporter entered the disinfection center of the Fourth People’s Hospital of Nanning with the health supervisors. Through the glass wall, the reporter saw medical staff wearing sterile clothing disinfecting The room was busy.

According to reports, after the medical supplies are cleaned, the medical staff will pack the medical supplies. Although medical utensils are automatically cleaned in a highly bacteriostatic environment, a final hygienic inspection certificate is still required.

The reporter saw that when the medical staff was packing, they would stick a chemical indicator strip on the outer packaging and put another chemical indicator card into the bag. After that, the medical bag is sterilized by high temperature and high pressure, and finally the medical bag is sent to the sterile delivery window, waiting to be taken. Before using the medical kit, medical staff need to check the indicator strip and indicator card. Only when a black bar appears on the indicator strip and the indicator card turns black, and the two tests have passed, and this “hard indicator” is reached, can the medical kit meet the requirements. health standard.

At the Endoscope Cleaning and Disinfection Workstation in the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine, Director Li of the Hospital Infection Management Department said that the medical equipment disinfected at this workstation must enter the human body, so the cleaning and disinfection should be very careful. From the initial cleaning of cleaning the surface dirt, to the deep cleaning of the inner cavity of the appliance with irrigators and other appliances, it also needs to go through the steps of enzyme lotion cleaning, secondary cleaning, soaking and disinfection, thorough rinsing, and drying. , the appliance can only be used by the patient, and there are a total of 7 processes before and after.

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The system of some private hospitals is not perfect

“This special inspection will supervise and inspect the medical safety injection, the safety of people flow, and the disinfection and sterilization of medical equipment that consumers care about, especially the disinfection supply room, endoscope cleaning and disinfection room, and outpatient injection room infusion room of medical institutions. , crowd flow room and other key departments to conduct inspections.” The relevant person in charge of the Autonomous Region Health Supervision Institute said that from March 5 to March 8, the joint law enforcement team successively conducted on-site supervision of more than 10 public and private medical institutions in Nanning City. examine.

During the inspection, it was found that most medical institutions can establish and implement the inspection and acceptance system for disinfection products as required. All kinds of injection, puncture, and blood collection equipment are disposable and disposed of as medical waste after use; large state-owned medical institutions strictly Set up endoscope cleaning and disinfection rooms and disinfection supply rooms as required, and relevant staff strictly implement disinfection and sterilization operations; medical equipment such as abortion surgery kits, surgical kits and other items in private medical institutions are handed over to medical institutions that have obtained relevant qualifications for unified disinfection. , the family planning operating room personnel have obtained the corresponding qualifications.

However, during the inspection, it was also found that some private medical institutions have not established a system for inspection and acceptance of disinfection products, the relevant documents requested are incomplete, and the opening date and time of the disinfectant are not marked after opening. The relevant departments will strictly investigate and punish the illegal acts found during the inspection in accordance with relevant laws and regulations.

Medical Waste Treatment

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Separate collection of hazardous medical waste

Medical wastes are hazardous wastes, which contain a large number of pathogenic bacteria, viruses, radioactive substances and more chemical poisons. The negligent management and improper disposal of medical waste will not only pollute the environment, but may also lead to the prevalence of infectious diseases, directly endangering people’s human health.

On the same day, the reporter saw at the Guangxi First Affiliated Hospital of Traditional Chinese Medicine that medical waste was collected in two-color garbage bags. The black garbage bag was used for household garbage, and the yellow garbage bag was used to collect used needles, cotton swabs and other items. A dedicated staging area.

Director Li of the hospital infection management department told reporters that the medical waste in the hospital is collected uniformly and stored in special transfer buckets to prevent leakage. After speaking, he also took out a registration form for garbage collection. “The hospital’s medical waste will be regularly transferred to the Nanning Medical Waste Disposal Center for processing, and the hospital will carry out a clear filing and registration for each handover.”

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The setting of temporary storage points in some hospitals is not standardized

“In this inspection, we will check whether the medical and health institutions have established and improved the responsibility system for medical waste management; whether the personnel and management personnel engaged in the collection, transportation, storage, and disposal of medical wastes in the unit shall be trained on the knowledge of medical waste disposal. The relevant person in charge of the Health Supervision Institute of the Autonomous Region said that from March 5th to March 8th, the joint law enforcement team successively investigated the First Affiliated Hospital of Guangxi College of Traditional Chinese Medicine, Nanning Wangzhou Hospital and more than 10 public and private medical institutions in Nanning City. Institutions conduct on-site supervision and inspection. During the inspection, it was found that the classified collection, transportation, and temporary storage of medical waste in most medical institutions met the requirements, and no illegal trading of medical waste, dumping or stacking of medical waste in non-storage locations, or mixing medical waste into other wastes and households was found. Illegal behavior of garbage. However, the inspection also found that there are still some medical institutions that have irregular medical waste temporary storage points, no warning signs, no cleaning and disinfection of medical waste temporary storage rooms and transfer tools, and no organization of medical waste disposal personnel. medical examinations, etc.