一、為什么要戴一次性醫用手套
一次性醫用手套是(shi)醫(yi)(yi)(yi)務人(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)必備的(de)(de)防(fang)護(hu)用(yong)品。佩戴(dai)一(yi)次性醫(yi)(yi)(yi)用(yong)手套(tao)(tao)一(yi)來(lai)能(neng)減(jian)少(shao)(shao)病(bing)(bing)人(ren)(ren)(ren)(ren)(ren)感染病(bing)(bing)菌(jun)(jun)(jun)的(de)(de)機(ji)會,二來(lai)醫(yi)(yi)(yi)護(hu)人(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)自身也能(neng)夠得到健康保(bao)障,甚至戴(dai)手套(tao)(tao)能(neng)減(jian)少(shao)(shao)醫(yi)(yi)(yi)護(hu)人(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)家屬、朋友接觸(chu)(chu)病(bing)(bing)菌(jun)(jun)(jun)的(de)(de)幾率(lv)。因為(wei)醫(yi)(yi)(yi)護(hu)人(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)不戴(dai)手套(tao)(tao)而(er)攜帶上了(le)耐(nai)(nai)藥(yao)菌(jun)(jun)(jun),通(tong)過(guo)與醫(yi)(yi)(yi)護(hu)人(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)手部的(de)(de)接觸(chu)(chu),細菌(jun)(jun)(jun)會在病(bing)(bing)人(ren)(ren)(ren)(ren)(ren)間(jian)交(jiao)叉(cha)寄(ji)生(sheng),造成耐(nai)(nai)藥(yao)病(bing)(bing)株的(de)(de)傳播(bo)(bo)。從而(er)通(tong)過(guo)宿主病(bing)(bing)人(ren)(ren)(ren)(ren)(ren)的(de)(de)轉(zhuan)移在社區間(jian)(即接觸(chu)(chu)者(zhe)間(jian))又(you)一(yi)次進(jin)行傳播(bo)(bo)。所以,醫(yi)(yi)(yi)護(hu)人(ren)(ren)(ren)(ren)(ren)員(yuan)(yuan)戴(dai)手套(tao)(tao)主要是(shi)為(wei)了(le)防(fang)止細菌(jun)(jun)(jun)傳播(bo)(bo),從而(er)保(bao)護(hu)病(bing)(bing)人(ren)(ren)(ren)(ren)(ren)、自己和其(qi)他接觸(chu)(chu)者(zhe)。
二、如何正確佩戴一次性醫用手套
只(zhi)有正確(que)地佩(pei)戴一次性醫用手套(tao),才能更好的(de)減少患者(zhe)和醫務(wu)人員(yuan)每(mei)日(ri)交叉(cha)感染(ran)的(de)危(wei)險(xian)性。那(nei)醫護人員(yuan)該如(ru)何正確(que)佩(pei)戴手套(tao)呢?
1、佩戴干手套
雙手(shou)(shou)(shou)(shou)(shou)可先沾少許滑石粉(或者醫用(yong)淀粉),從而方便佩戴手(shou)(shou)(shou)(shou)(shou)套(tao)。右(you)手(shou)(shou)(shou)(shou)(shou)拿住手(shou)(shou)(shou)(shou)(shou)套(tao)反折(zhe)部之(zhi)(zhi)內面(mian),取出一雙干手(shou)(shou)(shou)(shou)(shou)套(tao),左(zuo)(zuo)手(shou)(shou)(shou)(shou)(shou)先伸入(ru)左(zuo)(zuo)側手(shou)(shou)(shou)(shou)(shou)套(tao)中(zhong),戴手(shou)(shou)(shou)(shou)(shou)套(tao)后(hou),將左(zuo)(zuo)手(shou)(shou)(shou)(shou)(shou)伸入(ru)右(you)手(shou)(shou)(shou)(shou)(shou)反折(zhe)部之(zhi)(zhi)外(wai)圈(quan)內,然后(hou)右(you)手(shou)(shou)(shou)(shou)(shou)伸入(ru)手(shou)(shou)(shou)(shou)(shou)套(tao)(先戴右(you)側手(shou)(shou)(shou)(shou)(shou)套(tao)亦可);將手(shou)(shou)(shou)(shou)(shou)套(tao)之(zhi)(zhi)反折(zhe)部,拉到(dao)袖(xiu)口之(zhi)(zhi)上不(bu)露出手(shou)(shou)(shou)(shou)(shou)腕(wan)。在未戴手(shou)(shou)(shou)(shou)(shou)套(tao)前,手(shou)(shou)(shou)(shou)(shou)不(bu)能(neng)接觸手(shou)(shou)(shou)(shou)(shou)套(tao)之(zhi)(zhi)外(wai)面(mian),已戴手(shou)(shou)(shou)(shou)(shou)套(tao)后(hou),不(bu)能(neng)接觸皮膚,以后(hou)用(yong)無菌鹽水沖(chong)凈手(shou)(shou)(shou)(shou)(shou)套(tao)上滑石粉再操作。
2、佩戴濕手套
在(zai)對(dui)手(shou)(shou)(shou)(shou)部(bu)進行(xing)消毒后,可(ke)趁機佩戴(dai)濕(shi)手(shou)(shou)(shou)(shou)套(tao)(tao)。可(ke)從盛有(you)手(shou)(shou)(shou)(shou)套(tao)(tao)的(de)盆內取濕(shi)手(shou)(shou)(shou)(shou)套(tao)(tao)一雙,盛水于手(shou)(shou)(shou)(shou)套(tao)(tao)內,左手(shou)(shou)(shou)(shou)伸入(ru)手(shou)(shou)(shou)(shou)套(tao)(tao)后,稍抬(tai)高左手(shou)(shou)(shou)(shou),讓積(ji)水順(shun)腕部(bu)流(liu)出戴(dai)好,然(ran)后左手(shou)(shou)(shou)(shou)伸入(ru)反折(zhe)部(bu)之(zhi)外(wai)圈戴(dai)右手(shou)(shou)(shou)(shou)套(tao)(tao),抬(tai)起(qi)右手(shou)(shou)(shou)(shou),使積(ji)水順(shun)腕部(bu)流(liu)出(先戴(dai)右側手(shou)(shou)(shou)(shou)套(tao)(tao)亦(yi)可(ke)),穿好手(shou)(shou)(shou)(shou)術衣,將手(shou)(shou)(shou)(shou)套(tao)(tao)反折(zhe)部(bu)位到袖(xiu)口上(shang),不可(ke)露出手(shou)(shou)(shou)(shou)腕,有(you)條件醫院一般(ban)不宜采(cai)用(yong)此法。
3、佩戴雙層手套
戴雙層手套可以減少佩戴者暴(bao)露于危險的機會,如(ru)果(guo)在特定的操(cao)作中需要佩帶(dai)雙層手套(如(ru)化療(liao)、骨髓(sui)穿刺術)就(jiu)需要寬松的手套,以便可以把一只套在另一只上(shang)面(mian)。
三、醫用一次性手套佩戴注意事項
1、手套的(de)使(shi)用(yong)不能替(ti)代(dai)洗手,在佩戴無菌手(shou)套(tao)前和(he)脫去手(shou)套(tao)后(hou),務必要洗手(shou)并用酒(jiu)精(jing)消毒(du)。
2、在使用手套期間,應盡量避(bi)免接觸(chu)非(fei)干凈的物品或表(biao)面,如果手套破(po)損或穿孔,應及時更換。
3、護理或診療操作一(yi)(yi)個(ge)以(yi)上患者時(shi)不要戴同(tong)一(yi)(yi)副手(shou)套。
4、戴(dai)手套護理或(huo)診療操作時(shi),從(cong)同一患者身上的污染部位(包括不完整皮膚、粘膜或(huo)植入醫(yi)療設(she)備處)移到清潔部位時(shi)應更換(huan)手套。
5、醫用一次性手套不可重復使(shi)用(yong),因為重復使(shi)用(yong)手套會增(zeng)加感染風險,還會導致手套磨損和穿孔。
6、使(shi)用完手(shou)套(tao)后,應從(cong)手(shou)腕(wan)處開始逐步脫下手(shou)套(tao),避免接(jie)觸手(shou)套(tao)外部。
7、使用完(wan)畢的手(shou)套應當(dang)在特定(ding)垃圾桶中(zhong)廢棄,避(bi)免污(wu)染其他地方和其他垃圾。