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实施美国手术室注册护士协会(AORN)推荐的无菌技术操作规范。

Implementing AORN recommended practices for sterile technique.

作者信息

Kennedy Lynne

机构信息

Women's Services, Minimally Invasive Gynecology, and Palliative Care at Inova Fair Oaks Hospital, Fairfax, VA, USA.

出版信息

AORN J. 2013 Jul;98(1):14-23; quiz 23-6. doi: 10.1016/j.aorn.2013.05.009.

Abstract

Using sterile technique helps prevent the surgical environment from becoming contaminated and thus can help reduce the incidence of surgical site infection. The AORN "Recommended practices for sterile technique" provides guidance for setting up, maintaining, and monitoring a sterile field. Topics include the use of surgical attire and personal protective equipment; appropriate selection and evaluation of surgical gowns, gloves, and drape products for each procedure; use of sterile technique to don sterile gowns and gloves; appropriate methods for establishing and monitoring a sterile field; and techniques to ensure that items such as surgical instruments that may be contaminated are not used. Breaks in sterile technique should be corrected immediately unless the actions necessary would endanger the patient. If remedial actions must be delayed, they should be undertaken as soon as possible. Adhering to best practices for sterile technique requires remaining up to date with new approaches and incorporating these into quality initiatives.

摘要

使用无菌技术有助于防止手术环境受到污染,从而有助于降低手术部位感染的发生率。美国手术室注册护士协会(AORN)的《无菌技术推荐规范》为建立、维持和监测无菌区域提供了指导。主题包括手术着装和个人防护装备的使用;针对每个手术程序对手术衣、手套和手术单产品进行适当的选择和评估;使用无菌技术穿戴无菌手术衣和手套;建立和监测无菌区域的适当方法;以及确保不使用可能被污染的手术器械等物品的技术。无菌技术出现的失误应立即纠正,除非采取必要行动会危及患者。如果补救行动必须延迟,应尽快进行。坚持无菌技术的最佳实践要求跟上新方法并将其纳入质量改进措施中。

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