The first type H1N1 influenza hospital infects the guide to control technology ' Try)

The first type H1N1 influenza hospital infects the guide to control technology ' Try)
The first type H1N1 influenza hospital infects the guide to control technology ' Try)
First type H1N1 influenza is the acute respiratory tract infectious disease that a kind of new first type H1N1 virus causes, have infective the stronger one, can and keep in touch and spread through the close quarter droplets. At present, first type the intersection of H1N1 and the intersection of influenza and epidemic situation travel in the intersection of the whole world and large range already, World Health Organization early warning rank propose to 5 large to prevail influenza already. Our country include influenza, H1N1 of Model A, in " whether the People's Republic of China infectious disease prevent and cure law " fixed class-B infectious disease already, and take the preventive, control measure of the class-A infectious disease. In order to instruct the medical organization to do the prevention that the first type H1N1 influenza hospital is infected with well and control the work, reduce and avoid the emergence that the first type H1N1 influenza hospital infects, according to the characteristic of first type H1N1 influenza epidemiology, specially make this technological guide. First, basic demand (1) The medical organization should strengthen medical worker's training of first type H1N1 influenza preventive treatment knowledge, make sure to find early, diagnose early, the early report, isolating early, treating early. (2) Appointed medical organization should set up relatively independent generating heat on the door in easy place that isolate ' Urgent) Examine, isolate and leave the view room, the medical organization accepting the first type H1N1 influenza patient for medical treatment by fixed position should set up the special inpatient area. (3) The medical organization should follow the epidemiology characteristic of the first type H1N1 influenza, to infecting source, spread route and these three links of more easily infected group, make the corresponding working system, set up and implement work responsibility system. (4) The medical organization should pay attention to and strengthen and sterilize isolating and protect the work, take the feasible measure, guarantee to sterilize isolating to implement with measures such as the personal protection,etc. completely, guarantee the working result. Second, isolation technology (1) Principle isolated 1. And making a definite diagnosis of a patient should take separation measure to the suspected patient of first type H1N1 influenza in time, first type the intersection of H1N1 and the intersection of influenza and suspected patient and make a definite diagnosis of a patient, should place separately, and isolate the separate room. Making a definite diagnosis of a patient can locate in many people's room, does not have and accompany and attend to. The patient's activity should be confined to isolation ward and gone on. The one correlated to patient makes a diagnosis the activity tries hard to go on in the inpatient area. 2.According to the spread route of the first type H1N1 influenza, on the basis of preventing the standard, take the droplets to isolate and contact separation measure. The concrete measure includes: ( 1) The patient should place and possess the valid ventilation condition ' The air exchanges once every 5 minutes at least) Isolation ward in. Conditional, can place and isolate in the negative pressure ward. ( 2) When the condition is not allowed, can locate making a definite diagnosis of a patient the same room, the interval gt of the bed; 1 meter. ( 3) The door of the isolation ward must keep being closed at any time. ( 4) Try hard to reduce the quantity of medical worker who enters the isolation ward. ( 5) There should be specialized bathrooms, wash the hand pool in the isolation ward. ( 6) Medical apparatus, apparatus ' For instance stethoscope, thermometer, sphygmomanometer,etc.) It is specialized to implement the special messenger. Used and should clean and sterilize completely before other patients. ( 7) Isolation ward gate put, be disinfectant of hand rapidly. ( 8) Put and avoid touching medical wastes container and edge toll box in the isolation ward. ( 9) Try hard to reduce a patient and carry the personal effects, daily necessities such as the tableware, cup,etc. should locate in patient's place at arm's length. ( 10) The door specialized job car or working bench of peripheral hardware of the isolation ward, put the personal protection articles. ( 11) Place and cover on the container outside the door of isolation ward, collect the articles which need disinfection. ( 12) Set up telephone or other communication facilities in the isolation ward, try hard to reduce personnel to come in and go out in the isolation ward. ( 13) Should set up clear identification in the isolation ward. 3.Should carry on training and guidance to the patient. The concrete content includes: ( 1) When the condition is allowed, patients should wear the surgical gauze mask. ( 2) Cover the port nose up while coughing or sneezing with the toilet paper, then throw the toilet paper into the medical wastes barrel. ( 3) Should use the soap to wash hands or use and do both hands of disinfection of disinfectant of hand rapidly after exposed to the secretion of respiratory tract. ( 4) Keep more than 1 meter with others' distance. 4.The medical organization adopts the area to isolate according to the actual condition of work. The concrete requirement includes: ( 1) Divide the whole disease into the clean zone, potential contaminated area and contaminated area. The clean zone includes the medical worker guards' room, bathroom, men and women's locker room, bathroom and stores among things, among the pantry,etc., the potential contaminated area includes the medical worker office, therapeutic room, nurse station, inner corridor,etc., the contaminated area includes ward, treatment room, biohazard waste,etc.. ( 2) Should set up and buffer taking or buffer one respectively between clean zone and potential contaminated area, potential contaminated area and contaminated area, and there are real segregation protective screens ' Such as isolating the door) . ( 3) Use the color to distinguish between every district, the blue line of clean zoning, the yellow line of zoning of potential pollution, the red line of zoning of pollution, in order to warn a medical worker. ( 4) Set up medical worker and patient's specialized passway separately. ( 5) The personal protection articles locate in different areas, the medical worker dresses and takes off and plucks the corresponding shelter articles in different areas. ( 6) The whole inpatient area should be ventilated well, guarantee the direction of air flow from the clean zone Potential contaminated area Contaminated area,can't adverse current. (2) Separation measure of different departments 1. Generate heat on the door ' Urgent) Examine medical organization, should set up, generate heat door according to regulation ' Urgent) Examine, set up preexamination and divide and examine the system, guide the relevant patient to the door ( urgently) in time Examine and go to a doctor. Generate heat on the door ' Urgent) Examining should take the following measure: ( 1) Keep away from other clinic, emergency call, the having area independently, the entrances and exits are separated from ordinary emergency calls, it is obvious to annotate. ( 2) There are spare consulting rooms. ( 3) Set up the isolation toilet. ( 4) Register, go to a doctor, examine, check, fetch medicines,etc. and can be all finished in this area. ( 5) Set up more independent medical personnel to work regionally. ( 6) Should wear the surgical gauze mask with the acute respiratory tract symptom patient while generating heat, if the condition is not allowed, cover the port nose up while coughing or sneezing with the toilet paper, then throw the toilet paper into the medical wastes container. ( 7) Exposed to at short range (distance lt; 1 meter) Acute generating heat symptom patient of respiratory tract, the medical worker should adopt " the standard is prevented + the droplet transmission is prevented " Measure. 2.Isolating leaves the view room ( 1) The having area independently, it is obvious to annotate. ( 2) The clean zone, potential contaminated area, pollution distinguishing area are clear, have not crossed. The office tries hard to keep certain distance with leaving the view room. ( 3) Leave the view patient The separate room is isolated, set up the bathroom in the room. ( 4) When patient's condition is allowed, should wear the surgical gauze mask, and exercise restraint in leaving and moving about in the view room. (3) Accept the separation measure of the first type H1N1 influenza patient's fixed hospital for medical treatment 1. Should suspected patient's inpatient area the incantation? The string haphazard �� Xi of musical sound? ( 1) Ventilate it well, the having area, isolate with the other inpatient areas, obviously annotate independently. ( 2) Distinguish the clean district, potential contaminated area, contaminated area, three districts have not crossed. ( 3) There are certain distances in medical worker's office and ward, have not crossed. ( 4) The suspected patient's separate room is isolated, set up the bathroom in the room. ( 5) The patient wears the surgical gauze mask, can't leave the ward, forbid keeping in touch each other among the patients. ( 6) Visit system strictly, have, accompany and attend to, visit in principle, when the patient must be visited while having critical condition, the persons who visit must do a good job of the personal protection according to the regulation strictly. 2.First type H1N1 influenza should accord with the following requirements while making a definite diagnosis of patient's inpatient area: ( 1) Ventilate it well, the having area, isolate with the other inpatient areas, obviously annotate independently. ( 2) Rationally distributed, distinguish the clean district, potential contaminated area, contaminated area, three districts have not crossed. ( 3) Set up medical worker and patient specialized passway separately. ( 4) The patient wears the surgical gauze mask, is only limited to the ward moves about. ( 5) Accept serious the intersection of disease and serious disease of patient for medical treatment, guard ward or possess, guard and rescue the ward of terms and should set up in the isolated area. ( 6) There are certain distances in medical worker's office and ward, have not crossed. ( 7) Visit system strictly, have, accompany and attend to, visit in principle, if the intersection of patient and condition must be visited while being critical, the persons who visit must do a good job of the personal protection according to the regulation strictly. ( 8) Try hard to reduce and transship a patient. When must have a change of luck, let the patient wear the surgical gauze mask, transship to personnel and do a good job of the personal protection, and tell diagnosis and corresponding hospital about the patient of accepting area infect the measure of prevention and control in advance. Besides first aid, transport and avoid the dangerous operation apt to initiate the aerosol of keeping in touch with machinery etc. in the way. ( 9) After patient's death, should send the corpse to the mortuary as soon as possible, tell staff members the dead infect a patient for first type H1N1 in the mortuary. Mortuary, funeral and interment worker should implement the standard precautionary measures while dealing with the corpse. 3.Already setting up the hospital of the negative pressure ward can adopt the room to isolate, the concrete requirement includes: ( 1) The flow direction of the air of the whole inpatient area is from the administrative area Corridor Buffer one The isolation ward, guarantee the inpatient area ventilates well. ( 2) Regard the isolation ward as the contaminated area, setting up and buffering one between corridor and patient's room outside the isolation ward, protect the articles and locate in and buffer one inside. ( 3) The medical worker is buffering one and dressing and protecting the articles inside before entering isolation ward, when leave the isolation ward, are buffering one and taking off and plucking and protecting the articles. ( 4) All of the patient's make a diagnosis the life activities of nursery work and patient are finished in the ward. Third, protect technology (1) The medical worker protects the shelter of medical worker's first type H1N1 influenza of the principle and prevents the principle according to the standard, and take the droplets to isolate and exposed to separation measure according to the spread route of the first type H1N1 influenza. The medical organization should contact the suspected patient of first type H1N1 influenza or make a definite diagnosis of a patient while working according to the medical worker, adopt and protect in grades according to the dangerous intensity resulted in infecting, the safeguard procedures should be suitable. 1.All areas should adopt the standard to prevent in the hospital. The standard prevents from including the following contents: ( 1) It is infective that all patients' blood, body fluid, secretion, excrement are considered as, must isolate, contact the material with obvious blood, body fluid, secretion, excrement, or contact non- intact skin and mucous membrane, must take the safeguard procedures. ( 2) Prevent transmitting through blood transmitting disease, and also prevent not transmitting through blood transmitting disease. ( 3) Put emphasis on protecting bidirectionally. Should prevent disease from reaching a medical worker from the patient, as well as prevent disease from passing from the medical worker to a patient. 2.The concrete measure that the standard prevents includes: ( 1) The cleaning of hands is cutting off and contacting the important measure propagated, cleaning and sterilizing and should accord with the demands for " medical worker's hand hygiene norm " of hands with sterilizing. ( 2) Contact blood, body fluid, secretion, excrement material and should wear gloves at the article of pollution their. ( 3) Remove gloves, wash hands immediately. ( 4) Work clothes, face, eyes of medical worker possible blood, body fluid, secretion the intersection of material and when the pollution splash, should wear the surgical gauze mask, protect the glasses or face guard, wear and isolate clothing or canvases. ( 5) Should be paid special attention to while dealing with all sharp instruments, prevent from and is stabed. ( 6) For patient with behind medical equipment, utensil to last measure. (2) Protect the articles dailily 1. The shelter articles that the medical worker used should accord with national relevant standards. 2.Protect the articles to include dailily: Gauze mask ( Including protecting the gauze mask in surgical gauze mask and medical use) , protect glasses or face guard, glove, isolate clothing, protective clothing, shoe cover,etc.. 3.Should use and protect the articles correctly according to the requirement that " the medical organization isolate the technical specification ". (3) The medical worker shelter medical worker should be according to meeting the difference which examine the patient, take different safeguard procedures, and accord with the following requirements: 1. Generally protect: Suitable for the ordinary door ' Urgent) Medical worker of examining, public ward. ( 1) Strictly observe the principle that the standard prevents. ( 2) Should wear the work clothes, wear the surgical gauze mask while working. ( 3) Carry out the hand hygiene conscientiously. 2.First grade is protected: Suitable for, generate heat door ' Urgent) Medical worker examining it. ( 1) Strictly observe the principle that the standard prevents. ( 2) Strictly observe every rules and regulations sterilized, isolated. ( 3) Should wear the work clothes, isolate the clothing, wear job cap and surgical gauze mask while working, the emulsion glove is worn if necessary. ( 4) Carry out the hand hygiene strictly. ( 5) Handle the personal hygiene while coming off duty, and pay attention to the shelter of respiratory tract and mucous membrane. 3.Second is protected: Suitable for entering first type H1N1 influenza and leaving the view room, first type H1N1 influenza isolation ward, isolating the medical worker of the inpatient area; Contact the sample gathered from patient, staff member who deals with its secretion, excrement, article and death patient's corpse used, transship to the patient's medical workers and drivers. ( 1) Strictly observe and mark Accurate principle that prevents. ( 2) According to the spread route of the first type H1N1 influenza, adopt the droplets to isolate and keep in touch and isolate. ( 3) Strictly observe every rules and regulations sterilized, isolated. ( 4) The medical worker entering the isolation ward, isolating the inpatient area must wear the medical use and protect the gauze mask, wear the work clothes, isolate clothing or protective clothing, shoe cover, wear gloves, job cap. Rigorously enforce it according to the clean zone, potential contaminated area and division of contaminated area, dress and take off and pluck and protect the articles correctly, and pay attention to the respiratory tract, oral cavity? Joe takes off fire �Ĥ� Qu �� endures the my darling �� radon; ��? Dress and protect the procedure that the articles should be followed: Enter the potential contaminated area from the clean zone: Wash hands Wear the cap Wear the medical use and protect the gauze mask Wear the job sweater and pants After changing the job shoes Enter the potential contaminated area. The skin of hand is damaged to wear the emulsion glove. Enter the contaminated area from the potential contaminated area: Wear and isolate the clothing or protective clothing Wear the goggles / protect the face guard Wear gloves Wear the shoe cover Enter the contaminated area. Take off and protect the procedure that the articles should be followed: The medical worker leaves the contaminated area before entering potential contaminated area: Pluck gloves, sterilize both hands Pluck the goggles / protect the face guard Take off and isolate the clothing or protective clothing Take off the shoe cover Wash hands and/or hands to sterilize Enter the potential contaminated area, wash hands or hands to sterilize. With after article location separately is at filths specialized for container, inside. From the potential contaminated area before entering clean zone: Wash hands and/or hands to sterilize Take off the work clothes Pluck the medical use and protect the gauze mask Take off one's cap Wash hands and/or after hands are sterilized, enter the clean zone. Take a shower, change one's clothes Leave the clean zone. Notes: The medical use can employ between 6 hours and 8 hours continuously while protecting the gauze mask, meet pollution or humidity, should change in time. Should sterilize the glasses worn before leaving the isolated area. When the medical worker contacts a plurality of similar infectious disease patients, it can be continuously applied to isolate the clothing or protective clothing. Contact the suspected patient, isolating the clothing or protective clothing should be changed between contacting each patient. While isolating the clothing or protective clothing and is polluted by patient's blood, body fluid, filth, should change in time. Should carry on the facial fitness test to breathe the protecting device to protect the gauze mask or overall type while wearing the medical use. The medical worker working in the isolated area should monitor the body temperature twice every day, exceeds 37.5 �� to go to a doctor in time in body temperature. 4.It is protected that tertiary: It is implemented that suitable for the medical worker who can initiate the aerosol to operate. Can initiate the operation of the aerosol to include the intubate in the trachea, atomization treatment, bring out phlegm inspection, bronchus of liquid mirror, respiratory tract phlegm liquid release, inhale and nursing that trachea cut-out, the intersection of thorax and physical treatment, nasopharynx portion release, suck and face guard pigeonhole, keep in touch with ' Such as BiPAP and CPAP) , high frequency shakes keeping in touch with, recovering and operating, lung after death and organizes examining etc. alive. Except that second is protected, should add and wear the face guard or overall type and breathe the protecting device. (4) The patient's shelter 1. Suspected patient of first type H1N1 influenza or making a definite diagnosis of a patient to enter the inpatient area according to the appointed route. 2.Patient before entering inpatient area should change the intersection of patient and clothes, personal effects and change clothes under, concentrate on disinfect, deposite in the appointed place and keep from the medical organization in unison. 3.The patient can't go out in hospital, its activity should be confined to ward, all makes a diagnosis the activity try hard to finish in this inpatient area too. 4.Visit system strictly, does not have and accompany and attend to, does not visit in principle, the special circumstances must be visited, should take the strict safeguard procedures, visit according to fixed time and route. 5.Strengthen patient's personal hygiene management. 6.When the patient is in hospital, when the condition is allowed, patients should wear the surgical gauze mask. 7.The patient must take a shower while leaving hospital, transferring from one hospital to another, can leave the ward after changing the clean clothes. 8.The patient should deal with the corpse in time at the time of death. The treatment method is: With chloride disinfectant or 0.5% pass the intersection of oxygen and the intersection of second and sour cotton ball or gauze, clog the intersection of patient and mouth, nose, ear, rectum all open passway of 3000mg/L; Use the single parcel corpse of double-deck cloth, pack into the double-deck corpse bag, is sent to the appointed place and cremates directly by the specialized vehicle. 9.The personal effects that the patient used in hospital can hand over to patients or relatives to take home after sterilizing. (5) Health control of the medical worker 1. When the medical worker is connecting and examining, treating and curing and attending to influenza and suspected case of first type H1N1 or making a definite diagnosis of the case, should do a good job of the personal protection. 2.Should pay the utmost attention to inoculating vaccine and first type H1N1 influenza vaccine of seasonal influenza for the medical worker. 3.The medical worker wants to accept every day the body temperature is monitored and arranged and checked with influenza and one kind of symptoms. 4.The medical worker presents generating heat or influenza at the time of one kind of symptoms, should report to the hospital and infect the administrative department and accept that arranges checking in time, is diagnosed as influenza and suspected case of first type H1N1 or makes a definite diagnosis of the medical worker of the case, should accept and isolate for treatment immediately. 5.The medical organization should arrange the work of the medical worker rationally, avoid being overworked, and monitor its health condition in time and pay attention to monitoring the medical worker body temperature and symptom of respiratory system. Fourth, sterilize technology, it sterilizes to be to cut off, propagate route, control first type the intersection of H1N1 and important measure that influenza is infect one of, the medical organization must adopt suitable disinfection technology. (1) The air can adopt the suitable air to sterilize technology according to the actual conditions while sterilizing the medical organization. 1.Guarantee the circulation of the air is to control and prevent the important measure that the first type H1N1 influenza hospital infects, the method that can be taken includes: ( 1) Open the window to ventilate, strengthen airiness, and regulate in right time according to the climatic condition. ( 2) Installation ventilation facilities, strengthen and ventilate. 2.While needing, can adopt and circulate the wind type air sterilizing machine and sterilize the air, needn't be regular to adopt the way of spraying disinfectant to sterilize the indoor air. (2) The cleaning and sterilizing of the surface of object, ground Generate heat on the door ' Urgent) All surfaces of object, ground should be cleaned to examine and fixed the isolation ward of medical organization, isolate in the inpatient area, when being polluted by the pathogenic microbe, should be clean first, and then sterilize. 1.The clean general requirement includes: ( 1) It is clean to carry on the wet type, movements are soft. ( 2) The surface of object, ground after all cleaning should keep dry. ( 3) The cleaning should distinguish the clean zone, potential contaminated area, contaminated area, go on district by district. Wet to wipe various the intersection of object and surface, wet to delay ground; The rag, swab want the use of subregion, change in time. ( 4) Staff members go on At the time of the cleaning, should dress and protect the articles in the subregion. ( 5) After the work, should clean and sterilize the job apparatus in time. 2.The surface of articles and the disinfection on the ground, according to the regular disinfection method, disinfectant can select for use 0.2% cross oxygen second sour solution or effective chlorine the intersection of 200mg/L- and chloride disinfectant solution of 400mg/L. (3) Protect the washing of the articles and sterilize 1. The shelter articles that can be reused, should put shelter articles after use into double-deck sack and seal pitching, but boiling sterilizes or uses chloride disinfectant of 250mg/L to give the laundry after soaking for 15 minutes in 10 minutes, wash and sterilize. 2.Protect the glasses, protect the face guard to use acid or 75% ethanol of over oxygen second containing chlorine disinfectant, 0.2% of 250mg/L- 500mg/L? ��? 0 minutes later, wash drily and reservely and use. (4) Disinfection and sterilization of the medical equipment are carried on regularly and deals with according to the national relevant regulation. (5) The first type H1N1 influenza patient uses the disinfection of articles 1. Articles such as the sheet which the patient used, quilt cover,etc. are changed regularly every week, is changed in time after pollution such as blood, body fluid, secretion, excrement. With after articles above-mentioned by sacks double-deck seal to pitch,10 minute sterilize or use the disinfectants chlorides of 250mg/L not to soak after 15 minute giving to laundry to but boiling, wash and sterilize. The patient should wash, sterilize to use articles separately while using articles and the medical worker. 2.Breathing should reach to treat the device high-levelly and sterilize, the whorl is in charge of using and at one time using articles as much as possible; It reuse,with after should that disinfectant soak to sterilize after 30 minute by that 500mg/L immediately, wash and sterilize again; Also can use the specialized cleaning machine to wash, 80 �� of water temperature - 93 �� is washed for 10 minutes, dry it for subsequent use. Oxygen wet to take bottle, should go on, change every 24 hours, use, wet to take bottle, soak on 30 minute under the intersection of 500mg/L and chloride disinfectant, it is dry and spare after the aseptic water is washed. After the surface of host computer of the breathing machine is cleaned, polish and sterilize with chloride disinfectant of 500mg/L. 3.Contact the patient's accurate instrument and equipment, the surface of the apparatus uses 70% ethanol or different propanol to polish, sterilize for 2 times, or the complete machine is sterilized with oxygen ethane gas of ring. 4.Patient's clinical thermometer after use, soak in 75% ethanol for 15 minutes, or soak after 0.2% pass for 10 minutes in oxygen second acid, it is kept that it is dry. Sphygmomanometer, stethoscope,etc., and then polish and sterilize with 75% ethanol before using each time. A person of tongue depressor uses a sterilization, or use the disposable tongue depressor. 5.The oxygen cylinder polishes and sterilizes the outer surface with chloride disinfectant of 500mg/L before shifting out the isolation ward, isolating the inpatient area. 6.The conditional hospital, can use the electronic case history. The case history is not brought into the contaminated area, the case history (include various laboratory test reports) as much as possible When being polluted, it is stifling to use formaldehyde to oxidize law or heating law, oxygen ethane gas of ring is sterilized or the steam of pressure is sterilized (except the paper of temperature sensing) . 7.Patient's phlegm cup after use, should pour into 1000mg/L chloride disinfectant and deal with phlegm liquid for 60 minutes in the cup according to proportion 11, then quench the phlegm liquid into the toilet. The phlegm cup is soaked in 1000mg/L chloride disinfectant, function is 30 minutes, the fresh water is washed, it is dry and spare, it use lump-sum for phlegm cup,with after press by waste disposal medical. 8.The meal kitchenware which the patient replied, adopt and sterilize the method conventionally. (6) Treatment of patient's excrement, secretion, vomit Patient's excrement, secretion, vomit,etc. should use the specialized container to hold, carry on harmless treatment in time. The principle dealt with is: 1. There is medical organization of the sewage disposal system, patient's excrement, secretion, vomit,etc. can enter the sewage pool directly, the appropriate administration quantity which increases disinfectant of sewage disposal, guarantee my chlorine content of sewage disposal is greater than 6.5ml/L. 2.Without medical organization of sewage treatment facilities, patient's excrement, secretion, vomit should be dealt with according to the following methods: ( 1) Every 1000ml can add 50 grams of bleaching powder or effective chlorine 20000mg/L disinfectant solution 2000ml, stirs and stands for 2 hours. ( 2) Quench the filth after sterilizing into the toilet, hold the container and soak between 15 minutes and 30 minutes with chloride disinfectant of 1000mg/L every day. ( 3) The ground of pollution such as the excrement, vomit, cover with the bleaching powder or quick lime, function is cleared up 60 minutes later. (7) End and sterilize the first type H1N1 influenza patient and leave hospital, transfer from one hospital to another or after dying, the articles of patient's environment and use in the room should end and sterilize. The disinfection method is: 1. The air sterilizes: Unmanned condition can sterilize to air with ultraviolet ray, too can cross the intersection of oxygen and the intersection of second and sour the intersection of 7ml/m3 and (namely purely over oxygen B sour 1g/m3) with 15% It is sterilized that stifling; Can use after finishing sterilizing and fully ventilating. 2.Surface of object and ground: After cleaning, use chloride disinfectant of 250mg/L- 500mg/L to polish the surface of object and tow the ground, function is 15 minutes - 30 minutes. 3.The patient uses the disinfection of articles, according to (5) Requirement go on. (8) Protect requiring in disinfection and personnel transshipping the ambulance 1. Transship, give first aid car-mounted medical apparatus of vehicle ' Including stretcher) The special train is specialized, the driver's cabin is sealed and isolated with the carriage strictly, sets up special pollution articles and puts the area in the car, allocate and protect articles, antiseptic, fast hand disinfectant. 2.Transship to personnel and wear the work clothes, isolate the clothing, wear gloves, job cap, protect the gauze mask and protect the glasses. 3.Have a change of luck to change the complete set and protect articles in time after personnel contact influenza and suspected case of first type H1N1 or make a definite diagnosis of the case. 4.Only if the negative pressure ambulance should be driven the window and ventilate when being transshipped; The negative pressure ambulance should keep the airtight state while transshipping, the vehicle opened the doors and windows to ventilate after sterilizing. 5.Transship influenza and suspected case of first type H1N1 or after making a definite diagnosis of the case, give first aid the vehicle must return to the first-aid centre (the station) Sterilize, to the next patient transship. 6.Cleaning of ambulance sterilize, should close doors and windows first, the intersection of oxygen and the intersection of second and sour aerosol spray, close an hour with pass by 2% and then. 7.Medical articles and apparatus which is transshipped personnel's shelter, rescue vehicle sterilize, pollute articles to deal with etc. and carry out according to the relevant regulations of this guide. Management of fifth, medical wastes Make a diagnosis first type H1 Medical wastes which N1 influenza patient produced in course, should handle and manage according to the relevant provisions of " medical waste disposal regulations " and " medical medical wastes management of health organ ". Sixth, treatment of patient's corpse (1) After patient's death, should transport the corpse to the mortuary as soon as possible. The staff members who transship corpse should wear and take off and protect the articles according to the requirement, including protecting the gauze mask, isolating the clothing, cleaning glove and disposable cap in medical use etc.. (2) Transship the corpse from the isolation ward or isolated area, should put in the totally sealed corpse bag, careful to defend humoral seepage, the bag appearance of corpse keeps clean. (3) The management of the mortuary should include the following contents: 1. Tell the mortuary staff members the dead are first type H1N1 influenza patients. 2.The staff members of the mortuary should take the standard precautionary measures while dealing with the corpse, can't contact the dead's blood, body fluid and excrement,etc. directly. 3.The corpse put in the totally sealed corpse bag, can be transported to the funeral parlor safely. If need to dissect, the corpse should freeze and keep in the mortuary, dissecting personnel should follow the standard and prevent the principle. If relative look at remains of the deceased with reverence instead of contact the dead, needn't wear personal protection articles only.


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