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软式内镜使用后应当立即用湿纱布擦去外表面污物,并反复送气与送水至少10秒钟;再用吸引通道反复吸清水或清洗液,直到流人吸引瓶的水干净为止;最后取下内镜,拆下各种附件,并装好防水盖,置合适的容器中送清洗消毒室。清洗步骤、方法及要点包括:
After using a flexible endoscope, the external surface dirt should be immediately wiped off with a damp gauze, and air and water should be repeatedly supplied for at least 10 seconds; Use the suction channel to repeatedly suck in clean water or cleaning solution until the water flowing into the suction bottle is clean; Finally, remove the endoscope, remove various accessories, and install a waterproof cover. Place it in a suitable container and send it to the cleaning and disinfection room. The cleaning steps, methods, and key points include:
1、水洗
1. Water washing
(1)在流动水下彻底冲洗,用纱布反复擦洗镜身,同时将操作部清洗干净;
(1) Thoroughly rinse under flowing water, repeatedly scrub the mirror body with gauze, and clean the operating part thoroughly;
(2)取下活检入口阀门、吸引器按钮和送气送水按钮,用清洁毛刷彻底刷洗活检孔道和导光软管的吸引器管道,刷洗时必须两头见刷头,并洗净刷头上的污物;
(2) Remove the biopsy inlet valve, suction button, and air and water supply button, and thoroughly brush the suction pipe of the biopsy hole and light guide hose with a cleaning brush. When brushing, both ends of the brush head must be visible, and the dirt on the brush head must be cleaned;
(3)安装全管道灌流器、管道插塞、防水帽和吸引器,用吸引器反复抽吸活检孔道;
(3) Install a full pipeline perfusion device, pipeline plug, waterproof cap, and suction device, and use the suction device to repeatedly aspirate the biopsy hole;
(4)全管道灌流器接50毫升注射器,吸清水注入送气送水管道;
(4) Connect the full pipeline perfusion device to a 50ml syringe, suck clean water and inject it into the gas and water supply pipeline;
(5)用吸引器吸干活检孔道的水分并擦干镜身。
(5) Use a suction device to dry the water in the biopsy hole and wipe the lens body dry.
2、将取下的吸引器按钮、送水送气按钮和活检入口阀用清水冲洗干净并擦干。
2. Rinse and dry the removed suction button, water and gas supply button, and biopsy inlet valve with clean water.
3、内镜附件如活检钳、细胞刷、切开刀、导丝、碎石器、网篮、造影导管、异物钳等使用后,先放入清水中,用小刷刷洗钳瓣内面和关节处,清洗后擦干。
3. After using endoscopic attachments such as biopsy forceps, cell brushes, cutting knives, guide wires, lithotripters, mesh baskets, contrast catheters, foreign body forceps, etc., first place them in clean water, use a small brush to wash the inner surface of the forceps and joints, clean and dry.
4、清洗纱布应当采用一次性使用的方式,清洗刷应当一用一消毒。
4. The cleaning gauze should be used in a disposable manner, and the cleaning brush should be disinfected once in use.
5、酶洗
5. Enzymatic washing
多酶洗液的配置和浸泡时间按照产品说明书。
The configuration and soaking time of the multi enzyme washing solution shall be in accordance with the product manual.
将擦干后的内镜置于酶洗槽中,用注射器抽吸多酶洗液100毫升,冲洗送气送水管道,用吸引器将含酶洗液吸入活检孔道,操作部多酶洗液擦拭。
Place the dried endoscope in the enzyme washing tank, use a syringe to aspirate 100 milliliters of multi enzyme washing solution, flush the gas and water supply pipeline, use a suction device to aspirate the enzyme containing washing solution into the biopsy passage, and wipe the operating part with multi enzyme washing solution.
擦干后的附件、各类按钮和阀门用多酶洗液浸泡,附件还需在超声清洗器内清洗(5~10)分钟。
After drying, soak the accessories, various buttons, and valves in multi enzyme detergent. The accessories also need to be cleaned in an ultrasonic cleaner for 5-10 minutes.
多酶洗液应当每清洗1条内镜后更换。
The multi enzyme washing solution should be replaced after cleaning every endoscope.
6、二次水洗
6. Secondary water washing
多酶洗液浸泡后的内镜,用水枪或者注射器彻底冲洗各管道,以去除管道内的多酶洗液及松脱的污物,同时冲洗内镜的外表面。
After soaking the endoscope in a multi enzyme wash solution, thoroughly rinse each tube with a water gun or syringe to remove the multi enzyme wash solution and loose dirt inside the tube, while rinsing the outer surface of the endoscope.
用50毫升的注射器向各管道冲气,排出管道内的水分,以免稀释消毒剂。
Use a 50 milliliter syringe to flush air into each pipeline and drain any water inside to avoid diluting the disinfectant.
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