Evolution des modalités de la pré-désinfection des instruments chirurgicaux en sortie de blocs opératoires PDF Download
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Author: Pierre-Nicolas Boivin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 224
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Book Description
La pré-désinfection, première étape du processus de stérilisation des dispositifs médicaux stérilisables, est réalisée au niveau du service utilisateur. Elle consiste à immerger le matériel souillé dans une solution pré-désinfectante afin d'éliminer les matières organiques et les micro-organismes. Cependant, cette pratique présente de nombreux risques, tant pour le personnel (risques infectieux, chimiques...) que pour les dispositifs médicaux (corrosion). L'utilisation de laveurs-désinfecteurs en sortie de blocs opératoires représente une alternative intéressante améliorant les conditions de travail. L'instauration d'une traçabilité à ce niveau et la possibilité de réaliser une inactivation totale des agents transmissibles non conventionnels représentent également des avancées majeures. Suite à des restructurations au niveau du CHU de Rennes, il a été décidé en 2012 de faire l'acquisition de laveurs-désinfecteurs afin d'automatiser la pré-désinfection dans certaines unités opératoires.
Author: Pierre-Nicolas Boivin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 224
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Book Description
La pré-désinfection, première étape du processus de stérilisation des dispositifs médicaux stérilisables, est réalisée au niveau du service utilisateur. Elle consiste à immerger le matériel souillé dans une solution pré-désinfectante afin d'éliminer les matières organiques et les micro-organismes. Cependant, cette pratique présente de nombreux risques, tant pour le personnel (risques infectieux, chimiques...) que pour les dispositifs médicaux (corrosion). L'utilisation de laveurs-désinfecteurs en sortie de blocs opératoires représente une alternative intéressante améliorant les conditions de travail. L'instauration d'une traçabilité à ce niveau et la possibilité de réaliser une inactivation totale des agents transmissibles non conventionnels représentent également des avancées majeures. Suite à des restructurations au niveau du CHU de Rennes, il a été décidé en 2012 de faire l'acquisition de laveurs-désinfecteurs afin d'automatiser la pré-désinfection dans certaines unités opératoires.
Author: Céline Méchin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 252
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Book Description
La lutte contre les infections nosocomiales implique la mise en place d'un système qualité pour encadrer le processus de stérilisation. L'étape de prédésinfection est primordiale : elle conditionne la qualité finale de la stérilisation. Cet audit de pratique est réalisé dans l'ensemble des blocs opératoires du CHU de Rouen. Il permet de mettre en évidence les points forts (prise en charge des instruments non immergeables conforme dans 90% des cas, connaissance des procédures institutionnelles) et les écarts les plus fréquemment constatés dans la pratique des agents (habillage non-conforme dans 75% des observations, mauvaise prise en charge des instruments creux dans 58% des cas) . Il permet également de comprendre leurs difficultés matérielles à suivre les recommandations. Le taux moyen de non-conformité pour l'ensemble des visites est de 66%. Cet audit aboutit a des propositions d'améliorations au niveau institutionnel et la mise en place d'indicateurs de suivi des non-conformités. Il s'inscrit dans la démarche globale d'amélioration de la qualité des soins dispensés au patient.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284
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Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.
Author: Neil L. Schechter
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781726443
Category : Medical
Languages : en
Pages : 924
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Book Description
This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.
Author: Christian Boutin
Publisher: Springer Science & Business Media
ISBN: 3642755585
Category : Medical
Languages : en
Pages : 109
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Book Description
Diseases of the pleura such as effusion, thickening, or pneumothorax are frequently encountered in the practice of medicine. Practical Thoracoscopy presents an encyclopedic approach to the use of thoracoscopy in the diag nosis and treatment of patients with pleural disease. After an initial chapter on the history of thoracoscopy, the next three chapters of the book are devoted to the general technique of performing thoracoscopy, a topic on which the team of Dr. Boutin and his colleagues write with ample experience. In these chapters they provide detailed de scriptions of how to perform the procedure and discuss the pros and the cons of the different approaches and the different equipment available. The following chapter discusses the complications of the procedure. The next chapter discusses the role of thoracoscopy in diagnosing pleu ral effusions. My own opinion here is in general that, as long as well trained personnel are available, thoracoscopy is preferable to open pleural biopsy, because it is associated with less morbidity and mortality and can be done if necessary under local anesthesia. The following chapter is directed at using to thoracoscopy to facilitate pleurodesis for chronic pleural effusions. With Boutin's method, talc pou drage is performed during thoracoscopy, and certainly, if a thoracoscopy is used to establish the diagnosis of a malignant pleural effusion, it is appro priate to attempt to induce a pleurodesis with talc at the time of the diag nostic procedure.
Author: World Health Organization
Publisher:
ISBN: 9789241548120
Category : Medical
Languages : en
Pages : 166
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Book Description
These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9789241544825
Category : Analgesia
Languages : en
Pages : 74
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Book Description
The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241545720
Category : Medical
Languages : en
Pages : 90
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Book Description
Cervical cancer is the second most common cancer among women worldwide, with 80 per cent of deaths occurring in developing countries. It is an important area for cancer control programmes because of the burden of the disease and the potential for effective prevention via screening. This publication is based on a comprehensive consultation undertaken by WHO in 2001, involving leading experts in the field of cancer epidemiology, screening and treatment. It focuses on the current situation in low and middle income countries, discusses the efficacy of screening methods available, and assesses potential future developments.
Author:
Publisher:
ISBN:
Category : Thoracoscopy
Languages : en
Pages : 178
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Book Description
Author: Canada. Patent Office
Publisher:
ISBN:
Category : Copyright
Languages : en
Pages : 1070
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Book Description
