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How should disposable tourniquet be used?
Data: 2021-09-16
tourniquetIs the intravenous infusion, injection, blood diagnosis and treatment products. Due to the high frequency of clinical use and direct contact with the patient's skin, the tourniquet carries a large number of pathogens. In clinical work, if the disinfection is not clean or placed improperly, it will become an important way of hospital infection. So disposable tourniquet more and more popular.
1.tourniquetThe use of the status quo and analysis
1. Frequency of use
In clinical nursing work, the frequency of use of each tourniquet is more than 2-5 person-times per day, and the frequency of use in infusion rooms and physical examination departments is even more than 10 person-times per day. The tourniquet is usually used until it becomes viscous and loses its elasticity.
2. Disinfection status
Latex tourniquet is easy to deteriorate in high pressure sterilization, and most hospitals are soaked and sterilized in departments. Daily disinfection frequency is low, the interval time is long, it is difficult to achieve "one with one disinfection".
3. Storage status
In clinical nursing work, it is necessary to put the tourniquet in the disinfection tank. However, due to the large amount of nursing work and irregular operation, the tourniquet is often placed in the treatment tray or drawer.
Clinical application of 2. disposable tourniquet
1. Material specification
The disposable tourniquet is made of natural rubber, the color is dark blue or pink, long, flat, point-to-point, stacked box, flexible, and can be extracted continuously.
2. Method of operation
Disposable tourniquet is a disinfectant product. When using, according to the need to directly open the box can be taken out. After use directly into the medical garbage bag unified centralized processing.
3. Use advantages
Disposable tourniquet is brightly colored and easily accepted by patients. Disposable tourniquet can avoid pollution and cross-infection caused by repeated use. Studies have shown that the surface of the disposable tourniquet is smooth, which increases the contact surface with the skin, reduces the discomfort of patients during use, and improves the success rate of puncture.
4. Summary
In clinical nursing work, conventional tourniquet needs one person to disinfect. Clinical nursing units or supply rooms have a large workload, difficult management, many violations, and more complaints from nurses and patients. After the disposable tourniquet was put into clinical use, it was praised by nurses and patients because of its simple structure, convenient operation and compliance with hospital requirements.
tourniquetIt is a special rubber tube, which can be replaced by rubber strips and bicycle inner tubes in the wild. When in use, place the tourniquet on the appropriate part of the limb, such as the upper limb should be placed on the upper 1/3 of the upper arm; the lower limb should be placed on the lower 1/3 of the thigh. Put a layer of soft cloth on the pressure belt, such as towels, masks, etc., to protect the skin. The rescuer holds the head end of the tourniquet with the thumb, index finger and middle finger of the left hand, tightens the rubber tube around the limb once, and then presses the head end. After making a circle around the limb, he placed the tail end held by his right hand between the middle fingers of the index finger of his left hand, clamped the tail end with the middle fingers of the index finger, and pulled out half of the tourniquet from the two rounds to make a living knot. If you need to loosen the tourniquet, just pull out the tail end.
A cloth tourniquet is a tourniquet made of bandages or strips of cloth. On-site first aid, towels and clothes can be torn into cloth strips instead of bandages. Wrap the cloth around the limb once and tie it. Insert a small wooden stick into the circle and twist it tightly. Watch for bleeding during torsion. When the arterial bleeding has just stopped, the tightness is moderate. The sticks were then secured with strips of cloth.
The use of the tourniquet is simple, but the principle of use is complex. Only when these principles are accurately grasped and applied correctly can lives and limbs be saved, otherwise it will lead to amputation and disability.
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The upper limb should be selected at the upper 1/3 segment of the humerus. The lower limb is at the root of the thigh (because the upper limb avoids the radial nerve, the lower limb is easy to directly compress the femoral artery, but there are also reports that the tourniquet, the wider the cuff, the smaller the limb circumference, the lower the pressure required to block the blood flow, the more comfortable the user is. It is recommended to place the tourniquet above the ankle during toe surgery)
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