The current investigation status of on-site pretreatment on reusable medical devices in the hospital of Hubei Province
Objective To investigate the current situation of on-site pretreatment of reusable devices in the hospital of Hubei Prov-ince.Methods By used convenience sampling method and a self-designed questionnaire for the current situation of on-site pretreatment on reusable equipment,a survey was conducted on the staff of the disinfection supply center of hospitals at all levels in Hubei Province and the influencing factors of pre-treatment for removing obvious pollutants were analyzed.Results A total of 394 valid questionnaires were collect-ed,the recovery rate of which was 98.50% .The execution rate of classified pretreatment in wards and outpatient department and operating room were 83.50% and 89.09%,and the pretreatment for obvious dirt removal were 77.16% and 86.29% .In 44.67% of the wards and outpa-tient and 40.86% of the operating rooms,there were still visible dirt residues on the surface of the instruments after pretreatment.There were 50.25% of CSSD staff suffered sharp instrument injuries due to inadequate classified pretreatment in medical institutions.There were 3.04% and 17.26% of the staff work in medical institutions used normal saline and disinfectant wiping or soaking as the main methods of de-vice pretreatment.The independent influencing factors of pretreatment in the wards and outpatient department had tools for pretreatment,and timely feedback without pretreatment,and the independent influencing factors of pretreatment in the operating room had sites for pretreatment and timely feedback without pretreatment.Conclusion The overall implementation rate of the on-site pretreatment of contaminated devices in medical institutions in Hubei Province is relatively high,but the effect remains to be further improved,the on-site pretreatment of contamina-ted instruments in a few medical institutions needs to be improved.The influencing factors of the on-site pretreatment of contaminated devices in wards and outpatient department and operating room have different emphasis,targeted improvements can be made by strengthening commu-nication,providing pretreatment tools,adding,or improving pretreatment locations,and "cross-science latent movement".
reuse of medical deviceson-site pretreatmentcentral sterile supply departmentnursing management