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Original Title: Forwarding [Recommended] Disposable Isolation Gowns, protective suit, and Surgical Gowns Are Silly and Unclear ............. Disposable isolation gown, protective suit, surgical gown Silly can't tell clearly Author: Kong Xiaoming (Liyang Branch of Jiangsu Provincial People's Hospital) Reviewed by: Yang Le Chen Wensen Disposable isolation gowns, disposable protective suit and disposable surgical gowns are commonly used personal protective equipment in hospitals. However, in the process of clinical supervision, we often find that medical staff are a little confused about these three. After inquiring about the information, the editor will talk about the similarities and differences of the three from the following aspects. I. Function Disposable isolation clothing: used to prevent medical staff from being contaminated by blood, body fluids, and other infectious substances, or used to protect patients from infection. Isolation clothing is a two-way isolation to prevent medical staff from being infected or contaminated and to prevent patients from being infected. Disposable protective suit: disposable protective articles worn by clinical medical staff when contacting patients with infectious diseases of Class a or under the management of Category A infectious disease. The protective suit is to prevent medical staff from being infected, which is a single isolation. Disposable surgical gown: The surgical gown plays a two-way protective role during the operation. Firstly, the surgical gown establishes a barrier between the patient and the medical staff, and reduces the probability of the medical staff contacting potential infection sources such as blood or other body fluids of the patient during the operation; Secondly, surgical gowns can block the spread of various bacteria colonized/adhered to the skin or clothing surface of medical staff to surgical patients, and effectively avoid the cross infection of multi-drug-resistant bacteria such as methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE). Therefore, the barrier function of surgical gown is regarded as the key to reduce the risk of infection during surgery [1]. 2. Indication of dressing Disposable isolation clothing: 1. Contact with patients with infectious diseases after contact transmission, such as patients with multi-drug resistant bacteria infection. 2. Protective isolation of patients, such as diagnosis, treatment and nursing of patients with extensive burns and bone marrow transplantation. 3. It may be splashed by the patient's blood, body fluids, secretions and excretions. 4. Whether it is necessary to wear isolation clothing when entering key departments such as ICU,KN95 Mask for Epidemic Prevention and Control, NICU and protective wards depends on the purpose of medical staff entering and the contact with patients. Expand the full text Disposable protective suit: 1. In case of contact with patients of category a or managed according to Category A infectious disease. 。 2. Contact suspected or confirmed Patients with SARS, Ebola, MERS and H7N9 avian influenza should follow the latest infection control guidelines. Disposable surgical gown: strictly sterilized and used for invasive treatment of patients in a special operating room. III. Appearance and Material Requirements Disposable barrier gowns: Disposable barrier gowns are usually made of non-woven materials or combined with materials with better barrier properties, such as plastic films. Integrity and toughness are imparted through the use of various nonwoven fiber joining techniques rather than the geometric interlocking of woven and knitted materials. Gowns should cover the torso and all clothing to form a physical barrier to the transmission of microorganisms and other substances. It shall be impermeable, wear-resistant and tear-resistant [2]. At present, there is no special standard in China, and there is only a brief introduction about the wearing and taking off of the isolation clothing in the Isolation Technical Specification (the isolation clothing should be open at the back to cover all the clothes and exposed skin), but there is no relevant index about specifications and materials. Gowns can be reusable or disposable without a cap. According to the definition of isolation clothing in the Technical Specification for Hospital Isolation,KN95 Face Mask, there is no requirement for anti-penetration, and the isolation clothing can be waterproof or non-waterproof. The standard clearly points out that protective suit must have liquid barrier function (water permeability, moisture permeability, anti-synthetic blood penetration, surface moisture resistance), flame retardant and antistatic properties, and have requirements for breaking strength, elongation at break and filtration effi ciency. Disposable surgical gown: In 2005, China issued a series of standards related to surgical gowns (YY/T0506), which is similar to the European standard EN13795. The standard has clear requirements on the barrier, strength, microbial penetration and comfort of surgical gown materials [1].
Gowns should be impermeable, sterile, one-piece, and cap-free. Generally, the cuffs of surgical gowns are elastic, Quickly Delivery Disposable Protective Clothing ,Medical Full Body Coverall, which is easy to wear and conducive to wearing sterile hand gloves. It is not only used to protect the medical staff from infectious substances, but also to protect the sterility of the exposed part of the operation. To sum up In terms of appearance, protective suit are easily distinguished from isolation gowns and surgical gowns. Surgical gowns and isolation gowns are not easy to distinguish, according to the length of the belt (the belt of the isolation gowns should be tied to the front, easy to take off. The waistband of the surgical gown is tied at the back). From the functional point of view, the three have overlapping places. The requirements of disposable surgical gowns and protective suit are significantly higher than those of disposable isolation gowns. Disposable surgical gowns and isolation gowns can be interoperable in the case of common clinical use of isolation gowns (such as contact isolation of multi-drug-resistant bacteria), but they cannot be replaced by isolation gowns where disposable surgical gowns must be used. From the process of putting on and taking off, the differences between isolation gowns and surgical gowns are as follows: (1) When putting on and taking off isolation gowns, pay attention to the clean surface to avoid contamination, while surgical gowns pay more attention to aseptic operation; (2) Isolation gowns can be completed by a single person, while surgical gowns must be assisted by an assistant; (3) Isolation gowns can be used repeatedly without contamination. After use, it is hung in the corresponding area, and the surgical gown must be cleaned and disinfected/sterilized before use. Disposable protective suit are commonly used in microbiological laboratories, negative pressure wards for infectious diseases, Ebola, avian influenza, mers and other epidemics to protect medical staff from pathogens. The use of the three is an important measure to prevent and control the occurrence of infection in hospitals, and plays an important role in protecting patients and medical workers. Expand reading: Appendix 1: Test standard for surgical gown Attachment 2: Wearing and taking off order of the three [4] 1. Isolation clothing [4] How to wear isolation clothing: (1) Lift the collar with the right hand, put the left hand into the sleeve, and pull the collar up with the right hand to expose the left hand. (2) Change the left hand to hold the collar, put the right hand into the sleeve, expose the right hand, raise both hands to shake the sleeve, pay attention not to touch the face. (3) Hold the collar in both hands and tie the neckband from the center of the collar to the back along the edge. (4) Pull one side of the isolation clothing (about 5cm below the waist) forward gradually, and pinch the edge. Pinch the other edge in the same way. (5) Align the hem with your hands behind your back. (6) Fold to one side, press the fold with one hand, and pull the belt to the fold at the back with the other hand. (7) Cross the belt at the back and return to the front to tie the belt. How to take off the clothes: (1) Untie the belt and tie a slipknot in front. (2) Disinfect hands. (3) Untie the belt behind the neck. (4) Hold the belt with both hands and pull the isolation clothing down from the chest. (5) Pinch the inner side of the left collar with the right hand and remove the left sleeve. (6) Hold the inner side of the right collar with the left hand, pull down and take off the right sleeve, put the contaminated side of the isolation clothing inward, roll the collar and hem to the center, and put them into the designated container. Protective suit [4] How to wear the protective suit: for the conjoined or separated protective suit, the sequence of wearing the lower garment first, then the upper garment, then the cap, and finally the zipper should be followed. The method for removing the protective suit comprises the following steps: (1) Split protective suit: 1) Unzip the zipper first. 2) Lift the cap upward to separate the head from the cap. 3) Take off the sleeve, take off the contaminated side and put it into the designated container. 4) Take off the contaminated side of the lower garment from top to bottom and put it into the designated container. (2) Siamese protective suit. 1) Pull the zipper to the end first. 2) Lift the cap upward to separate the head from the cap. 3) Take off the sleeve, and take off the edge roll from the contaminated side to the inside from top to bottom. 4) Take it off and put it into the specified container. 3. Surgical gown [5] How to wear the surgical gown: (1) Take out a piece of sterile surgical gown from the opened sterile gown bag, identify the collar, lift the two corners of the collar with both hands, and fully shake off the surgical gown in a spacious place in the operating room (there is no obstacle within 1.5 meters in front of it). Be careful not to face yourself with the outside of the surgical gown. (2) Throw the surgical gown into the air and quickly insert both hands into the sleeves. (3) Raise your arms forward and straighten them. The itinerant nurse is behind you to help lift the collar and tie it. Extend the cuffs with both hands.
(4) Lean forward, lift the belt, cross your hands, and the itinerant nurse will take the belt behind your back and tie it. Method of taking off the surgical gown (1) After the aseptic operation, if another operation is needed, if the gloves are not broken, it is not necessary to brush the hands again. It is only necessary to soak the hands in alcohol or benzalkonium bromide solution for 5 minutes. It is also possible to wipe the hands and forearms with Iodine Erkang or Sterile King, and then wear the aseptic surgical gown and gloves. (2) If the previous operation is a contaminated operation, wash hands again before successive operations, and then wear sterile surgical gowns and gloves. (3) For only one operation, the itinerant nurse can help to untie the belt and take off the surgical gown and gloves by herself. References [1] Deng Min,Full Body Disposable Coverall, Zhang Cuiyi, Yao Min. Application Status of Medical Surgical Gowns at Home and Abroad Development trends and technical standards. Chinese Journal of Infection Control . 2015. (07): 499-504. [2] Kilinc FS. A Review of Isolation Gowns in Healthcare: Fabric and Gown Properties. J Eng Fiber Fabr. 2015. 10(3): 180-190. [4] Ministry of Health of the People's Republic of China. WS/T 311-2009 Technical Specification for Hospital Isolation [S]. 2009 [5] Hu Bijie. Liu Ronghui . Chen Wensen SIFIC Clinical Practice Guidelines for nosocomial infection Prevention and Control (2013) [M]. Shanghai : Shanghai Science and Technology Press, 2013: 270-271 Return to Sohu to see more Responsible Editor:. zjyuan-group.com