美国消毒供应室培訓手冊1-20 CSSD總論.docVIP

American Society for Healthcare Central Service Professionals of the American Hospital Association 美国医院联合会医疗中心服务专业美国协会 Training Manual for Health Care Central Service Technicians 医疗中央服务技术员培训手册 Training Manual for Health Care Central Service Technicians 医疗中央服务技术员培训手册 THE CENTRAL SERVICE DEPARTMENT (CSD) is the department within a health care facility in which medical/surgical supplies and equipment, both sterile and nonsterile，are cleaned，prepared，processed，sterilized，stored，and issued for patient care． 中央服务部门(CSD)是对医疗/手术用品及设备（无菌及有菌的）进行清洁、准备、加工、灭菌、贮藏并分发到病人护理使用的一个机构。 Until the 1940s，medical/surgical supplies were, for the most part，processed and maintained in the departments and patient care areas in which they were to be used．Under this system，there was considerable duplication of effort and equipment，and it was difficult to maintain consistently high standards of sterilization technique and product quality through out the health care facility. Sterilization processing was “everybodys business but no ones responsibility”(Perkins，1983)． 直到20世纪40年代，大多数情况下都是在使用医疗/手术用品的各部门和病人护理区域对其进行处理和维护。在这一体制下，要进行大量重复工作，也需要多个设备，而且很难在整个医疗机构一直维持灭菌技术和产品质量的高标准。灭菌处理是“每个人的事，但无人负责”( Perkins，1983)。 As the number and variety of surgical procedures grew and the types of medical devices，equipment，and supplies proliferated，it became apparent that centralized processing was needed for efficiency, economy, and patient safety．The work of scientists W.B. Underwood and John J．Perkins was instrumental in encouraging health care facilities to establish a separate and distinct department，the central service department，with specialized expertise and direct responsibility for providing clean and sterile medical／surgical supplies and equipment to patient care areas． 由于手术操作、医疗设备数量和类型的增长，设备和用品激增，出于对效率、经济及病人安全的考虑，显然需要进行集中处理。科学家W.B. Underwood和John J．Perkins的工作有助于鼓励医疗机构建立独立的、独特的不同部门——中央服务部，具备专门的技术，直接负责向病人护理区域提供清洁的和无菌的医疗/手术用品。 This chapter provides an overview of the organizational structure，objectives，and