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Jingdong book

临床护士职业防护

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Jingdong book

临床护士职业防护

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《临床护士职业防护》可供广大临床护士及护理管理者参考使用，也可以作为培训教材，协助用人单位做好岗前职业培训，帮助护理人员提升护理职业防护理念，掌握有关护理职业防护知识，减少由此带来的院内感染发生。
此书是由上海市护理学会科普专委会组织多家医院护理同仁，查阅大量国内外文献资料，结合丰富的临床护理经验，并配以相关的案例分析编制而成。其内容涵盖国内外护士职业防护历史与现状，护士职业防护相关法律、法规与制度，护士职业安全文化，物理性危害与防护，化学性危害与防护，生物性危害与防护，心理性危害与应对，以及医院环境系统性危害与管理等。丰富的案例分析使全书更贴近临床、贴近实际。
Catalogue

第一章 国内外护士职业防护历史与现状
第一节 概论
第二节 国际护士职业防护历史与进展
第三节 国内护士职业防护历史与现状

第二章 护士职业安全文化
第一节 护士职业防护与安全
第二节 护士职业防护知识传播
第三节 护士职业防护手段与方法
第四节 职业暴露后的披露机制

第三章 物理性危害与防护
第一节 锐器伤
第二节 电离辐射
第三节 搬运重物、长期站立
第四节 工作场所暴力
第五节 噪声、磁场
第六节 电灼伤

第四章 化学性危害与防护
第一节 药物——细胞毒性药物、抗生素等
第二节 消毒灭菌剂
第三节 医用气体

第五章 生物性危害与防护
第一节 常见职业性生物性危害因素
第二节 生物性危害传播途径
第三节 生物性危害预防与控制
第四节 院内感染

第六章 心理性危害与应对
第一节 护士职业心理危害——心理压力
第二节 护士职业心理危害——社会环境压力

第七章 医院环境系统性危害与管理
第一节 医院环境危害因素
第二节 医院环境系统性管理
第三节 优化护理工作流程

附录 护士职业防护相关法律、法规与制度
医护人员艾滋病病毒职业暴露防护工作指导原则（试行）
中华人民共和国传染病防治法
中华人民共和国职业病防治法
医疗废弃物管理条例
护士条例
消毒管理办法
医院感染管理规范
放射性同位素与射线装置安全和防护条例
Book Abstract

（3）当拉动和移动重物或患者时，要使身体挺直在支撑面上，而决不要抬起或离开支撑面。两腿前后分开，膝盖微曲，拉紧臀部和腹部的肌肉，使之支撑骨盆腔，尽量避免背部过度弯曲，用力于膝部和体部，使身体重量随着两腿前后移动，而不要硬撑强拉。
（4）尽量用全身转动，避免用躯干转动，以免不均等的肌肉张力造成正常的重力线的改变。
（5）肌肉在能放松时就放松，只有在必要时才收缩。在任何工作中都应尽可能地用最大肌群和最大数量的肌肉。
（6）重视使用搬运患者的机械设备，在科学技术迅猛发展的今天，各种护理器械的生产已为减轻护理工作量提供了很多优越的条件，如翻身床、对接车、机械提举架、移动椅等作为首选项目应用于临床护理工作。
（7）开展全面的和互动的员工培训：培训员工理解和熟悉有关患者提举和搬运的政策和制度，对新员工和轮转实习员工均要进行轮训。做好搬运重物的培训教育，教会她们应用力学原理去完成工作，并学会主动休息，生活作息有规律，夜班或较大工作量后，应及时休息，不应是感觉劳累后休息。
（8）提倡护士重视自我保健意识：功能性腰背痛是可逆转的，而单纯性颈肩部肌肉酸痛和不适，大多由于工作疲劳而发病，稍加休息或作对抗性反方向肌肉运动，即可消除疲劳而使症状消失。在工作之余要进行自我腰腿部肌肉的锻炼。
……

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Jingdong book