CN214343172U - PICC pulls out tub nursing package - Google Patents

Abstract

The utility model provides a PICC pulls out management and nursing package, put the thing groove, scissors and put the thing groove, take the lid test tube to put the thing groove, expand the skin ware and put the thing groove, aseptic gauze puts the thing groove, aseptic treatment piece of cloth puts the thing groove, aseptic gloves put the thing groove, 75% alcohol cotton swab puts the thing groove, povidone iodine solution cotton swab puts the thing groove, aseptic adhesive tape that applies ointment or plaster puts the thing groove, presses the arteries and veins area to put the thing groove and aseptic tweezers and put the thing groove, the arm support is located the thing inslot is put to the arm support, the scissors is put the thing inslot and is equipped with the scissors support, take the lid test tube to put the thing inslot and be equipped with test tube seat and test tube groove. The utility model can solve the problems of incomplete preparation of articles, midway pause and susceptibility to infection during tube drawing; the problem that the catheter specimen is polluted in the process of taking the catheter specimen; the clinical existing body position placing is totally determined by the subjective judgment of nurses, and the body position placing is inaccurate.

Description

PICC pulls out tub nursing package

Technical Field

The utility model belongs to the technical field of the PICC nursing technique and specifically relates to a PICC pulls out management and nursing package is related to.

Background

Peripherally Inserted Central Catheters (PICC) have been widely used for long-term intravenous infusion therapy in patients with chronic diseases such as tumors, and the PICC catheter needs to be removed when the infusion therapy of the patient is completed, and unresolvable complications and treatment plans are no longer needed. When carrying out PICC pipe in present clinical work and pull out, the disposable nursing package of conventional use prepares simultaneously and presses the arteries and veins area, disinfection article and aseptic dressing etc. and the required nursing article of whole nursing operation process are all scattered and are placed, do not conclude the management in unison, easily cause the infection because of article management is bad or because of article prepare incomplete and lead to the operation to interrupt and increase the infection risk among the operation process. When a suspected catheter of being infected by blood flow of a patient is infected, the tail end of the catheter needs to be cut to serve as a specimen for inspection, a sterile glass test tube and an alcohol lamp are prepared in clinic, the leaving and taking process is easy to pollute, so that the false positive of bacterial culture is caused, and the clinical diagnosis and treatment process is interfered; meanwhile, the position requirement of the patient in the PI CC tube drawing operation is very strict, the patient is required to take the horizontal position, the tube placing side arm is vertical to the body, the tube placing side arm of the patient is guaranteed not to move during tube drawing, the position of the patient in the existing PICC tube drawing operation depends on experience of nursing staff to carry out subjective judgment, the accuracy is poor, and the safety of the PICC tube drawing nursing operation is influenced. Need a PICC to pull out a tub nursing device to solve article and conclude the problem of management, sample pollution-free collection and accurate patient position.

SUMMERY OF THE UTILITY MODEL

The utility model aims at providing a PICC (peripherally inserted central catheter) tube drawing and managing maintenance package which can solve the problems of incomplete article preparation, midway pause and susceptibility to infection during tube drawing; the problem that the catheter specimen is polluted in the process of taking the catheter specimen; the clinical existing body position placing is totally determined by the subjective judgment of nurses, and the body position placing is inaccurate.

The utility model provides a PICC pulls out management nursing package, put the thing groove, scissors including the arm support frame and put the thing groove, take the lid test tube to put the thing groove, expand the skin ware and put the thing groove, aseptic gauze puts the thing groove, aseptic treatment piece of cloth puts the thing groove, aseptic gloves put the thing groove, 75% alcohol cotton swab puts the thing groove, povidone iodine solution cotton swab puts the thing groove, aseptic adhesive tape that applies ointment or plaster puts the thing groove, presses the arteries and veins area to put the thing groove and aseptic tweezers and put the thing groove, the arm support is located the thing inslot is put to the arm support, the scissors is put the thing inslot and is equipped with the scissors support, take the lid test tube to put the thing inslot and be equipped with test tube seat and test tube groove.

Further, the scissors support is two arc-shaped supports.

Furthermore, the test tube seat is fixed in the test tube placing groove with the cover, a cross hole is formed in the test tube seat, the width of a long edge of the cross hole is not smaller than the diameter of the test tube with the cover, and the length of the long edge of the cross hole is not smaller than the length of the test tube with the cover.

Further, the test tube groove is located in the cross hole, the test tube groove is a cylindrical groove, and the diameter of the test tube groove is not smaller than that of the test tube with the cover.

Furthermore, the arm support frame comprises a pressing plate, an expansion plate and a bottom plate, wherein the pressing plate is connected with the bottom plate through a rotating plate, the pressing plate is rotatably connected with the rotating plate, the rotating plate is rotatably connected with the bottom plate, and the bottom plate is fixedly connected with the expansion plate.

Further, the expansion plate at least comprises two expansion modules, the expansion modules are connected in a sliding mode, and the expansion modules are arc-shaped.

Furthermore, a compression belt is arranged on the expansion plate, and at least one side of the compression belt is fixedly adhered to the expansion plate.

Further, the lower extreme of expansion plate is equipped with two at least balance plates, the balance plate with the lower surface fixed connection of expansion plate.

Further, the upper ends of the arm support frame object holding groove, the scissors object holding groove, the test tube object holding groove with the cover, the skin expander object holding groove, the sterile gauze object holding groove, the sterile treatment towel object holding groove, the sterile glove object holding groove, the 75% alcohol cotton swab object holding groove, the povidone iodine solution cotton swab object holding groove, the sterile adhesive plaster object holding groove, the vein pressing belt object holding groove and the sterile forceps object holding groove are all covered with sealing films.

Furthermore, the first handle and the second handle are both provided with anti-skid patterns.

The utility model solves the problems of incomplete preparation, midway pause and easy infection of articles by arranging the article placing grooves of all articles required by PICC tube drawing operation, and also solves the problem of inconvenient taking and storage of articles; the PICC (peripherally inserted central catheter) management and care kit is internally provided with the arm support frame, and the arm support frame is telescopic and foldable, is convenient to fold and unfold, is simple and practical, solves the problem of inaccurate body position caused by only depending on the subjective judgment of the body position of a patient by a nurse in clinical operation, and also solves the problem of storage of the arm support frame; this PICC pulls out management nursing package puts thing groove, couple, test tube through inside being equipped with aseptic scissors and puts thing groove and test tube seat, can in time prepare the pipe sample when judging that the patient's condition needs to be left and get the pipe sample, reduces the contaminated risk of sample, better custody pipe sample to survey the accurate patient's state of an illness.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the embodiments or the technical solutions in the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.

FIG. 1 is a schematic perspective view of the present invention;

FIG. 2 is a schematic plan view of the present invention;

FIG. 3 is a schematic view of the article placement during use of the present invention;

FIG. 4 is a schematic view of an extending structure of an arm support

FIG. 5 is a schematic view of the arm support frame in a contracted configuration;

FIG. 6 is a schematic view of the test tube lying flat;

FIG. 7 is a schematic view of the tube in an upright position;

description of reference numerals:

in the figure, 1-a first handle, 2-an arm support frame storage groove, 3-an arm support frame, 301-a pressing plate, 302-a balance plate, 303-a telescopic plate, 304-a pressing belt, 305-a bottom plate, 306-a rotating plate, 4-a scissors storage groove, 5-a scissors bracket, 6-a test tube storage groove with a cover, 7-a test tube seat, 8-a test tube groove and 9-a second handle;

Detailed Description

The technical solution of the present invention will be described clearly and completely with reference to the following embodiments, and it should be understood that the described embodiments are some, but not all embodiments of the present invention. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.

In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and to simplify the description, but do not indicate or imply that the device or element referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore should not be construed as limiting the present invention.

Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, features defined as "first", "second", may explicitly or implicitly include one or more of the described features. In the description of the present invention, "a plurality" means two or more unless specifically limited otherwise. Furthermore, the terms "mounted," "connected," and "connected" are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood in specific cases to those skilled in the art.

Example 1:

as shown in fig. 1-7:

the utility model provides a PICC pulls out management nursing package, put thing groove 2 including the arm support frame, thing groove 4 is put to the scissors, the thing groove 6 is put to the test tube of taking the lid, it puts the thing groove to expand the skin ware, aseptic gauze puts the thing groove, aseptic treatment piece of cloth puts the thing groove, aseptic gloves put the thing groove, 75% alcohol cotton swab puts the thing groove, povidone iodine solution cotton swab puts the thing groove, aseptic adhesive tape that applies ointment or plaster puts the thing groove, press the arteries and veins area to put the thing groove and aseptic tweezers put the thing groove, the arm support is located the arm support and puts the thing inslot, the scissors is put and is equipped with scissors support 5 in the thing groove 4, scissors support 5 is two arc pillars. This device is with PICC pull out the whole preparation of article complete that probably use under all circumstances in the operation, ensures whole PICC's operation and goes on smoothly, can not appear operating the condition that nursing article are lacked in the discovery of nursing process. When clinical actual PICC extubation operation, the nursing staff chooses the article in this nursing package for use to operate according to the condition of judging the patient.

The test tube placing groove 6 with the cover is internally provided with a test tube seat 7 and a test tube groove 8. The test tube seat 7 is fixed in the test tube placing groove 6 with the cover, the cross hole is arranged on the test tube seat 7, the width of the long edge of the cross hole is not smaller than the diameter of the test tube with the cover, and the length of the long edge of the cross hole is not smaller than the length of the test tube with the cover. The test tube groove 8 is positioned in the cross hole, the test tube groove 8 is a cylindrical groove, and the diameter of the test tube groove 8 is not smaller than that of a test tube with a cover. In order to make the preparation of the catheter sample conveniently, the object placing groove 6 with the cover test tube is arranged in the nursing bag, during use, the test tube with the cover is taken out from a horizontal placing state, the test tube with the cover is conveniently taken out, the short side of the cross hole is convenient for fingers of an operator to enter and take out the test tube from two sides. Open the lid that the area was covered the test tube, in cutting down the test tube with aseptic scissors with the pipe end, cover the lid of test tube, with the vertical insertion test tube groove 8 of test tube in, convenient censorship.

Arm support frame 3 includes clamp plate 301, expansion plate 303 and bottom plate 305, and clamp plate 301 is connected through changeing board 306 with bottom plate 305, and clamp plate 301 rotates with changeing board 306 and is connected, changes board 306 and rotates with bottom plate 305 and is connected, bottom plate 305 and expansion plate 303 fixed connection. The expansion plate 303 includes at least two expansion modules, which are slidably connected to each other. The expansion plate 303 is provided with a pressing belt 304, and at least one side of the pressing belt 304 is fixedly adhered to the expansion plate 303. At least two balance plates 302 are arranged at the lower end of the telescopic plate 303, and the balance plates 302 are fixedly connected with the lower surface of the telescopic plate 303. In PICC pulls out tub nursing operation, there is strict requirement to patient's position, in order to guarantee going on smoothly of PICC pulling out tub operation, require that the patient face up tie lie, the arm of putting the pipe is 90 jiaos with the health, present clinical operation relies on operator's the person in charge to judge and goes on, can not guarantee to the accuracy of patient's position, so contain arm support frame 3 in this nursing package, portability and practicality have been guaranteed to scalable design. When this arm support frame 3 uses, press plate 301 with arm support frame 3 presses at patient's back, keeps the limit of clamp plate 301 parallel with the health, puts into the telescopic module with the arm that the patient put the pipe, and telescopic module is arc, accords with human arm radian, and for guaranteeing that the arm is fixed, be equipped with compressing band 304 on telescopic module, carry out the supplementary fixed of arm according to different patient's different arm dimensions, prevent that the patient from rocking arm in PICC pulls out the pipe nursing operation. Considering simultaneously the equilibrium and the stability of arm, set up two balance plates 302 at the lower extreme of flexible module, two balance plates 302 symmetry set up, and the size equals, guarantees that the arm can not the rock from side to side. The ingenious structural design of arm support frame 3 when portable practical, plays the standard effect for patient's position in the PICC operation, guarantees going on smoothly of operation, reduces because of the operator is responsible for the inaccurate problem of position that judges or patient's disorder results in.

Arm support frame puts thing groove 2, scissors and puts thing groove 4, takes the lid test tube to put thing groove 6, expands the skin ware and puts the thing groove, aseptic gauze puts the thing groove, aseptic treatment piece of cloth puts the thing groove, aseptic gloves put the thing groove, 75% alcohol cotton swab puts the thing groove, povidone iodine solution cotton swab puts the thing groove, aseptic applying ointment or plaster put the thing groove, press the arteries and veins area to put the thing groove and aseptic tweezers put the upper end in thing groove and all cover and have the seal membrane. The first handle 1 and the second handle 9 are both provided with anti-skid patterns. The design of handle makes things convenient for operating personnel to take, and this nursing package is disposable medical nursing package, and arm support frame 3 adopts ordinary rigid plastic to make and forms, and the material is general, can be produced by any medical supplies producer that accords with national relevant health and quality standard, guarantees the sanitary safety of PICC operation when practicing thrift the cost.

In the clinical PICC (peripherally inserted central catheter) extubation operation, after fully evaluating the condition of a patient, a nurse follows a PICC standard extubation process, tears off an original application, opens the PICC extubation bag, uncovers a sealing film, carries sterile gloves, lays a sterile treatment towel, takes out an arm support frame, stretches the arm support frame 3, places the side arm of the patient to be placed in the arm support frame 3, ensures the accurate position of the patient, uses a 75% alcohol cotton swab and a povidone iodine solution cotton swab to disinfect the skin at the puncture position within a range of 10 x 10cm, pulls out a catheter from the puncture position along the blood vessel direction by the nurse, checks the integrity of the catheter after extubation every 5-10cm, presses the puncture position for 20 minutes, then uses the sterile application to cover the puncture position, when extubation is not smooth, avoids forceful extubation, if the last 5cm of the pipeline is left, the extubation difficulty appears, can cut off the self-joint of the extracorporeal catheter, the puncture part is expanded for 2-3 times by using a skin expander to ensure that the catheter is smoothly pulled out. If the bacteria culture at the tail end of the catheter is needed, the test tube in the nursing bag is placed in the test tube seat, the tail end of the catheter is cut by using sterile scissors to be 5cm in the test tube, and the test tube cover is screwed down. This design had both solved the clinical inconvenience of leaving the bacteria culture sample and need use the alcohol burner of getting, by a nurse accomplish can, reduce the manpower, and operating procedure simplifies, guarantees to leave and gets in-process sample and not contaminated, guarantees the accuracy that detects.

Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; although the present invention has been described in detail with reference to the foregoing embodiments, it should be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; such modifications and substitutions do not depart from the spirit and scope of the present invention.

Claims (9)

1. The utility model provides a PICC pulls out management nursing package, its characterized in that includes that the arm support frame puts the thing groove, the scissors puts the thing groove, the test tube of taking the lid puts the thing groove, expands the skin ware and puts the thing groove, aseptic gauze puts the thing groove, aseptic treatment piece of cloth puts the thing groove, aseptic gloves put the thing groove, 75% alcohol cotton swab puts the thing groove, povidone iodine solution cotton swab puts the thing groove, aseptic adhesive tape that applies ointment or plaster puts the thing groove, presses the arteries and veins area to put the thing groove and aseptic tweezers put the thing groove, the arm support is located the thing inslot is put to the arm support, the scissors is put the thing inslot and is equipped with the scissors support, it is equipped with test tube seat and test tube groove to put the thing groove to take the lid test tube.

2. The PICC tube drawing nursing package of claim 1, wherein the scissors bracket is two arc-shaped struts.

3. The PICC tube drawing nursing package of claim 1, wherein the tube holder is fixed in the test tube placement slot with the cover, the tube holder is provided with a cross hole, the width of the long side of the cross hole is not less than the diameter of the test tube with the cover, and the length of the long side of the cross hole is not less than the length of the test tube with the cover.

4. The PICC tube drawing nursing package of claim 3, wherein the test tube slot is located in the cross-shaped hole, the test tube slot is a cylindrical slot, and the diameter of the test tube slot is not smaller than that of the test tube with the cover.

5. The PICC (peripherally inserted central catheter) pulling management and care kit according to claim 1, wherein the arm support frame comprises a pressing plate, an expansion plate and a bottom plate, the pressing plate is connected with the bottom plate through a rotating plate, the pressing plate is rotatably connected with the rotating plate, the rotating plate is rotatably connected with the bottom plate, and the bottom plate is fixedly connected with the expansion plate.

6. The PICC (peripherally inserted central catheter) pulling management and care kit according to claim 5, wherein the expansion plate at least comprises two expansion modules, the expansion modules are connected in a sliding manner, and the expansion modules are arc-shaped.

7. The PICC tube drawing nursing package of claim 5, wherein a compression belt is arranged on the expansion plate, and at least one side of the compression belt is fixedly adhered to the expansion plate.

8. The PICC tube drawing nursing packet of claim 5, wherein the lower end of the expansion plate is provided with at least two balance plates, and the balance plates are fixedly connected with the lower surface of the expansion plate.

9. The PICC pull-out management bag according to claim 1, wherein the upper ends of the arm support shelf compartment, the scissors compartment, the capped test tube compartment, the skin expander compartment, the sterile gauze compartment, the sterile treatment towel compartment, the sterile gloves compartment, the 75% alcohol cotton swab compartment, the povidone-iodine solution cotton swab compartment, the sterile adhesive tape compartment, the tourniquet compartment, and the forceps sterile compartment are covered with a sealing film.

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