2023医疗导管标识管理规范.docx

医疗导管标识管理规范目次前言························································································································1范围 ·····················································································································12规范性引用文件······································································································13术语和定义 ············································································································14缩略语 ··················································································································25医疗导管标识要求···································································································25.1导管标识分类与医疗导管安全分级···········································································35.2导管标签纸 ·········································································································46导管标识使用及管理要求··························································································4附录 A（资料性）医疗导管风险分级专家推荐建议···························································5参考文献····················································································································7I医疗导管标识管理规范1 范围本文件规定了医疗导管标识、使用及管理要求。本文件适用于各级各类医疗机构的医疗导管临床使用或管理活动。2 规范性引用文件本文件没有规范性引用文件。3 术语和定义下列术语和定义适用于本文件。3.1 3.1医疗导管medical catheter医疗导管是以诊断和治疗为目的的体外置入管道，通过连接人体空腔、组织间隙、器官等起到输入或输出作用，属于医疗器械。3.2 3.2医疗导管标识medical catheter identification医务人员在为患者置入医疗导管后，依据不同解剖系统、不同感染风险、不同滑脱稳固要求，对所置导管风险管理做的标记识别。3.3 3.3医疗导管安全分级medical catheter security classification根据导管滑脱后对病情产生的影响程度而定义，影响程度分为高、中、低。由医务人员根据患者实际情况进行分级。3.4 3.4安全识别字符security recognition characters用以识别医疗导管风险程度高、中、低的字符，对应字符为“高”、“中”、“低”。3.5 3.5基本色fundamental color区分医疗导管附属物标识基本底色，颜色为白色。3.6 3.6分类色classification color区分医疗导管类别的颜色，包括红、蓝、黄、绿四色（见图 1）。红色代表动静脉类、蓝色代表呼吸类、黄色代表排泄类、绿色代表引流类。1图 1分类色4 缩略语下列缩略语适用于本文件。CVC：中心静脉导管（Central Venous Catheter）PICC：经外周静脉置入中心静脉导管（Peripherally Inserted Central Catheter） IABP:主动脉内球囊反搏（Intra-Aortic Balloon Pump）ECMO:体外膜肺氧合（Extracorporeal Membrane Oxygenation）5 医疗导管标识要求5.1 导管标识分类与医疗导管安全分级5.1.1 动、静脉类导管动、静脉类导管标识采用红框白底黑字。动、静脉类导管一般包括气囊漂浮导管、动脉导管、IABP 导管、血透管导管、CVC 导管、PICC 导管、ECMO 导管、静脉留置针、动脉留置针、临时起搏器导管等。动、静脉类导管具体安全分级根据患者实际情况进行（可参考资料性附录 A），安全识别字符分别以“高”、“中”、“低”表示，如图 2 所示。图 2动、静脉类导管标识示例图5.1.2 呼吸类导管呼吸类导管采用蓝框白底黑字。呼吸类导管一般包括气管导管、呼吸机管路、吸氧管等。呼吸类导管具体安全分级根据患者实际情况进行（可参考资料性附录 A），安全识别字符分别以 “高”、“中”“低”表示，如图 3 所示。2图 3呼吸类导管标识示例图5.1.3 排泄类导管排泄类导管采用黄框白底黑字。排泄类导管一般包括导尿管、膀胱造瘘管、肠造瘘管等。排泄类导管具体安全分级根据患者实际情况进行（可参考资料性附录 A），安全识别字符分别以 “高”、“中”、“低”表示，如图 4 所示。图 4排泄类导管标识示例图5.1.4 引流类导管引流类导管采用绿色边框白底黑字。引流类导管一般包括蛛网膜下隙持续引流管、脑室引流管、硬膜外/下引流管、鼻胃管、鼻肠管、胃造瘘管、胸腔闭式引流管、胸腔积液引流管、纵隔引流管、心包引流管、腹腔引流管、T 管、胰床上/下引流管、肝断面引流管、文氏引流管、膈下引流管、盆腔引流管、腰大池引流管、切口引流管、伤口引流管、皮下引流管等。引流类导管具体安全分级根据患者实际情况进行（可参考资料性附录 A），安全识别字符分别以 “高”、“中”、“低”表示，如图 5 所示。3图 5引流类导管标识示例图5.1.5 导管附属物导管附属物采用白底黑字，导管附属物包含引流瓶、引流袋、敷贴等，如图 6 所示。图 6导管附属物标识示例图5.2 导管标签纸5.2.1 纸张要求纸张应符合以下要求：a） 不易卷边，不易破损和磨损； b） 防水、防油、防酒精。5.2.2 标识信息标识信息一般包含导管风险分级、导管名称、置管时间，如导管有置入长度需特别标注且统一单位为厘米（cm）。6 导管标识使用及管理要求6.1 应按照分类标准进行标识，正确使用对应颜色的标识贴及安全识别字符。6.2 严格执行查对制度，对标识内容进行核查，标识信息内容须完整无误，导管标识出现破损或字迹模糊需立即更换。6.3 导管标识根据实际情况贴在适宜的位置。4附录A（资料性）医疗导管风险分级专家推荐建议导管分类导管名称推荐风险备注动静脉类气囊漂浮导管高CVC 导管高PICC 导管高临时起搏器导管高静脉留置针高谨慎推荐血透管高IABP 导管高动脉导管高呼吸类气切导管高气管导管高呼吸机管路低谨慎推荐吸氧管低谨慎推荐排泄类导尿管中膀胱造瘘管中空肠造瘘管中引流管类鼻胃管低谨慎推荐鼻胆管高胸腔闭式引流管高鼻空肠管低谨慎推荐脑室引流管高蛛网膜下隙引流管高硬膜外引流管高硬膜下引流管高PTCD 管高纵隔引流管中谨慎推荐心包引流管高伤口引流管中切口引流管中专家推荐建议见下表，仅供参考（备注栏中标明“谨慎推荐”的 7 条管道为专家意见一致程度未达到 80者）。5导管分类导管名称推荐风险备注引流管类腰大池引流管高盆腔引流管中膈下引流管中文氏引流管中肝断面引流管中胰床下引流管中谨慎推荐胰床上引流管中T 管高腹腔引流管中胃造瘘管中6