供应室PPT资料
消毒供应中心标准操作工作流程
供应室是医院内各种无菌物品的供应单位~它担负着医疗器械的清洗、包装、消毒和供应工作。如果消毒不彻底会引起全院性感染~供应物品不完善可影响诊断与治疗~因此做好供应室工作是十分重要的~也是医院不可缺少的组成部分。布局合理~符合供应流程~职责分明~制度完善等手段~确保供应质量的前提。
消毒供应中心标准流程,十个环节,回收---分类---清洗---消毒---干燥---器械检查、保养---包装---灭菌---储存---发放。
一、回收:
1、器械、物品包使用后~科室及时装入污物箱内密闭保存~避免干燥。并在箱盖记录包名称及数量。以便与供应室交接。避免在使用科室清点、核对污染器械、物品~减少交叉感染。
2、供应室工作人员定时8:30AM、3PM带上清洁的污物箱按照规定的路线到临床科室回收污物箱回收到科内。并与临床科室人员交接、记录。
the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use
3、回收后~回收人与清洗人员交接物品数量~并清点、核对包内物品是否齐全。每次回收后~清洁消毒回收箱,干燥存放。
4、使用后的一次性物品和医疗废物不得回收到消毒供应中心转再运处理。
二、分类:
1、按个人防护要求着装~与下收人员交接回收物品数量。
2、根据器械不同材质、性状、精密程度、污染状况进行分类。
3、损伤性废物投入利器盒内~感染性废物投入黄色污物袋内。
三、清洗:
1、不同器械、物品~采用不同的清洗方法。目前我院暂采用手洗方法清洗。
2、清洗基本流程:预洗,自来水,----清洗(手工+酶,---漂洗,自来水,---消毒,湿热消毒,---终末漂洗,去离子水或蒸馏水,
,1,预洗,3-5min,:用流水去除明显的污物,若污物变干~可多浸泡几分钟,
the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use
,2,酶洗,2-5min,:酶可以分解有机物~抑菌防锈~自然降解~无残留~水温20-40?C~带关节的器械尽量打开。已凝固或污染严重处水面下刷洗。 ,3,漂洗:用自来水冲洗,2-4min,。
,4,终末漂洗:采用离子水或蒸馏水冲洗。 四、消毒:我院选用湿热方法,?90度的水温~?时间5min,.
五、干燥:
1、宜选用干燥设备进行干燥处理。根据我院无干燥设备的情况下~使用消毒的低纤维絮擦布对器械、器具和物品进行干燥处理。
2、穿刺针、手术吸引头等管腔器械~使用95%乙醇进行干燥处理。
3、不应使用自然干燥方法进行干燥。
六、器械检查与保养:
1、采用目测对干燥后的每件器械、器具和物品进行检查。器械表面及其关节、齿牙处应光洁~无血渍、污渍、水垢等残留物质和锈斑,功能完好~无损毁。 2、清洗质量不合格的~应重新处理,有锈迹~应除锈,器械功能损毁或锈蚀严重~应及时维修或报废。 3、应使用润滑剂进行器械保养。不应使用石蜡油等非水溶性的产品作为润滑剂。
the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use
七、包装:
1 器械与敷料应分室包装。
2 包装者首先检查包装质量~在灯光下检查准备好的清洁干燥的,纺织类,包布~无破损~方可使用。 2 包装者再核对器械的种类、规格和数量~拆卸的器械应进行组装。核对内容是否齐全。齐全才能包装。 3 盘、盆、碗等器皿单独包装。剪刀和血管钳等轴节类器械不应完全锁扣。有盖的器皿应开盖~摞放的器皿间应用吸湿布、纱布或医用吸水纸隔开,管腔类物品应盘绕放置~保持管腔通畅,精细器械、锐器等采取保护措施。
4 灭菌物品包装采用闭合式包装方法~由2层包装材料分2次包装。密封式包装如使用纸袋、纸塑袋等材料~可使用一层单独包装器械。
5 包装重量:器械包重量不宜超过7公斤~敷料包重量不宜超过5公斤。灭菌包体积不超过 30cm×30cm×25cm。
6 包装完后~每包外都应贴灭菌化学指示物。闭合式包装使用专用胶带~胶带长度应与灭菌包体积、重量相适宜~松紧适度。封包应严密~保持闭合完好性。高度危险性物品灭菌包内还应放置包内化学指示物。 the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use
7 所需灭菌物品包装的标识应注明物品名称、包装者等内容。灭菌前注明灭菌批次、灭菌日期和失效日期。标识应具有追溯性。
八 灭菌:
1,检查灭菌前的准备、灭菌物品的装载、灭菌操作、无菌物品卸载和灭菌效果监测是否严格按操作程序进行。
2,每批次确认灭菌过程合格~包外包内化学指示物合格。检查无湿包现象及无无菌物品污染和损坏。以上都符合要求才视为质量合格。
九、储存
1 灭菌后物品应分类、分架存放在无菌物品存放区。一次性使用无菌物品应去除外包装后~进入无菌物品存放区。
2 物品存放架或柜应距地面高度20,25cm~离墙5cm,10cm~距天花板50cm。
3 物品放置应固定位置~设置标识。接触无菌物品前应洗手或手消毒。
4 消毒后直接使用的物品应干燥、包装后专架存放。 5 灭菌物品储存有效期:储存无菌物品间室内环境温度在,24?C、湿度,70?C。使用纺织品材料包装的无菌物品有效期宜为14d,未达到环境标准时~有效the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use
期宜为7d。 医用一次性纸袋包装的无菌物品~有效期宜为1个月,使用一次性医用皱纹纸、医用无纺布包装的无菌物品~有效期宜为6个月,使用一次性纸塑袋包装的无菌物品~有效期宜为6个月。硬质容器包装的无菌物品~有效期宜为6个月。
十、 无菌物品发放
1、发放者按要求着装并洗手或手消毒~在按使用科室需要发放。
2、无菌物品发放时~应遵循先进先出的原则。 3、发放时应确认无菌物品的有效性。植入物及植入性手术器械应在生物监测合格后~方可发放。 4、发放的无菌物品都应具有可追溯性。如没有~不得发放。
5、一次性使用无菌物品的发放应记录出库日期、名称、规格、数量、生产厂家、生产批号、灭菌日期、失效日期等。过期物品不得发放。
6、运送无菌物品的器具使用后~应清洁处理~干燥存放。
the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use
供应室消毒隔离制度及工作制度:
一、供应室周围环境应整洁,无污染源。严格区分无菌区、清洁区、污染区,路线采用强制通过的方式,不准逆行。严格区分无菌物品、清洁物品和污染物品,流水操作不逆行。消毒与未消毒物品须严格分开放置,并有明显标志,各个区域有专用抹布和拖把,
不得交叉使用。
二、工作人员操作前后认真洗手;必须熟练掌握各类物品的消毒、洗刷、清洁和灭菌的方法程序和质量要求以及各类物品的性能、保养方法和使用范围。
三、供应室工人必须经
培训
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后方可上岗,消毒员
应持有上岗证。
四、供应室内保持清洁、整齐,墙上无灰尘、霉点、裂缝、蜘蛛网。每天用消毒液擦拭各个工作室内物体表面一次,地面用消毒液拖地,每周一次大扫除。
五、无菌物品收发、污染物品的接收,均应有单
独窗口和专职人员。
六、送回供应室的医疗器械,必须先用多酶液浸
泡后再洗净擦干,经高压蒸气灭菌后备用。 the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use
七、下收下送配有专人分别负责无菌物品的发送、污染物品的接收。下送车有明显标志,每次收发回来应用消毒液擦拭下送车,每周用消毒液彻底擦拭。
八、压力蒸汽灭菌操作程序严格按照《消毒技术规范》执行。使用时必须进行工艺监测、化学监测、生物监测。工艺监测必须每锅进行;预真空压力蒸汽灭菌器每日灭菌前进行B-D试验,排气系统正常方可使用;生物监测每月进行一次,所有的监测必须作好
详细记录,资料保存3年。
九、已灭菌物品应立即存放于无菌间。无菌室应干燥通风,排气扇向外排风,室内、柜内清洁,无积
灰。
十、进入无菌室前要洗手、戴口罩、更衣换鞋。
十一、无菌物品接收时,应检查无菌包标记是否
完整、包布是否清洁干燥。
十二、灭菌合格物品必须有明确的灭菌标识和有效期,专室专柜存放,并且有效期不得超过七天。过
期或有污染可疑的必须重新灭菌。
十三、无菌室每天空气消毒两次,每次60分钟,
并有记录。
the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use
十四、供应室室内组装间、无菌间必须每月做空气监测一次;各区域的物表、工作人员的手必须每月进行一次微生物监测。所有的监测必须作好详细记录,
资料保存3年备查。
十五、一次性使用无菌医疗用品,须拆除外包装后,方可进入无菌室单独存放,并严格按照一次性医
疗用品
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实施管理
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1、外来人员未经允许不得随意进行供应室。 2、供应室内严禁明火~严禁吸烟。各种电器要注意安全使用。
3、供应室内常备灭火器~培训工作人员~做到人人会用。
4、每日下班前~消毒员必须关闭水、电、汽阀门。值班人员关闭门窗~检查各室情况。
5、高压蒸气灭菌器的使用遵守高压蒸气灭菌器安全管理制度。
6、严格执行医院消毒技术规范~确保灭菌物品合格率100%~保证病人安全。
7、严格执行交接班制度、查对制度~ 防止差错事故发生。
the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use
8、发生紧急事件执行应急预案制度。
供应室工作人员自身防护制度
1. 加强工作人员职业防护教育~严格遵守“标准预防”
原则~注意个人卫生工作~防止交叉感染发生。为
做好自身防护工作~应定期接种乙肝疫苗~并定期
进行乙肝病毒的抗原和抗体的检查~防止各类意外
事故发生。
2. 在回收、清洗物品时~应穿隔离衣~戴手套、口
罩、帽子~如有污染应及时更换~必要时戴防护镜,
工作人员一定要坚持严格的洗手制度~操作时戴手
套~脱去手套后也应洗手~必要时消毒双手。 3. 皮肤表面一旦染有血液、其他体液、各种消毒液及
酶~应当立即彻底清洗。
4. 不慎被利器刺伤或者黏膜暴露~应按本院职业暴露
后处理原则处理。
5. 使用压力蒸汽、干热灭菌器时~应具有防止爆炸、
燃烧的措施~操作时应戴防护手套~预防烫伤事故
发生
职业暴露的
报告
软件系统测试报告下载sgs报告如何下载关于路面塌陷情况报告535n,sgs报告怎么下载竣工报告下载
制度
1(工作人员发生职业暴露后~要及时向科主任、护士长报告。
the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use
2(科室接到报告后应及时对感染原进行调查分析。 3(填写《职业暴露报告卡》上交院感办公室。 4(如是艾滋病职业暴露~可以先电话报告院感办和防保科~并由院感办向医院艾滋病职业暴露事故处理小组有关领导报告。
5(预防保健科在接到通知后12小时内应对暴露可能暴露的医务人员进行个案调查~填写好《艾滋病职业暴露人员个案
登记表
调解登记表下载应聘登记表下载调解登记表下载调解登记表下载调解登记表下载
》~并将事故情况和处理措施以最快速度报市疾病控制中心~进行暴露程度的评估。
供应室安全管理制度
1、外来人员未经允许不得随意进行供应室。 2、供应室内严禁明火~严禁吸烟。各种电器要注意安全使用。
3、供应室内常备灭火器~培训工作人员~做到人人会用。
4、每日下班前~消毒员必须关闭水、电、汽阀门。值班人员关闭门窗~检查各室情况。
5、高压蒸气灭菌器的使用遵守高压蒸气灭菌器安全管理制度。
6、严格执行医院消毒技术规范~确保灭菌物品合格率100%~保证病人安全。
the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use
7、严格执行交接班制度、查对制度~ 防止差错事故
发生。
8、发生紧急事件执行应急预案制度。
the drawings, first to become familiar with the drawings, mainly about the following aspects: 1) pages of drawings and diagrams, maps; 2) a comprehensive understanding of drawing; 3) finding of design-driven dimensions (), do not resize and adjust the size; 4) questioned the drawings; 5) develop buries a construction programme and technical clarification; 6) clear corners and special treatment; 7) controlled construction drawings to verify construction scheme and design. (2) at the construction site to find subject planted area: various engineering, first on the scene to find planted area, it must first understand the curtain wall installation section, and some projects are all curtain wall, the entire project is a region-wide, only partial walls, the zone is local. (3) identify the axis positioning: positioning the drawings shown in axis compared with the actual construction site to find out exactly where the axis positioning, axis positioning function are: 1) to help determine the origin of curtain walls; 2) acceptance of the installation is accurate; 3) adjust errors, and determine the error range. (4) find anchor points: according to site to find the exact location of the axis, according to the drawings provided by the content determine the positioning point; number of anchor points shall not be less than two points. Repeated measurements determine the location points must ensure that the positioning is correct. (5) take level (level): level (minor works available in horizontal pipe), the two anchor points determine the horizontal position. Level according to use