With the increasing awareness of infection and self-protection, disposable goods has mushroomed, such as hats, masks, gloves, syringes, surgical kits and so on, which are widely used in clinic. Based on the characteristics of low-value medical consumables in operating room and the actual situation, this paper puts forward some suggestions on how to standardize management. The report is as follows. 1 Importance of management of medical low-value consumables Medical low-value consumables refer to disposable sanitary materials often used in the process of medical services in hospitals, including disposable syringes, infusion sets, blood transfusions, drainage bags, drainage tubes, indwelling needles, sterile gloves, surgical sutures (including imported sutures), surgical stitches and surgical blades [1]. Its varieties and models are various, and its application is large, which is the material basis for hospitals to carry out daily medical and nursing work. Take the operating room of our hospital as an example: the value of medical consumables in 26 was 5,534,215,3, and it increased to 8,121,297,1 in 21. In the past three years, the consumption of medical consumables has increased by .47 times, with an annual rate of 13.6%. It has a step-by-step growth. 2 Management Status of Medical Low-value Consumables 2.1 Standardization of Doctors' Behavior: In the use of medical consumables, some doctors directly contact suppliers for their own interests, or ask patients to buy low-value consumables from agents, and the quality and price problems are difficult to guarantee, and it is often the case that inferior quality and domestic products replace imports. 2.2 Accuracy of charges: At present, the charges of medical consumables in most hospitals are priced according to the operators' consciousness, which is arbitrary, and it is impossible to strictly check the accuracy of prices by technical means. Overcharging, undercharging and misreporting sometimes occur. 2.3 Risks: At present, there is no electronic record of medical consumables, mainly manual records, and the data are scattered in medical records, so it is difficult to inquire timely and accurately when adverse reactions occur, resulting in increasing medical disputes. 3 Countermeasures for the management of low-value medical consumables 3.1 Procurement management 3.1.1 Procurement process: First, departments should submit a written application if necessary, including the product name, specifications and models applied for and the reasons for using them. After this form is submitted to the Equipment Department, the purchasing personnel in charge will preliminarily audit the qualification, and issue a triplicate form, which will be filled out by the department, signed by the department director, and approved by the Equipment Department, the Finance Department and the Medical Insurance Office respectively before purchasing. Tripartite single copy shall be kept in the Device Department for filing, one copy shall be submitted to the Medical Insurance Office and the other copy shall be submitted to the Finance Department. It breaks the traditional simple material purchase and consumption carried out independently by one or two departments, but forms a multi-department linkage management mechanism of mutual supervision and mutual responsibility. 3.1.2 Qualification audit: Focus on established and famous brand manufacturers. For new manufacturers, you can try it first, and you must have four certificates, namely, business license, product certificate, production license and hygiene license. And provide a quality commitment letter, the agent also needs to provide the manufacturer's authorization. The validity of certificates should be checked regularly, and problems should be replaced and handled in time. Direct contact with manufacturers as far as possible, reducing the number of intermediate agents to meet clinical needs. 3.1.3 Shop around: In the process of purchasing goods, we reach an agreement with the manufacturer to appropriately change the specifications, quantity and packaging of the products to make them more suitable for the needs. 3.2 Usage Management 3.2.1 Reasonable placement: disposable goods should handle it with care and place it in a cool, dry and secure place. Disposable goods's outer packaging is generally plastic-sealed, which is easily punctured by hard and sharp things, causing bacteria to enter and cause pollution. 3.2.2 Rational use: selective use of low-cost and affordable items such as hats, masks, gloves, incision dressings, syringes, infusion sets, trocar, suction tubes and negative pressure suction devices; Disposable abdominal bags, surgical gowns, etc. are used selectively for patients with infection surgery, abnormal liver function, hepatitis B, tuberculosis, etc. Non-invasive suture and absorbable thread are relatively expensive and can be used according to clinical needs. 3.2.3 Quantitative distribution: Distribute and check quantitatively every day. Each operating room is equipped with a set of routine disposable items, which are replenished and checked every day. For valuable, infrequently used and easy-to-lose items, they are distributed regularly or at any time. 3.2.4 Aseptic requirements: Unpacked or suspected contaminated articles should be repackaged, plastic-sealed and sterilized with ethylene oxide regularly for later use. 4 inventory management 4.1 classified management: all kinds of items needed by the operating room, from syringes to mosquito killing tablets, are accounted for, and the procedures for entering and leaving the warehouse are complete and summarized every month to ensure that the accounts are consistent. If there is any discrepancy, find out the reason. 4.2 Planning: Calculate the approximate monthly demand of all kinds of articles according to the monthly operation volume, and take the average monthly demand of all kinds of articles for 3 months as a relatively constant monthly planned demand. At the end of the month, when the inventory is made one by one according to the list, the planned amount minus the allowance is the planned receiving amount for next month. After determining the receiving amount of various items, the receiving plan is made and submitted to the Equipment Department. 4.3 Strict acceptance: when receiving goods, check and accept them item by item according to the plan; Check the outer packaging and expiration date at the same time. 4.4 Classified storage: Disposable sterile articles and non-sterile articles are classified, and the storage room of disposable sterile articles is divided into several areas (except the counters for storing valuable medical consumables), and the initials of disposable sterile articles are arranged clockwise, such as drainage area (D area), glove area (G area) and suture area (S area). 4.5 Special person management: managed by the head nurse, all low-value consumables are collected by one-time plan, and what is missing in property management is taken, so as to avoid the blindness of taking in more than one time. 5 Effect evaluation With the continuous application of high-tech in the medical field and the continuous advancement of medical modernization, the use of medical consumables has increased rapidly, accounting for 5% ~ 6% of the procurement of medical materials in the whole hospital, and even more than 8% in some specialized hospitals [2]. Therefore, the management of medical consumables is directly related to the economic interests of hospitals. Therefore, starting with standardizing the management process of medical consumables, we should improve the management system to ensure quality, accurately price and optimize inventory management. It is of great significance to the long-term survival and development of hospitals. References: [1] Yinbao, Zhao Mali, Li Nan. Application status and standardized management of medical consumables [J]. Journal of medical device management, 25,29 * * * 6 * *: 46. [2] Yu Chunhua, Tang Liming. Discussion on "zero inventory" of hospital equipment from the perspective of modern management [J]. Journal of medical device information,