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  • 医院手术室净化运行的事项
    来源:http://www.jnyhrs.com 浏览: 发布日期:2021-11-13
    1、正确使用层流间:手术床在摆设过程中应尽量靠近层流天花网适当处,所有的操作步骤需尽可能靠近层流天花网对应处,防止回风口出现无菌包。感染手术尽量安排在设有负压层流手术间,遇特殊手术进行特殊消毒。在手术操作时要按照三通道线路执行下去:医务人员出入口、患者出入口、污物出口是层流手术室设计的出入线路。
    1. Correct use of laminar flow room: the operating table shall be arranged as close as possible to the appropriate place of laminar flow ceiling net, and all operation steps shall be as close as possible to the corresponding place of laminar flow ceiling net to prevent sterile package at the return air outlet. Infection operation shall be arranged in the operation room with negative pressure laminar flow as far as possible, and special disinfection shall be carried out in case of special operation. The operation shall be carried out according to the three channel line: the entrance and exit of medical personnel, the entrance and exit of patients and the exit of dirt are the access lines designed for the laminar flow operating room.
    2、保持清洁效果:采用手术室净化空调系统应该持续使用24 h,培养空气细菌合格次数打2次后投入使用。手术前半小时将层流空调系统打开,接台手术需相隔15 min,保证空调系统持续运转。在手术前期要采用500 mg/L的含氯消毒液湿式将有关器材的血迹灰尘清理干净。对于初效、中效过滤器更换周期为6个月/次,过滤器1~2年/1次。回风口1周/1次,这样才能保证使用器材的清洁效果。
    2. Maintain cleaning effect: the operating room purification air conditioning system shall be used for 24 hours for the first time, and the air bacteria shall be cultured for 2 times before being put into use. Turn on the laminar flow air conditioning system half an hour before the operation, and the next operation needs to be separated by 15 minutes to ensure the continuous operation of the air conditioning system. In the early stage of operation, 500 mg / L chlorine containing disinfectant shall be used to wet clean the blood and dust of relevant equipment. The replacement cycle of primary and medium efficiency filters is 6 months / time, and that of high efficiency filters is 1 ~ 2 years / time. Return air outlet once a week, so as to ensure the cleaning effect of equipment.
    空气净化工程
    3、设备保护:在手术前期通常要将室内的温度控制在一个非恒定值,并且保证空调24 h运行,或者按照自身的情况于手术前半小时将其打开。1周清洗初效过滤网1次,出风口1次,避免出现污染。中效、过滤网的更换需按照空气培养情况进行。
    3. Equipment protection: in the early stage of operation, it is usually necessary to control the indoor temperature at an unsteady value and ensure that the air conditioner operates for 24 hours, or turn it on half an hour before operation according to its own situation. Clean the primary filter screen and air outlet once a week to avoid pollution. The replacement of medium efficiency and high efficiency filter screen shall be carried out according to the air culture.
    在实施手术室净化后要注意整体能源的消耗,运用优化途径来节约好能源的使用。加强层流手术间的管理,主要取决与手术全过程全方位的护理质控。手术室净化只是一种手段,无菌程度才是各类手术连续运行的保障,加强手术室净化的管理强化无菌观念仍是手术室工作重中之重,只有将两者紧密结合起来才能获得良好的社会效益和经济效益。
    After the implementation of operating room purification, we should pay attention to the overall energy consumption and use optimization ways to save energy. Strengthening the management of laminar flow operation room mainly depends on all-round nursing quality control in the whole process of operation. Operating room purification is only a means, and the degree of sterility is the guarantee for the continuous and efficient operation of various operations. Strengthening the management of operating room purification and strengthening the concept of sterility is still the top priority of operating room work. Only by closely combining the two can we obtain good social and economic benefits.