Kuyang'anira ukhondo pakuphetsa tizilombo m'chipatala ndi kutseketsa ndi njira yabwino yodziwira zovuta.Ndilo gawo lofunikira la dongosolo loyang'anira matenda a chipatala ndi chimodzi mwazinthu zomwe ziyenera kufufuzidwa pakuwunika kwachipatala.Komabe, ntchito yoyang'anira tsiku ndi tsiku nthawi zambiri imavutitsidwa ndi izi, osatchulanso njira zowunikira, zida zomwe zimagwiritsidwa ntchito, njira zoyeserera zoyeserera ndi malipoti a zotsatira, ndi zina zotero, nthawi yokhayo komanso kuwunika pafupipafupi zikuwoneka kuti zakhala mutu wokhudza chipatala.
Maziko: Kuphatikizidwa kutengera malamulo adziko lino, malamulo ndi zolemba zokhudzana ndi kasamalidwe ka matenda.
1. Kuyeretsa ndi kuyeretsa zotsatira kuwunika
(1) Kuwunika momwe ntchito yoyeretsera zida zowunikira ndi chithandizo, ziwiya ndi zinthu: tsiku lililonse (nthawi iliyonse) + pafupipafupi (mwezi uliwonse)
(2) Kuyang'anira zida zoyeretsera ndi zopha tizilombo toyambitsa matenda ndi zotsatira zake: tsiku lililonse (nthawi iliyonse) + pafupipafupi (chaka chilichonse)
(3) Chotsukira-opha tizilombo toyambitsa matenda: chokhazikitsidwa kumene, chosinthidwa, chosinthidwa, chosinthira zoyeretsera, njira zophera tizilombo, kusintha njira zonyamulira, ndi zina zambiri.
2. Kuyang'anira khalidwe la mankhwala ophera tizilombo
(1) Kupha tizilombo toyambitsa matenda: tsiku lililonse (nthawi iliyonse) + pafupipafupi (chaka chilichonse)
(2) Mankhwala ophera tizilombo toyambitsa matenda: Kuchuluka kwa zinthu zomwe zimagwira ntchito (zomwe zikugwiritsidwa ntchito ndi zomwe zimagwiritsidwa ntchito) ziyenera kuyang'aniridwa nthawi zonse, ndipo kugwiritsa ntchito mosalekeza kuyenera kuyang'aniridwa tsiku lililonse;kuchuluka kwa kuipitsidwa kwa bakiteriya (pogwiritsidwa ntchito)
(3) Kuyang'anira kupha tizilombo toyambitsa matenda: zinthu zomwe zimagwiritsidwa ntchito mwachindunji pambuyo popha tizilombo toyambitsa matenda (monga ma endoscopes opha tizilombo, ndi zina zotero) ziyenera kuyang'aniridwa kotala lililonse.
3. Kuyang'anira mphamvu yotseketsa:
(1) Kuyang'anira kuthamanga kwa sterilization effect
① Kuyang'anira thupi: (nthawi zonse; kubwerezedwa 3 katatu mutatha kukhazikitsa kwatsopano, kusuntha ndi kukonzanso kwa sterilizer)
②Kuwunika kwamankhwala (mkati ndi kunja kwa thumba; bwerezani katatu chowotcheracho chikangoikidwa kumene, kusamukira kwina ndi kukonzanso; mukamagwiritsa ntchito njira yoletsa kuphatikizika kwa nthunzi mwachangu, chizindikiro cha mankhwala mchikwama chiyenera kuyikidwa pafupi ndi zinthu zomwe zikuyenera kukhala. chosawilitsidwa pakuwunika kwa mankhwala)
③ Mayeso a B-D (tsiku lililonse; musanayambe ntchito yotseketsa tsiku lililonse)
④Kuwunika kwachilengedwe (sabata lililonse; kutsekereza kwa zida zoyikira kuyenera kuchitidwa pagulu lililonse; pomwe zida zatsopano zoyikamo ndi njira zikugwiritsidwa ntchito potsekereza; choyezeracho chizikhala chopanda kanthu katatu zotsatizana pambuyo pa kukhazikitsa kwatsopano, kusamuka ndi kukonzanso; yaying'ono The pressure steam sterilizer iyenera kudzazidwa ndi kuyang'aniridwa mosalekeza katatu; gwiritsani ntchito njira yochepetsera kuthamanga kwa nthunzi ndikuyika mwachindunji chizindikiro chachilengedwe mu sterilizer yopanda kanthu.)
(2) Kuyang'anira magwiridwe antchito a kutentha kowuma
① Kuyang'anira thupi: gulu lililonse loletsa;3 nthawi mutatha kukhazikitsa kwatsopano, kusamutsa ndi kukonzanso
②Kuwunika kwamankhwala: phukusi lililonse lotsekereza;3 nthawi mutatha kukhazikitsa kwatsopano, kusamutsa ndi kukonzanso
③Kuwunika kwachilengedwe: kamodzi pa sabata;kutsekereza kwa zida zoyikira kuyenera kuchitika pagulu lililonse;kubwerezedwa 3 katatu mutatha kukhazikitsa, kusamutsa ndi kukonzanso
(3) Kuyang'anira mphamvu ya ethylene oxide kutsekereza mpweya
①Njira yowunikira thupi: Bwerezani katatu nthawi iliyonse;pamene kukhazikitsa kwatsopano, kusamutsa, kukonzanso, kulephera kwa njira yotsekera, zolembera kapena zinthu zomwe ziyenera kutsekedwa zisinthidwa.
②Njira yowunikira mankhwala: phukusi lililonse lotsekera;bwerezani katatu pamene kuyika kwatsopano, kusamutsa, kukonzanso, kulephera kwa njira yolera, kulongedza katundu kapena kusintha kwa zinthu zosabala.
③Njira yowunikira zamoyo: pagulu lililonse lotseketsa;kutsekereza kwa zida zoyikira kuyenera kuchitika pagulu lililonse;kubwerezedwa ka 3 pamene kukhazikitsa kwatsopano, kusamutsa, kukonzanso, kulephera kwa njira yolera, kulongedza katundu kapena kusintha kwa zinthu zosabala.
(4) Kuyang'anira kutsekereza kwa hydrogen peroxide m'madzi a m'magazi
①Njira yowunikira thupi: Bwerezani katatu nthawi iliyonse;pamene kukhazikitsa kwatsopano, kusamutsa, kukonzanso, kulephera kwa njira yotsekera, zolembera kapena zinthu zomwe ziyenera kutsekedwa zisinthidwa.
②Njira yowunikira mankhwala: phukusi lililonse lotsekera;bwerezani katatu pamene kuyika kwatsopano, kusamutsa, kukonzanso, kulephera kwa njira yolera, kulongedza katundu kapena kusintha kwa zinthu zosabala.
③Njira yowunikira zachilengedwe: iyenera kuchitidwa kamodzi patsiku;kutsekereza kwa zida zoyikira kuyenera kuchitidwa pagulu lililonse;kubwerezedwa ka 3 pamene kukhazikitsa kwatsopano, kusamutsa, kukonzanso, kulephera kwa njira yolera, kulongedza katundu kapena kusintha kwa zinthu zosabala.
(5) Kuyang'anira kutsika kwa kutentha kwa formaldehyde
①Njira yowunikira mwakuthupi: Bwerezani katatu pagulu lililonse loletsa;kukhazikitsa kwatsopano, kusamutsa, kukonzanso, kulephera kwa njira yotseketsa, kuyika zinthu kapena kusintha kwa zinthu zosawilitsidwa
②Njira yowunikira mankhwala: phukusi lililonse lotsekera;bwerezani katatu pamene kuyika kwatsopano, kusamutsa, kukonzanso, kulephera kwa njira yolera, kulongedza katundu kapena kusintha kwa zinthu zosabala.
③Njira yowunikira zachilengedwe: iyenera kuyang'aniridwa kamodzi pa sabata;kutsekereza kwa zida zoyikira kuyenera kuchitika pagulu lililonse;kubwerezedwa ka 3 pamene kukhazikitsa kwatsopano, kusamutsa, kukonzanso, kulephera kwa njira yolera, kulongedza katundu kapena kusintha kwa zinthu zosabala.
4. Kuyang'anira mphamvu ya mankhwala ophera tizilombo m'manja ndi pakhungu
Madipatimenti omwe ali pachiwopsezo chachikulu chotenga matenda (monga zipinda zopangira opaleshoni, zipinda zoberekera, ma cath lab, mawodi oyera otuluka m'mafupa, mawodi opangira mafupa, zipinda zosamalira odwala kwambiri, zipinda za ana akhanda, zipinda za amayi ndi ana, mawodi a hemodialysis, zipinda zowotcha, m'madipatimenti matenda opatsirana, Dipatimenti ya Stomatology, etc.): Quarterly;pamene kuphulika kwa matenda a m'chipatala akuganiziridwa kuti akukhudzana ndi ukhondo wa manja a ogwira ntchito zachipatala, ziyenera kuchitidwa panthawi yake ndipo tizilombo toyambitsa matenda tofanana tiyenera kuyesedwa.
(1) Kuyang'anira zowononga m'manja: pambuyo paukhondo wamanja komanso musanakumane ndi odwala kapena kuchita nawo zachipatala.
(2) Kuyang'anira momwe khungu limakhudzira matenda: tsatirani nthawi yomwe yafotokozedwa mu malangizo azinthu kuti mugwiritse ntchito, ndipo tengani zitsanzo munthawi yake zotsatira zowononga tizilombo tapeza.
5. Kuyang'anira momwe zinthu zilili popha tizilombo toyambitsa matenda
Malo omwe angakhale oipitsidwa ndi madera omwe ali ndi kachilombo amatetezedwa ndi tizilombo toyambitsa matenda;madera oyera amatsimikiziridwa potengera momwe malo alili;Sampling imachitika pamene akuganiziridwa kuti akugwirizana ndi kufalikira kwa matenda m'chipatala.(Kusindikiza kwa Blood Purification Protocol 2010: Monthly)
6. Kuwunika zotsatira za kupha tizilombo toyambitsa matenda
(1) Madipatimenti omwe ali pachiwopsezo chachikulu cha matenda: kotala;ukhondo madipatimenti (zipinda) ndi malo ena aukhondo.Kuyang'anira kuyenera kuchitidwa pakuvomereza kumangidwanso kwatsopano ndi kumangidwanso komanso pambuyo posintha zosefera zapamwamba;kuyan'anila kuyenera kuchitidwa nthawi iliyonse pamene kubuka kwa matenda a m'chipatala akuganiziridwa kuti akukhudzana ndi kuipitsidwa kwa mpweya., ndikuwonetsetsa kuti tizilombo toyambitsa matenda tofanana ndi tizilombo toyambitsa matenda. Sambani maopaleshoni ndi malo ena aukhondo amaonetsetsa kuti chipinda chilichonse chaukhondo chikhoza kuyang'aniridwa kamodzi pachaka.
(2) Nthawi yochitira zitsanzo: Pazipinda zomwe zimagwiritsa ntchito ukadaulo waukhondo kuyeretsa mpweya, tengani zitsanzo pambuyo podziyeretsa komanso musanachite ntchito zachipatala;kwa zipinda zomwe sizigwiritsa ntchito ukadaulo waukhondo kuyeretsa mpweya, kutenga zitsanzo pambuyo pothira tizilombo toyambitsa matenda kapena kutulutsa mpweya wabwino komanso musanayambe ntchito zachipatala;kapena Sampling pamene akuganiziridwa kuti akugwirizana ndi kuphulika kwa matenda a nosocomial.
7. Yang'anirani momwe ma disinfection amakhudzira zinthu zoyeretsera: tengani zitsanzo pambuyo popha tizilombo komanso musanagwiritse ntchito.
Tengani zitsanzo pambuyo popha tizilombo komanso musanagwiritse ntchito.
8. Kuzindikira tizilombo toyambitsa matenda:
Kuwunika koyang'anira nthawi zonse sikufuna kudziwa tizilombo toyambitsa matenda.Tizilombo tating'onoting'ono timayenera kuyesedwa ngati chipatala chikukayikiridwa, ngati matenda a m'chipatala akufufuzidwa, kapena ngati akuganiza kuti akhudzidwa ndi mabakiteriya ena oyambitsa matenda.
9. Kuyang'anira mtengo wa nyali ya UV
Inventory (yatsopano) + yomwe ikugwiritsidwa ntchito
10. Kuyang'anira zinthu zosawilitsidwa ndi mankhwala otayidwa
Sitikulimbikitsidwa kuti zipatala zizipanga mayeso amtunduwu pafupipafupi.Pamene kafukufuku wa epidemiological akukayikira kuti zochitika za matenda a m'chipatala zimagwirizana ndi zinthu zosabala, kuwunika kofananira kuyenera kuchitika.
11.Kuwunika kokhudzana ndi hemodialysis
(1) Mpweya, malo ndi manja: mwezi uliwonse
(2) Madzi a dialysis: PH (tsiku ndi tsiku): mabakiteriya (poyamba amayesedwa kamodzi pa sabata, ndipo amasinthidwa mwezi uliwonse pambuyo pa zotsatira ziwiri zotsatizana za mayesero akukumana ndi zofunikira, ndipo malo opangira zitsanzo ndi mapeto a payipi yobweretsera madzi osmosis);endotoxin (poyamba Kuyezetsa kumayenera kuchitidwa kamodzi pa sabata, ndipo kusinthidwa kukhala osachepera kotala pambuyo pa zotsatira ziwiri zotsatizana zomwe zikugwirizana ndi zofunikira. Malo opangira zitsanzo ndi mapeto a payipi yamadzi ya reverse osmosis; ngati kutentha thupi, kuzizira, kapena kupweteka kumtunda kwa miyendo Kulowa mbali kwa mitsempha kumachitika mukamagwiritsa ntchito dialyzer yogwiritsidwanso ntchito, kuyezetsako kumayenera kuchitidwa Yesani madzi osinthika a osmosis kuti agwiritsidwenso ntchito ndi kuwotcha);zowononga mankhwala (osachepera chaka);kuuma kwamadzi ofewa ndi klorini yaulere (osachepera sabata iliyonse);
(3) Kuchuluka kotsalira kwa mankhwala ophera tizilombo omwe agwiritsidwanso ntchito: dialyzer mukagwiritsanso ntchito;ngati kutentha thupi, kuzizira, kapena kupweteka kwa m'mwamba kumbali yofikira mitsempha kumachitika mukamagwiritsa ntchito dialyzer yogwiritsidwanso ntchito, madzi a osmosis obwereranso kuti agwiritsidwenso ntchito ayenera kuyesedwa.
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(5) Dialysate: mabakiteriya (mwezi uliwonse), endotoxin (osachepera kotala);makina onse a dialysis amayesedwa kamodzi pachaka
(6) Dialyzer: musanagwiritsenso ntchito iliyonse (chizindikiro, mawonekedwe, mphamvu, kuthamanga, kuchuluka kwa mankhwala ophera tizilombo);mutatha kugwiritsidwanso ntchito kulikonse (mawonekedwe, ulusi wamkati, tsiku lotha ntchito);Musanagwiritse ntchito (mawonekedwe, chizindikiro, Tsiku lotha ntchito, zambiri za odwala, kapangidwe kake, kupezeka kwa mankhwala ophera tizilombo toyambitsa matenda komanso kuchuluka kotsalira kwa mankhwala ophera tizilombo mutatha kuwotcha).Ikugwiritsidwa ntchito (mkhalidwe wa odwala ndi zovuta)
(7) Ikani mbiya yokonzekera: Phatikizirani mankhwala ophera tizilombo sabata iliyonse ndipo gwiritsani ntchito pepala loyesera kutsimikizira kuti palibe chotsalira chopha tizilombo.
12.Kuwunika kokhudzana ndi mankhwala ophera tizilombo
(1) Yang'anirani kuchuluka kwa zosakaniza zomwe zimagwira ntchito (zomwe zili m'sitolo ndi panthawi yomwe zikugwiritsidwa ntchito) nthawi zonse, ndipo ziyenera kuyang'aniridwa tsiku ndi tsiku kuti zigwiritsidwe ntchito mosalekeza;
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13. Malo operekera mankhwala kudzera m'mitsempha (chipinda)
(1) Malo oyera ayenera kuyesedwa ndi dipatimenti yovomerezeka kuti akwaniritse miyezo yaukhondo wadziko (chosintha choyamba, chipinda chochapira zovala ndi malo osungiramo ukhondo ndi mlingo wa 100,000; kusinthidwa kwachiwiri, chipinda cha dosing ndi choperekera ndi mlingo 10,000; kutuluka kwa laminar Opaleshoni ndi mlingo 100) isanayambe kugwiritsidwa ntchito.
(2) Zosefera za mpweya ziyenera kusinthidwa pafupipafupi m'malo aukhondo.Akamaliza kukonza zinthu zosiyanasiyana zomwe zingakhudze ukhondo wa mpweya, ziyenera kuyesedwa ndi kutsimikiziridwa kuti zigwirizane ndi miyezo yaukhondo zisanagwiritsidwenso ntchito.
(3) Chiwerengero cha mabakiteriya omwe ali mumlengalenga m'malo oyera chiyenera kuzindikiridwa pafupipafupi mwezi uliwonse.
(4) Kabati yachitetezo chachilengedwe: Makabati oteteza zachilengedwe amayenera kuyang'aniridwa ngati pali mabakiteriya otulutsa sedimentation kamodzi pamwezi.Makabati achitetezo achilengedwe akuyenera kulowetsamo zosefera za kaboni zomwe zimayendetsedwa molingana ndi malangizo owunikira okha.Magawo osiyanasiyana a kabati yachitetezo chachilengedwe amayenera kuyesedwa chaka chilichonse kuti awonetsetse kuti kabati yachitetezo chachilengedwe imagwira ntchito bwino, ndipo lipoti loyesa liyenera kupulumutsidwa.
(5) Chopingasa laminar otaya yoyera benchi: yopingasa laminar otaya yoyera benchi ayenera kuyang'aniridwa zamphamvu planktonic mabakiteriya kamodzi pa sabata;magawo osiyanasiyana a benchi yopingasa yopingasa laminar amayenera kuyesedwa chaka chilichonse kuti awonetsetse kuti benchi yoyera imagwira ntchito bwino, ndipo lipoti la mayeso liyenera kupulumutsidwa;
14. Kuyang'anira kuchapa ndi kupha tizilombo toyambitsa matenda pansalu zachipatala
Kaya ndi chipatala chomwe chimadzitsuka ndikudziphera tizilombo tokha, kapena bungwe lachipatala lomwe limayang'anira ntchito yotsuka ndi kupha tizilombo toyambitsa matenda ndi bungwe lothandizira anthu ochapira, nsalu zachipatala zitatsukidwa ndi kupha tizilombo toyambitsa matenda kapena kulandira kutsuka ndi kupha tizilombo toyambitsa matenda ziyenera kuyang'aniridwa nthawi zonse kapena nthawi zina za katundu, madontho pamwamba, kuwonongeka, etc. Microbiological monitoring ikuchitika pafupipafupi.Pakali pano palibe malamulo ogwirizana pazachitsanzo ndi njira zoyesera.
Nthawi yotumiza: Sep-21-2023
