Kutariswa kwehutsanana kwekuuraya hutachiona muchipatara uye sterilization inzira inoshanda yekuwana matambudziko. Icho chikamu chakakosha chechipatara chetachiona chekutarisa chiratidzo system uye chimwe chezvinofanira-kutarisa zviri mukati muchipatara chekuongorora giredhi. Nekudaro, basa remazuva ese rekutarisira rinowanzo kunetswa neizvi, tisingataure nzira dzekutarisa, zvinhu zvinoshandiswa, bvunzo maitiro ekuita uye mishumo yemhedzisiro, nezvimwewo, nguva chete uye kuwanda kwekutarisa zvinoita kunge yanga iri nyaya inobata muchipatara.
Nheyo: Yakaunganidzwa zvichienderana nemitemo yenyika, mirau uye zvinyorwa zvine chekuita nekutapurira hutachiona.
1. Kuchenesa uye kuchenesa maitiro ekutarisa
(1) Kutarisisa kushanda kwekucheneswa kwemidziyo yekuongorora uye yekurapa, midziyo uye zvinhu: zuva nezuva (nguva dzese) + nguva dzose (pamwedzi)
(2) Kutariswa kwekuchenesa uye kuuraya utachiona zvishandiso nemhedzisiro yavo: zuva nezuva (nguva dzese) + nguva dzose (gore negore)
(3) Cleaner-disinfector: ichangobva kuiswa, yakagadziridzwa, yakagadziridzwa, kushandura maajenti ekuchenesa, nzira dzekuuraya hutachiona, kushandura nzira dzekurodha, nezvimwe.
2. Kutariswa kwemhando yekuuraya utachiona
(1) Hunyoro kupisa disinfection: zuva nezuva (nguva dzese) + nguva dzose (gore negore)
(2) Kemikari disinfection: Kusanganiswa kwezvinhu zvinoshanda (muzvitoro uye mukushandiswa) kunofanira kuongororwa nguva dzose, uye kushandiswa kunoramba kuchiitwa kunofanira kuongororwa zuva rega rega; huwandu hwekusvibiswa kwebhakitiriya (mukushandiswa)
(3) Disinfection effect monitoring: zvinhu zvinoshandiswa zvakananga mushure mekuuraya utachiona (senge disinfected endoscopes, nezvimwewo) zvinofanirwa kuongororwa mwedzi wega wega.
3. Kutariswa kwekuita sterilization:
(1) Kutarisisa kwekumanikidza steam sterilization maitiro
①Kutarisisa kwepanyama: (nguva dzese; inodzokororwa katatu mushure mekuiswa patsva, kutamiswa uye kugadzirisa sterilizer)
②Chemical monitoring (mukati nekunze kwebhegi; dzokorora katatu mushure mekunge sterilizer ichangobva kuisirwa, kutamiswa uye kugadziridzwa; kana uchishandisa kukurumidza kumanikidza steam sterilization maitiro, chidimbu chemakemikari chiratidzo mubhegi chinofanira kuiswa zvakananga padivi pezvinhu zvichaiswa. sterilized for chemical monitoring)
③B-D bvunzo (mazuva ese; usati watanga zuva nezuva sterilization oparesheni)
④Biological monitoring (vhiki nevhiki; sterilization yemidziyo inodyarwa inofanira kuitwa pabatch yega yega; kana zvinhu zvitsva zvekurongedza uye nzira pazvinoshandiswa pakuita sterilizer; sterilizer inofanira kunge isina chinhu kwe3 nguva dzakateedzana mushure mekuiswa patsva, kutamiswa uye kugadzirisa; diki inofanira kutakurwa zvizere uye inoramba ichitariswa katatu; sterilizer.)
(2) Kutarisa kushanda kwekuoma kupisa sterilization
①Kutarisisa kwepanyama: batch yega yega sterilization; 3 nguva mushure mekuiswa kutsva, kutamiswa uye kugadzirisa
②Chemical monitoring: yega yega sterilization package; 3 nguva mushure mekuiswa kutsva, kutamiswa uye kugadzirisa
③Biological monitoring: kamwe pasvondo; sterilization yezvishandiso zvinogoneka zvinofanirwa kuitwa kune rimwe nerimwe batch; inodzokororwa 3 nguva mushure mekuiswa kutsva, kutamiswa uye kugadzirisa
(3) Kuongorora kushanda kwe ethylene oxide gasi sterilization
①Muviri wekutarisa nzira: Dzokorora 3 nguva imwe neimwe; apo kuisirwa kutsva, kutamiswa, kugadziridza, kutadza kuita sterilization, zvekurongedza zvinhu kana zvinhu zvinofanirwa kucheneswa zvachinjwa.
②Chemical yekutarisa nzira: yega yega sterilization chinhu pasuru; dzokorora 3 nguva apo kutsva kuisirwa, kutamiswa, kugadzirisa, kutadza kubereka, kurongedza zvinhu kana shanduko muzvinhu zvakasimwa.
③Biological monitoring nzira: kune yega yega sterilization batch; sterilization yezvishandiso zvinogoneka zvinofanirwa kuitwa kune rimwe nerimwe batch; inodzokororwa 3 nguva apo kutsva kuisirwa, kutamiswa, kuwedzeredza, kutadza kubereka, kurongedza zvinhu kana shanduko muzvinhu zvakasiiwa.
(4) Kuongorora kwehydrogen peroxide plasma sterilization
①Muviri wekutarisa nzira: Dzokorora 3 nguva imwe neimwe; apo kuisirwa kutsva, kutamiswa, kugadziridza, kutadza kuita sterilization, zvekurongedza zvinhu kana zvinhu zvinofanirwa kucheneswa zvachinjwa.
②Chemical yekutarisa nzira: yega yega sterilization chinhu pasuru; dzokorora 3 nguva apo kutsva kuisirwa, kutamiswa, kugadzirisa, kutadza kubereka, kurongedza zvinhu kana shanduko muzvinhu zvakasimwa.
③Biological monitoring nzira: inofanira kuitwa kamwe chete pazuva; sterilization yezvishandiso zvinogoneka zvinofanirwa kuitwa kune rimwe nerimwe batch; inodzokororwa 3 nguva apo kutsva kuisirwa, kutamiswa, kugadziridza, kutadza kubereka, kurongedza zvinhu kana shanduko muzvinhu zvakasimwa.
(5) Kuongorora kwepasi-tembiricha formaldehyde steam sterilization
①Nzira yekutarisa yemuviri: Dzokorora 3 nguva kune yega yega sterilization batch; kuisirwa kutsva, kutamiswa, kuwedzeredza, kutadza kubereka, kurongedza zvinhu kana shanduko muzvinhu zvakasimwa.
②Chemical yekutarisa nzira: yega yega sterilization chinhu pasuru; dzokorora 3 nguva apo kutsva kuisirwa, kutamiswa, kugadzirisa, kutadza kubereka, kurongedza zvinhu kana shanduko muzvinhu zvakasimwa.
③Biological monitoring nzira: inofanirwa kuongororwa kamwe chete pasvondo; sterilization yezvishandiso zvinogoneka zvinofanirwa kuitwa kune rimwe nerimwe batch; inodzokororwa 3 nguva apo kutsva kuisirwa, kutamiswa, kugadziridza, kutadza kubereka, kurongedza zvinhu kana shanduko muzvinhu zvakasimwa.
4. Kuongorora kushanda kwemaoko uye ganda disinfection
Madhipatimendi ane njodzi huru yekutapukirwa (akadai semakamuri ekuvhiyira, makamuri ekusunungukira, cath labs, laminar inoyerera yakachena mawadhi, mawadhi ekuisirwa mwongo, mawadhi ekutapurirana nhengo, nzvimbo dzinochengeterwa zvakanyanya, makamuri evacheche, makamuri aamai nevana, mawadhi ehemodialysis, mawadhi ekupisa, zvirwere zvinotapukira madhipatimendi, Dhipatimendi Stomatology, etc.): Quarterly; apo kuputika kwechirwere chechipatara kunofungidzirwa kuti kune chokuita nehutsanana hwemaoko evashandi vezvokurapa, inofanira kuitwa panguva yakakodzera uye inoenderana pathogenic microorganisms inofanira kuongororwa.
(1) Kutarisisa kwekuita disinfection kwemaoko: mushure mehutsanana hwemaoko uye usati wasangana nevarwere kana kuita mabasa ekurapa.
(2) Kutarisa maitiro ekuuraya hutachiona hweganda: tevera iyo nguva yekuita yakatsanangurwa mumirayiridzo yechigadzirwa chekushandisa, uye tora sampuli nenguva mushure mekuita kwekuuraya hutachiona.
5. Kutarisisa maitiro ekuuraya utachiona hwenzvimbo yechinhu
Nzvimbo dzingangove dzakasvibiswa uye dzakasvibiswa dzinoiswa disinfected; nzvimbo dzakachena dzakatemerwa zvichibva pane-saiti mamiriro; sampling inoitwa kana ichifungidzirwa kuti ine chekuita nekubuda kwehutachiona hwechipatara. (Ropa Rokuchenesa Protocol 2010 Edition: Mwedzi wega wega)
6. Air disinfection effect monitoring
(1) Madhipatimendi ane ngozi huru yokutapukirwa: kota yoga yoga; madhipatimendi ekushanda akachena (makamuri) nedzimwe nzvimbo dzakachena. Kutarisisa kunofanirwa kuitwa panguva yekugamuchirwa kwekuvaka kutsva nekuvakazve uye mushure mekutsiviwa kwepamusoro-soro mafirita; kutarisa kunofanira kuitwa chero nguva apo kubuda kwehutachiona hwechipatara kunofungidzirwa kuti kune chokuita nekusvibiswa kwemhepo. , uye kuona hutachiona hwepathogenic microorganisms dzinoenderana.Kuchenesa madhipatimendi ekuvhiya nedzimwe nzvimbo dzakachena chengetedza kuti imba yega yega yakachena inogona kuongororwa kamwechete pagore.
(2) Sampling nguva: Kune makamuri anoshandisa yakachena tekinoroji kuchenesa mhepo, tora sampuli mushure mekuchenesa system yazvichenesa uye isati yaita mabasa ekurapa; kumakamuri asingashandisi tekinoroji yakachena kuchenesa mhepo, kutora samples mushure mekuuraya hutachiona kana kunyorerwa mhepo uye usati waita mabasa ekurapa; kana Sampling kana ichifungidzirwa kuti ine chekuita nechirwere che nosocomial.
7. Tarisa maitiro ekuita disinfection yemidziyo yekuchenesa: tora samples mushure mekuuraya hutachiona uye usati washandisa.
Tora sampuli mushure mekuuraya hutachiona uye usati washandisa.
8. Kuonekwa kwehutachiona hwepathogenic:
Routine supervisory yekuongorora haidi kuona pathogenic microorganisms. Target microorganisms inofanirwa kuongororwa kana chirwere chechipatara chinofungidzirwa, kana chirwere chechipatara chikaongororwa, kana kana kusvibiswa kweimwe pathogenic bhakitiriya kunofungidzirwa kubasa.
9. Kuongororwa kweUV rambi irradiance kukosha
Inventory (ichangobva kugoneswa) + iri kushandiswa
10. Kuongororwa kwezvinhu zvakavharwa uye mishonga inoraswa
Hazvikurudzirwe kuti zvipatara zvigare zvichiita mhando iyi yekuongororwa. Kana iyo epidemiological yekuferefeta ichifungidzira kuti zviitiko zvehutachiona hwechipatara zvine chekuita nezvinhu zvine sterilized, ongororo dzinoenderana dzinofanirwa kuitwa.
11.Related monitoring yehemodialysis
(1) Mhepo, nzvimbo nemaoko: pamwedzi
(2) Mvura yeDialysis: PH (zuva nezuva): mabhakitiriya (pakutanga akaedzwa kamwe pavhiki, uye akachinjwa kuva pamwedzi mushure memigumisiro miviri yakatevedzana yekuedza inosangana nezvinodiwa, uye sampling site ndiyo kuguma kwepombi yekuendesa mvura ye reverse osmosis); endotoxin (pakutanga Kuongororwa kunofanira kuitwa kamwe chete pasvondo, uye kuchinjwa kusvika pakota mushure meongororo mbiri dzakatevedzana dzinosangana nezvinodiwa. Nzvimbo yesampling ndipo panoperera pombi yemvura inodzokera kumashure; kana fivha, kupindwa nechando, kana kurwadza kwemakumbo vascular access side inoitika kana uchishandisa dialyzer yakashandiswa zvakare, bvunzo dzinofanirwa kuitwa Test reverse osmosis mvura yekushandisa zvakare uye kutsvaira); makemikari anosvibisa (kanenge gore negore); kuoma kwemvura yakapfava uye yemahara chlorine (kanenge vhiki nevhiki);
(3) Yasara huwandu hweyakashandiswazve mushonga wekuuraya utachiona: dialyzer mushure mekushandisazve; kana fivha, kutonhora, kana kurwadza kwemakumbo ekumusoro padivi revascular access zvikaitika kana uchishandisa dialyzer yakashandiswazve, reverse osmosis mvura yekushandisa zvakare kugezeswa inofanira kuongororwa.
(4) Disinfectant yemashini edialysis: pamwedzi (yechiuraya utachiona uye yakasara kuunganidzwa kwemidziyo yekuuraya utachiona)
(5) Dialysate: mabhakitiriya (mwedzi wega wega), endotoxin (kanenge katatu); muchina wega wega dialysis unoedzwa kamwechete pagore
(6) Dialyzer: isati yashandiswazve yega yega (label, chitarisiko, kugona, kudzvanywa, kuungana kwezadza disinfectant); mushure mekushandisazve kwega kwega (kuonekwa, fiber yemukati, zuva rekupera); Usati washandisa (kutaridzika, chinyorwa, Zuva rekupera, ruzivo rwemurwere, chimiro, kuvapo kwechirwere chekuuraya hutachiona kudonha uye kusara kwehuwandu hwekuuraya hutachiona mushure mekutsvaira). Mukushandiswa (murwere kliniki mamiriro uye matambudziko)
(7) Simbisa dhiramu rekugadzirira: Disinfectant nemishonga svondo rega rega uye shandisa bepa rebvunzo kuratidza kuti hapana chasara mushonga wekuuraya utachiona.
12.Related monitoring of disinfectants
(1) Tarisa kuunganidzwa kwezvinhu zvinoshanda (muzvitoro uye panguva yekushandiswa) nguva dzose, uye zvinofanirwa kuongororwa zuva rega rega kuti zvirambe zvichishandiswa;
(2) Kutarisisa kusvibiswa kwebhakitiriya panguva yekushandiswa (sterilizing disinfectants, ganda uye mucous membrane disinfectants, uye mamwe ma disinfectants panguva yekushandiswa)
13. Intravenous drug dispensing centre (kamuri)
(1) Nzvimbo yakachena inofanirwa kuyedzwa nedhipatimendi remitemo kuti isangane nemitemo yehutsanana hwenyika (yekutanga gadziriso, imba yekuwachira uye yehutsanana imba yekugezera iri level 100,000; yechipiri yekuvandudza, dosing uye imba yekuparadzira idanho zviuru gumi; iyo laminar inoyerera. tafura yekushandisa idanho 100) isati yatanga kushandiswa.
(2) Mafirita emhepo anofanira kutsiviwa nguva dzose munzvimbo dzakachena. Mushure mekuita kugadzirisa kwakasiyana-siyana kunogona kukanganisa hutsanana hwemhepo, inofanirwa kuongororwa uye kuongororwa kuti ienderane nehutsanana hunoenderana nemwero wehutsanana isati yashandiswa zvakare.
(3) Kuwanda kwemabhakitiriya mumhepo munzvimbo yakachena kunofanira kuonekwa nguva dzose mwedzi woga woga.
(4) Biological kuchengetedza kabati: Biological kuchengetedza makabati anofanirwa kutariswa kune sedimentation mabhakitiriya kamwe chete pamwedzi. Biological kuchengetedza makabati anofanirwa kukurumidza kutsiva activated kabhoni mafirita zvinoenderana neotomatiki yekutarisa mirairo. Yakasiyana-siyana ma paramita ebhayoloji yekuchengetedza kabhineti inofanirwa kuyedzwa gore rega rega kuti ive nechokwadi chekushanda kweiyo biological kuchengetedza kabhineti, uye mushumo webvunzo unofanirwa kuchengetwa.
(5) Horizontal laminar inoyerera yakachena bhenji: The horizontal laminar kuyerera yakachena bhenji inofanira kuongororwa nokuda dynamic planktonic mabhakitiriya kamwe pavhiki; akasiyana maparamendi eiyo yakatwasuka laminar inoyerera yakachena bhenji inofanirwa kuongororwa gore rega rega kuti ive nechokwadi chekushanda kwebhenji rakachena, uye mushumo webvunzo unofanirwa kuchengetwa;
14. Kutariswa kwekuwacha nekuuraya utachiona hwemachira ekurapa
Ingave inzvimbo yekurapa inozvigeza nekuzviuraya, kana nzvimbo yekurapa iyo inobata basa rekuwachisa nekuuraya hutachiona nesangano rewachisheni rinosangana nevanhu, machira ekurapa mushure mekugezwa nekuuraya utachiona kana kugashira kugeza nekuuraya utachiona anofanira kugara achiongororwa kana apo neapo nokuda kwezvivakwa, mavara epamusoro, kukuvadzwa, etc. Microbiological monitoring inoitwa nguva dzose. Ikozvino hapana mirairo yakabatana pane chaiyo sampling uye nzira dzekuyedza.
Nguva yekutumira: Sep-21-2023
