Tlhokomelo ea bohloeki ea ho bolaea likokoana-hloko sepetlele le ho thibela likokoana-hloko ke mokhoa o sebetsang oa ho fumana mathata. Ke karolo ea bohlokoa ea tsamaiso ea ho hlahloba tšoaetso ea sepetlele le e 'ngoe ea lintho tse lokelang ho hlahlojoa tlhahlobo ea boemo ba sepetlele. Leha ho le joalo, mosebetsi oa tsamaiso ea letsatsi le letsatsi o atisa ho khathatsoa ke sena, re sa bue ka mekhoa ea Tlhokomelo, lisebelisoa tse sebelisoang, mekhoa ea ts'ebetso ea liteko le litlaleho tsa liphetho, joalo-joalo, nako le nako ea ho beha leihlo ho bonahala e le taba e amang maikutlo sepetlele.
Motheo: E hlophisitsoe ho ipapisitsoe le melao ea hajoale ea naha, melaoana le litokomane tse amanang le taolo ea ts'oaetso.
1. Tlhoekiso le ts'ebetso ea ho hloekisa
(1) Ho lekola katleho ea ho hloekisa lisebelisoa tsa tlhahlobo le kalafo, lisebelisoa le lintho: letsatsi le letsatsi (nako le nako) + khafetsa (khoeli le khoeli)
(2) Ho beha leihlo lisebelisoa tsa ho hloekisa le ho bolaea likokoana-hloko le litlamorao tsa tsona: letsatsi le letsatsi (nako le nako) + khafetsa (selemo le selemo)
(3) Cleaner-disinfector: e sa tsoa kenngoa, e nchafalitsoe, e fetisitsoe, e fetola lisebelisoa tsa ho hloekisa, mekhoa ea ho thibela likokoana-hloko, ho fetola mekhoa ea ho kenya, joalo-joalo.
2. Tlhokomelo ea boleng ba disinfection
(1) Tšoaetso ea mocheso o mongobo: letsatsi le letsatsi (nako le nako) + kamehla (selemo le selemo)
(2) Ho bolaea likokoana-hloko ka lik’hemik’hale: Bongata ba metsoako e sebetsang (setokong le e sebelisoang) bo lokela ho behoa leihlo kamehla, ’me tšebeliso e tsoelang pele e lokela ho behoa leihlo letsatsi le leng le le leng; bongata ba tšilafalo ea baktheria (e sebelisoang)
(3) Tlhokomelo ea phello ea ho bolaea likokoana-hloko: lintho tse sebelisoang ka ho toba ka mor'a ho bolaea likokoana-hloko (joalo ka li-endoscope tse nang le likokoana-hloko, joalo-joalo) li lokela ho behoa leihlo ka kotara.
3. Tekolo ea phello ea sterilization:
(1) Tlhokomelo ea phello ea khatello ea mouoane
① Tlhokomelo ea 'mele: (nako le nako; e phetoa makhetlo a 3 kamora ho kenya ts'ebetso e ncha, ho fallisoa le ho lokisoa ha sterilizer)
②Tlhōlo ea lik'hemik'hale (ka hare le ka ntle ho mokotla; pheta makhetlo a 3 ka mor'a hore sterilizer e sa tsoa kenngoa, e fallisetsoe le ho fetoloa; ha u sebelisa mokhoa o potlakileng oa ho thibela mouoane, karolo ea lik'hemik'hale ka mokotleng e lokela ho behoa haufi le lintho tse lokelang ho etsoa. sterilized for chemical monitoring )
Teko ea ③B-D (letsatsi le leng le le leng; pele o qala ts'ebetso ea letsatsi le letsatsi)
④Tlhaloso ea bioloji (beke le beke; ho hloekisoa ha lisebelisoa tse kenngoeng ho lokela ho etsoa bakeng sa sehlopha se seng le se seng; ha lisebelisoa le mekhoa e mecha ea ho paka li sebelisoa bakeng sa ho koala; sterilizer e lokela ho ba e se nang letho ka makhetlo a 3 a latellanang ka mor'a ho kenya, ho falla le ho nchafatsoa; e nyane. e lokela ho laeloa ka botlalo le ho hlahlojoa ka makhetlo a mararo ka potlako; sterilizer.)
(2) Ho lekola katleho ea mocheso o omileng oa sterilization
① Tlhokomelo ea 'mele: sehlopha se seng le se seng sa sterilization; Linako tse 3 ka mor'a ho kenya, ho fallisoa le ho ntlafatsa
②Tlhahlobo ea lik'hemik'hale: sephutheloana se seng le se seng sa ho thibela likokoana-hloko; Linako tse 3 ka mor'a ho kenya, ho fallisoa le ho ntlafatsa
③Tekolo ea baeloji: hang ka beke; sterilization ea lisebelisoa tse kentsoeng e lokela ho etsoa bakeng sa batch ka 'ngoe; pheta makhetlo a 3 ka mor'a ho kenya, ho falla le ho nchafatsa
(3) Ho beha leihlo katleho ea ethylene oxide khase sterilization
① Mokhoa oa ho shebella 'mele: Pheta makhetlo a 3 nako le nako; ha ho fetoloa ho kenngoa ho hocha, ho fallisoa, ho nchafatsa, ho hloleha ho thibela likokoana-hloko, thepa ea ho paka kapa lintho tse lokelang ho hloekisoa.
②Mokhoa oa ho hlahloba lik'hemik'hale: sephutheloana se seng le se seng sa ntho ea ho thibela likokoana-hloko; pheta makhetlo a 3 ha ho kenya ts'ebetso e ncha, ho falla, ho nchafatsa, ho hloleha ho etsa sterilization, thepa ea ho paka kapa liphetoho linthong tse hloekisitsoeng.
③Mokhoa oa ho lekola baeloji: bakeng sa beche e 'ngoe le e 'ngoe ea ho koala; sterilization ea lisebelisoa tse kentsoeng e lokela ho etsoa bakeng sa batch ka 'ngoe; Pheta makhetlo a 3 ha ho kengoa, ho fallisoa, ho nchafatsa, ho hloleha ho etsa sterilization, thepa ea ho paka kapa liphetoho linthong tse hloekisitsoeng.
(4) Tlhokomelo ea hydrogen peroxide plasma sterilization
① Mokhoa oa ho shebella 'mele: Pheta makhetlo a 3 nako le nako; ha ho fetoloa ho kenngoa ho hocha, ho fallisoa, ho nchafatsa, ho hloleha ho thibela likokoana-hloko, thepa ea ho paka kapa lintho tse lokelang ho hloekisoa.
②Mokhoa oa ho hlahloba lik'hemik'hale: sephutheloana se seng le se seng sa ntho ea ho thibela likokoana-hloko; pheta makhetlo a 3 ha ho kenya ts'ebetso e ncha, ho falla, ho nchafatsa, ho hloleha ho etsa sterilization, thepa ea ho paka kapa liphetoho linthong tse hloekisitsoeng.
③Mokhoa oa ho lekola baeloji: o lokela ho etsoa bonyane hang ka letsatsi; sterilization ea lisebelisoa tse kentsoeng li lokela ho etsoa bakeng sa sehlopha ka seng; Pheta makhetlo a 3 ha ho kengoa, ho fallisoa, ho nchafatsa, ho hloleha ha sterilization, lisebelisoa tsa ho paka kapa liphetoho linthong tse hloekisitsoeng.
(5) Tlhokomelo ea mocheso o tlase oa formaldehyde sterilization ea mouoane
① Mokhoa oa ho beha leihlo: Pheta makhetlo a 3 bakeng sa sehlopha se seng le se seng sa sterilization; tlhomamiso e ncha, ho falla, ho nchafatsa, ho hloleha ho etsa sterilization, thepa ea ho paka kapa liphetoho linthong tse hloekisitsoeng.
②Mokhoa oa ho hlahloba lik'hemik'hale: sephutheloana se seng le se seng sa ntho ea ho thibela likokoana-hloko; pheta makhetlo a 3 ha ho kenya ts'ebetso e ncha, ho falla, ho nchafatsa, ho hloleha ho etsa sterilization, thepa ea ho paka kapa liphetoho linthong tse hloekisitsoeng.
③Mokhoa oa ho beha leihlo bophelo: o lokela ho beoa leihlo hang ka beke; sterilization ea lisebelisoa tse kentsoeng e lokela ho etsoa bakeng sa batch ka 'ngoe; Pheta makhetlo a 3 ha ho kengoa, ho fallisoa, ho nchafatsa, ho hloleha ha sterilization, lisebelisoa tsa ho paka kapa liphetoho linthong tse hloekisitsoeng.
4. Ho beha leihlo katleho ea ho thibela likokoana-hloko ka letsoho le letlalo
Mafapha a nang le kotsi e kholo ea tšoaetso (joalo ka likamore tsa ho buoa, likamore tsa ho belehela, li-cath labs, li-laminar phallo e hloekileng, likamore tsa ho fetisetsa moko oa masapo, liphaposi tsa ho fetisetsa litho tsa 'mele, liphaposi tsa tlhokomelo e matla, likamore tsa masea le masea, liphaposi tsa hemodialysis, likamore tsa batho ba cheleng, mafapha a mafu a tšoaetsanoang, Lefapha la Stomatology, joalo-joalo): Kotara; ha ho qhoma ha tšoaetso ea sepetlele ho belaelloa hore e amana le bohloeki ba matsoho ba basebetsi ba bongaka, e lokela ho etsoa ka nako e nepahetseng 'me likokoana-hloko tse tsamaisanang le likokoana-hloko li lokela ho hlahlojoa.
(1) Tlhokomelo ea phello ea ho thibela likokoana-hloko ka letsoho: ka mor'a bohloeki ba matsoho le pele u kopana le bakuli kapa ho etsa mesebetsi ea bongaka.
(2) Ho shebella phello ea ho thibela likokoana-hloko ea letlalo: latela nako ea ketso e boletsoeng litaelong tsa sehlahisoa bakeng sa tšebeliso, 'me u nke mehlala ka nako ka mor'a hore phello ea ho thibela likokoana-hloko e finyelloe.
5. Ho beha leihlo phello ea ho thibela likokoana-hloko ea bokaholimo ba ntho
Libaka tse ka 'nang tsa silafatsoa le libaka tse silafetseng li hloekisoa ka likokoana-hloko; libaka tse hloekileng li khethoa ho latela maemo a setša; sampole e etsoa ha ho belaelloa hore e amana le ho qhoma ha tšoaetso ea sepetlele. (Khatiso ea Phallo ea Mali ea 2010: Khoeli le Khoeli)
6. Tlhokomelo ea phello ea ho bolaea likokoana-hloko
(1) Mafapha a nang le kotsi e kholo ea tšoaetso: ka kotara; hloekile mafapha (liphaposi) le libaka tse ling tse hloekileng. Tlhokomelo e lokela ho etsoa nakong ea kamohelo ea kaho e ncha le kaho le ka mor'a ho nkela li-filters tse sebetsang hantle haholo; tlhokomelo e lokela ho etsoa ka nako leha e le efe ha ho qhoma ha tšoaetso ea sepetlele ho belaelloa hore e amana le tšilafalo ea moea. , le ho etsa tlhahlobo ea likokoana-hloko tse tsamaellanang tsa pathogenic.Mafapha a hloekileng a ho buoa le libaka tse ling tse hloekileng li netefatsa hore kamore ka 'ngoe e hloekileng e ka behoa leihlo bonyane hang ka selemo.
(2) Nako ea ho etsa mohlala: Bakeng sa likamore tse sebelisang theknoloji e hloekileng ho hloekisa moea, nka lisampole ka mor'a hore tsamaiso e hloekileng e itlhoekise le pele u etsa mesebetsi ea bongaka; bakeng sa likamore tse sa sebeliseng thekenoloji e hloekileng ho hloekisa moea, ho nka lisampole ka mor'a ho thibela likokoana-hloko kapa ho fana ka moea o behiloeng le pele ho etsa mesebetsi ea bongaka; kapa Sampling ha ho belaelloa hore e amana le ho qhoma ha tšoaetso ea nosocomial.
7. Lekola phello ea ho bolaea likokoana-hloko ea lisebelisoa tsa ho hloekisa: nka lisampole ka mor'a ho bolaea likokoana-hloko le pele u li sebelisa.
Nka lisampole ka mor'a ho bolaea likokoana-hloko le pele u li sebelisa.
8. Ho fumanoa ha libaktheria tsa pathogenic:
Litlhahlobo tse tloaelehileng tsa boits'oaro ha li hloke ho bona likokoana-hloko tsa pathogenic. Likokoana-hloko tse reretsoeng li lokela ho hlahlojoa ha ho belaelloa hore ho na le ts'oaetso ea ts'oaetso ea sepetlele, ha ho hlahlojoa lefu la ts'oaetso ea sepetlele, kapa ha ho belaelloa hore ho silafatsoa ke baktheria e itseng ea pathogenic mosebetsing.
9. Tlhokomelo ea boleng ba mahlaseli a lebone la UV
Inventory (e sa tsoa lumelloa) + e ea sebelisoa
10. Tlhahlobo ea lintho tse hloekisitsoeng le lisebelisoa tsa bongaka tse lahloang
Ha ho khothalletsoe hore lipetlele li etse tlhahlobo ea mofuta ona kamehla. Ha lipatlisiso tsa epidemiological li belaela hore liketsahalo tsa ts'oaetso ea sepetlele li amana le lintho tse sterilized, tlhahlobo e lumellanang e lokela ho etsoa.
11.Tlhaloso e amanang le hemodialysis
(1) Moea, bokaholimo le matsoho: khoeli le khoeli
(2) Metsi a dialysis: PH (letsatsi le letsatsi): baktheria (e lekoa qalong hang ka beke, 'me e fetoloa khoeli le khoeli ka mor'a hore liphetho tse peli tse latellanang li fihlele litlhoko, 'me sebaka sa sampuli ke qetello ea phaephe ea ho fana ka metsi a osmosis ka morao); endotoxin (Qalong, Teko e lokela ho etsoa hang ka beke, 'me e fetoloe bonyane kotara ka mor'a hore liphetho tse peli tse latellanang li fihlelle litlhoko. vascular access side etsahala ha u sebelisa dialyzer e sebelisitsoeng hape, tlhahlobo e lokela ho etsoa Test reverse osmosis metsi bakeng sa ho sebelisoa hape le ho hlatsoa); litšila tsa lik'hemik'hale (bonyane selemo le selemo); boima ba metsi a bonolo le chlorine e sa lefelloeng (bonyane beke le beke);
(3) Mesaletsa ea sebolaea-likokoana-hloko se sebelisitsoeng hape: dialyzer kamora ho sebelisoa hape; haeba feberu, ho tsieleha, kapa bohloko ba maoto a ka holimo lehlakoreng la phihlello ea methapo li etsahala ha u sebelisa dialyzer e sebelisitsoeng hape, metsi a ka morao a osmosis bakeng sa ho sebelisoa hape a lokela ho lekoa.
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(5) Dialysate: libaktheria (khoeli le khoeli), endotoxin (bonyane ka kotara); mochini o mong le o mong oa dialysis o lekoa bonyane hang ka selemo
(6) Dialyzer: pele e sebelisoa hape (leibole, ponahalo, bokhoni, khatello, khatello ea sebolaea-mafu se tlatsitsoeng); ka mor'a ho sebelisoa hape (ponahalo, fiber e ka hare, letsatsi la ho fela); pele o sebelisoa (ponahalo, leibole, Letsatsi la ho felloa ke nako, tlhaiso-leseling ea mokuli, sebopeho, boteng ba ho lutla ha sebolaea-libaktheria le palo e setseng ea sebolaea-likokoana ka mor'a ho hlatsoa). E sebelisoa (maemo a kliniki a mokuli le mathata)
(7) Tsepamisa maikutlo ka moqomong oa ho lokisa: Ho bolaea likokoana-hloko beke e 'ngoe le e 'ngoe 'me u sebelise pampiri ea liteko ho netefatsa hore ha ho na sebolaea-likokoana-hloko se setseng.
12.Tlhaloso e amanang le li-disinfectants
(1) Bea leihlo ho bokellana ha metsoako e sebetsang (setokong le nakong ea tšebeliso) kamehla, ’me e lokela ho behoa leihlo letsatsi le leng le le leng bakeng sa tšebeliso e tsoelang pele;
(2) Ho beha leihlo tšilafalo ea baktheria nakong ea ts'ebeliso (li-sterilizing disinfectants, letlalo le mucous membrane disinfectants, le li-disinfectants tse ling nakong ea ts'ebeliso)
13. Setsi sa ho fana ka meriana ka methapo (kamoreng)
(1) Sebaka se hloekileng se tlameha ho lekoa ke lefapha la molao ho fihlela litekanyetso tsa bohloeki ba naha (ntlafatso ea pele, kamore ea ho hlatsoetsa liaparo le ea bohloeki e boemong ba 100,000; ntlafatso ea bobeli, phaposi ea dosing le phano ea phallo ke boemo ba 10,000; phallo ea laminar. Tafole e sebetsang e boemong ba 100) pele e ka sebelisoa.
(2) Lisefe tsa moea li lokela ho nkeloa sebaka kamehla libakeng tse hloekileng. Ka mor'a ho etsa litokiso tse fapa-fapaneng tse ka amang bohloeki ba moea, e tlameha ho lekoa le ho netefatsoa hore e finyelle litekanyetso tse tsamaellanang tsa bohloeki pele e ka sebelisoa hape.
(3) Palo ea likolone tsa baktheria moeeng sebakeng se hloekileng e lokela ho fumanoa kamehla khoeli le khoeli.
4 Likhabinete tsa polokeho ea baeloji li lokela ho nkela li-filters tsa khabone tse kentsoeng hang-hang ho latela litaelo tsa boiketsetso. Likarolo tse fapaneng tsa khabinete ea polokeho ea baeloji li lokela ho lekoa selemo se seng le se seng ho netefatsa boleng ba ts'ebetso ea khabinete ea polokeho ea baeloji, mme tlaleho ea tlhahlobo e lokela ho bolokoa.
5 litekanyo tse fapaneng tsa benche e hloekileng ea phallo ea laminar e lokela ho lekoa selemo se seng le se seng ho netefatsa boleng ba ts'ebetso ea benche e hloekileng, mme tlaleho ea tlhahlobo e lokela ho bolokoa;
14. Tlhokomelo ea ho hlatsoa le ho thibela likokoana-hloko tsa masela a bongaka
Ho sa tsotellehe hore na ke setsi sa bongaka se itlhatsoang le ho itlhatsoa ka likokoana-hloko, kapa setsi sa bongaka se ikarabellang bakeng sa mosebetsi oa ho hlatsoa le ho thibela likokoana-hloko ke setsi sa litšebeletso tsa ho hlatsoa li-socialized, masela a bongaka ka mor'a ho hlatsoa le ho bolaea likokoana-hloko kapa ho fumana ho hlatsoa le ho thibela likokoana-hloko ho lokela ho hlahlojoa khafetsa kapa ka linako tse ling bakeng sa thepa, matheba a holim'a metsi, tšenyo, joalo-joalo. Tlhahlobo ea likokoana-hloko e etsoa khafetsa. Hajoale ha ho na melaoana e kopaneng mabapi le mekhoa e ikhethileng ea lisampole le liteko.
Nako ea poso: Sep-21-2023
