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洁净厂房设计施工以及维护使用注意事项

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发布日期:2017-04-13 17:23:43
1、 空气处理机及风管上的各阀门在交付使用前已调整为最佳位置,严禁医院人员随意调整,以免影响净化效果。如果阀门由于误操作或意外情况位置发生变更,或者由于技术原因需要调整,应通知洁净厂房设计施工专业技术人员携带仪器进行调整及检测。
 
1, air processor and the valve on the wind pipe before delivery has been adjusted for the best position, is strictly prohibited the hospital personnel to adjust, so as not to affect the purification effect. If there is a change in the position of the valve due to incorrect operation or accident, or due to technical reasons need to be adjusted, should be informed of the clean plant design and construction professional technical personnel to carry the instrument to adjust and detect.
 
2、 每日手术开台前,应提前30分钟(I级手术室15分钟)开启净化空调系统。手术室的净化效果是通过净化空调系统处理的洁净空气不断置换室内的污染空气达到的,如果不提前开启净化空调系统,短时间内手术室尚未达到所要求的洁净度,很难保证手术的洁净要求。
 
2, daily operation before the founding, should be 30 minutes early (grade I operation room 15 minutes) to open the clean air conditioning system. The purification effect of operation room is achieved by treating the polluted air in the air conditioning system. If the air conditioning system is not opened up in advance, the operation room has not been achieved in a short time.
 
3、 在手术后应及时对手术室进行清洁及消毒处理,将纱布、敷料、器械等污染物品通过恰当方式运离手术室;对溅到地面、墙面的血液及药液及时擦拭,祛除污痕;对室内的设备、物品进行擦拭消毒。特别要指出的是一些医院使用的大灯盘手术灯,如不注意表面的清洁消毒,也会影响手术区域的洁净度。对连台手术,应在前一台手术完成后立即进行室内的清洁擦拭,并在30分钟后再进行下一台手术(I级手术室15分钟即可)。手术室禁止使用具有腐蚀性和毒害性的消毒方式。
 
3, after the surgery should be timely to the operating room for cleaning and disinfection, gauze, dressing, etc. contaminated items by properly transported from the operating room; on splash into the ground, metope of blood and liquid promptly wipe, dispel the blouses; the indoor equipment, goods are wiping disinfection. In particular, it is pointed out that the use of a number of hospitals in the light of the lamp, such as the surface of the cleaning disinfection, but also affect the cleanliness of the surgical area. Of unremitting operation should be in after the completion of a surgery immediately indoor cleaning, and after 30 minutes to under a surgery (grade I operation room 15 minutes). The use of disinfection and toxicity in the operation room.
 
4、 医护人员在更换手术衣及洗手消毒后,不应再进入非洁净区域。如确需进入非洁净区时,必须更换外出衣与外出鞋,以免在重新进入手术室时,造成手术室的二次污染。
 
4, health care workers in the replacement of surgical clothes and hand disinfection, should not enter the non clean area. If it is really necessary to enter the non clean area must be replaced out clothing and shoes to go out, so as not to re entering the operating room, causing the secondary pollution of the operating room.
 
5、 手术过程中尽量减少手术室的开门次数,严禁开门进行手术。手术室的环境是一个密闭的洁净环境,在门关闭时,室内的气压大于室外的气压,从而保证手术室内的洁净空气只向外排出,而室外的空气不会进入室内。开门时室内的正压降低,会有少量门外的空气进入室内,影响室内空气的洁净度。而如果在手术时,门长时间的开启,会严重影响室内空气的洁净效果。此外,整个手术部洁净区的洁净度对保持各手术室内的洁净度也是至关重要的,所以洁净区各房间的门应尽量关闭,特别是通往非洁净区域的大门。
 
5, the operation process to reduce the number of open door in the operation room, open the door for surgery. Operation room, the environment is a closed clean environment, when the door is closed, the indoor air pressure is greater than the outdoor air pressure, thereby ensuring the operation of the clean air only outward, and outdoor air will not enter the indoor. When the door is open, the positive pressure is reduced, there will be a small amount of air entering the room, the impact of indoor air cleanliness. And if the operation, the door open, will seriously affect the indoor air clean effect. In addition, the entire operation of the clean area of the cleanliness of the operating room is also essential to maintain cleanliness, so the door should be closed to the door of the room, especially to the door to the non clean area.
 
6、 在洁净厂房设计施工 http://www.jnjkjh.com/ 交付使用时,空气处理系统中的温湿度控制已调节至标准状态。合适的温湿度可以保证病人在手术时不会因体温过低而导致感冒,同时可保证医护人员在舒适的环境中以最佳状态施行手术。为了确保手术室内适宜的温度,操作人员应经常检查空气处理机组,保持冷冻水进出水压力不小于0.3 MPA,夏季进水温度为7~8℃,出水温度为12~14℃,冬季进水温度不低于38℃,出水温度不低于25℃。
 
6, in the clean plant design and construction delivery, air conditioning system in the temperature and humidity control has been adjusted to the standard state. Appropriate temperature and humidity can ensure that the patient will not be able to catch a cold when the temperature is too low, and can ensure that the health care workers in the comfort of the environment to the best state of operation. In order to ensure that the operating room temperature, the operator should always check the air handling unit, to maintain the frozen water inlet and outlet water pressure is not less than 0.3 MPA, the summer water temperature is 8 ~ 12, the water temperature is 14 ~ 7, the water temperature is not less than 38, the water temperature is not less than 25.
 
7、 在日常使用中,应注意将手术室内温度控制在22~25℃,湿度控制40~60%左右。在调节空调的温度时应注意调节幅度勿过大,应逐步调节,每次调节1~2℃,直至达到要求温度。冬季使用暖气时,应注意勿将温度调节得过高。因为暖空气具有上升力,会对垂直下降的气流形成阻力,干扰垂直气流,从而降低层流净化的效果。所以一般冬季室内温度宜设置在23度左右。此外,手术室内一些设备本身也会散发热量,如可能应尽量远离手术区域。
 
7, in daily use, should pay attention to the operating room temperature control in 22 ~ 25, humidity control 40 ~ 60%. In the adjustment of the temperature of the air conditioning should pay attention to adjust the amplitude is not too large, should be gradually adjusted, every time the adjustment of 2 ~ 1, until the required temperature. When using heating in winter, should pay attention not to adjust the temperature too high. Because warm air has an upward force, it will form a resistance to the vertical drop of air flow, and interfere with the vertical air flow, thereby reducing the effect of laminar flow. So the general winter indoor temperature should be set at 23 degrees or so. In addition, the operation of some of the equipment itself will be distributed heat, if possible, as far as possible from the surgical area.
 
8、 手术室侧壁上的回风百叶内设有过滤网,为保持洁净效果,应每周取下清洁一次。在周末无手术之时,打开回风百叶,轻轻取下过滤网,用清水冲洗后晾干消毒后,再装入回风口,将回风百叶复位即可。
 
8 operation room, the side wall of the air shutter and a filter is arranged in the network, in order to maintain the clean effect, should take a weekly cleaning. In the weekend without surgery, open the shutter return, gently remove the filter net, rinse with water after drying after disinfection, and then into the return air, return air louver can be reset.
9、 应定期对空气处理机机柜进行清洗和消毒。洁净手术室的心脏部分是空气处理机,空气经过空气处理机中的初效、中效过滤装置过滤后再经高效过滤器的过滤成为洁净空气再送到手术室内。机柜内的初效过滤器为一次抛弃型过滤器,由无纺滤料制成,应视其外部环境,及时检查过滤器表面洁净情况和压力差,做到定期更换初效过滤器。一般来说北方地区空气中含尘量比较高,特别是新风机组和自取新风机组的初效过滤器要及时检查更换。这样不仅能延长中效过滤器的使用寿命,而且还能避免因此而导致的新风量不足和保证各手术间内的正压建立。中效过滤器是由进口玻璃纤维制成,应每月定期检查有无破损或堵塞,如有破损堵塞应及时更换。同时机柜内也应经常检查,如机柜内有积尘也应进行清洁,必要时对机柜内进行熏蒸消毒。
 
9, should be regularly cleaned and disinfected on the air processor cabinet. The heart of the clean operation room is the air processor, and the air is filtered through the primary effect of the air processor, and the filtering device is then filtered into the clean air and then sent to the operating room. The primary effect filter in the cabinet is a disposable filter, which is made of non woven filter media, and the external environment should be considered, and the filter surface is clean and the pressure difference is checked. Generally speaking northern air dust content is relatively high, especially fresh air unit and pickup the fresh air handling unit at the beginning of the effect filters should be timely inspection and replacement. This not only can prolong the service life of the medium effect filter, but also can avoid the lack of fresh air and guarantee the establishment of positive pressure in each operation. The filter is made of imported glass fiber, should be regularly checked every month there is no damage or blockage, if there is damage to plug should be replaced in time. At the same time, the cabinet should be regularly checked, such as dust in the cabinet should be clean, if necessary, the cabinet for fumigation disinfection.
 
10、 应有专人定期检查风机的排冷凝水管路有无堵塞以及气封内是否存有积水。在风机的表冷器下方有盛水盘接受冷凝水,并通过带气封的管路排到地漏处。如果排冷凝水管路堵塞,会出现机柜内积水,导致细菌繁殖,影响净化效果。而气封的作用是通过排水管路弯曲处的积水使排水管外的空气不会倒灌到风机内(类似洗涤池的水封可用来防止臭气溢入),所以在冬天无冷凝水时要注意检查气封内的积水是否干枯,如果干枯应及时加入清水使其保持水封状态。
 
10, should be assigned to check the regular inspection of the wind turbine exhaust condensate pipeline is blocked, and gas seal in the presence of water. In the table below the cooler fan with water pan accept condensed water, and discharged to the floor drain through the pipeline with gas seal. If the drain of condensate pipeline blockage, the cabinet will appear in the water, leading to bacterial reproduction, affecting the purification effect. And the sealing effect is through the water drainage pipe bend the drainage pipe outside air does not flow backward to fan (similar to the washing pool of water seal to prevent stench from overflowing into), so in the winter without condensed water should pay attention to check the gas seal in the water is dry, if dry should be promptly added to the water to maintain a seal.
 
11、 当控制面板上的高效过滤器报警装置发出警报时,应及时检查净化天花内的高效过滤器。高效过滤器报警信号来自空气处理系统中的压力感应器,当高效过滤器经若干年的使用后,滤网发生堵塞,滤网前压力上升,系统中的压力感应器接受到信号,控制面板上的报警装置即发出警报,此时可调节变频器,提高风压,延长高效过滤器的使用寿命;必要时更换高效过滤器。
 
11, when the control panel of the high efficiency filter alarm device, should be promptly checked to clean up the efficient filter. High efficiency filter alarm signal from the air handling system in the pressure sensor, when the high efficiency filter after several years of use, the filter is blocked, the pressure rise in the system, the pressure sensor in the system to receive the signal, the alarm device on the control panel is issued an alert, this time can adjust the frequency converter, improve wind pressure, prolong the service life of high efficiency filter.
 
12、 每台空调机组的供风管和回风管上都安装有防火调风阀,为确保其安全可靠,应按国家有关规定由医院维护人员对其进行检查。
 
12, each air-conditioning unit air supply tube and a return tube are installed fire air adjusting valve, to ensure its safe and reliable, should be in accordance with the relevant provisions of the state by the hospital maintenance personnel to check.
 
13、 洁净厂房设计施工人员应定期按照维护保养手册对空调机组的紧固件进行检查保养。
 
13, clean workshop design and construction personnel should be in accordance with the maintenance manual of the maintenance manual for air conditioning unit of the fasteners for inspection and maintenance.
 

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