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层流手术室净化是如何选材,如何保养的?

来源:http://www.henganjh.cn │ 发表时间:2019-10-16 

  手术室是医院治病救人的场所,高效平安的手术室空气净化系统,能为病人提供干净、平安的手术环境,对降低手术感染率起到关键作用。
  The operating room is the place for the hospital to treat patients and save people. The efficient and safe air purification system in the operating room can provide clean and safe operating environment for patients and play a key role in reducing the infection rate of operation.
  医院层流手术室净化空调能够扫除有害气体,引入新颖清洁的空气,控制室内温度和湿度,其与普通温馨性空调区别较大,整个系统的每一个组成局部都需求专业人员的定期维护和颐养。
  The purification air conditioner in the hospital laminar flow operating room can remove harmful gases, introduce new and clean air, and control the indoor temperature and humidity. It is quite different from the ordinary warm air conditioner. Every part of the whole system needs regular maintenance and self-care of professionals.
  本文分析了手术室的污染源来源,并引见了手术室净化空调的组成和资料,提出了一系列针对手术室净化空调的运维管理措施,合适关注干净手术室建立与运维的同仁阅读。
  This paper analyzes the source of pollution in the operating room, introduces the composition and data of the purified air conditioner in the operating room, puts forward a series of operation and maintenance management measures for the purified air conditioner in the operating room, and properly pays attention to the establishment and operation and maintenance of the clean operating room.
  手术室的污染源来源
  Source of pollution in operating room
  手术室的污染源普通分为外部污染源和内部污染源两种。
  The pollution sources of operating room are generally divided into external pollution sources and internal pollution sources.
  1.外部污染源
  1. External pollution sources
  受风沙、风暴、汽车、工业和火山烟灰等要素影响,室外空气污染日趋严重,已给人们的消费、生活、安康和福利形成了极大的影响。
  Affected by the factors of sandstorm, storm, automobile, industry and volcanic ash, outdoor air pollution is becoming more and more serious, which has greatly affected people's consumption, life, health and welfare.
  医院建筑手术室也遭到空气污染的影响,其外部污染源主要是送到手术室的新风。据统计,室外空气中的细菌和微生物的数量大约为35~35336个/m?,这些细菌和微生物大多都附着在灰尘粒子上,不同地域的室外空气污染水平也各不相同。
  The hospital operating room is also affected by air pollution, and its external pollution source is mainly the fresh air sent to the operating room. According to statistics, the number of bacteria and microorganisms in the outdoor air is about 35-35336 / M?. most of these bacteria and microorganisms are attached to dust particles, and the outdoor air pollution levels in different regions are also different.
  2.内部污染源
  2. Internal pollution sources
  手术室内部污染源主要是医护人员、患者在手术过程中的产菌产尘。这些灰尘和细菌的数量与手术医护人员、患者的着装、动作强度、频度及消毒水平有关,同时与手术室全面管理的程度也有重要关系。
  The pollution sources in the operating room are mainly bacteria and dust produced by medical staff and patients during the operation. The amount of dust and bacteria is related to the dressing, action intensity, frequency and disinfection level of the operating staff and patients, and also to the degree of overall management of the operating room.
  手术室净化空调系统的组成及资料选择
  Composition and data selection of purification air conditioning system in operating room净化手术室Clean the operating room1.手术室净化空调系统的组成
  1. Composition of clean air conditioning system in operating room作为医院建立行业的从事者,要想管理好手术室的净化空调系统,必需得先理解净化空调的系统组成。普通而言,手术室的净化空调系统由以下几局部组成:
  As a practitioner of hospital establishment industry, in order to manage the purification and air conditioning system of operating room, it is necessary to understand the system composition of purification and air conditioning. Generally speaking, the purification air conditioning system of the operating room consists of the following parts:
  1.冷热源;
  1. Heat and cold sources;
  2.组合式医用净化空气处置机组及新风处置机组;3.净化风管及各类阀门;4.水管及阀门;5.末端送回风安装;6.加湿系统。
  2. Combined medical purified air handling unit and fresh air handling unit; 3. Purified air pipe and various valves; 4. Water pipe and valve; 5. End supply and return air installation; 6. Humidification system.
  依照净化级别划分的手术室等级
  Operating room classification by purification level净化空调系统的划分以契合标准、避免穿插污染、功用辨别明白、便当管理以及经济适用为准绳。手术室按净化级别正常可分为I级、II级和III级,设计参数如下(表1)。
  The division of purification air-conditioning system is based on meeting the standards, avoiding pollution, distinguishing functions, convenient management and economic application. The operating room can be divided into level I, level II and level III according to the normal purification level. The design parameters are as follows (Table 1).
  表1 手术室依照净化等级划分后的参数
  Table 1 Parameters of operating room according to purification level3.手术室净化空调部件资料的选择3. Selection of information of air conditioning components in operating room1.净化空调机组的选用应以“避免微生物二次污染”为准绳,机组外表及内置零部件应选用耐消毒试剂腐蚀的资料,资料外表应润滑、不易集尘。
  1. The selection of purification air conditioning unit shall be based on the principle of "avoiding the secondary pollution of microorganism". The external and internal parts of the unit shall be made of the materials resistant to the corrosion of disinfectant. The external surface of the materials shall be lubricated and not easy to collect dust.
  2.净化空调表冷器冷凝水的出口宜设在正压段,否则应该设置防倒吸安装,且冷凝管道不宜直接与下水道衔接。
  2. The outlet of the condensate of the purified air conditioning surface cooler should be set in the positive pressure section, otherwise, it should be installed with anti reverse suction, and the condensate pipe should not be directly connected with the sewer.
  3.净化空调不应采用淋水式空气处置器。当采用外表冷却方式时,无新风集中除湿的空调机组经过盘管所在截面的气流速度不应大于3m/s。机组的加湿器不应采用有水直接介入的方式,宜采用干蒸汽加湿器。加湿水质应到达生活应用水规范。加湿器资料应能抗腐蚀,便于清洁和检查。
  3. The purified air conditioner shall not be equipped with water drenched air disposer. When the external cooling mode is adopted, the air flow speed of the air conditioning unit without centralized fresh air dehumidification through the section where the coil is located shall not be greater than 3m / s. The humidifier of the unit shall not be directly involved with water, and dry steam humidifier shall be used. The humidification water quality shall reach the standard of domestic application water. The humidifier data shall be corrosion-resistant and easy to clean and check.
  4.净化空调的末级过滤器不得运用木框制品,废品不应有刺激滋味、不应掉尘,运用风量不宜大于其额定风量的70%;当阻力到达运转初阻力的2倍时,需改换末级过滤器。
  4. Wood frame products shall not be used for the final filter of purification air conditioner, waste products shall not have pungent taste and dust removal, and the applied air volume shall not be greater than 70% of its rated air volume; when the resistance reaches twice of the initial resistance of operation, the final filter shall be replaced.
  5.非阻隔式空气净化安装不得作为末级净化设备,末级净化设备不得产生有害气体和物质,不得产生电磁干扰,不得有促使生物变异的作用。
层流手术室净化
  5. The non barrier air purification installation shall not be used as the final purification equipment, which shall not produce harmful gases and substances, electromagnetic interference and biological variation.
  6.制造风阀的轴和零件外表停止防腐处置,轴端伸出阀体应密封处置,叶片应平整润滑,叶片开启角应有标志,调理手柄的固定应牢靠。
  6. The anti-corrosion treatment shall be stopped on the surface of the shaft and parts of the air valve, the shaft end extending out of the valve body shall be sealed, the blade shall be smooth and lubricated, the opening angle of the blade shall be marked, and the adjustment handle shall be firmly fixed.
  7.净化空调系统和干净室内与循环空气接触的金属件应防锈、耐腐蚀,对已做过外表处置的金属件因加工暴露的局部应再做外表维护处置。
  7. The metal parts in contact with the circulating air in the purification air conditioning system and clean room shall be rust proof and corrosion-resistant, and the exposed parts of the metal parts that have been treated on the surface shall be treated on the surface for maintenance.
  8.空调设备宜放置在较为宽阔的场所,不宜露天摆放。
  8. Air conditioning equipment should be placed in a wide place rather than in the open air.
  叁
  Three
  手术室净化空调运维管理的“五部曲”
  "Five steps" of operation and maintenance management of clean air conditioning in operating room1.明白维保目的1. Understand the purpose of maintenance
  确保医院住院部手术室的净化系统、强弱电系统的设备一直处于良好的运转状态,干净手术室的七大干净指标(温度、湿度、风速、噪声、压差、照度和尘埃粒子)契合《医院干净手术部建筑技术标准》GB50333-2002规范,《医院空气净化管理标准》WS/T368-2012及《手术部医院感染预防与控制技术标准》规范。
  Ensure that the equipment of the purification system and the strong and weak electricity system in the operating room of the inpatient department of the hospital are in good operation condition all the time. The seven clean indexes (temperature, humidity, wind speed, noise, differential pressure, illumination and dust particles) of the clean operating room are consistent with the code of the building technology standard for the clean operating Department of the hospital (GB50333-2002), the management standard for the air purification of the hospital (WS / t368-2012) and the operation standard (WS / t368-2012). Ministry of hospital infection prevention and control technical standards.
  2.保证设备平安
  2. Ensure equipment safety
  维保期内,保证所维护颐养设备设备平安运转,对操作人员有培训和监视执行操作规则的义务。
  During the maintenance period, ensure the safe operation of the maintained equipment and equipment, and have the obligation to train and monitor the operators to implement the operation rules.
  保证设备设备处于平安正常状态,每季度提早向院方提交颐养预排表,以便提早布置工作,日常颐养时间由院方依据实践状况决议,错开运用顶峰。月度、季度、年度检查要落实并有相关记载。
  Ensure that the equipment and equipment are in a safe and normal state, and submit the pre schedule of home care to the hospital in advance every quarter, so as to arrange the work in advance. The daily home care time shall be decided by the hospital according to the practical situation, staggering the peak of application. Monthly, quarterly and annual inspection shall be implemented and recorded.
  每间手术室、辅助用房树立维保档案,对原始技术材料、维保记载、修理记载、零件改换记载停止注销管理。要从设备设备长期可持续平安运转的角度动身,停止组织方案维修工作。保证干净手术室的技术指标到达相应的请求。
  Maintenance files shall be set up in each operating room and auxiliary room, and cancellation management shall be stopped for original technical materials, maintenance records, repair records and parts replacement records. We should start from the perspective of long-term sustainable and safe operation of equipment and stop the maintenance of the organization plan. Ensure the technical indicators of clean operating room reach the corresponding requirements.
  3.进步技术力气
  3. Progressive technical strength
  由于医院净化拾掇空调系统系统复杂,专业性强,必需保证每天参与运转维护的人员充足,维保人员需有纯熟处置各种毛病的才能,项目担任人具有暖通专业或机电装置专业中级及以上职称,每天8小时带班。
  Due to the complexity and professionalism of the hospital's purification and cleaning air conditioning system, it is necessary to ensure that there are sufficient personnel participating in operation and maintenance every day. The maintenance personnel need to be proficient in dealing with various problems. The person in charge of the project has the intermediate and above professional titles of HVAC or mechanical and electrical equipment, and takes charge of the shift 8 hours a day.
  由于医院局部科室24小时运转,空调机房必需布置人员24小时值班。明白对现场维保管理人员的岗位职责和定期业务学习与培训制度、巡回检查制度、维护和颐养制度、检测与修理制度和运转与检修制度。必需装备有专业工具和检测仪器(尘埃粒子计数仪、温湿度计、风速仪、压差仪)等。
  Due to the 24-hour operation of local departments in the hospital, the air conditioning room must be staffed with 24-hour duty. Understand the post responsibilities and regular business learning and training system, patrol inspection system, maintenance and maintenance system, inspection and repair system and operation and maintenance system of on-site maintenance management personnel. It must be equipped with professional tools and testing instruments (dust particle counter, temperature and humidity meter, anemometer, differential pressure meter), etc.
  4.树立并贯彻维保制度
  4. Establish and implement the maintenance system1.明白现场维保管理人员的岗位职责,定期检查维保人员业务学习的状况,并组织培训。
  1. Understand the job responsibilities of on-site maintenance management personnel, regularly check the business learning status of maintenance personnel, and organize training.
  2.增强巡回检查制度。
  2. Strengthen the patrol inspection system.
  3.定期更新净化空调的维护和颐养制度。
  3. Regularly update the maintenance and self-care system of purified air conditioning.
  4.增强净化空调运转与检修制度的执行。
  4. Enhance the implementation of operation and maintenance system of purification air conditioner.
  5.划定颐养内容
  5. Delimit the contents of home keeping
  1.1-2个月改换一次粗效过滤器(2天清洗1次),中效过滤器3个月改换一次(1周清洗1次),亚高效过滤器每年改换一次,手术室末端的高效过滤器每年检查一次(2年改换)。
  1.1-2 months change the primary filter (once every 2 days), the medium filter (once every 1 week), the sub high efficiency filter (once every year), and the high efficiency filter at the end of the operating room (once every 2 years).
  2.过渡季和大楼采暖、供冷期的形式要及时切换。
  2. The transition season and the heating and cooling period of the building shall be switched in time.
  3.新回风风管清洗(机器人方式)。每季度清洗一次,需保证手术室干净度请求。
  3. New return air duct cleaning (robot mode). Clean once a quarter, and keep the operating room clean.
  4.净化手术室维保对象还应包含冷热源设备(热泵模块机组)、空调水系统、干净空调系统、排风系统、强弱电照明系统、门控系统、给排水系统、净化空调机组和PLC可编程智能控制系统。
  4. The maintenance object of purification operating room shall also include cold and heat source equipment (heat pump module unit), air conditioning water system, clean air conditioning system, exhaust system, strong and weak electric lighting system, door control system, water supply and drainage system, purification air conditioning unit and PLC programmable intelligent control system.
  以上是层流手术室净化公司为大家介绍的相关内容,本文来源:http://www.henganjh.cnThe above is the related content introduced by Laminar Flow Operating Room Purification Company. The source of this article is http://www.henganjh.cn.
 

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