潔凈廠房設(shè)計施工以及維護使用注意事項
- 發(fā)布人：
- 發(fā)布日期：2017-04-13 17:23:43
1、 空氣處理機及風(fēng)管上的各閥門在交付使用前已調(diào)整為最佳位置，嚴禁醫(yī)院人員隨意調(diào)整，以免影響凈化效果。如果閥門由于誤操作或意外情況位置發(fā)生變更，或者由于技術(shù)原因需要調(diào)整，應(yīng)通知潔凈廠房設(shè)計施工專業(yè)技術(shù)人員攜帶儀器進行調(diào)整及檢測。
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、 每日手術(shù)開臺前，應(yīng)提前30分鐘（I級手術(shù)室15分鐘）開啟凈化空調(diào)系統(tǒng)。手術(shù)室的凈化效果是通過凈化空調(diào)系統(tǒng)處理的潔凈空氣不斷置換室內(nèi)的污染空氣達到的，如果不提前開啟凈化空調(diào)系統(tǒng)，短時間內(nèi)手術(shù)室尚未達到所要求的潔凈度，很難保證手術(shù)的潔凈要求。
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、 在手術(shù)后應(yīng)及時對手術(shù)室進行清潔及消毒處理，將紗布、敷料、器械等污染物品通過恰當(dāng)方式運離手術(shù)室；對濺到地面、墻面的血液及藥液及時擦拭，祛除污痕；對室內(nèi)的設(shè)備、物品進行擦拭消毒。特別要指出的是一些醫(yī)院使用的大燈盤手術(shù)燈，如不注意表面的清潔消毒，也會影響手術(shù)區(qū)域的潔凈度。對連臺手術(shù)，應(yīng)在前一臺手術(shù)完成后立即進行室內(nèi)的清潔擦拭，并在30分鐘后再進行下一臺手術(shù)（I級手術(shù)室15分鐘即可）。手術(shù)室禁止使用具有腐蝕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、 醫(yī)護人員在更換手術(shù)衣及洗手消毒后，不應(yīng)再進入非潔凈區(qū)域。如確需進入非潔凈區(qū)時，必須更換外出衣與外出鞋，以免在重新進入手術(shù)室時，造成手術(shù)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、 手術(shù)過程中盡量減少手術(shù)室的開門次數(shù)，嚴禁開門進行手術(shù)。手術(shù)室的環(huán)境是一個密閉的潔凈環(huán)境，在門關(guān)閉時，室內(nèi)的氣壓大于室外的氣壓，從而保證手術(shù)室內(nèi)的潔凈空氣只向外排出，而室外的空氣不會進入室內(nèi)。開門時室內(nèi)的正壓降低，會有少量門外的空氣進入室內(nèi)，影響室內(nèi)空氣的潔凈度。而如果在手術(shù)時，門長時間的開啟，會嚴重影響室內(nèi)空氣的潔凈效果。此外，整個手術(shù)部潔凈區(qū)的潔凈度對保持各手術(shù)室內(nèi)的潔凈度也是至關(guān)重要的，所以潔凈區(qū)各房間的門應(yīng)盡量關(guān)閉，特別是通往非潔凈區(qū)域的大門。
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、 在潔凈廠房設(shè)計施工 http://www.jnjkjh.com/ 交付使用時，空氣處理系統(tǒng)中的溫濕度控制已調(diào)節(jié)至標(biāo)準(zhǔn)狀態(tài)。合適的溫濕度可以保證病人在手術(shù)時不會因體溫過低而導(dǎo)致感冒，同時可保證醫(yī)護人員在舒適的環(huán)境中以最佳狀態(tài)施行手術(shù)。為了確保手術(shù)室內(nèi)適宜的溫度，操作人員應(yīng)經(jīng)常檢查空氣處理機組，保持冷凍水進出水壓力不小于0.3 MPA，夏季進水溫度為7～8℃，出水溫度為12～14℃，冬季進水溫度不低于38℃，出水溫度不低于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，應(yīng)注意將手術(shù)室內(nèi)溫度控制在22～25℃，濕度控制40～60%左右。在調(diào)節(jié)空調(diào)的溫度時應(yīng)注意調(diào)節(jié)幅度勿過大，應(yīng)逐步調(diào)節(jié)，每次調(diào)節(jié)1～2℃，直至達到要求溫度。冬季使用暖氣時，應(yīng)注意勿將溫度調(diào)節(jié)得過高。因為暖空氣具有上升力，會對垂直下降的氣流形成阻力，干擾垂直氣流，從而降低層流凈化的效果。所以一般冬季室內(nèi)溫度宜設(shè)置在23度左右。此外，手術(shù)室內(nèi)一些設(shè)備本身也會散發(fā)熱量，如可能應(yīng)盡量遠離手術(shù)區(qū)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、 手術(shù)室側(cè)壁上的回風(fēng)百葉內(nèi)設(shè)有過濾網(wǎng)，為保持潔凈效果，應(yīng)每周取下清潔一次。在周末無手術(shù)之時，打開回風(fēng)百葉，輕輕取下過濾網(wǎng)，用清水沖洗后晾干消毒后，再裝入回風(fēng)口，將回風(fēng)百葉復(fù)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、 應(yīng)定期對空氣處理機機柜進行清洗和消毒。潔凈手術(shù)室的心臟部分是空氣處理機，空氣經(jīng)過空氣處理機中的初效、中效過濾裝置過濾后再經(jīng)高效過濾器的過濾成為潔凈空氣再送到手術(shù)室內(nèi)。機柜內(nèi)的初效過濾器為一次拋棄型過濾器，由無紡濾料制成，應(yīng)視其外部環(huán)境，及時檢查過濾器表面潔凈情況和壓力差，做到定期更換初效過濾器。一般來說北方地區(qū)空氣中含塵量比較高，特別是新風(fēng)機組和自取新風(fēng)機組的初效過濾器要及時檢查更換。這樣不僅能延長中效過濾器的使用壽命，而且還能避免因此而導(dǎo)致的新風(fēng)量不足和保證各手術(shù)間內(nèi)的正壓建立。中效過濾器是由進口玻璃纖維制成，應(yīng)每月定期檢查有無破損或堵塞，如有破損堵塞應(yīng)及時更換。同時機柜內(nèi)也應(yīng)經(jīng)常檢查，如機柜內(nèi)有積塵也應(yīng)進行清潔，必要時對機柜內(nèi)進行熏蒸消毒。
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、 應(yīng)有專人定期檢查風(fēng)機的排冷凝水管路有無堵塞以及氣封內(nèi)是否存有積水。在風(fēng)機的表冷器下方有盛水盤接受冷凝水，并通過帶氣封的管路排到地漏處。如果排冷凝水管路堵塞，會出現(xiàn)機柜內(nèi)積水，導(dǎo)致細菌繁殖，影響凈化效果。而氣封的作用是通過排水管路彎曲處的積水使排水管外的空氣不會倒灌到風(fēng)機內(nèi)（類似洗滌池的水封可用來防止臭氣溢入），所以在冬天無冷凝水時要注意檢查氣封內(nèi)的積水是否干枯，如果干枯應(yīng)及時加入清水使其保持水封狀態(tài)。
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、 當(dāng)控制面板上的高效過濾器報警裝置發(fā)出警報時，應(yīng)及時檢查凈化天花內(nèi)的高效過濾器。高效過濾器報警信號來自空氣處理系統(tǒng)中的壓力感應(yīng)器，當(dāng)高效過濾器經(jīng)若干年的使用后，濾網(wǎng)發(fā)生堵塞，濾網(wǎng)前壓力上升，系統(tǒng)中的壓力感應(yīng)器接受到信號，控制面板上的報警裝置即發(fā)出警報，此時可調(diào)節(jié)變頻器，提高風(fēng)壓，延長高效過濾器的使用壽命；必要時更換高效過濾器。
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、 每臺空調(diào)機組的供風(fēng)管和回風(fēng)管上都安裝有防火調(diào)風(fēng)閥，為確保其安全可靠，應(yīng)按國家有關(guān)規(guī)定由醫(yī)院維護人員對其進行檢查。
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、 潔凈廠房設(shè)計施工人員應(yīng)定期按照維護保養(yǎng)手冊對空調(diào)機組的緊固件進行檢查保養(yǎng)。
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.
.
