Laminar flow operating room management processes
Laminar flow operating room air pressure according to their different areas (such as the operating room, sterile room ready, brush in hand room, a clean room anesthesia and surrounding area, etc.) cleanliness of the different requirements and different. Different levels of laminar flow operating room air cleanliness of their different standards, such as the US Federal standard cleanroom 1000 cubic feet per ≥0.5μm number of dust particles in the air, ≤1000 ≤35 pieces or particles per liter of air. 10000 laminar flow operating room standards for dust particles per cubic foot of air in the number of ≤10000 ≥0.5μm stars or particles per liter of air ≤350. And so on.
Laminar flow clean operating room workflow management as follows:
1.1 strict dress code management into the operating room staff must wear the required autoclaving surgical gowns, wearing sterile disposable masks, hats, leaving the underwear, shoes, hats, masks placed in the specified location, the patients were wearing clean clothes patient by switching shuttle bus, wearing a hat isolation.
1.2 air purification system of switches and cleaning every morning by the night nurse operating room in advance 1h open air conditioning system, and the temperature was adjusted to demand 22 ℃ ~ 25 ℃, humidity control in 40% to 60%. After the end of each day surgery, there are cleaners with clear signs, sanitary ware partition will clean the operating room, close the electric doors, after 1h laminar turn off air conditioning system. Emergency room surgery not turn off air conditioning system. Even the front desk surgery after surgery the next station interior wet cleaning is completed immediately after a surgery, and close 30min.
1.3 operating table put in place the operating table operating room purification center area. When the head and facial surgery will be moved to the operating table appropriate patient foot, lower limb surgery when the head moves slightly to the operating table, in order to ensure the operation of regional and instrument station completely in the purification zone.
1.4 maintain a positive pressure in the surgical operating room holding electric door is closed, as far as possible to reduce the switching frequency, non-open surgery. Because the operating room environment is a closed clean environment, the door is closed when the pressure chamber is greater than the outside air pressure, so as to ensure the operating room clean air can flow to the outside, the outdoor air does not enter the room, open the door after the destruction of the press poor system, clean operating room quality will also be affected.
After 1.5 sewage processing operation is completed, the pollution dressings and instruments delivered by nurses wash their hands outward corridor from the transfer window, quickly closed the door within the transfer window, remove items immediately transfer window closed doors. Timely treatment outside the corridor there are cleaners, pollutant transport the bag after the truss at the specified storage.
2 laminar flow clean operating room maintenance
2.1 special maintenance, regular monitoring of the entire air conditioning system should be the person responsible for periodic inspection, repair, maintenance, timely cleaning of the filter. Monthly operating room air, hand and operating room sterile operating room personnel surface sampling for bacterial culture, check purifying effect, timely discovery failed to identify the cause and take effective measures.
2.2 Clean return air and ground maintenance every morning wipe all surfaces with a damp cloth and return air, thoroughly cleaned weekly return air, return air ceiling screens. Ground daily with a special detergent mop, then water drag net, if when contaminated blood and other contaminants, should be scrubbed with disinfectant. Other items should be heavy lifting pad on the ground, in order to avoid scratches on the floor.
Maintain central control panel 2.3 central control panel includes a clock, time clock, temperature and humidity control, lighting, air conditioning units, intercom systems. To grasp nurse operating essentials, correct operation, lightly touch the switch to, without hard beat.
2.4 Maintenance of electric door electric door switch modes include electric, induction, manual three. Electric switches just hand or elbow and gently press to avoid weight or long push. Simply knee or feet when using inductive proximity sensor windows, doors will automatically open. If you need to turn off the power fails, the use of the manual, should not forcibly drag. Staff rational organization of work procedures to avoid unnecessary opening times.