1 Cleanliness and air disinfection of the operating room
1.1 First of all, the operating room floor, walls, shadowless lamps, doors and windows should be kept clean, and before the daily morning operation, the operating room tables, countertops, shadowless lamps, doors and windows should be wiped with chlorine disinfectant with effective chlorine 500mg/L, and the mopping of floors should be done with 84 disinfectant after the operation, and the ultraviolet radiation should be irradiated no less than 1h before the daily exchange of shifts, and every time after the operation. 1h; once a week a thorough cleaning again disinfection.
1.2 In order to check the effect of air disinfection, we routinely do bacterial culture once a month, so that the colony is controlled within 200cfu/m 3.
1.3 Timely replacement of ultraviolet lamps, in the case of ultraviolet wavelength can not be determined on the lamp to set up an account, that is, the date of replacement, sterilization records, the use of more than 1,000h of the lamp to apply for replacement.
1.4 Requirements for ultraviolet light, 84 disinfectant disinfection date, disinfection duration, all records, so that each nurse has consciously implement the disinfection and isolation system.
2 Strictly control the disinfection of goods
2.1 Sterile containers are autoclaved once a week.
2.2 Soak the items disinfectant solution fixed person, regular replacement, need to soak the items disinfected regular bacterial culture 1 time, and leave the test list for inspection, so as to check whether the disinfection measures are appropriate.
2.3 All surgical packages of instruments must be autoclaved, each package must be placed on the disinfection instruction card, the date of disinfection outside the package, the name of the package, the use of this measure after the occasional unqualified packages are not used to ensure that the sterility of the instruments and items required for the autoclave can not be used for the items can be used to sterilize ethylene oxide sterilization.
2.4 In case of contamination of surgical or infectious surgical instruments and supplies, the instruments and items used in the postoperative period will be selected according to the different circumstances of different disinfectant solution soaked and processed, dressing incineration.
2.5 The operating room mops, rags relatively fixed each other do not move, and with 84 disinfectant soaked 30min after drying spare.
2.6 Slippers are soaked and brushed with 84 disinfectant once a week.
2.7 Surgical gowns are washed once for each wear, autoclaved once, or use disposable surgical gowns to reduce mutual infection among medical personnel and operation in the operating room when walking air flow, airborne bacteria elevated phenomenon.
3 carefully check
3.1 Participating surgical personnel to strictly implement the aseptic operation and disinfection routines, disinfection before checking the skin of the patient's surgical area, and make up for the lack of preparation.
3.2 Regular bacterial culture of the hands of the operative.
3.3 During surgery, pay attention to the surgical area dressings are not contaminated may be, if so should be replaced immediately, found that the gloves have broken immediately replaced.
3.4 Carefully check the packaging of disposable items for breakage, expiration, and uncleanliness, etc. If there is expiration, expiration, breakage, or ambiguous handwriting, they should not be used.
3.5 Visitors, internships, advanced training personnel attention to supervise *** with the compliance system.
4 Strict requirements for staff
4.1 All staff should have a serious, conscientious, aseptic concept, meticulous implementation of aseptic operation techniques.
4.2 Implement the rules and regulations of the operating room article by article. In recent years, our operating room through the above aspects of work to strengthen the operating room air bacteria culture number from an average of 582cfu/m3 down to 158cfu/m 3, ultraviolet disinfection culture is lower than 52.8cfu/m 3, we are always more scientific and more practical experience used in the clinical, better for the patient service.