Chapter General
Article 1 In order to meet the needs of the hospital clean operating room construction, to meet the requirements of the development of medical care and technological progress, and to improve the effectiveness of the investment, the development of this construction standards.
The second construction standards for the use of the hospital's new or remodeled clean operating room project and built in the non-clean operating room (area) of the put clean operating room and its auxiliary rooms project. The use of ventilation and air conditioning of the general operating room (room) projects can refer to the implementation of
Article 3 of the construction of clean surgical department, must comply with national laws and regulations relating to economic construction and health, in line with the relevant hygienic standards and clean technology standards are now determined.
Article 4 the construction of the clean operation department should adhere to the principle of its comprehensive performance to meet the standard, pay attention to air purification treatment, strengthen the protection of the operation area, the construction of the quasi-practical, economic principles, avoid one-sided pursuit of performance. Article 5 the construction of clean surgery department, in addition to the implementation of the construction standards, should be in line with the current national standards, norms and regulations of the relevant provisions.
Chapter II scale and composition of the Department of clean surgery
Article 6 hospital clean surgery by clean operating rooms and auxiliary rooms, can be built to all clean operating rooms as the center and including the necessary auxiliary rooms, self-contained functional areas; can also be built to part of the clean operating rooms as the center and including the necessary auxiliary rooms, and the ordinary operating room coexisting with the Department of independence. Functional area
Article VII clean surgical department of various types of clean rooms should be based on its air state or static conditions of bacterial concentration and air cleanliness level according to Table 1 class.
Clean operating room clean room grade standard
Table 1:
Grade Settling (floating) bacteria maximum average concentration of air cleanliness level
I Clean operating room operating area 0.2 / 30min?#934;90 dishes (5 / m3), peripheral area 0.4 / 30min?#934;90 dishes (10) /m3) Surgical area class 100
Peripheral area class 1000
Clean auxiliary room Local class 100 area 0.2/30min?#934;90 dishes (5/m3), peripheral area 0.4/30min?#934;90 dishes (10/m3), class 1000
(local class 100)
II Clean Operating Room 0.75/30min?#934;90 dishes (25/m3) in the operating area, 1.5/30min?#934;90 dishes (50/m3) in the periphery Class 1000 in the operating area
Class 10000 in the periphery
Clean auxiliary rooms 1.5/30min?#934;90 dishes (50/m3) Class 10000
Clean auxiliary rooms 1.5/30min? m3) Class 10000
III Clean Operating Room 2/30min?#934;90 Petri dishes (75/m3) in operating area,
4/30min?#934;90 Petri dishes (50/m3) in peripheral area Class 10000 in operating area
Class 100000 in peripheral area
Clean auxiliary room 4/30min?#934;90 Petri dishes (50/m3) in operating area Class 10000
Class 100000 in peripheral area
Clean auxiliary room 4/30min? 30min?#934;90 dishes (50/m3) 100000 level
IV clean operating room 5/30min?#934;90 dishes (50/m3) 300000 level
Article VIII of the different levels of clean operating room applicable to the scope of surgery know the following:
I. I special clean operating room: for joint replacement surgery, organ transplantation surgery and other operations. Replacement surgery, organ transplantation surgery and brain surgery, cardiac surgery, gynecology and other aseptic surgery;
II, II standard clean operating room: for thoracic surgery, plastic surgery, urology; liver, gallbladder and pancreas surgery, orthopedic surgery, and ovum supportive surgery and a class of general surgery aseptic surgery;
III, III general clean operating room for general surgery (excluding a class of surgery), obstetrics and gynecology, and general surgery. In addition to a class of surgery), obstetrics and gynecology and other surgery;
IV quasi-clean surgery treasure; for anal and intestinal surgery and contamination and other surgeries.
Article IX clean surgical auxiliary rooms should include clean auxiliary rooms and non-clean auxiliary rooms, the scope of application is as follows:
I I clean auxiliary rooms: for reproductive laboratories and other special laboratories needing aseptic operation of the room;
II II clean infusion of auxiliary rooms; for extracorporeal circulation perfusion preparation of the room;
III, Class III clean auxiliary rooms; for hand brushing, surgical preparation, sterile dressings and instruments, disposable items and precision instrument storage rooms, nurses' stations and clean corridors;
IV Class IV clean auxiliary rooms: for recovery rooms, clean corridors and other quasi-clean places;
V. Non-clean auxiliary rooms: for doctors and nurses' lounges, on-duty room, anesthesia Office, frozen section room, dark room, teaching rooms and family waiting place, changing shoes, changing clothes, bathrooms and purification of air-conditioning and other equipment rooms.
Article 10 of the main technical indicators of various types of clean rooms must comply with the provisions of Table 2.
The main technical indicators table
Name
Minimum static pressure
(Pa)
The number of air changes
(times/h) surgery giant surgical co
(or local work area of 100) work surface height cross-section of the average wind speed (m/s) Temperature
(℃) Relative
Humidity (%RH) Minimum fresh air volume Noise Minimum illumination to adjacent low-level clean room
(m3h/person)
(times/h)
dB(A)
lx)
Special clean
Operating room +8 ／ 0.25~0.30 22~25 40~60 60 6 ≤52 350
< p>Standard cleanOperating room +8 30~36 ／ 22~25 40~60 60 6 ≤50 350
General clean
Operating room +5 20~24 ／ 22~25 35~60 60 4 ≤50 350
Quasi clean
Operating room +5 12~15 ／ 22~25 35~60 60 4 ≤50 350
Quasi clean
Operating room +5 12~15 ／ 22~25 35~60 60 4 ≤50 350
Operating room +5 12~15 ／ 22~25 35~60 60 4 ≤50 350
Extracorporeal Circulation Perfusion Preparation Room +5 17~20 ／ 21~27 ≤60 ／ 3 ≤60 150
Sterile Dressing,
Instrument, Disposable
Artifacts Room
and Technical Confidentiality Instrument
Instrument Storage Space +5 10~13 ／ 21~27 ≤60 ／ 3 ≤60 150
Nurse's station +5 10~13 ／ 21~27 ≤60 60 3 ≤60 150
Preparation room
(Sterilization) +5 10~13 ／ 21~27 ≤60 30 3 ≤60 200
Pre-anesthesia room -8 10~13 ／ 22~25 30~60 60 4 ≤55 200
Brush room Handwashing room >0 10~13 ／ 21~27 ≤65 ／ 3 ≤55 150
Clean corridor 0~+5 10~13 ／ 21~27 ≤65 ／ 3 ≤52 150
Dressing room 0~+5 8~10 ／ 21~27 30~60 ／ 3 ≤60 200
Recovery room 0 8~10 ／ 22~25 30~60 ／ 4 ≤50 200
Pre-anesthesia room -8 10~13 ／ 22~25 30~60 60 4 ≤55 200
Pre-anesthesia room -8 10~13 ／ 22~25 30~60 60 4 ≤50 200
Clean corridor 0~+5 8~10 ／ 21~27 ≤65 ／ 3 ≤52 150
Note:
①Clean area should maintain a positive pressure of not less than 10Pa on the non-clean area connected with it, and the clean area should maintain a positive pressure of not less than 15Pa on the outdoor area or on the area which is directly connected to the outdoor area. 30Pa.
② brush the hand room without a door or located in a clean corridor, the minimum static pressure greater than zero can be.
③ The number of air changes and cross-section of the average air velocity design value should be within the table.
④ Winter temperature extremes can be taken not less than the lower limit value in the table, the summer can be taken not higher than the upper limit value in the table.
⑤ Table 2 does not list the name of the room can refer to the use of similar rooms to determine the value of its indicators.
⑤ The technical indicators of the project, value, precision and other special to come to the room, should be designed according to the actual requirements
Article 11 of the Department of Clean Surgery in the number of clean operating rooms, the size and air cleanliness level, according to the nature of the hospital, scale, level and financial resources to decide. For general hospitals, the need to build Class I clean operating room, the number of such clean operating room should not exceed 15% of the total number of clean operating room, at least one; conditions can be set up according to the need for a negative pressure clean operating room. For specialized hospitals, special clean operating room should be based on the actual need to determine the number of construction.
Article XII of the Department of Clean Surgery in the clean operating room according to Table 3 is divided into four scales, various scales of clean operating room net area should not exceed the value of the provisions of Table 3, must be more than should have a specific technical description, and more than the area should not be greater than the maximum net area of Table 3 of 25%.
Clean operating room plan scale Table 3
Scale category net area expansion reference length x width m
Extra-large 40-45 7.5x5.7
Large 30-35 5.7x5.4
Medium 25-30 5.4x4.8
Small 20-25 4.8x4.2
Chapter III Architecture
Clean operating room should not exceed the value specified in Table 3, which must be exceeded with specific technical instructions, and the area exceeded should not be greater than 25% of the maximum net area in Table 3. >Chapter III Construction
Article 13 The location of clean surgery in the hospital should be far away from the high pollution sources, and located in the city or region of the most wind direction of the wind side; when there are the most and close to the most of the two prevailing winds, then the clean surgery department should be located on the opposite side of all the winds with the smallest wind frequency of the wind direction.
Article XIV of the Department of clean surgery should not be located in the first floor and the top floor, when set up in the equipment (may not include large refrigeration units) layer of the next layer, effective measures must be taken to waterproofing, vibration and acoustic treatment.
Article 15 of the clean area and non-clean area should be set up between the buffer room with an area of not less than 3m2, the cleanliness level should be high with the clean side of the same level, and should not be higher than 1000. There shall be transfer windows for logistics. Clean area in the different air cleanliness levels between areas should be set up partition door.
Article 16 The internal layout of the Department of Clean Surgery and channel forms should be in line with the principle of short functional processes and clean and dirty clearly, generally can choose the end of the arrangement, the center of the arrangement, lateral arrangement or ring arrangement of a. The dirt has a local disinfection and packaging. Dirt with in situ disinfection and packaging measures can be used in a single channel, otherwise can be used to separate the clean and dirty dual-channel; when the conditions of diversion, can be used in a multi-channel; when there is a corridor, the outer corridor should be designed as a clean corridor.
Article XVII of the clean operating room net height of 2.8-3m.
Article XVIII of the people and things with elevators should not be located in the clean area. Restricted by the conditions must be located in the clean area, it must be set up in the exit buffer room.
Article XIX brush room should be decentralized, every 2-4 operating rooms should be set up a separate brush room. When the conditions are available, the theater can also be located in the clean corridor
Article 20 of the Department of Clean Surgery floor should be used wear-resistant, corrosion-resistant, not dusty, easy to clean and prevent the generation of static electricity materials. Under normal circumstances can be used to cast copper embedded terrazzo floor as well as paint, coil floor.
Article 21 of the clean surgical department of the wall should be used without dust, flat and easy to clean materials. Generally can be used as a whole or assembled wall panels, level IV (not included) below the clean room can be used large tiles or paint.
Article 22 The net width of the door of the clean operating room should not be less than 1.4m, it is appropriate to use an automatic delay closing device with an automatic sliding door of electric suspension.
Article 23 The clean operating room and I, II clean auxiliary rooms should not be equipped with external windows, III, IV clean auxiliary rooms can be equipped with double-closed external windows.
Chapter IV of the clean operating room basic equipment
Article 14 of the clean operating room and the operating room layout and construction and installation of basic equipment (excluding special mobile medical instruments and equipment) should be configured in accordance with the requirements of Table 4.
Basic equipment
Table 4:
Name of equipment, minimum number of configurations
Shadowless lamps l sets / each
Operating table 1 / each
Timer 1 / each
Medical gas supply device 2 sets / each
Anesthesia gas discharge devices 1 set / each
Hands free Intercom 1/per room
Pharmaceutical cabinet (built-in)
1/per room
Instrument cabinet (built-in)
1/per room
Anesthesia cabinet (built-in)
1/per room
Viewing light 3 sets/small/per roomA set/medium/per room,
Record board 6 sets/large/per room
Infusion guide (with infusion rail)
Medical gas supply unit 2 sets/per room
Medical gas discharge unit 1 set/per room
Hands-free phone 1/per room
Infusion rails (including hooks 4) five sets / eachChapter V Air Conditioning and Air Purification
Article 25 of the clean operating room should be separated from the auxiliary rooms opened through the purification of air-conditioning system; clean operating rooms should be used to clean the air-conditioning unit set up independently of the clean operating room, Class III, IV clean operating room allows 2-3 shared a system, should use self-circulating return air; the clean operating room should be used to clean the air-conditioning unit set up independently of the clean operating room. Should use self-circulating return air; fresh air can be centralized air supply system; exhaust system should be set up independently.
Article 26 of the purified air conditioning system should be at least three air filtration. The first level of air filtration should be set up in the new air outlet, the second level should be set up in the positive pressure section of the system, the third level should be set up at the end of the air supply or its vicinity.
Article 27 of the quasi-clean operating room can be used with sub-high efficiency filters or high-efficiency filters purified fan coil unit or indoor cabinet type purified air-conditioning unit, shall not be used for ordinary fan coil unit or air conditioner.
Article 28 Class I, II, III clean operating rooms and Class I, II clean auxiliary rooms, shall not be set up indoor radiators, but can be used as a radiant heat plate heating on duty. Class IV clean operating room and see, Class IV clean auxiliary rooms, such as the need to set up radiators, should be used not easy to accumulate dust and easy to clean the type, and set up protective cover. Radiator heat medium should not be higher than 95 ℃ hot water.
Article 29 I, II, III clean operating room should be used in a localized centralized air supply, centralized arrangement of the air supply area that the size of the surgical area should be compatible with the level of the operating room, the I level is not less than 6.2 expansion (of which the head of the special no less than 1.4m2), IV level is not less than 4.6m2, III level is not less than 3.6m2. According to the need for clean auxiliary room can be equipped with a local 100 level. According to the needs of clean auxiliary room can be set up in a local 100-class area.
Article 30 of the electrostatic air purification device shall not be used as a purification air-conditioning system for the final level of purification facilities, and shall not be used as a stand-alone unit located directly in the clean operating room and clean auxiliary rooms.
Chapter VI medical gas, water supply and drainage, power distribution
Article 31 The Department of clean surgery must be set up oxygen, compressed air and negative pressure to attract three kinds of gas and devices. Nitrous oxide (nitrous oxide that laughs), nitrogen, argon gas and exhaust gas recycling and emission devices when needed. Medical gas must have no less than three days of spare capacity. Clean operating room medical gas terminal must have a set of spare.
Article 32 of the water supply system within the clean operating department should have two imports, and should be no hot and cold water system at the same time.
Article 33 of the water supplied to the clean surgical department must meet the drinking water standards; brushing water should be desirable for sterilization; hot water storage should be prevented from breeding bacteria measures.
Article 34 The clean surgical department should be equipped with direct fire hydrant water supply system and portable gas fire extinguishers. Clean surgical department need to set up automatic sprinkler system, the nozzle should not be located in the operating room. Smoke detectors should be provided in the clean operating room. Clean surgical department of the technical mezzanine should be set up at the same time the fire fighting facilities.
Article 35 of the Department of clean surgery must be set up to automatically switch the dual-channel power supply, from the building where the power distribution center dedicated line supply.
Article 36 The electricity used in the clean operation room shall be separated from the electricity used in the auxiliary room, and the trunk line of each operation room shall be laid separately.
Article 37 The total load of distribution of medical equipments and devices in the clean operation room should not be less than 8kVA except that it should satisfy the design requirements.
Attachment: the construction standard of clean operation department of hospitals
According to the task of preparation issued by the Ministry of Construction and the State Planning Commission, the Ministry of Health is responsible for the main compilation of the specific by the China Health Economics Association of health care building professional committee together with the China Academy of Building Research air-conditioning and ventilation. Committee in conjunction with the China Academy of Building Research Air Conditioning Research Institute, the PLA General Logistics Department Architectural Design and Research Institute, Tongji University, the first design department of the First Research Institute of the Aerospace Industry Corporation and the Shanghai Sanitary Architectural Design and Research Institute *** with the preparation of the "Hospital Clean Surgical Department Construction Standards," by the Ministry of Construction, the State Planning Commission, the construction of the standard [2000] No. 213 approved as a unified national standard, issued by the national implementation.
The construction standard for hospital clean surgery department was approved by the Ministry of Construction, the State Planning Commission Construction Standard [2000] No. 213 as a unified national standard, released for national implementation.
In order to facilitate the relevant departments and consulting, design, construction units of the relevant personnel in the use of this construction standard can correctly understand and implement the provisions of this standard, is now the "hospital clean surgical department construction standard provisions of the note" to be issued for the domestic departments and personnel reference. September 2000