lẮp ráp, vỆ sinh máy thỞ
TRANSCRIPT
LP RAP, V SINH MAY TH
ThS. BS. Nguyn Hng Trng
NI DUNGCu tao, lp rap may thNguyn ly lam sach, kh trung, tit trung V sinh may th
CU TAO MAY TH
PHN LOAI MAY THAp lc mAp lc dng
2 THANH PHN CHINHThn mayMach dy ni
1. THN MAYNgun nng lng Khi: oxy, khi nen in: in xoay chiu, pin
1. THN MAYng c cung cp khi cun nam chm in quat thi
van y
1. THN MAYB iu khin Vi x ly B nh
1. THN MAYMt trc
1. THN MAYMt sau
1. THN MAYGiao din: Cai t, theo doi Kim soat (tham s, bao ng), thng tin (s, biu )
2. MACH DY NICanh hit vaoNhanh ni ch Y Canh th ra
Dy ni bnh nhn
2.1. CANH HIT VAOB locB lam m By nc
2.1. CANH HIT VAOB loc
Gn b loc
Gn dy hit vao
2.1. CANH HIT VAOB lam m: n gian, nhit, ngng tu
Gn b lam m
2.1. CANH HIT VAOBy nc
Gn by nc
2.2. NHANH NI CH YNhanh ni ch Y Sensor
Gn nhanh ni ch Y
Gn sensor
2.3. CANH TH RABy nc B loc Van th ra Sensor
Gn canh th ra
2.4. DY NI BNH NHNB loc
Gn dy ni bnh nhn
B PHUN KHI DUNGKhiSiu m
Gn b phun khi dung
NGUYN LY LAM SACH, KH KHUN, TIT KHUN
MUC ICHhan ch ly truyn vi sinh vt t cac dung cudung lai Mc kh khun tu thuc vao nguy c gy ra nhim trung
Phn loi SpauldingLoai dung cu Khng thit yu Mc tip xuc Tip xuc vi da lanh Vi du ng nghe, may o huyt ap, bng ca Dung cu h hp, ng ni soi mm Mc x ly Lam sach; kh khun mc thp n trung binh Kh khun mc cao
Ban thit yu
Tip xuc vi nim mac, da khng lanh
Thit yu
Tip xuc vi m, h Dung cu phu Tit khun thng mach mau, thut hoc c quan co dong mau i qua
PHN LOAI THEO VI SINH
LAM SACHloai b cac cht hu c mui va cac vt bnnhn thy c Phng phap: thuc ty, cht lam sach, nhit cao, thit bi c hoc Sau khi lam sach: trang, lau kh
KH KHUNloai b cac vi sinh vt gy bnh, khng ditc ni bao t vi khun Phng phap: hoa cht, phng phap Pasteur, tia cc tim
Hoa cht kh khunMc thp: ammonium bc 4, Phenol,Hydrogen peroxide 3% Mc trung bnh: Alcohols, Chlorines, Iodorphors Mc cao: Glutaraldehydes, OPA, Peracetic
acid, hydrogen peroxide 6%, Formaldehyde.
C IM MT S HOA CHT KH KHUNTn Cn 70 Pose-Cresol Chloramine-B Javel Cidezyme CIDEX, OPA Thanh phn Alcohol Phenol, cresol Chlorine Hn hp enzyme Glutaraldehyde It n mon Kich thich da, it n mon It kich thich da Phn hy cac cht hu c Co th gy tn thng da va m c im
Aseptanios Special DJP
Formaldehyde
c cho ngi
Phng phap Pasteurla qua trnh kh khun bng nc nong: ngmtrong nc > 75C / 30 pht
u im: khng c, nhanh, chi phi va phai Nhc im: khng dit c bao t, co thgy bng, thiu tiu chun hoa, kho anh gia
c hiu qua
Tia cc timlam sach khng khiAnh sang cc tim co th gy bng da va mt, uc thu tinh th, ung th da
TIT KHUNdit tt ca cac dang vi khun, bao gm ca cacni bao t vi khun khang cao Phng phap: vt ly, hoa hoc Hp t: 121C / 20-30 phut; 134C / 4 phut Hp kh: 170C / 2 gi; 180C / 1 gi Khi: ethylene oxide, formaldehyde Plasma: 50-55C / 55-75 phut
QUY TRINH V SINH MAY TH
CAC BC TIN HANHBc 1: Rut dy in, thao dy oxy, thao dykh nn Bc 2: Vn chuyn may n ni lam v sinh Bc 3: Thao toan b dy may th, bnh lam m cho vao dung dich kh khun
Bc 4: Xa by nc ngun khi
CAC BC TIN HANHBc 5: Lau toan b may bng xa phong haydung dich kh khun gm co: thn may, man hnh.
Bc 6: Lau lai may bng nc sach.Bc 7: Lau kh
Bc 8: Git sach li loc thng gio
THN MAY THBn ngoi: lau chui bng dung dich sat khunmc trung bnh. Bn trong: khng kh khun / tit khun thng quy
DY MAY TH, B LAM MThay dy may th, b lam m sau 48 giTit khun hoc kh khun mc cao
B PHUN KHI DUNGTrn cung mt bnh nhn: ra bng nc vtrung, kh Dung cho bnh nhn khac: tit khun hoc kh khun mc cao
B locLoai co th tai s dung: tit khun (hp t)Loai dung 1 ln: thay inh k theo hng dn ca nha san xut
QUY TRINHThng thng Cm A
Ngm trong dung dich ty ra Cidezyme 8% trong 2 phut
Gi tit khun tai Khoa CNK
Co ra, xa sach lai bng nc may Lau kh
Kh khun mc cao: CIDEX trong 20 phut Hoc CIDEX OPA trong 12 phut Chiu nhit Sy kh 120C trong 30 phut Khng chiu nhit Sy 60C + ozone trong 60 phut
ong goi v khun
S dung
Ngm trong dung dich ty ra Cidezyme 8% trong 2 phut
Co ra, xa sach lai bng nc may Lau kh
Thc hin ti phng cch ly
Kh khun mc cao: CIDEX trong 20 phut Hoc CIDEX OPA trong 12 phut
Gi tit khun tai Khoa CNK
KT LUNLp rap, v sinh ung cach: Keo dai tui tho thit bi Han ch vim phi th may
Thc hin ung quy trnh hng dn lp rap, vsinh ca nha san xut