Process management of laminar flow operating room

The workflow management of laminar flow clean operating room is as follows:

1. 1 Strict dress management. Personnel entering the operating room must wear autoclaved surgical gowns, disposable sterile masks and hats as required. When leaving, pajamas, shoes, hats and masks should be placed in the designated location. Patients should wear clean patients' clothes, be transported by exchange car and wear isolation caps.

1.2 Switching and cleaning of air purification system Every morning, the night shift nurse turns on the air conditioning system in the operating room 1h in advance, and adjusts the temperature to 22℃ ~ 25℃ and humidity to 40% ~ 60% as needed. After the daily operation, the cleaning staff will clean the operating room with clearly marked sanitary ware used in different areas, close the electric door, and turn off the air conditioning system after laminar flow1h. The air conditioning system in the emergency operating room was not turned off. Indoor wet cleaning should be carried out immediately after the completion of the previous operation, and the next operation should be carried out after being closed for 30 minutes.

1.3 Placement of the operating table The operating table is placed in the center of the purification area of the operating room. Move the operating table to the patient's foot properly during craniofacial surgery, and slightly move the operating table to the head during lower limb surgery to ensure that the operating area and instrument table are completely in a clean area.

1.4 Maintain positive pressure in the operating room. Keep the electric door closed during operation, minimize the number of switches, and it is forbidden to open the door. Because the operating room is a closed and clean environment, the indoor air pressure is higher than the outdoor air pressure when the door is closed, so as to ensure that the clean air in the operating room can only flow to the outside, and the outdoor air will not enter the room, which will destroy the pressure difference system after the door is opened and affect the purification quality of the operating room.

1.5 sewage treatment process After the operation, the hand-washing nurse will transfer the contaminated dressings and instruments from the transfer window to the outer corridor, and quickly close the inner door of the transfer window, and immediately close the outer door of the transfer window after taking out the articles. There are cleaners in the outer corridor to deal with it in time, and the pollutants are transported to the designated place for storage after being tied tightly.

2 laminar flow clean operating room maintenance

2. 1 A special person shall be appointed to maintain and regularly monitor the whole air conditioning system, and the special person shall be responsible for regular inspection, repair and maintenance, and clean the filter screen in time. Every month, the air in the operating room, the hands of operating room personnel and the surface of sterile articles in the operating room were sampled for bacterial culture to check the purification effect. If unqualified, find out the reasons in time and take effective measures.

2.2 Cleaning and Maintenance of Air Return and Floor Wipe all surfaces and air return with a damp cloth every morning, and thoroughly clean the air return and ceiling air return filter every week. Wipe the floor with special detergent every day, and then clean it with water. If there are pollutants such as blood pollution, it should be scrubbed with disinfectant in time. When carrying heavy objects, other items should be placed on the ground to avoid scratching the ground.

2.3 Maintenance of central control panel The central control panel includes clock, clock counter, temperature and humidity controller, lighting, air conditioning unit, intercom system, etc. Nurses should master the essentials and operate correctly, just touch the switch gently without knocking hard.

2.4 Maintenance of electric doors The opening and closing modes of electric doors include electric, inductive and manual. The electric switch only needs to be lightly pressed by hand or elbow. Do not press it hard or for a long time. When using the sensor, the door will open automatically as long as the knee or foot is close to the sensor window. If something goes wrong, you must turn off the power supply, use manual operation, and don't drag it forcibly. The staff should arrange the working procedures reasonably to avoid increasing the unnecessary times of opening the door.