1. Ukuqinisa ulawulo losulelo lwezibhedlele, ukuthintela kunye nokulawula ukusuleleka esibhedlele, ngumxholo ongunaphakade ukukhusela ukhuseleko lwesigulane kunye nokuphucula umgangatho wezonyango.Igumbi lotyando, njengesebe eliphambili, kufuneka liphunyezwe ngokungqinelana nemigangatho yolawulo losulelo esibhedlele kumasebe aphambili akhutshwe yi-National Hospital Infection Office, kodwa kusekho ukunqongophala kolwazi lothintelo losulelo.Inqanaba lesizwe kunye noorhulumente basekhaya abahlukeneyo kwigumbi lotyando, i-anesthesiology, ukuphefumla kunye nezinye iindawo, kufuneka baxhotyiswe nge-anesthesia yesekethe yokuphefumla umatshini wokubulala iintsholongwane, unqunyulwe umthombo wosulelo inxalenye yeenkcukacha zilandelayo: 1, ngokutsho kweklinikhi ye-anesthesiology. imigangatho yokulawula i-anesthesia "yeemfuno zoxwebhu: isebe le-anesthesiology yezibhedlele ezizisekondari okanye eziphakamileyo kufuneka zixhotyiswe ngomatshini we-anesthesia, umatshini wokuphefumula wesekethe ye-disinfection, esetyenziselwa ukusombulula ingxaki yokusuleleka ngexesha lotyando.
2. Imimiselo yezixhobo zonyango
ISiqendu 90 sezi meko zilandelayo, isebe lezempilo elinobuchule likarhulumente wabantu okanye ngaphezulu kwinqanaba lesiphaluka liya kuyalela ulungiso, linike isilumkiso;ukwala ukulungisa, isohlwayo esingaphezu kwama-50,000 yuan 100,000 yeeyuan;iimeko ezimandundu, isohlwayo ngaphezu kwe-100,000 yuan 300,000 yuan, wayalela ukuba kumiswe ukusetyenziswa kwezixhobo zonyango olufanelekileyo, de isebe elikhuphayo lokuqala lirhoxise imvume yokusebenza, abasebenzi abanoxanduva bayalelwa ukuba banqunyanyiswe ngaphezu kweenyanga ezi-6 1 Imisebenzi yokuziqhelanisa ngaphantsi konyaka omnye, de isebe elikhuphayo lokuqala lirhoxise isatifikethi sokuziqhelanisa sabasebenzi, ummeli osemthethweni weyunithi egwenxa, umntu oyintloko ophetheyo, ojongene ngqo nabasebenzi abanobuchule kunye nabanye abasebenzi abanoxanduva, bahluthe ingeniso efunyenwe Iyunithi ngexesha lokwaphulwa komthetho, kwaye ibeke isohlwayo esingaphezu kwe-30% yengeniso efunyenwe ngaphezu kwamaxesha amathathu, iya kohlwaywa:
(A) ukusetyenziswa kwakhona kwezixhobo zonyango, izixhobo zonyango ezisebenzisa iiyunithi ezingahambelani namagatya okubulala iintsholongwane kunye nolawulo.
(B) ukusetyenziswa kwezixhobo zonyango kuphinda kusetyenziswe izixhobo zonyango ezisetyenziswa kanye, okanye ukusilela ukutshabalalisa izixhobo zonyango ezisetyenzisiweyo kanye ngokuhambelana nezibonelelo ze.
(c) ukusetyenziswa kweeyunithi zezixhobo zonyango ezingahambelaniyo namalungiselelo ezixhobo zonyango ezikhulu kunye nolwazi lwezixhobo zonyango olufakelwayo kunye nolongenelelo olubhalwe kwirekhodi yezonyango kunye nezinye iirekhodi ezifanelekileyo.
(D) ukusetyenziswa kweeyunithi zezixhobo zonyango kwafumanisa ukuba ukusetyenziswa kwezixhobo zonyango kunye neengozi zokhuseleko azizange ziyeke ngokukhawuleza ukusebenzisa, ukwazisa ukuguqulwa, okanye ukuqhubeka nokusebenzisa ukulungiswa kwakhona akukwazi ukuhlangabezana nokusetyenziswa kwemigangatho yokhuseleko lwezixhobo zonyango.
(E) ukusetyenziswa kweeyunithi zezixhobo zonyango ngokuphulwa kokusetyenziswa kwezixhobo zonyango ezinkulu, akunakuqinisekisa ukhuseleko lomgangatho wezonyango.
3. "UMthetho woThintelo kunye noLawulo lweZifo eziKhuselekileyo kwiRiphabhlikhi yaBantu baseTshayina" ubonelela ukuba: amasebe e-anesthesia kufuneka axhotyiswe nge-anesthesia circuit disinfection machine, umatshini we-anesthesia we-disinfection ehambelanayo.Inqaku lama-69 amaziko ezonyango ngokwaphula imimiselo yalo mthetho, enye yezi meko zilandelayo, isebe lolawulo lwempilo yoluntu lukarhulumente okanye ngaphezulu kwinqanaba lesiphaluka liya kuyalela ukulungiswa, ukwazisa ukugxeka, ukunika isilumkiso ...... ... (e) engahambelani namagatya okubulala iintsholongwane kwisixhobo sezonyango, okanye ngokungqinelana namagatya ezixhobo zonyango ezithe zasetyenziswa kanye ayikokutshatyalaliswa, ukusetyenziswa kwakhona;...
4. "Iindlela zokulawula inzala" yabonisa ngokucacileyo ukuba i-disinfection kunye ne-sterilization yindlela ebalulekileyo yokuthintela kunye nokulawulwa kosulelo lwemvelaphi yezonyango, "Unyaka woLawulo lweSibhedlele" izifo ze-nosocomial, i-anesthesiology nayo kufuneka iqwalaselwe.
5. Kwincwadi ethi "Hospital Infection Control Guide" ehlelwe nguGeng Lihua, iSahluko 3, iCandelo 1, kukhankanyiwe ukuba umgangatho wenkqubo yokujonga i-anesthesia, umatshini we-anesthesia kunye nezinye izixhobo ezinxulumene nazo kufuneka zigcinwe zicocekile, kwaye kufuneka zihlanjululwe, zihlanjululwe. kunye nokuvalwa inzala emva kokusetyenziswa ngokwemigaqo.Oomatshini be-anesthesia kufuneka bahlanjululwe rhoqo, kwaye apho izigulane ezinosulelo lwendlela yokuphefumla zisebenzisa oomatshini be-anesthesia kufuneka zongeze izihluzo zebhaktheriya kunye ne-disinfected anesthesia machines ngoko nangoko emva kokusetyenziswa.
6. "I-Modern Medical Disinfection", iSahluko se-20, iSigaba II sencwadi ehlelwe nguYang Minghua kunye no-Yi Bin: "Ukungcoliswa kweMicrobial ye-anesthesia kunye nezixhobo zokuphefumla ezibangelwa ukusuleleka kwi-intra-hospital kudala kutsala ingqalelo kuluntu lwezonyango. izifo eziqhelekileyo ezibangelwa yi-anesthesia kunye nezixhobo zokuphefumla zizifo zentsholongwane yokuphefumula, ngakumbi ezo zibangelwa yi-Mycobacterium tuberculosis kunye ne-Mycobacterium atypicalum, kodwa kutshanje usulelo lwe-HBV kunye ne-HCV luye lwafunyanwa, kwaye ukungcoliswa kwe-HIV kufunyenwe kwi-ventilator ukubulawa kweentsholongwane kwi-anesthesia esetyenziswa sisigulana kunye nezixhobo zokuphefumla".
