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Izincwadi zasekhaya kanye nemithethonqubo ehlobene nayo

Imiphumela yohlu lwemibuzo ezindabeni ezihlobene nokulawulwa kwezinzwa ezibulala izinzwa ezikhishwe igatsha lokulawula ukutheleleka nge-perioperative le-Chinese Society of Cardiothoracic and Vascular Anesthesia ikhombisa ukuthi bangama-65.44% kuphela odokotela ababulala izinzwa ezibhedlela zemfundo ephakeme abakwazi ukulawula izinzwa, kuyilapho iphesenti liphansi nakakhulu. kwezinye izibhedlela.Amaphesenti odokotela ababulala izinzwa abakholelwa ukuthi ukubulawa kwamagciwane kumasekhethi emishini yokubulala izinzwa eminyangweni yabo kuyingozi yokuphepha ngama-81.06%.

1. Ukuqinisa ukuphathwa kokutheleleka kwesibhedlela, ukuvimbela nokulawula ukutheleleka esibhedlela, kuyindikimba yaphakade yokuvikela ukuphepha kwesiguli kanye nokwenza ngcono izinga lezokwelapha.Igumbi lokuhlinzela, njengomnyango obalulekile, kudingeka lisetshenziswe ngokuhambisana nezindinganiso zokulawulwa kokutheleleka kwesibhedlela eminyangweni ebalulekile ekhishwe yiHhovisi Likazwelonke Lokutheleleka Ezibhedlela, kodwa kusenokuntuleka kokuqwashisa ngokulawulwa kokutheleleka.Izinga likazwelonke kanye nohulumeni basekhaya abahlukahlukene egumbini lokuhlinza, i-anesthesiology, ukuphefumula kanye nezinye izindawo, kufanele ifakwe umshini wokubulala izinzwa wokuphefumula wesifunda, unqamule umthombo wokutheleleka ingxenye yezicaciso zimi kanje: 1, ngokusho "komtholampilo wokubulala izinzwa amazinga okuphathwa kwe-anesthesia" yezidingo zedokhumenti: umnyango we-anesthesiology wezibhedlela zesibili noma eziphakeme kufanele ufakwe umshini wokubulala izinzwa, umshini wokuphefumula wesifunda sokukhipha amagciwane, usetshenziselwe ukuxazulula inkinga yokutheleleka ngegciwane ngesikhathi sokuhlinzwa.

 

2. Imithetho yemishini yezokwelapha
Isigaba 90 salezi zimo ezilandelayo, umnyango wezempilo onekhono kahulumeni wabantu ezingeni noma ngaphezulu kwezinga lesifunda uzoyala ukulungiswa, unikeze isexwayiso;enqaba ukulungisa, inhlawulo engaphezu kuka-50,000 yuan 100,000 yuan;izimo zibucayi, inhlawulo engaphezu kuka-100,000 yuan 300,000 yuan, eyalelwe ukuba kumiswe ukusetshenziswa kwemishini yezokwelapha efanele, kuze kube uMnyango okhiphayo wangempela uhoxisa ilayisensi yokusebenza, izisebenzi ezithintekayo ezithintekayo zizoyalwa ukuba zimise izinyanga ezingaphezu kwezingu-6 1 Prakthiza imisebenzi engaphansi konyaka owodwa, kuze kube umnyango okhiphayo wasekuqaleni uhoxisa isitifiketi sokusebenza kwabasebenzi esifanele, ummeleli wezomthetho weyunithi eyephula umthetho, umuntu oyinhloko ophethe, obhekene ngqo nabasebenzi abanekhono kanye nabanye abasebenzi abanomthwalo wemfanelo, bashaqe imali ezuzwe iyunithi ngesikhathi sokwephulwa, futhi ikhokhise inhlawulo engaphezu kuka-30% wemali engenayo ezuzwe izikhathi ezingaphezu kwezintathu, izojeziswa:
(A) ukusetshenziswa kabusha kwemishini yezokwelapha, izinsiza zokwelapha ezisebenzisa amayunithi angahambisani nezinhlinzeko zokubulala amagciwane kanye nokuphathwa.
(B) ukusetshenziswa kwamayunithi emishini yezokwelapha kusebenzisa kabusha izisetshenziswa zezokwelapha ezisetshenziswa kanye, noma ukwehluleka ukucekela phansi idivayisi yezokwelapha esetshenziswa kanye kanye ngokuvumelana nezinhlinzeko ze.
(C) ukusetshenziswa kwamayunithi emishini yezokwelapha engahambisani nezinhlinzeko zemishini emikhulu yezokwelapha nolwazi lwemishini yezokwelapha efakelwayo kanye nengenelelayo eqoshwe kwirekhodi lezokwelapha namanye amarekhodi afanelekile.
(D) ukusetshenziswa kwamayunithi emishini yezokwelapha kutholwe ukuthi ukusetshenziswa kwemishini yezokwelapha enobungozi bezokuphepha akuzange kuyeke ngokushesha ukusebenzisa, ukwazisa ukushintshwa, noma ukuqhubeka nokusebenzisa ukulungiswa namanje akukwazi ukuhlangabezana nokusetshenziswa kwezindinganiso zokuphepha zemishini yezokwelapha.
(E) ukusetshenziswa kwamayunithi emishini yezokwelapha ngokwephula ukusetshenziswa kwezinto ezinkulu zezokwelapha, akukwazi ukuqinisekisa ukuphepha kwekhwalithi yezokwelapha.

 

3. "Umthetho Wokuvimbela Nokulawulwa Kwezifo Ezithathelwanayo weRiphabhulikhi Yabantu YaseShayina" uhlinzeka ngokuthi: iminyango ye-anesthesia idinga ukufakwa umshini wokubulala amagciwane wesifunda se-anesthesia, umshini wokubulala izinzwa wokukhipha amagciwane okuhambisanayo.Isigaba 69 izikhungo zezokwelapha ngokwephula izinhlinzeko zalo mthetho, esinye sezimo ezilandelayo, umnyango wokuphatha wezempilo kahulumeni wabantu ezingeni noma ngaphezulu kwezinga lesifunda uyoyala ukulungiswa, wazise ukugxekwa, unikeze isexwayiso ...... ... (e) hhayi ngokuhambisana nezinhlinzeko zokubulala amagciwane, noma ngokuhambisana nezinhlinzeko zamathuluzi okwelapha aseke asetshenziswa akukona ukucekelwa phansi, ukusetshenziswa kabusha;...

 

4. "Izindlela zokulawula inzalo" zabonisa ngokucacile ukuthi ukukhishwa kwe-disinfection nokuvalwa inzalo kuyindlela ebalulekile yokuvimbela nokulawula ukutheleleka kwemvelaphi yezokwelapha, "Unyaka Wokuphathwa Kwesibhedlela" izifo ze-nosocomial, i-anesthesiology nayo idinga ukubhekwa.

 

5. Encwadini ethi "Hospital Infection Control Guide" ehlelwe nguGeng Lihua, Isahluko 3, Isigaba 1, kukhulunywe ukuthi ingaphezulu lesistimu yokuqapha izinzwa, umshini wokulalisa izinzwa nezinye izinto ezihlobene nazo kufanele zigcinwe zihlanzekile, futhi kufanele zihlanzwe, zibulawe amagciwane. futhi abulawe amagciwane ngemva kokusetshenziswa ngokwemithethonqubo.Imishini yokubulala izinzwa kufanele ibulawe amagciwane njalo, futhi lapho iziguli ezinezifo zepheshana lokuphefumula zisebenzisa imishini yokubulala izinzwa kufanele zengeze izihlungi zebhaktheriya kanye nemishini yokubulala amagciwane ngokushesha ngemva kokusetshenziswa.

 

6. "I-Modern Medical Disinfection", Isahluko sama-20, Ingxenye II yencwadi ehlelwe ngu-Yang Minghua no-Yi Bin: "Ukungcoliswa okuncane kokubulala izinzwa kanye nemishini yokuphefumula okubangelwa ukutheleleka kwangaphakathi esibhedlela sekuyisikhathi eside kudonsela ukunaka komphakathi wezokwelapha. izifo ezivamile ezibangelwa i-anesthesia kanye nemishini yokuphefumula yizifo ezibangelwa amagciwane okuphefumula, ikakhulukazi lezo ezibangelwa isifo sofuba se-Mycobacterium ne-Mycobacterium atypicalum, kodwa kamuva nje izifo ze-HBV ne-HCV ziye zatholakala, futhi ukungcoliswa kwe-HIV kutholakale kumshini wokuphefumula ukubulala amagciwane kwe-anesthesia esetshenziswa isiguli kanye nemishini yokuphefumula".