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Operating room instrument and equipment management measures

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Update time : 2023-10-31 11:53:05
The operating room is an important place for surgical treatment and rescue of patients in the hospital. It is also an important base for medical education and scientific research. With the rapid development of science and technology and the continuous advancement of medical and health care, various types of high-precision medical equipment continue to emerge. Advanced equipment is not only increasingly closely related to clinical diagnosis and treatment, but is also necessary to improve the technical level of a modern hospital. condition. Hospital operating rooms are equipped with a variety of advanced and expensive medical instruments and equipment, and the application of these equipment plays a vital role in the quality of surgery. Therefore, risk awareness should be enhanced, existing risk factors should be analyzed, human factors should be reduced, and patient safety should be ensured.
"Technical Specifications for Disinfection of Medical Institutions"
13.1.3 Cleaning and disinfection of floors and surfaces in departments with high risk of infection
Departments with high risk of infection such as operating departments (rooms), delivery rooms, cath labs, clean wards, bone marrow transplant wards, organ transplant wards, intensive care units, neonatal rooms, hemodialysis wards, burn wards, infectious disease departments, dental departments, The floors and surfaces of wards and departments such as laboratory and emergency departments should be kept clean, dry and disinfected every day. Decontaminate, clean and disinfect at any time in case of obvious contamination. For floor disinfection, use 400mg/L-700mg/L chlorine-containing disinfectant for 30 minutes. The surface disinfection method is the same as the ground or wipe with 1000mg/L-2000mg/L quaternary ammonium salt disinfectant.
1. Characteristics of operating room instruments and equipment
There are many varieties, high frequency of use, large quantity, many operators, strong dependence on surgery, many precision and valuable ones, and wide distribution.
2. Risks in the use of instruments and equipment
2.1 Environmental factors
Water, power, and gas outages may cause equipment damage and inability to be used normally. If the operation is in progress, it may cause direct or indirect damage to the patient.
2.2 Human factors
2.2.1 Improper or incorrect use Medical staff participating in the operation are not proficient in the operating techniques of various equipment. Improper or incorrect use may delay the surgical process, damage the equipment or even endanger the patient's life.
2.2.2 Operator’s physical and psychological factors When operators are tired, nervous, under great psychological pressure, or unable to concentrate, they will cause operational errors and even lead to accidents.
2.2.3 A trainee intern in the operating room unintentionally changes the original setting status and parameters, causing instrument failure or damage.
2.2.4 Lack of routine maintenance and upkeep of medical equipment. Lack of necessary maintenance and upkeep of medical equipment can cause malfunctions during use of the equipment.
2.2.5 Long-term use of instruments and equipment will cause them to age.
2.2.6 Due to the varying technical levels of equipment maintenance personnel, they cannot fully guarantee the quality of instrument maintenance, and do not even conduct comprehensive and detailed inspections, resulting in hidden dangers in the use of instruments and equipment.
2.3 Equipment own factors
2.3.1 Sudden failure of equipment during use Any equipment may have a sudden failure during use, which may cause harm to the patient.
2.3.2 Equipment service life and age Operating room equipment generally has a long service life, and there are many risks and hidden dangers.
2.3.3 Equipment Characteristics Some instruments may have characteristics such as radiation and high temperature, which may inevitably cause harm to medical staff and patients.
3. Preventive measures taken against risks
3.1 Regularly check the power supply and sockets in the operating room to prevent damage to instruments and equipment caused by plugging in the wrong power supply. It is necessary to know the location of each insurance so that if a failure occurs, it can be solved in time. When the fuse trips, it should be analyzed whether there is a short circuit in the equipment and whether there is a problem with the power supply itself. Do not close it blindly. The terminal gas interfaces should be strictly distinguished and clearly marked to avoid using the wrong gas. Special instruments should be decompressed and output according to regulations. , do not connect the gas output port directly to the instrument to avoid damaging the instrument.
3.2 When installing instruments and equipment, the regulations in the instructions should be strictly followed, and the basic design must meet the equipment requirements. Such as the power or special voltage of electricity; the pressure and flow rate of water; ventilation, temperature, humidity, etc., to ensure the normal use of instruments and equipment.
3.3 Before using instruments and equipment, personnel should be organized to read the instructions carefully and master the usage methods. For expensive instruments and complex operations, professional training should be provided. If you are not familiar with the operating procedures, you can use it under the guidance of an experienced person. No arbitrary changes should be made to fixed parameters to prevent damage to the instrument.
3.4 Frequent inspections should be carried out to check the use of various equipment, and continuous inspection should be carried out before, during and after use. If problems are found, please find engineering and technical personnel for repairs in a timely manner. If problems cannot be solved, report to the head nurse in a timely manner and replace or deploy similar equipment. equipment to ensure a smooth operation.
3.5 Valuable instruments should be placed at designated locations, assigned dedicated personnel to manage them, and establish a usage registration form.
3.6 Do a good job in the management of interns and further training personnel, so that they can use instruments and equipment correctly under the guidance of professionals.
3.7 When encountering equipment with radiation or high temperature, protective measures should be taken for patients and operating personnel, such as wearing lead clothing and placing lead plates in the operating room.
The safe use of medical equipment is directly related to the perioperative safety of patients and the quality of medical care in the hospital. Medical staff should use various instruments and equipment correctly and safely, analyze possible risk factors, minimize the use risks, and ensure the safety of patients.
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