手术室准备与消毒.pptx

,单击此处编辑母版标题样式,#,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,手术室准备与消毒,手术室准备与消毒,第1页,3.,良好给排水系统。,4.,足够照明设备,(,不含专用手术灯,),5.,很好通风系统，有条件时能够装恒箱换气机。门窗应密封，防尘良好。,手术室准备与消毒,第2页,7.,最好分别设置无菌手术室和染菌手术室。如无条件，普通化脓感染手术最好安排在其它地方进行。如在室内 做过感染化脓手术，必须在术后及时严格消毒手术室。,6.,保持适当温度，以,20,25,为宜。有条件时能够安装冷暖两用空调机。,手术室准备与消毒,第3页,8.,手术室内仅应放置主要器具，一切无须要器具、与手术无关用具，都不得摆放在手术室里。,9.,设置必要从属用房，包含更衣室、消毒室、准备室,(,洗手、着衣,),、洗刷室、单独器械室及厕所和淋浴室。房间安排既应毗邻，又要合理。,手术室准备与消毒,第4页,10.,设置仪器设备存贮间，用以存放麻醉机、呼吸机以及常见检测仪器、麻醉药品和抢救药品。存贮间应防潮，不设上下水系统。,手术室准备与消毒,第5页,二、手术室消毒,（一）紫外光灯照射消毒 可有效地净化空气,（二）化学药品熏蒸消毒,1.40%,甲醛加热熏蒸,2ml/m,3,加等量水,2.40%,甲醛,加其毫升数,1/2,高锰酸钾,3.,乳酸熏蒸消毒,10,20ml/100m,3,加等量常水,手术室准备与消毒,第6页,三、室外手术场地贮备与消毒,普通房舍内尽可能创造靠近手术室条件。,厩舍内尤其注意环境清洁和消毒,选择晴朗无风天气，地面平坦空地或草地上进行。,手术室准备与消毒,第7页,需站立保定时，可利用林中树干或暂时设置保定柱栏。,不论何种环境，必须尽可能做到清洁，彻底消毒。,手术室准备与消毒,第8页,The sterile corridor immediately adjacent to the surgery room.Stainless steel and glass cabinets,，,mounted in the walls,，,open from either the operating room or the corridor.Electronically controlled sliding glass door to the surgery room close automatically.,手术室准备与消毒,第9页,The anesthesia-surgical preparation room.The preparation cabinet should be self-contained with the pipeline outlets,，,lighting,，,and lock boxes located in a convenient manner.,手术室准备与消毒,第10页,The operating room should be well lighted,，,easily cleaned,，,and well equipped.,手术室准备与消毒,第11页,The operating microscope or some other form of magnification equipment is indispensable,，,especially for eye and microsurgical techniques.,手术室准备与消毒,第12页,Basic clinical pathology capabilities should be available in close proximity to the intensive care ward,手术室准备与消毒,第13页,Warming cabinets provide a ready source of warm fluids or blankets for the hypothermic patient.,手术室准备与消毒,第14页,Stainless steel scrub sinks with knee-operated water valves and soap dispensers.,手术室准备与消毒,第15页,Decontamination room with trash compactor,，,pass-through window into the instrument cleaning and packing room,，,cleaning supplies,，,and laundry chute.,手术室准备与消毒,第16页,Laundry and sterilizing room with commercial washer and dryers,，,stem and gas sterilizers,，,and laundry chutes and dumb waiter communicating with the surgery area above.,手术室准备与消毒,第17页,Instrument cleaning and packing room.,手术室准备与消毒,第18页,Emergency drug and equipment cart,，,defibrillator,，,and electrocardiographic monitoring equipment.,手术室准备与消毒,第19页,小动物手术室,手术室准备与消毒,第20页,无影灯,空调,手术室准备与消毒,第21页,手术室准备与消毒,第22页,