Ngenxa yokuthi izimo zeziguli ewadini yase-ICU zihlukile kulezo zeziguli ezijwayelekile, idizayini yesakhiwo sewodi, izidingo zemvelo, imisebenzi yemibhede, izinto ezisetshenziswa endaweni ezungezile, njll. konke kuhlukile kulezo ezitholakala emawadini ajwayelekile.Ngaphezu kwalokho, ama-ICU amakhono ahlukene adinga imishini ehlukene.Azifani.Idizayini kanye nokucushwa kwemishini yesigceme kufanele kuhlangabezane nezidingo, kube lula ukutakula, futhi kunciphise ukungcoliswa komhlaba.
Okufana: imishini yokugeleza kwe-laminar.Izidingo zokuvimbela ukungcoliswa kwe-ICU ziphezulu uma kuqhathaniswa.Cabangela ukusebenzisa indawo yokuhlanza ukugeleza kwe-laminar ukuze unciphise amathuba okutheleleka.Ku-ICU, izinga lokushisa kufanele ligcinwe ku-24±1.5°C;ewodini yeziguli esezikhulile, izinga lokushisa kufanele libe ngu-25.5°C.
Ngaphezu kwalokho, igumbi elincane lokuhlinzela, igumbi lokukhipha amagciwane, kanye negumbi lokuhlanza leyunithi ngayinye ye-ICU kufanele lifakwe amalambu e-UV akhanyayo ukuze kubulawe amagciwane avamile, kanye nemoto eyengeziwe ebulala amagciwane e-UV ukuze ihlale ibulala amagciwane ezindaweni ezingenamuntu.
Ukuze kube lula ukuhlenga nokudlulisa, ekwakhiweni kwe-ICU, kuyadingeka ukuqinisekisa ukunikezwa kwamandla okwanele.Kungcono ukuhlonyiswa ngezinto ezikabili kanye nezimo eziphuthumayo, kanti okokusebenza okubalulekile kufanele kufakwe ugesi ongaphazamiseki (UPS).
E-ICU, kufanele kube nezinhlobonhlobo zamapayipi egesi ngesikhathi esifanayo, kungcono ukusebenzisa ukunikezwa okuphakathi komoya-mpilo, ukunikezwa komoya okuphakathi, kanye ne-vacuum yokudonsa ephakathi.Ikakhulukazi, ukunikezwa kwe-oksijeni okuphakathi kungaqinisekisa ukuthi iziguli ze-ICU ziqhubeka zidonsa inani elikhulu le-oksijeni, zigweme umsebenzi wokushintsha njalo amasilinda oksijini, futhi zigweme ukungcoliswa kwamasilinda oksijini angase alethwe ku-ICU.
Ukukhethwa kwemibhede ye-ICU kufanele kulungele izici zeziguli ze-ICU, futhi kufanele kube nemisebenzi elandelayo:
1. Ukulungiswa kwezindawo eziningi ukuze kuhlangatshezwane nezidingo ezahlukene zomtholampilo.
2. Kungasiza isiguli ukuthi sijike ngezinyawo noma ngokuphathwa ngesandla.
3. Ukusebenza kulula futhi ukunyakaza kombhede kungalawulwa ngezindlela eziningi.
4. Umsebenzi wokukala onembile.Ukuze uqaphe ngokucophelela izinguquko ekushintsheni uketshezi, ukushiswa kwamafutha, ukukhishwa komjuluko, njll.
5. Ukuthwebula i-X-ray engemuva kudinga ukuqedwa ku-ICU, ngakho-ke i-X-ray film box box slide rail idinga ukumiswa kuphaneli engemuva.
6. Ingakwazi ukunyakaza futhi ibhuleki ngendlela evumelana nezimo, okuyinto elula ukuhlenga nokudluliselwa.
Ngesikhathi esifanayo, i-headboard yombhede ngamunye kufanele inikezwe:
I-switch power e-1, isokhethi yamandla enezinjongo eziningi engaxhunywa kumapulagi angu-6-8 ngesikhathi esifanayo, amasethi angu-2-3 emishini yokuphakela komoya-mpilo emaphakathi, amasethi ama-2 wemishini yomoya ecindezelwe, amasethi ama-2-3 wemishini yokudonsa ingcindezi engemihle, Isethi engu-1 yezibani zangaphambili ezilungisekayo, isethi engu-1 yezibani eziphuthumayo.Phakathi kwemibhede emibili, ikholomu esebenzayo ezosetshenziswa ezinhlangothini zombili kufanele imiswe, lapho kukhona khona izisekelo zamandla, amashalofu wemishini, izixhumanisi zegesi, amadivaysi okushaya ucingo, njll.
Imishini yokuqapha iyisisetshenziswa esiyisisekelo se-ICU.Imonitha ingakwazi ukuqapha ama-waveforms noma amapharamitha afana ne-polyconductive ECG, umfutho wegazi (ohlaselayo noma ongahlaseli), ukuphefumula, ukugcwala komoyampilo wegazi, nezinga lokushisa ngesikhathi sangempela nanamandla, futhi lingaqapha imingcele elinganisiwe.Yenza ukucubungula ukuhlaziya, ukugcinwa kwedatha, ukudlala kwe-waveform, njll.
Ekwakhiweni kwe-ICU, uhlobo lwesiguli okufanele luqashwe kufanele lucatshangelwe ukukhetha umqapha ofanele, njenge-ICU yenhliziyo kanye ne-ICU yosana, ukugxila kokusebenza kwabaqaphi abadingekayo kuzohluka.
Izimpahla zokuqapha ze-ICU zihlukaniswe izigaba ezimbili: uhlelo lokuqapha oluzimele olunombhede owodwa kanye nohlelo lokuqapha olumaphakathi.
Isistimu yokuqapha emaphakathi enepharamitha eningi iwukukhombisa ama-waveform okuqapha ahlukahlukene kanye nemingcele ye-physiological etholwe abaqaphi abaseceleni kombhede weziguli embhedeni ngamunye ngenethiwekhi, futhi iwabonise kumonitha wesikrini esikhulu sokuqapha okumaphakathi ngesikhathi esifanayo, ukuze abasebenzi bezokwelapha bangaqapha isiguli ngasinye.Sebenzisa ukuqapha okusebenzayo ngesikhathi sangempela.
Kuma-ICU anamuhla, uhlelo lokuqapha olumaphakathi ngokuvamile luyasungulwa.
Ama-ICU emvelo ehlukene adinga ukuhlonyiswa ngemishini ekhethekile ngaphezu kwemishini nemishini evamile.
Isibonelo, ku-ICU yokuhlinzwa kwenhliziyo, ama-monitor okukhipha inhliziyo aqhubekayo, ama-balloon counterpulsators, ama-analyzer egazi legesi, ama-analyzer amancane amakhemikhali e-biochemical, ama-fiber laryngoscopes, ama-fiber bronchoscopes, kanye nemishini encane yokuhlinza, izibani zokuhlinza, kufanele zifakwe , Izimpahla zokubulala amagciwane, 2 amasethi wezinsimbi zokuhlinza isifuba, ithebula lezinsimbi zokuhlinza, njll.
3. Ukuphepha nokugcinwa kwempahla ye-ICU
I-ICU yindawo lapho inqwaba yezinto zikagesi kanye nemishini yezokwelapha isetshenziswa kakhulu.Kunemishini eminingi yezokwelapha esezingeni eliphezulu futhi enembe kakhulu.Ngakho-ke, kufanele kuqashelwe ukuphepha kokusetshenziswa nokusebenza kwemishini.
Ukuze kuqinisekiswe ukuthi imishini yezokwelapha isebenza endaweni enhle, okokuqala, ukunikezwa kwamandla okuzinzile kufanele kunikezwe imishini;isikhundla sokuqapha kufanele sibekwe endaweni ephakeme kancane, okulula ukuyibona futhi kude nezinye izinto zokusebenza ukugwema ukuphazamiseka kwesignali yokuqapha..
Imishini emiswe ku-ICU yesimanje inokuqukethwe okuphezulu kwezobuchwepheshe kanye nezidingo eziphakeme zochwepheshe zokusebenza.
Ukuze kuqinisekiswe ukusebenza okuvamile nokusetshenziswa kwemishini yase-ICU, unjiniyela osebenza ngokugcwele kufanele amiswe ewodini ye-ICU yesibhedlela esikhulu ukuze aqondise odokotela nabahlengikazi ekusebenzeni nasekusetshenzisweni okufanele kwemishini;ukusiza odokotela ekubekeni imingcele yomshini;ngokuvamile banesibopho sokunakekela kanye nokushintshwa kwemishini ngemva kokusetshenziswa.Izesekeli ezilimele;hlola njalo okokusebenza, futhi wenze njalo ukulungisa izikali njengoba kudingeka;ukulungisa noma ukuthumela okokusebenza okungalungile ukuze kulungiswe ngesikhathi;bhalisa ukusetshenziswa nokulungiswa kwezisetshenziswa, futhi usungule ifayela lempahla ye-ICU.
Isikhathi sokuthumela: Feb-24-2022