Thaum lub sijhawm saib xyuas txhua hnub, pom tau tias kev tsim kho chav huv si hauv qee lub tuam txhab tsis tau ua raws li tus qauv txaus. Raws li ntau yam teeb meem uas tshwm sim hauv kev tsim khoom thiab kev saib xyuas ntawm ntau lub tuam txhab tsim khoom siv kho mob, cov kev cai hauv qab no rau kev tsim kho chav huv si tau muab tso rau, tshwj xeeb tshaj yog rau kev lag luam khoom siv kho mob huv si.
1. Cov kev cai xaiv qhov chaw
(1). Thaum xaiv ib lub Hoobkas, koj yuav tsum xav txog tias qhov chaw ib puag ncig thiab cov xwm txheej huv si nyob ib puag ncig qhov chaw zoo, tsawg kawg tsis muaj qhov chaw ua pa lossis dej qias neeg, thiab nws yuav tsum nyob deb ntawm txoj kev loj, chaw thauj khoom, thiab lwm yam.
(2). Cov kev cai ib puag ncig ntawm thaj chaw ua haujlwm: Hauv av thiab txoj kev hauv thaj chaw ua haujlwm yuav tsum du thiab tsis muaj plua plav. Nws yog ib qho tsim nyog los txo qhov chaw ntawm cov av uas raug nthuav tawm los ntawm kev ua kom ntsuab lossis lwm yam kev ntsuas lossis ua cov kev ntsuas los tswj cov plua plav. Cov khib nyiab, cov khoom siv tsis siv, thiab lwm yam yuav tsum tsis txhob khaws cia rau hauv qhov chaw qhib. Hauv ntej, ib puag ncig ntawm lub Hoobkas yuav tsum tsis txhob ua rau muaj kuab paug rau kev tsim cov khoom siv kho mob tsis muaj kab mob.
(3). Qhov kev teeb tsa tag nrho ntawm thaj chaw ua haujlwm yuav tsum tsim nyog: nws yuav tsum tsis muaj kev cuam tshuam tsis zoo rau thaj chaw tsim khoom ntawm cov khoom siv kho mob tsis muaj kab mob, tshwj xeeb tshaj yog thaj chaw huv.
2. Cov kev cai tsim chav huv (cheeb tsam)
Cov hauv qab no yuav tsum tau them sai sai rau hauv kev tsim chav huv.
(1). Npaj raws li cov txheej txheem tsim khoom. Cov txheej txheem yuav tsum luv li sai tau kom txo qhov kev sib cuam tshuam ntawm tib neeg thiab tsiaj txhu, thiab xyuas kom meej tias muaj kev sib txuas lus ntawm tib neeg thiab kev xa khoom. Nws yuav tsum muaj chav ua haujlwm huv (chav khaws khaub ncaws, chav dej, chav hnav khaub ncaws huv thiab chav buffer), chav ntxuav khoom siv (chav outsourcing, chav buffer thiab lub thawv hla). Ntxiv rau cov chav uas xav tau los ntawm cov txheej txheem khoom, nws kuj yuav tsum muaj chav ntxuav khaub ncaws, chav ntxhua khaub ncaws, chav khaws khoom ib ntus, chav ntxuav khoom siv chaw ua haujlwm, thiab lwm yam. Txhua chav yog ywj pheej ntawm ib leeg. Thaj chaw ntawm chav huv yuav tsum sib xws nrog qhov ntsuas ntau lawm thaum ua kom ntseeg tau tias muaj cov kev xav tau yooj yim.
(2). Raws li qib kev huv ntawm huab cua, nws tuaj yeem sau raws li kev coj ntawm cov neeg ua haujlwm, los ntawm qis mus rau siab; lub chaw ua haujlwm yog los ntawm sab hauv mus rau sab nraud, los ntawm siab mus rau qis.
3. Tsis muaj kev sib kis kab mob hauv tib chav huv (cheeb tsam) lossis ntawm cov chav huv uas nyob ib sab.
① Cov txheej txheem tsim khoom thiab cov khoom siv raw yuav tsis cuam tshuam rau qhov zoo ntawm cov khoom;
② Muaj cov qhov cua lossis cov kev ntsuas tiv thaiv kev ua qias tuaj ntawm cov chav huv (cheeb tsam) ntawm ntau qib sib txawv, thiab cov ntaub ntawv raug xa mus los ntawm lub thawv hla.
4. Qhov ntau ntawm cov cua ntshiab hauv chav huv yuav tsum muaj tus nqi siab tshaj plaws hauv qab no: Qhov ntau ntawm cov cua ntshiab uas xav tau los them rau qhov ntim ntawm cov pa tawm hauv tsev thiab tswj qhov siab hauv tsev zoo; Qhov ntau ntawm cov cua ntshiab thaum tsis muaj leej twg nyob hauv chav huv yuav tsum tsawg dua 40 m3 / h.
5. Thaj chaw ntawm chav huv yuav tsum tsis pub tsawg dua 4 square meters (tsis suav nrog txoj kev hauv tsev, khoom siv thiab lwm yam khoom) kom ntseeg tau tias thaj chaw ua haujlwm muaj kev nyab xeeb.
6. Cov tshuaj reagents kuaj mob hauv vitro yuav tsum ua raws li cov cai ntawm "Cov Cai Siv rau Kev Tsim Cov Tshuaj Reagents kuaj mob hauv Vitro (Kev Sim)". Ntawm lawv, kev ua haujlwm ntawm cov serum tsis zoo thiab zoo, plasmids lossis cov khoom ntshav yuav tsum tau ua nyob rau hauv ib puag ncig ntawm tsawg kawg yog chav kawm 10000, tswj hwm qhov siab tsis zoo nrog thaj chaw sib ze lossis ua raws li cov cai tiv thaiv.
7. Yuav tsum cim qhia qhov kev taw qhia ntawm cua rov qab, cua xa khoom thiab cov kav dej.
8. Qhov kub thiab av noo xav tau
(1). Sib xws nrog cov txheej txheem tsim khoom.
(2). Thaum tsis muaj cov kev cai tshwj xeeb rau cov txheej txheem tsim khoom, qhov kub ntawm chav huv (cheeb tsam) nrog qib kev huv ntawm chav kawm 100000 lossis 10000 yuav tsum yog 20 ℃ ~ 24 ℃, thiab qhov av noo yuav tsum yog 45% ~ 65%; qib kev huv ntawm huab cua yuav tsum yog chav kawm 100000 lossis 300000. Qhov kub ntawm chav kawm 10,000 huv (cheeb tsam) yuav tsum yog 18 ° C txog 26 ° C, thiab qhov av noo yuav tsum yog 45% txog 65%. Yog tias muaj cov kev cai tshwj xeeb, lawv yuav tsum tau txiav txim siab raws li cov txheej txheem xav tau.
(3). Qhov kub ntawm chav ua haujlwm huv yuav tsum yog 16 ° C ~ 20 ° C thaum lub caij ntuj no thiab 26 ° C ~ 30 ° C thaum lub caij ntuj sov.
(4). Cov khoom siv saib xyuas feem ntau siv
Lub tshuab ntsuas cua (Anemometer), lub tshuab ntsuas hmoov av (dust particle counter), lub tshuab ntsuas kub thiab av noo (temperature and av noo meter), lub tshuab ntsuas qhov sib txawv (differential pressure meter), thiab lwm yam.
(5). Cov kev cai rau cov chav kuaj mob kom huv si
Chav huv si yuav tsum muaj chav kuaj mob kom tsis muaj kab mob (cais ntawm thaj chaw tsim khoom) nrog lub tshuab cua txias ywj pheej, uas yuav tsum yog chav kawm hauv zos 100 raws li chav kawm 10000. Chav kuaj mob kom tsis muaj kab mob yuav tsum muaj: chav huv si rau cov neeg ua haujlwm (chav khaws khaub ncaws, chav dej, chav hnav khaub ncaws thiab chav buffer), chav huv si rau cov khoom siv (chav buffer lossis lub thawv hla), chav tshuaj xyuas mob kom tsis muaj kab mob, thiab chav tswj xyuas zoo.
(6). Cov ntawv qhia txog kev sim ib puag ncig los ntawm cov koom haum sim sab nraud
Muab daim ntawv qhia txog kev kuaj ib puag ncig los ntawm lub koom haum kuaj thib peb uas tsim nyog tsis pub dhau ib xyoos. Daim ntawv qhia txog kev kuaj yuav tsum muaj daim duab qhia chaw uas qhia thaj tsam ntawm txhua chav.
① Tam sim no muaj rau yam khoom sim: kub, av noo, qhov sib txawv ntawm lub siab, tus lej ntawm kev hloov pauv huab cua, suav cov hmoov av, thiab cov kab mob hauv av.
② Cov khoom uas tau sim yog: Chaw ua haujlwm tsim khoom: chav ua haujlwm huv; chav ua haujlwm huv; thaj chaw tsis muaj dab tsi; chav uas xav tau rau cov txheej txheem khoom; chav ntxuav khoom siv hauv chaw ua haujlwm, chav ntxuav khaub ncaws, chav ntxhua khaub ncaws, chav khaws khoom ib ntus, thiab lwm yam. Chav kuaj kev huv.
(7). Cov khoom siv kho mob uas xav tau kev tsim khoom hauv chav huv. Cov khoom siv kho mob uas tsis muaj kab mob lossis cov khoom siv hauv Hoobkas uas tau cog rau hauv cov hlab ntsha thiab xav tau kev ua tiav tom qab (xws li kev sau thiab kaw, thiab lwm yam) hauv thaj chaw huv hauv chav kawm 100 hauv qab chav kawm 10000. Kev ua cov khoom sib xyaw, kev ntxuav zaum kawg, kev sib dhos, kev ntim khoom pib thiab kev kaw thiab lwm qhov chaw tsim khoom yuav tsum muaj qib kev huv tsis tsawg dua chav kawm 10000.
Piv txwv
① Kev cog cov hlab ntsha: xws li cov hlab ntsha stents, lub plawv valve, cov hlab ntsha dag, thiab lwm yam.
② Cov hlab ntsha cuam tshuam: ntau yam catheters intravascular, thiab lwm yam. Xws li central venous catheters, stent delivery systems, thiab lwm yam.
③ Kev ua, kev ntxuav zaum kawg thiab kev sib dhos ntawm cov khoom siv kho mob huv si lossis cov khoom siv hauv Hoobkas uas tau cog rau hauv cov ntaub so ntswg tib neeg thiab txuas ncaj qha lossis tsis ncaj qha rau cov ntshav, pob txha pob txha lossis qhov tsis zoo li qub (tsis tas ntxuav). Kev ntim khoom thawj zaug thiab kev kaw thiab lwm qhov chaw tsim khoom yuav tsum muaj qib kev huv tsis tsawg dua chav kawm 100000.
④ Cov khoom siv cog rau hauv tib neeg cov nqaij: cov tshuab pacemakers, cov khoom siv xa tshuaj subcutaneous, mis cuav, thiab lwm yam.
⑤ Kev sib cuag ncaj qha nrog cov ntshav: cov tshuab cais plasma, cov lim ntshav, cov hnab looj tes phais, thiab lwm yam.
⑥ Cov khoom siv uas kov tsis ncaj qha rau cov ntshav: cov khoom siv rau kev txhaj tshuaj, cov khoom siv ntxiv ntshav, cov koob txhaj tshuaj rau hauv cov hlab ntsha, cov raj nqus tsev, thiab lwm yam.
⑦ Cov khoom siv sib txuas rau pob txha: cov khoom siv rau hauv pob txha, cov pob txha cuav, thiab lwm yam.
⑧ Kev ua tiav, kev ntxuav zaum kawg, kev sib dhos, kev ntim khoom pib thiab kev kaw cov khoom siv kho mob tsis muaj kab mob lossis cov khoom ntim ib zaug (tsis tau ntxuav) uas kov cov chaw puas tsuaj thiab cov ntaub so ntswg ntawm tib neeg lub cev yuav tsum tau ua nyob rau hauv chav huv tsis pub tsawg dua chav kawm 300000 (cheeb tsam).
Piv txwv
① Kev sib chwv nrog qhov chaw raug mob: cov ntaub qhwv qhov txhab kub hnyiab lossis qhov txhab, paj rwb nqus dej kho mob, daim ntaub qhwv nqus dej, cov khoom siv phais pov tseg uas tsis muaj kab mob xws li cov ntaub qhwv phais, cov khaub ncaws phais, lub ntsej muag kho mob, thiab lwm yam.
② Kev sib cuag nrog cov ntaub so ntswg: cov raj tso zis uas tsis muaj kab mob, lub raj xa pa, cov khoom siv rau hauv plab, cov roj nplua nyeem rau tib neeg, thiab lwm yam.
③ Rau cov ntaub ntawv ntim khoom tseem ceeb uas sib cuag ncaj qha nrog cov nplaim ntawm cov khoom siv kho mob tsis huv thiab siv yam tsis tau ntxuav, qib kev huv ntawm qhov chaw tsim khoom yuav tsum tau teeb tsa raws li cov ntsiab cai ib yam li qib kev huv ntawm qhov chaw tsim khoom kom ntseeg tau tias qhov zoo ntawm cov ntaub ntawv ntim khoom tseem ceeb yog kom ua tau raws li qhov yuav tsum tau ua rau cov khoom siv kho mob tsis huv uas tau ntim, yog tias cov ntaub ntawv ntim khoom pib tsis sib cuag ncaj qha rau ntawm qhov chaw ntawm cov khoom siv kho mob tsis huv, nws yuav tsum tau tsim tawm hauv chav huv (cheeb tsam) nrog thaj tsam tsis tsawg dua chav kawm 300000.
Piv txwv
① Kev sib cuag ncaj qha: xws li cov ntaub ntawv ntim khoom pib rau cov neeg thov, mis cuav, catheters, thiab lwm yam.
② Tsis txhob sib cuag ncaj qha: xws li cov ntaub ntawv ntim khoom pib rau cov khoom siv infusion, cov khoom siv hloov ntshav, cov koob txhaj tshuaj, thiab lwm yam.
③ Cov khoom siv kho mob uas tsis muaj kab mob (xws li cov khoom siv kho mob) uas xav tau lossis ua tiav siv cov txheej txheem ua haujlwm aseptic yuav tsum tau tsim tawm hauv chav kawm hauv zos 100 chav huv (cheeb tsam) hauv qab chav kawm 10000.
Piv txwv
① Xws li kev sau cov tshuaj anticoagulants thiab kev daws teeb meem hauv kev tsim cov hnab ntshav, thiab kev npaj aseptic thiab kev sau cov khoom ua kua.
② Nias thiab tuav lub vascular stent thiab siv tshuaj.
Lus Cim:
① Cov khoom siv kho mob uas tsis muaj kab mob suav nrog cov khoom siv kho mob uas tsis muaj cov kab mob me me uas muaj sia nyob los ntawm kev ua kom tsis muaj kab mob lossis cov txheej txheem ua kom tsis muaj kab mob. Yuav tsum siv cov thev naus laus zis tsim khoom uas txo qis kev ua qias tuaj hauv kev tsim cov khoom siv kho mob kom ntseeg tau tias cov khoom siv kho mob tsis muaj kab mob lossis tuaj yeem tshem tawm kev ua qias tuaj tau zoo.
② Kev tsis muaj menyuam: Lub xeev uas cov khoom tsis muaj cov kab mob me me uas muaj sia nyob.
③ Kev Ua Kom Tsis Muaj Kab Mob: Ib qho txheej txheem uas tau lees paub siv los ua kom cov khoom tsis muaj cov kab mob me me uas muaj sia nyob.
④ Kev ua cov khoom tsis muaj kab mob: Kev npaj cov khoom tsis muaj kab mob thiab kev sau cov khoom tsis muaj kab mob hauv ib puag ncig uas tswj tau. Kev muab cua, cov ntaub ntawv, cov khoom siv thiab cov neeg ua haujlwm ntawm ib puag ncig raug tswj kom cov kab mob me me thiab cov khoom me me raug tswj kom mus txog qib uas txais tau.
Cov khoom siv kho mob uas tsis muaj kab mob: hais txog cov khoom siv kho mob uas muaj cim "sterile".
⑤ Chav ntxuav yuav tsum muaj chav ntxuav khaub ncaws, chav ntxhua khaub ncaws, chav cia khoom ib ntus, chav ntxuav cov khoom siv ua haujlwm, thiab lwm yam.
Cov khoom tsim tawm hauv qab cov xwm txheej huv yog cov khoom uas xav tau kev huv si lossis kev tua kab mob rau kev siv zaum kawg.
Lub sijhawm tshaj tawm: Lub Ib Hlis-30-2024
