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  • 重症监护室的净化建设要求
    来源:http://www.sdyhrs.com 浏览: 发布日期:2022-05-28
    重症监护室的净化建设要求
    Purification construction requirements of intensive care unit
    1、ICU的病床数量一般按全院总床位的3~5%设置,每个ICU管理单元以8到12张床位为宜,床位使用率控制在65~75%以内。
    1. The number of ICU beds is generally set at 3-5% of the total beds in the hospital. Each ICU management unit should have 8-12 beds, and the utilization rate of beds should be controlled within 65-75%.
    2、ICU开放式病床每床的占地面积为15~18平方米;每个ICU少配备一个单间病房,面积为18~25平方米。每个ICU中的正压和负压隔离病房的设立,通常配备负压隔离病房1~2间。
    2. The open bed in ICU covers an area of 15~18 square meters; Each ICU is equipped with one less single ward, covering an area of 18~25 square meters. The establishment of positive pressure and negative pressure isolation wards in each ICU is usually equipped with 1~2 negative pressure isolation wards.
    3、地理位置选择上,ICU要选择在方便患者转运、检查和治疗的区域,并考虑以下因素:接近主要服务对象病区、手术室、影像学科、化验室和血库等,在横向无法实现“接近”时,应该考虑楼上楼下的纵向“接近”。
    3. In terms of geographical location, ICU should choose an area that is convenient for patient transfer, examination and treatment, and consider the following factors: proximity to the main service object ward, operating room, imaging discipline, laboratory and blood bank. When horizontal "proximity" cannot be achieved, vertical "proximity" upstairs and downstairs should be considered.
    4、ICU的基本辅助用房包括医师办公室、主任办公室、工作人员休息室、治疗室、配药室、仪器室、更衣室、清洁室、污废物处理室、值班室、盥洗室等。有条件的ICU可配置其他辅助用房,包括示教室、家属接待室、实验室、营养准备室等。辅助用房面积与病房面积之比应达到1.5:1以上。
    4. The basic auxiliary rooms of ICU include doctor's office, director's office, staff rest room, treatment room, dispensing room, instrument room, changing room, cleaning room, sewage and waste treatment room, duty room, washroom, etc. If possible, ICU can be equipped with other auxiliary rooms, including display room, family reception room, laboratory, nutrition preparation room, etc. The ratio of auxiliary room area to ward area shall be more than 1.5:1.
    5、ICU的整体布局应该使放置病床的医疗区域、医疗辅助用房区域、污物处理区域和医务人员生活辅助用房区域等有相对的独立性,以减少彼此之间的互相干扰并有利于感染的控制。
    5. The overall layout of ICU should make the medical area, auxiliary medical room area, sewage treatment area and auxiliary living room area for medical staff where hospital beds are placed relatively independent, so as to reduce mutual interference and facilitate the control of infection.
    6、ICU应具备良好的通风、采光条件,有条件者要装配垂直层流的空气净化系统,能独立控制室内的温度和湿度。医疗区域内的温度应维持在24℃左右,每个单间的空气调节系统应该独立控制。另外要安装足够的感应式洗手设施和手部消毒装置,单间每床1套,开放式病床至少每2床1套。
    6. ICU shall have good ventilation and lighting conditions. If possible, it shall be equipped with a vertical laminar air purification system, which can independently control the indoor temperature and humidity. The temperature in the medical area shall be maintained at about 24 ℃, and the air conditioning system of each single room shall be controlled independently. In addition, sufficient inductive hand washing facilities and hand disinfection devices shall be installed, with one set for each bed in a single room and at least one set for each two beds in an open hospital bed.
    7、ICU要控制好人流和物流,包括人员流动和物流在内,要有合理的的医疗流向,通过不同的进出通道实现,以尽可能阿德减少各种干扰和交叉感染。
    7. ICU should control the flow of people and logistics, including the flow of people and logistics. There should be a reasonable flow of medical care through different access channels, so as to reduce various interference and cross infection as much as possible.
    8、ICU病房建筑装饰遵循不产尘、不积尘、耐腐蚀、防潮防霉、防静电、容易清洁和符合防火要求的总原则。
    8. The building decoration of ICU Wards shall follow the general principles of no dust generation, no dust accumulation, corrosion resistance, moisture and mildew resistance, anti-static, easy cleaning and meeting the fire prevention requirements.
    9、ICU的设计要求应该满足提供医护人员便利的观察条件和在必要时尽快接触病人的通道。
    9. The ICU shall be designed to provide convenient observation conditions for medical staff and access to patients as soon as necessary.
    10、ICU病房应安静除了患者的呼叫信号、监护仪器的报警声外,电话铃声、打印机等仪器发出的声音等均属于ICU的噪音。在不影响正常工作的情况下,这些声音应减少到尽可能小的水平。根据噪音协会的建议,ICU白天的噪音尽量不超过45分贝,傍晚不超过40分贝,夜晚不超过20分贝。地面覆盖物、墙壁和天花板应该尽量采用吸音性能良好的建筑材料。
    10. The ICU ward should be quiet. In addition to the call signal of patients and the alarm sound of monitoring instruments, the sound of telephone ringing, printers and other instruments belong to the noise of ICU. These sounds shall be reduced to the lowest possible level without affecting normal operation. According to the recommendations of the international noise Association, the noise in ICU shall not exceed 45 dB in the daytime, 40 dB in the evening and 20 dB at night. Floor coverings, walls and ceilings shall be made of building materials with good sound absorption performance as far as possible.
    11、ICU应建立完善的通讯系统、网络与临床信息管理系统、广播系统。
    11. ICU should establish a complete communication system, network and clinical information management system and broadcasting system.

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