Analysis on the management and maintenance of disinfection and cleaning equipment in the decontamination center under the new situation

The disinfection supply center is an important place for hospital disinfection, cleaning equipment, and sterilization. It is also the hospital's cardiology department. This department is mainly responsible for the hospital's clinical sterilization and disinfection work. For the steel plates, surgical scissors, humidification bottles and gauze that are reused throughout the hospital, they must be strictly inspected, sterilized, and disinfected before they can be used. Therefore, the disinfection supply center must be responsible for the medical equipment in the hospital's work, which is of great significance for reducing hospital infections. In recent years, with the continuous reform of my country's medical system, the disinfection supply center has also made positive and effective institutional changes in order to adapt to the development of the hospital, ensuring that the hospital can develop better and faster. This topic takes the management of disinfection and cleaning equipment in the hospital disinfection supply room under the new situation as the starting point, analyzes the maintenance of the hospital disinfection supply center, and ensures the smooth development of various hospital work. The summary is as follows.

1 Management of disinfection and cleaning equipment in the disinfection supply room

The management of disinfection and cleaning equipment in the disinfection supply room can be based on strengthening the awareness of operators, strengthening information management, improving and implementing relevant systems, and realizing standardized management, so as to ensure that the management of disinfection and equipment cleaning in the hospital disinfection supply room under the new situation is in line with the hospital's development goals, as follows.

1.1 Strengthen the awareness of operators

The professional quality of operators is of great significance to the management quality of disinfection and equipment cleaning in the disinfection supply room. In order to continuously improve the management quality of the disinfection supply room, the professional skills training of operators should be strengthened, and operators should be good at correct guidance through examples to let operators understand the importance and necessity of their own work, and ensure that the relevant operations strictly follow the procedures for disinfection. At the same time, operators should also strengthen self-protection to avoid harm to themselves during disinfection and cleaning of instruments, reduce errors or error rates, and ensure the normal operation of the hospital.

The disinfection supply room should strengthen the professional skills training of operators according to the actual situation of the hospital, refer to the "Guidelines for the Management and Quality Control of Hospital Disinfection Supply Centers" to regularly organize operator internships, so that operators have a comprehensive understanding of the structure, performance, working principle, etc. of medical devices commonly used in hospitals, ensure that operators can be familiar with various operating regulations, management procedures, etc., ensure that all medical devices are in the best condition, continuously improve self-safety awareness, fully understand harmful factors in work, and prevent them from happening. For medical equipment that is damaged or needs to be eliminated, records should be kept and reported to provide patients with high-quality medical services.

1.2 Strengthening information management

Under the new situation, it has become a development trend for the hospital's disinfection supply room to realize information management. The hospital must appoint a dedicated person to manage the disinfection and cleaning equipment in the disinfection supply room according to the actual situation of the hospital, be good at building a corresponding database through computers for the disinfection, cleaning, maintenance, control and quality level of the commonly used medical equipment in the hospital, and set the relevant parameters of the disinfection and cleaning equipment in the disinfection supply room for more convenient clinical reference. In addition, through information management, it is convenient for the hospital management to understand the use of instruments and equipment in different departments of the hospital, and can update and purchase equipment in a timely and regular manner, which helps to improve the utilization rate of medical equipment and provide guarantee for hospital logistics.

1.3 Continuously update and implement hospital systems under the new situation to achieve standardized management

In order to adapt to the development of the hospital under the new situation, the disinfection supply room must actively update and improve various rules and regulations according to the hospital development requirements, including: supervision mechanism, certification system, personnel training system and checking system, etc., to ensure that the relevant operations of the disinfection supply room are more standardized and reasonable, and to achieve scientific management and information management. Literature reports show that if the disinfection supply room wants to adapt to the development and management of the hospital under the new situation, it must have a good management system, continuously update and strengthen various systems, ensure that each job task is clear, the position is clear, and each on-the-job personnel can complete the corresponding work according to the requirements of the hospital, ensure that everything is managed and the responsibility is assigned to the person, which will help improve the work efficiency of the disinfection supply room. In addition, the hospital disinfection supply room should also strengthen the standardized management of equipment, strengthen the maintenance, calibration and measurement of disinfection and cleaning equipment, ensure the integrity of the equipment, make the use, maintenance and inspection of the equipment within various scopes, and ensure that it is in good working condition.

2 Maintenance of disinfection supply room equipment under the new situation

After the above-mentioned perfect management system and strict operation specimens, the hospital disinfection supply room disinfection and cleaning equipment should be regularly maintained, the equipment calibration should be strengthened, and its working management status should be regularly monitored to ensure that the disinfection and cleaning equipment is in the best operating state.

Vacuum pressure steam sterilizer.

In the daily work of the disinfection supply center, the sterilizer needs to be cleaned every day (both the inside and the outside need to be cleaned) to observe whether there are cracks in the sterilizer. Since the sterilizer is mostly made of stainless steel, when the water vapor containing chloride ions is cleaned, it will cause different degrees of corrosion under high temperature and high pressure conditions, which is prone to cracks. At the same time, the hospital completes the cleaning of the steam filter every 3 months, regularly checks whether the safety valve, one-way valve, vacuum pump, etc. are normal, and regularly calibrates the temperature sensor, pressure gauge, etc. According to the inspection results, formulate corresponding maintenance measures.

Maintenance of dry heat sterilizer.

Dry heat sterilizers are relatively more commonly used in disinfection supply rooms. The maintenance of this equipment must be carried out in strict accordance with the operation and maintenance manual. The equipment should be tested once a year to understand whether the resistance, solid-state relay, thermal sensor, etc. of the equipment are normal.

Surgical instrument cleaning and disinfection machine.

Surgical instrument cleaning and disinfection machines need to disinfect and clean multiple surgical instruments every day. Dirt and blood stains will inevitably exist in the instruments. Therefore, the disinfection supply center should regularly complete the maintenance of instruments and equipment, strengthen the cleaning and disinfection of dirt, regularly replace dry filters, catheters, etc., and the hospital should regularly check water heating tubes, dry heating tubes, liquid level sensors and other components to ensure that the instruments can operate within the normal range.

Maintenance of water treatment system.

The water treatment system is crucial in the hospital disinfection supply room. The disinfection supply room should clean the multi-media filter once every 2 to 4 days (make sure that both the positive and negative sides are cleaned for more than 5 minutes), replace the precision filter element every 3 to 7 months, and thoroughly clean it once every 1 to 2 months; complete the cleaning of the permeable membrane every 2 to 3 years. During cleaning, the relevant operations must be strictly followed in accordance with the instructions, and the pressure gauges, high-pressure pumps and water flow meters must be operated regularly.

Air compressor.

Air compressors are also important instruments and equipment in the hospital's disinfection supply room. Operators should open the drain valve of the gas tank every day to discharge oil and water, clean the air filter regularly, and replace the filter element every 4 months (depending on the actual situation of the hospital). The lubricating oil should be updated once after 300 hours of continuous use, and the air valve should be cleaned once after 500 hours of continuous operation. In addition, the disinfection supply room must also strengthen the inspection of safety valves, pressure gauges, and thermal protectors.

Under the new situation, when the hospital disinfection supply room maintains the equipment, it must pay attention to the use of the relevant instruments, operating precautions, etc., and the relevant specific operations can be posted on the wall when necessary. In addition, the disinfection supply room must also complete the air purification every day, ensure that the number of bacteria in the air is lower than the standard number, regularly disinfect and clean the department, use disinfectants reasonably, avoid secondary pollution of the working environment, and improve the cleaning and management quality of medical equipment.

3 Conclusion

In summary, the hospital disinfection supply room is a special department of the hospital. It is a centralized processing place for disinfection and sterilization of hospital medical equipment. It helps to reduce the hospital infection rate and is a key environment for preventing and controlling hospital infections. It is of great significance to improve the overall quality of medical care. Under the new situation, the operators of the hospital disinfection supply room must start from themselves, establish a more standardized, rigorous and serious work attitude, and continuously strengthen and improve the management and maintenance of disinfection and cleaning equipment in the hospital disinfection supply room. The relevant operations must strictly follow the aseptic operation to ensure the integrity and utilization rate of the equipment, so that all the equipment in the hospital meets the relevant requirements and continuously improves the hospital's ability to prevent infection. At the same time, the hospital should regularly organize and arrange special personnel to conduct spot checks according to the actual situation, timely identify problems in the operation of the disinfection supply room and propose corresponding solutions to improve the management quality of the hospital disinfection supply room.