Kuberako imiterere yabarwayi bo muri salle ya ICU itandukanye niy'abarwayi basanzwe bo mu cyumba, igishushanyo mbonera cy’imiterere, ibisabwa ku bidukikije, imikorere yo kuryama, ibikoresho bya periferi, nibindi byose bitandukanye nibiri muri salle zisanzwe.Byongeye kandi, ICU zinzobere zitandukanye zisaba ibikoresho bitandukanye.Ntabwo ari kimwe.Igishushanyo n’ibikoresho bya ward bigomba guhura nibikenewe, koroshya gutabara, no kugabanya umwanda.
Nka: ibikoresho bya laminar.Ibisabwa byo gukumira umwanda muri ICU ni byinshi.Tekereza gukoresha ibikoresho byo kweza laminari kugirango ugabanye amahirwe yo kwandura.Muri ICU, ubushyuhe bugomba kuguma kuri 24 ± 1.5 ° C;mu cyumba cy’abarwayi bageze mu zabukuru, ubushyuhe bugomba kuba hafi 25.5 ° C.
Byongeye kandi, icyumba gito cyo gukoreramo, icyumba cyo gutanga, n’icyumba cy’isuku cya buri gice cya ICU kigomba kuba gifite amatara ya UV yerekana amanitse kugira ngo yanduze buri gihe, kandi hagomba gutangwa ikindi kinyabiziga cyangiza UV kugira ngo yanduze ahantu hatagira abadereva.
Kugirango byorohereze gutabara no kwimura, mu gishushanyo cya ICU, birakenewe ko amashanyarazi ahagije.Nibyiza kuba ufite ibikoresho bibiri kandi byihutirwa, kandi ibikoresho byingenzi bigomba kuba bifite amashanyarazi adahagarara (UPS).
Muri ICU, hagomba kubaho imiyoboro inyuranye ya gazi icyarimwe, nibyiza gukoresha itangwa rya ogisijeni nkuru, itangwa ryumwuka hagati, hamwe nicyuka cyo hagati.By'umwihariko, itangwa rya ogisijeni yo hagati rishobora kwemeza ko abarwayi ba ICU bahora bakuramo ogisijeni nyinshi, bakirinda akazi ko gusimbuza kenshi silindiri ya ogisijeni, kandi bakirinda kwanduza silindiri ya ogisijeni ishobora kuzanwa muri ICU.
Guhitamo ibitanda bya ICU bigomba kuba bikwiye kuranga abarwayi ba ICU, kandi bigomba kugira imirimo ikurikira:
1. Guhindura imyanya myinshi kugirango uhuze ibyifuzo bitandukanye byubuvuzi.
2. Irashobora gufasha umurwayi guhinduka n'amaguru cyangwa kugenzura ukuboko.
3. Igikorwa kiroroshye kandi kugenda kuryama birashobora kugenzurwa mubyerekezo byinshi.
4. Igikorwa cyo gupima neza.Kugirango ukurikiranire hafi impinduka muguhana amazi, gutwika amavuta, gusohora ibyuya, nibindi.
5. Gufata amashusho yinyuma X-bigomba kurangizwa muri ICU, bityo X-ray yerekana agasanduku kerekana amashusho ya gari ya moshi igomba gushyirwaho kumwanya winyuma.
6. Irashobora kugenda no gufata feri byoroshye, byoroshye gutabara no kwimura.
Igihe kimwe, icyicaro cya buri buriri kigomba guhabwa:
1 amashanyarazi, amashanyarazi menshi-sock ashobora guhuzwa namashanyarazi 6-8 icyarimwe, amaseti 2-3 yibikoresho bitanga umwuka wa ogisijeni hagati, ibice 2 byibikoresho byo mu kirere bifunitse, ibice 2-3 byibikoresho bikurura umuvuduko, Igice 1 cyamatara ashobora guhinduka, amatara 1 yihutirwa.Hagati yigitanda cyombi, inkingi ikora kugirango ikoreshwe kumpande zombi igomba gushyirwaho, kuriyo hari socket yamashanyarazi, ububiko bwibikoresho, imiyoboro ya gaze, ibikoresho byo guhamagara, nibindi.
Ibikoresho byo gukurikirana nibikoresho byibanze bya ICU.Monitor irashobora gukurikirana imiterere yumurongo cyangwa ibipimo nka polyconductive ECG, umuvuduko wamaraso (invasive or non-invasive), guhumeka, kuzura ogisijeni yamaraso, hamwe nubushyuhe mugihe nyacyo kandi gifite imbaraga, kandi irashobora gukurikirana ibipimo byapimwe.Kora isesengura ryisesengura, kubika amakuru, gukina flake, nibindi.
Mu gishushanyo mbonera cya ICU, ubwoko bw'abarwayi bagomba gukurikiranwa bugomba gutekerezwa kugirango bahitemo monitor ikwiye, nk'umutima ICU n'impinja ICU, intego yibikorwa bya monitor ikenewe izaba itandukanye.
Ibikoresho by'ibikoresho byo gukurikirana ICU bigabanyijemo ibyiciro bibiri: sisitemu yo kugenzura uburiri bumwe na sisitemu yo kugenzura hagati.
Sisitemu yo kugenzura ibice byinshi ni ukugaragaza imiterere itandukanye yo kugenzura imiterere n'ibipimo bya physiologique byabonetse kubakurikirana ku buriri bw'abarwayi muri buri buriri binyuze kuri neti, no kubigaragaza kuri monitor nini ya ecran nini yo kugenzura hagati icyarimwe, kugirango abakozi b'ubuvuzi barashobora gukurikirana buri murwayi.Shyira mubikorwa kugenzura neza.
Muri ICU zigezweho, hashyizweho uburyo rusange bwo gukurikirana.
ICU zifite imiterere itandukanye zigomba kuba zifite ibikoresho byihariye usibye ibikoresho nibikoresho bisanzwe.
Kurugero, muri ICU yo kubaga umutima, ikurikirana ikurikirana yumutima, ikurikirana imipira yumupira, isesengura rya gaze yamaraso, isesengura ryihuse ryibinyabuzima, fibre laryngoscopes, fibre bronchoscopes, hamwe nibikoresho bito byo kubaga, amatara yo kubaga, bigomba kuba bifite ibikoresho, ibikoresho byo kwanduza indwara, 2 ibice bya thoracic ibikoresho byo kubaga ibikoresho, ibikoresho byo kubaga, nibindi.
3. Umutekano no gufata neza ibikoresho bya ICU
ICU ni ahantu hakoreshwa ibikoresho byinshi byamashanyarazi nibikoresho byubuvuzi bikoreshwa cyane.Hano haribikoresho byinshi byubuvuzi bugezweho kandi buhanitse.Kubwibyo, hakwiye kwitabwaho umutekano wokoresha ibikoresho nibikorwa.
Kugirango harebwe niba ibikoresho byubuvuzi bikora ahantu heza, mbere ya byose, hagomba gutangwa amashanyarazi ahamye kubikoresho;umwanya wa moniteur ugomba gushyirwa ahantu harehare gato, byoroshye kubireba no kure yibindi bikoresho kugirango wirinde kwivanga mubimenyetso byo gukurikirana..
Ibikoresho byashyizwe muri ICU igezweho bifite ubuhanga buhanitse hamwe nibisabwa byumwuga kugirango bikore.
Kugirango hamenyekane imikorere isanzwe nogukoresha ibikoresho bya ICU, hagomba gushyirwaho injeniyeri yigihe cyose yo kubungabunga icyumba cya ICU cyibitaro binini kugirango bayobore abaganga nabaforomo mugukora neza no gukoresha ibikoresho;fasha abaganga mugushiraho ibipimo byimashini;mubisanzwe ushinzwe kubungabunga no gusimbuza ibikoresho nyuma yo gukoreshwa.Ibikoresho byangiritse;buri gihe ugerageze ibikoresho, kandi uhore ukora ubugororangingo bwo gupima nkuko bisabwa;gusana cyangwa kohereza ibikoresho bidakwiriye byo gusana mugihe gikwiye;andika imikoreshereze nogusana ibikoresho, hanyuma ushireho dosiye yibikoresho bya ICU.
Igihe cyo kohereza: Gashyantare-24-2022