How can I get to Hufu by bus in downtown Yixing
Publish: 2021-05-09 21:04:39
1. Maybe the program is not compatible, check the conflict and incompatibility between the system and the game first, and make a more mature system again
after eliminating the system reasons, check whether the game files are complete and need to be updated
please check whether the driver of the graphics card needs to be updated and whether the driver version of the graphics card is up-to-date.
after eliminating the system reasons, check whether the game files are complete and need to be updated
please check whether the driver of the graphics card needs to be updated and whether the driver version of the graphics card is up-to-date.
2. Follow, M is a unit, the operated unit will follow
many places can use
experts will use the M key to surround people, but not always M. when m is working, you still need to adjust your unit's action route
many places can use
experts will use the M key to surround people, but not always M. when m is working, you still need to adjust your unit's action route
3. Bolt and heavy hex nut, made of carbon steel, ASTM. I don't know what standard it is. (I only know that ANSI / ASME is American Standard). A307 should be the material standard of carbon steel, gr.b is grade B, and the specification is M22 * 150.
4. 1. Run keilc
2, click menu project / new uVision project
3, select ATMEL / AT89C52 from the device selection menu, confirm
4, click menu project / option for target & # 39; tartet1' Enter the submenu page
4.1, click target, fill in crystal oscillator 11.0592 in the corresponding position
4.2, click output, check creat hex file, and click OK
4. Create a new file, input the program, and save it as the corresponding file (assembly or C)
5. Right click source group1 in the project column on the left, and select Add File to group & quot; Source Group1..", Select the file you just saved to add
6, OK, you can compile and edit.
2, click menu project / new uVision project
3, select ATMEL / AT89C52 from the device selection menu, confirm
4, click menu project / option for target & # 39; tartet1' Enter the submenu page
4.1, click target, fill in crystal oscillator 11.0592 in the corresponding position
4.2, click output, check creat hex file, and click OK
4. Create a new file, input the program, and save it as the corresponding file (assembly or C)
5. Right click source group1 in the project column on the left, and select Add File to group & quot; Source Group1..", Select the file you just saved to add
6, OK, you can compile and edit.
5. Hospital supply room, also known as disinfection supply room, is an important department providing all kinds of aseptic equipment, dressings and other aseptic items to the whole hospital
the work quality of supply room is closely related to hospital infection, pyrogen reaction and the harm of particles, which directly affects the quality and effect of medical care, and even the safety of patients
please pay attention to: disinfection and supply center (room) standard workflow (seven links)
recycling --- classification --- cleaning --- inspection and packaging --- sterilization --- storage --- distribution
I. recycling:
1. After using the equipment and articles, the Department should remove obvious dirt (washing with normal water) in time to avoid drying and temporary storage
2. The staff of the supply center (Office) will recycle to the Department regularly and according to the prescribed route by using a special closed recycling car (or box)
3. After returning to the Department, hand over the quantity of articles with the cleaning personnel, avoid counting and checking contaminated instruments and articles in the Department, and rece cross infection
4. After each recycling, clean and disinfect the recycling truck (or box) and store it dry
5. Disposable articles and medical wastes after use shall not be recycled to the disinfection and supply center (room) and then transferred for treatment
2. Classification:
1. Dress according to personal protection requirements, and hand over the quantity of recovered articles with the receiving personnel
2. According to the different materials, properties, precision and pollution status of the instruments, they are classified
2. The injurious waste is put into the sharps, and the infectious waste is put into the yellow bag< 3. Cleaning:
1. Different cleaning methods (including manual cleaning and mechanical cleaning) are used for different types of instruments and articles
2. Mechanical cleaning method should be used for heat-resistant and moisture resistant instruments and articles
3. Precision and complex instruments should be cleaned by hand, by ultrasound and enzyme, and then by mechanical cleaning or manual cleaning
4. Basic cleaning process: pre washing (tap water) - → cleaning (manual or mechanical + enzyme) - → rinsing 1 (tap water) - → rinsing 2 (deionized water or distilled water) - → disinfection (damp heat method) - → lubrication (water-soluble oil) - → drying (drying or wiping)
(1) pre washing (3-5min): use running water to remove obvious dirt (if dirt becomes dry, the water-soluble oil will be washed out), (2) enzyme washing (2-5 min): enzyme can quickly decompose organic matter, inhibit bacteria and rust, degrade naturally without resie, water temperature is 20-40 ℃, instruments with joints should be opened as far as possible. Brush under the surface of water where it has solidified or seriously polluted
(3) rinsing: first use tap water, then use deionized water or distilled water
(4) disinfection: Damp heat method (90 ℃ 5min) should be selected
(5) lubrication (30 ~ 60s): use water-soluble lubricating oil instead of non water soluble oil such as paraffin oil
(6) drying: drying (90 ℃ for 2min) or wiping, it is not suitable to put it in the air to dry naturally< 4. Inspection and packaging:
1. Inspection of cleaning quality: visual inspection or magnifying glass inspection to see if there are resial substances, blood stains, scale and rust spots. If they are unqualified, they should be washed again
2. Inspection of the function of the instrument: check the integrity, flexibility and occlusiveness of the instrument, as well as the sharpness of the blade instrument and puncture needle
3. Packaging requirements: (1) weight: Instrument Set & lt; 7 kg, dressing pack weight & lt; 5kg 2) Volume: & lt; 30cm * 30cm * 50cm (3) suitable tightness (4) metal instruments, basins and bowls are separated by absorbent cloth (paper)
v. sterilization:
1. Pressure steam sterilization: preferred (high temperature and humidity resistant instruments and articles)
(1) liquid, grease, powder and paste should not be sterilized by pressure steam
(2) all items to be sterilized should be cleaned thoroughly to avoid affecting the sterilization effect
(3) according to the requirements of sterilizer efficiency testing, including: process, chemical and biological monitoring, B-D test
2. Dry heat sterilization: selection of high temperature resistant and high humidity resistant instruments and articles
(1) thickness of oil and powder & lt; The thickness of 0.635cm Vaseline gauze & lt; 1.3cm
(2) volume of objects & lt; 10cm * 10cm * 20cm
3. Low temperature sterilization: selection of instruments and articles that are not resistant to high temperature and high humidity
(1) ethylene oxide sterilization
(2) hydrogen peroxide plasma sterilization
(3) low temperature formaldehyde sterilization
(4) low temperature peracetic acid sterilization
4. Loading requirements:
(1) loading capacity: lower exhaust, pre vacuum The maximum loading capacity of the pulsating vacuum pressure steam sterilizer shall not exceed 80%, 90% and 95% of the volume of the cabinet respectively; The minimum loading capacity of pre vacuum and pulsating vacuum pressure steam sterilizer shall not be less than 10% and 5% of the cabinet volume respectively to prevent "small loading effect"
(2) the same kind of articles are sterilized in the same pot, and the dressing bag is placed in the upper layer and the metal bag is placed in the lower layer when different kinds of articles are sterilized in the same pot. The articles prone to water drops should be put down as far as possible
(3) special sterilized baskets should be used ring loading and should not be stacked. The distance between bags should be at least 2cm
(4) the operation instrument tray should be placed horizontally, the fabric bag should be placed vertically, and the operation basin should be placed obliquely
(5) paper plastic packaging materials should be placed vertically in the basket or on the shelf
5. Unloading requirements:
(1) after taking out the autoclaved articles, place them in the place away from the air conditioner or air inlet for cooling
(2) check the integrity and dryness of the packaging of sterilized articles; Close the screen hole of open and close vessel in time
(3) check the color of the chemical indicator tape and re sterilize it if it fails to meet the requirements or is suspicious
(4) if the sterilization package falls to the ground or is misplaced, it should be regarded as pollution< 6. Storage:
1. Storage conditions of sterile articles:
(1) clean, dry, temperature 20 ~ 25 ℃, relative humidity & lt; 60%
(2) items must be stored in clean cabinets or shelves, 20-25cm from the floor, 5-10cm from the wall, and 50cm from the ceiling
2. The period of validity of sterile articles:
(1) the period of validity of cotton cloth or hard container is 10-14 days (other environment is 7 days)
(2) medical wrinkle paper is valid for 3 months
(3) the validity period of paper plastic packaging is 6 months
3. Sterilized and unsterilized articles should be strictly separated< 7. Distribution:
1. Follow the principle of "first in, first out"
2. The sent out and expired sterile articles must be cleaned, packed and sterilized again
3. When it is sent to clinic, a special vehicle or container must be used and sealed for transportation. Transport tools should be kept clean and clean and dirty should be separated<
conclusion:
is responsible for cleaning medical supplies and devices? --- is there any infectious and dangerous disease? --- basically not?
high temperature steam is the main working condition and characteristic of the supply room, which is hard
good luck to you!
the work quality of supply room is closely related to hospital infection, pyrogen reaction and the harm of particles, which directly affects the quality and effect of medical care, and even the safety of patients
please pay attention to: disinfection and supply center (room) standard workflow (seven links)
recycling --- classification --- cleaning --- inspection and packaging --- sterilization --- storage --- distribution
I. recycling:
1. After using the equipment and articles, the Department should remove obvious dirt (washing with normal water) in time to avoid drying and temporary storage
2. The staff of the supply center (Office) will recycle to the Department regularly and according to the prescribed route by using a special closed recycling car (or box)
3. After returning to the Department, hand over the quantity of articles with the cleaning personnel, avoid counting and checking contaminated instruments and articles in the Department, and rece cross infection
4. After each recycling, clean and disinfect the recycling truck (or box) and store it dry
5. Disposable articles and medical wastes after use shall not be recycled to the disinfection and supply center (room) and then transferred for treatment
2. Classification:
1. Dress according to personal protection requirements, and hand over the quantity of recovered articles with the receiving personnel
2. According to the different materials, properties, precision and pollution status of the instruments, they are classified
2. The injurious waste is put into the sharps, and the infectious waste is put into the yellow bag< 3. Cleaning:
1. Different cleaning methods (including manual cleaning and mechanical cleaning) are used for different types of instruments and articles
2. Mechanical cleaning method should be used for heat-resistant and moisture resistant instruments and articles
3. Precision and complex instruments should be cleaned by hand, by ultrasound and enzyme, and then by mechanical cleaning or manual cleaning
4. Basic cleaning process: pre washing (tap water) - → cleaning (manual or mechanical + enzyme) - → rinsing 1 (tap water) - → rinsing 2 (deionized water or distilled water) - → disinfection (damp heat method) - → lubrication (water-soluble oil) - → drying (drying or wiping)
(1) pre washing (3-5min): use running water to remove obvious dirt (if dirt becomes dry, the water-soluble oil will be washed out), (2) enzyme washing (2-5 min): enzyme can quickly decompose organic matter, inhibit bacteria and rust, degrade naturally without resie, water temperature is 20-40 ℃, instruments with joints should be opened as far as possible. Brush under the surface of water where it has solidified or seriously polluted
(3) rinsing: first use tap water, then use deionized water or distilled water
(4) disinfection: Damp heat method (90 ℃ 5min) should be selected
(5) lubrication (30 ~ 60s): use water-soluble lubricating oil instead of non water soluble oil such as paraffin oil
(6) drying: drying (90 ℃ for 2min) or wiping, it is not suitable to put it in the air to dry naturally< 4. Inspection and packaging:
1. Inspection of cleaning quality: visual inspection or magnifying glass inspection to see if there are resial substances, blood stains, scale and rust spots. If they are unqualified, they should be washed again
2. Inspection of the function of the instrument: check the integrity, flexibility and occlusiveness of the instrument, as well as the sharpness of the blade instrument and puncture needle
3. Packaging requirements: (1) weight: Instrument Set & lt; 7 kg, dressing pack weight & lt; 5kg 2) Volume: & lt; 30cm * 30cm * 50cm (3) suitable tightness (4) metal instruments, basins and bowls are separated by absorbent cloth (paper)
v. sterilization:
1. Pressure steam sterilization: preferred (high temperature and humidity resistant instruments and articles)
(1) liquid, grease, powder and paste should not be sterilized by pressure steam
(2) all items to be sterilized should be cleaned thoroughly to avoid affecting the sterilization effect
(3) according to the requirements of sterilizer efficiency testing, including: process, chemical and biological monitoring, B-D test
2. Dry heat sterilization: selection of high temperature resistant and high humidity resistant instruments and articles
(1) thickness of oil and powder & lt; The thickness of 0.635cm Vaseline gauze & lt; 1.3cm
(2) volume of objects & lt; 10cm * 10cm * 20cm
3. Low temperature sterilization: selection of instruments and articles that are not resistant to high temperature and high humidity
(1) ethylene oxide sterilization
(2) hydrogen peroxide plasma sterilization
(3) low temperature formaldehyde sterilization
(4) low temperature peracetic acid sterilization
4. Loading requirements:
(1) loading capacity: lower exhaust, pre vacuum The maximum loading capacity of the pulsating vacuum pressure steam sterilizer shall not exceed 80%, 90% and 95% of the volume of the cabinet respectively; The minimum loading capacity of pre vacuum and pulsating vacuum pressure steam sterilizer shall not be less than 10% and 5% of the cabinet volume respectively to prevent "small loading effect"
(2) the same kind of articles are sterilized in the same pot, and the dressing bag is placed in the upper layer and the metal bag is placed in the lower layer when different kinds of articles are sterilized in the same pot. The articles prone to water drops should be put down as far as possible
(3) special sterilized baskets should be used ring loading and should not be stacked. The distance between bags should be at least 2cm
(4) the operation instrument tray should be placed horizontally, the fabric bag should be placed vertically, and the operation basin should be placed obliquely
(5) paper plastic packaging materials should be placed vertically in the basket or on the shelf
5. Unloading requirements:
(1) after taking out the autoclaved articles, place them in the place away from the air conditioner or air inlet for cooling
(2) check the integrity and dryness of the packaging of sterilized articles; Close the screen hole of open and close vessel in time
(3) check the color of the chemical indicator tape and re sterilize it if it fails to meet the requirements or is suspicious
(4) if the sterilization package falls to the ground or is misplaced, it should be regarded as pollution< 6. Storage:
1. Storage conditions of sterile articles:
(1) clean, dry, temperature 20 ~ 25 ℃, relative humidity & lt; 60%
(2) items must be stored in clean cabinets or shelves, 20-25cm from the floor, 5-10cm from the wall, and 50cm from the ceiling
2. The period of validity of sterile articles:
(1) the period of validity of cotton cloth or hard container is 10-14 days (other environment is 7 days)
(2) medical wrinkle paper is valid for 3 months
(3) the validity period of paper plastic packaging is 6 months
3. Sterilized and unsterilized articles should be strictly separated< 7. Distribution:
1. Follow the principle of "first in, first out"
2. The sent out and expired sterile articles must be cleaned, packed and sterilized again
3. When it is sent to clinic, a special vehicle or container must be used and sealed for transportation. Transport tools should be kept clean and clean and dirty should be separated<
conclusion:
is responsible for cleaning medical supplies and devices? --- is there any infectious and dangerous disease? --- basically not?
high temperature steam is the main working condition and characteristic of the supply room, which is hard
good luck to you!
6.
The main work of disinfection and supply center is cleaning, packaging, disinfection and supply of medical equipment. There are many kinds of supply in modern hospitals, involving a wide range of departments and quick turnover. Every work is related to the quality of medical treatment, teaching and scientific research
if the disinfection and sterilization is not complete, it will cause infection in the whole hospital, and the imperfect supplies can affect the diagnosis and treatment, so it is very important to do a good job in the supply room, which is also an indispensable part of the hospital work. Reasonable layout, in line with the supply process, clear responsibilities, perfect system and other means are the premise to ensure the quality of supply
extended data:
related extension of disinfection and supply center: personnel management in supply room
1. The staff in supply room should be clean and tidy at work, and should not wear work clothes to enter canteen, kindergarten or leave hospital
Wash hands carefully, before and after operation3. The staff of the supply room should take physical examination once a year, and the patients with infectious diseases should not work in the supply room. If hepatitis B three negative, injection of hepatitis B vaccine
Nursing staff should be familiar with the methods, proceres and quality requirements of disinfection, washing, cleaning and sterilization of all kinds of articles, as well as the performance, maintenance methods and application scope of all kinds of articles The workers in the supply room should be trained before they can work, and the disinfection workers should hold the work license6. Go to clinical departments regularly, check the storage and use of sterile articles, and put forward correction suggestions, which should be recorded
7. The construction of the central supply room is not standardized, and it is required to be built on several floors. What is standardized is the rationality and irrationality of the plane process, so most hospitals are built on the first floor. Since it is a disinfection and supply center, the equipment and dressings that need to be disinfected on other floors of the hospital will be sent here, so the logistics circulation is the first. It is built on the first floor to facilitate the disinfection of articles on this floor, and the articles that need to be disinfected on other floors or other hospitals can also enter the central supply room.
8. Of course, at present, the State encourages the hospital disinfection and supply center to open to the outside world, saving resources and standardizing management. However, there is still a lack of practical operation experience, which needs to be explored step by step.
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