Chitetezo cha ICU Chakulitsidwa ndi Ma Curtain Otayidwa ku Zipatala Kuti Achepetse Kuopsa kwa Kuipitsidwa

Zotayidwa Makapu a Zipinda Izi zimawonjezera kwambiri chitetezo cha ICU pochepetsa zoopsa zodetsa.makatani opangira opaleshoni zimathandiza kwambiri kuchepetsa matenda okhudzana ndi chisamaliro chaumoyo (HAIs) pakati pa odwala omwe ali pachiwopsezo. makatani azachipatala otayidwaZipatala zimatenga njira zodzitetezera kuti thanzi la odwala litetezeke. Kuphatikiza apo, opanga nsalu za kuchipatala akuganizira kwambiri kupanga makatani oletsa mabakiteriya kuti apititse patsogolo miyezo ya ukhondo mu makatani a chipinda chachipatala.

Mfundo Zofunika Kwambiri

• Makatani achipatala otayidwa kuchepetsa kwambiri chiopsezo cha kuipitsidwa m'ma ICU, zomwe zimathandiza kupewa matenda okhudzana ndi chisamaliro chaumoyo (HAIs).
• Kugwiritsa ntchito Nsalu yotayidwaszimathetsa kufunika kotsuka zovala, kusunga nthawi ndi zinthu zina pamene mukuonetsetsa kuti wodwala aliyense ali ndi malo abwino oti azitha kuchira.
• Kapangidwe ka maantibayotiki m'makatani otayidwa nthawi imodzi amapha tizilombo toyambitsa matenda, zomwe zimapangitsa kuti odwala omwe ali pachiwopsezo azikhala otetezeka komanso kukonza miyezo ya ukhondo.

Kuopsa Kowonjezereka kwa Matenda Okhudzana ndi Zaumoyo

Matenda oyambitsidwa ndi chisamaliro chaumoyo (HAIs) ndi chiwopsezo chachikulu pa chitetezo cha odwala, makamaka m'zipinda zosamalira odwala kwambiri (ICUs). Kufalikira kwa matendawa n'koopsa, ndipo ziwerengero zapadziko lonse lapansi zikusonyeza kuti pafupifupi 51.4% odwala a ICU amadwala matendawa akamakhala ku ICU. Ku Ulaya ndi ku USA, kuchuluka kwa anthu odwala matendawa kumayambira pa 9% mpaka 37%Ziwerengerozi zikusonyeza kufunika kwachangu kwa njira zothanirana ndi matenda m'malo azaumoyo.

Mtengo wa HAIs uli pa 18.78 pa masiku 1,000 a wodwala, ndi chiŵerengero chosinthidwa cha 5.17 pa masiku 1,000 a wodwala kutengera kuopsa kwa matenda. Ziwerengero zotere zikuwonetsa kufunika kwa njira zopewera matenda, makamaka m'malo omwe odwala ali kale pachiwopsezo.

Ziwerengero Zofunika pa HAIs:

• Kufalikira kwa matenda opatsirana omwe apezeka ku ICU padziko lonse lapansi: 51.4%
• Kufalikira kwa matendawa ku Europe ndi USA: 9% mpaka 37%
• Chiwerengero cha HAIs: 18.78 pa masiku 1,000 a wodwala
• Chiŵerengero chosinthidwa kutengera kuopsa kwa matenda: 5.17 pa masiku 1,000 a wodwala

Zotsatira za Odwala

Zotsatira za HAIs sizimangokhudza ziwerengero zokha; zimakhudza kwambiri zotsatira za odwala. Matenda opatsirana angayambitse kukhala m'chipatala kwa nthawi yayitali, ndi kuwonjezeka kwapakati kwa Masiku 10.4 nthawi yokhalapo (LOS) chifukwa cha HAIs. Kuwonjezeka kumeneku kumasiyana malinga ndi mtundu wa matenda, ndipo matenda a m'magazi amapangitsa kuti pakhale kuchuluka kwa anthu omwe ali ndi matenda a shuga Masiku 12.8.

Kuphatikiza apo, matenda a HAI amagwirizanitsidwa ndi kuchuluka kwa imfa mwa odwala a ICU. Mavuto ochokera ku matenda opatsirana, monga matenda opatsirana m'magazi ndi chibayo chokhudzana ndi mpweya, amawonjezera chiopsezo cha imfa. Kufooka kwa chitetezo chamthupi cha odwala a ICU kumapangitsa kuti azitha kudwala matenda oopsa.

1. MAI ali pachiwopsezo chachikulu pa thanzi la odwala, zomwe zimapangitsa kuti chiwerengero cha imfa chiwonjezeke.
2. Chitetezo cha mthupi cha odwala a ICU chofooka chimawapangitsa kukhala pachiwopsezo chachikulu chotenga matenda oopsa.
3. Kuchiza mwachangu ndikofunikira kwambiri kuti matenda asakule n’kufika pamavuto oopsa.

Zotsatira za HAI pa kuchira kwa odwala n'zachikulu. Sikuti zimangowonjezera nthawi yomwe amakhala kuchipatala, komanso zimasokoneza mapulani a chithandizo ndikuwonjezera ndalama zothandizira zaumoyo. Kukhazikitsa njira zothanirana ndi matenda, monga kugwiritsa ntchito makatani otayidwa ogwiritsidwa ntchito, zingachepetse kwambiri chiopsezo cha matenda a HAI ndikuwonjezera zotsatira za odwala.

Kumvetsetsa Ma Curtain Otayidwa ku Zipatala

Makatani otayidwa m'zipatala amagwira ntchito yofunika kwambiri pakusunga ukhondo m'malo azaumoyo. Makatani awa amapangidwira kugwiritsidwa ntchito kamodzi kokha, zomwe zimachepetsa kwambiri chiopsezo cha kuipitsidwa ndi zinthu zina. Mosiyana ndi makatani achikhalidwe omwe amagwiritsidwanso ntchito, makatani otayidwa m'zipinda zogona safuna kutsukidwa, zomwe zimapangitsa kuti akhale njira yabwino kwambiri yopewera matenda.

Tanthauzo ndi Makhalidwe

Makatani otayidwa m'zipatala ndi opepuka, osavuta kuyika, ndipo amapangidwira kuti asinthidwe mwachangu. Chinthu chachikulu chomwe amachita ndi kuthekera kopereka chotchinga choyera pakati pa odwala, chomwe ndi chofunikira kwambiri popewa kufalikira kwa matenda. Makatani amenewa nthawi zambiri amapangidwa kuchokera ku zinthu zomwe zimalimbana ndi chinyezi ndipo amachiritsidwa ndi zokutira zotsutsana ndi mavairasi. Chithandizochi chimaletsa kukula kwa mabakiteriya ndi mavairasi, ndikutsimikizira kuti odwala ndi ogwira ntchito zachipatala ali otetezeka.

Zinthu Zofunika Kwambiri pa Makatani Otayidwa a Chipatala:

• Kapangidwe kogwiritsidwa ntchito kamodzi: Amachepetsa chiopsezo cha kuipitsidwa.
• Katundu woletsa mabakiteriya: Imapha tizilombo toyambitsa matenda mwachangu.
• Wopepuka komanso wosavuta kuyika: Zimathandiza kusintha mwachangu.
• Zipangizo zosagwira chinyezi: Zimathandiza kusunga ukhondo.

Mosiyana ndi zimenezi, makatani ogwiritsidwanso ntchito amatha kukhala ndi tizilombo toyambitsa matenda komanso mavairasi, zomwe zimapangitsa kuti pakhale kusintha pafupipafupi kuti pakhale njira yowongolera matenda. Ngakhale poyamba zingawoneke ngati zotsika mtengo, ndalama zomwe zimagwiritsidwa ntchito pochapa zovala nthawi yayitali zimatha kukhala zokwera, makamaka poganizira kuti zimakhala zokhalitsa kwa zaka khumi.

Zipangizo Zogwiritsidwa Ntchito

Zipangizo zomwe zimagwiritsidwa ntchito mu makatani achipatala ogwiritsidwa ntchito nthawi imodzi zimathandiza kwambiri pakugwira ntchito kwawo bwino. Makatani ambiri ogwiritsidwa ntchito nthawi imodzi amakhala ndi ukadaulo wapamwamba wopha tizilombo toyambitsa matenda. Mwachitsanzo, makatani a Endurocide® apangidwa kuti aphe tizilombo toyambitsa matenda tomwe timakumana nawo nthawi yonse ya moyo wawo wa zaka ziwiri. Izi zimachepetsa kwambiri chiopsezo cha kuipitsidwa poyerekeza ndi makatani achikhalidwe.

Mitundu ingapo ya zinthu zophera majeremusi imagwiritsidwa ntchito kwambiri m'makatani a m'chipatala omwe amatayidwa nthawi imodzi:

• Maketani a Endurocide®: Imapha tizilombo toyambitsa matenda mwachangu, ndipo imagwira ntchito kwa zaka ziwiri.
• Makapu a EcoMed: Yotetezedwa ndi chitetezo cha 3rd Generation Ultra-Fresh, kuonetsetsa kuti ma antibacterial agents afalikira mofanana.
• Makapu Otayidwa a MARLUXGwiritsani ntchito ukadaulo wa Microban® siliva kuti muteteze bwino mabakiteriya.

Kuphatikiza zipangizozi popanga makatani a cubicle omwe amagwiritsidwa ntchito nthawi imodzi kumawonjezera luso lawo lopereka malo otetezeka komanso aukhondo. Kugwiritsa ntchito zokutira zophera tizilombo toyambitsa matenda kumaonetsetsa kuti wodwala aliyense ali ndi malo atsopano, osadetsedwa, zomwe ndizofunikira kwambiri kuti wodwalayo akhale otetezeka.

Ubwino wa Makapu Otayidwa Pakulamulira Matenda

Kuchepetsa Kuipitsidwa kwa Mitanda

Makatani otayidwa m'nyumba Kuchepetsa kwambiri chiopsezo cha kuipitsidwa ndi zinthu zina m'malo azachipatala. Mosiyana ndi makatani achikhalidwe, omwe amatha kukhala ndi mabakiteriya ngati sakutsukidwa pafupipafupi, makatani otayidwa nthawi zonse amasinthidwa kwathunthu akagwiritsidwa ntchito nthawi iliyonse. Kuchita izi kumachotsa kuthekera kwa tizilombo toyambitsa matenda kuti tipulumuke pa nsalu. Kusintha makatani otayidwa nthawi zonse kumachepetsa chiopsezo cha kuipitsidwa ndi zinthu zina, zomwe zimapangitsa kuti zikhale njira yothandiza yothanirana ndi matenda m'malo azachipatala.

Mfundo Zofunika Pankhani Yokhudzana ndi Kuipitsidwa:

• Makatani otayidwa amasinthidwa kwathunthu, zomwe zimachotsa chiopsezo cha kupulumuka kwa tizilombo toyambitsa matenda.
• Makatani achikhalidwe amatha kusonkhanitsa mabakiteriya pakapita nthawi ngati sakutsukidwa nthawi zonse.
• Kusintha makatani nthawi ndi nthawi kumachepetsa kwambiri chiopsezo cha kuipitsidwa ndi zinthu zina.

Kusavuta ndi Kugwiritsa Ntchito Mosavuta

Kusavuta kugwiritsa ntchito makatani a kuchipatala otayidwa nthawi imodzi sikunganyalanyazidwe. Kapangidwe kake kamodzi kokha kamachotsa kufunika kochapira zovala, kusunga nthawi ndi zinthu zina kwa ogwira ntchito zachipatala. Kusintha mwachangu kumatsimikizira kuti wodwala aliyense amakhala ndi malo atsopano komanso oyeretsera. Njira zoyeretsera zosavuta zogwirizana ndi makatani otayidwa nthawi imodzi zimathandiza kuchepetsa matenda.

Malo osamalira odwala amapindula ndi magwiridwe antchito abwino chifukwa kuchotsa njira zochapira zovala zomwe zimadya nthawi yambiri kumalola antchito kuyang'ana kwambiri ntchito zofunika monga kusamalira odwala. Dongosolo la Rapid Refresh® curtain limalola kusintha mwachangu, kulimbikitsa ntchito komanso kuchepetsa nthawi yogwiritsidwa ntchito pokonza.

Ubwino wa Kusavuta:

• Makatani otayidwa nthawi amasunga nthawi pochotsa zosowa zochapira.
• Kusintha mwachangu kumathandiza kuti odwala azikhala ndi malo abwino oti asamawonongeke.
• Kugwira bwino ntchito kumathandiza ogwira ntchito kuti aziika patsogolo chisamaliro cha odwala.

Kutsatira Miyezo Yaumoyo

Kutsatira miyezo ya zaumoyo n'kofunika kwambiri m'malo azaumoyo, makamaka pankhani yoletsa matenda. Makatani a zipatala otayidwa nthawi imodzi amathandiza malo osungiramo zinthu kuti azitsatira miyezo ya ukhondo, zomwe zimathandiza kuti pakhale njira yothanirana ndi matenda. Amakwaniritsa miyezo ya ukhondo wofunikira kwambiri kuti asunge chilolezo cha chipatala ndikupewa zilango kwa osatsatira malamulo.

Kutsatira malamulo ndikofunikira kwambiri pazinthu zotayidwa ngati makatani a m'chipatala. Malo ochapira zovala m'nyumba ayenera kutsatira malamulo enaake a CDC ndi OSHA kuti nsalu zonse zichotsedwe bwino. Bungwe la Joint Commission (TJC) likugogomezera zachinsinsi ndi chitetezo cha odwala, zomwe zimapangitsa kuti makatani azifunika kukhala ndi zotchinga zokwanira zowonera ndi kumva.

Kuyerekeza Ma Curtain Otayidwa ndi Ma Curtain Achikhalidwe

Kugwira Ntchito Poletsa Matenda

Mphamvu yowongolera matenda ndi chinthu chofunikira kwambiri poyerekeza makatani ogwiritsidwa ntchito nthawi imodzi ndi njira zachikhalidwe. Kafukufuku akusonyeza kuti makatani opangidwa ndi zinthu zogwiritsidwa ntchito nthawi imodzi 92% ya makatani ogwiritsidwanso ntchito Zikaipitsidwa ndi tizilombo tosamva mankhwala ambiri, monga MRSA ndi VRE, mkati mwa sabata imodzi yokha. Izi zimaika pachiwopsezo chachikulu pa chitetezo cha odwala. Mosiyana ndi zimenezi, makatani ophera tizilombo toyambitsa matenda omwe amatayidwa m'malo mwake sasonyeza kuti patatha milungu 20 palibe kuipitsidwa. Kapangidwe kake kamalola kuti zinthu zisinthe nthawi zambiri, zomwe ndizofunikira kwambiri kuti matenda azitha kufalikira bwino.

Kugwiritsa Ntchito Ndalama Moyenera

Kusunga ndalama moyenera ndi chinthu china chofunikira kuganizira. Makatani otayidwa nthawi zina amakhala ndi ndalama zochepa zoyambira, koma amapangitsa kuti ndalama zambiri zigwiritsidwe ntchito kwa nthawi yayitali chifukwa chosintha nthawi zambiri. Makatani ogwiritsidwanso ntchito amatha kukhala zaka zisanu ndi ziwiri, pomwe njira zotayidwa nthawi zambiri zimatha kugwiritsidwa ntchito kamodzi mpaka miyezi itatu. Mtengo wonse wa makatani ogwiritsidwanso ntchito ndi pafupifupi $115,750 zaka zoposa zisanu ndi ziwiri, poyerekeza ndi pafupifupi $224,000 makatani ogwiritsidwa ntchito nthawi imodzi. Izi zikusonyeza kuti pali ndalama zosungira $108,250 mukasankha makatani ogwiritsidwanso ntchito.

• Makatani otayidwa nthawi zonse amawononga ndalama zambiri chifukwa amafunika kusinthidwa pafupipafupi.
• Makatani ogwiritsidwanso ntchito amachepetsa ndalama zokhudzana ndi kuchapa ndi kukonza.
• Ndalama zogulira makatani achikhalidwe zimawonjezeka mwachangu, zomwe zimapangitsa kuti zipatala zikhale ndi mavuto azachuma.

Zoganizira Zachilengedwe

Kuganizira za chilengedwe kumathandizanso pakupanga zisankho. Kuwunika kwathunthu kwa moyo kukuwonetsa kuti makatani ogwiritsidwanso ntchito, akaphatikizidwa ndi zinthu zina zomwe zimagwiritsidwa ntchito kamodzi, amatha kugwiritsa ntchito mphamvu pafupifupi kawiri kuposa mphamvu zonse ndikupanga mpweya wambiri wa carbon dioxide poyerekeza ndi makina otayidwa kwathunthu.

Ngakhale kuti makatani ogwiritsidwa ntchito nthawi zambiri amaonedwa kuti ndi osakhalitsa, njira zina zimatha kubwezeretsedwanso 100% ndipo zimapangidwa kuchokera ku zinthu zopanda mankhwala. Makatani awa amatha kubwezeretsedwanso ndi zinthu zina za #5 propylene, monga blue wrap ndi dresses. Amakwaniritsa miyezo yopanda mankhwala yomwe idakhazikitsidwa ndi bungwe la Healthier Hospitals, zomwe zimapangitsa kuti akhale njira yabwino yogwiritsira ntchito malo osamalira zachilengedwe.

• Makatani otayidwa amatha kubwezeretsedwanso, zomwe zimachepetsa zinyalala.
• Zapangidwa kuti zichotsedwe mwachangu ndi kusinthidwa, kuchepetsa kusokonezeka.
• Makatani ogwiritsidwanso ntchito amafunika madzi ndi mphamvu zambiri kuti atsuke zovala, zomwe zimakhudza chilengedwe.

Makatani a kuchipatala otayidwa ndi ofunikira kwambiri kulimbikitsa chitetezo cha ICU komanso kuchepetsa zoopsa za kuipitsidwa. Ubwino wawo umaphatikizapo kuchepetsa kwambiri kuipitsidwa ndi kutsata miyezo yazaumoyo. Mukasankha wopereka chithandizo, ganizirani zinthu monga kusankha zinthu, kukana moto, ndi mphamvu zophera majeremusi. Kusankha wopereka chithandizo wodalirika ngati HAIGuard™ kumatsimikizira njira zabwino komanso zothandiza zopewera matenda.

FAQ

Kodi makatani a kuchipatala ogwiritsidwa ntchito nthawi imodzi amapangidwa ndi chiyani?

Makatani achipatala otayidwa Kawirikawiri zimakhala ndi zinthu zopepuka, zosanyowa zomwe zimathandizidwa ndi zokutira zophera majeremusi kuti ziletse kukula kwa tizilombo toyambitsa matenda.

Kodi makatani ogwiritsidwa ntchito nthawi zambiri ayenera kusinthidwa?

Zipatala ziyenera sinthani makatani otayidwa wodwala aliyense akagwiritsa ntchito mankhwalawa kapena miyezi itatu iliyonse kuti akhale aukhondo.

Kodi makatani ogwiritsidwa ntchito nthawi imodzi sawononga chilengedwe?

Makatani ena ogwiritsidwa ntchito nthawi imodzi amatha kubwezeretsedwanso ndipo amapangidwa kuchokera ku zinthu zopanda mankhwala, zomwe zimapangitsa kuti akhale njira yokhazikika poyerekeza ndi makatani achikhalidwe. 🌱

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