Ngā Pūrongo

He mea nui te tiaki tika i ngā papu werohanga mō te haumaru o te tūroro me te roa o te wā e whakamahia ana te taputapu. Anei tētahi tirohanga whānui, kua wehea ki ngā wāhanga matua.

Mātāpono Matua: Whāia ngā Tohutohu a te Kaihanga

Ko te papuPukapuka Kaiwhakamahi me te Pukapuka Ratongako rātou te mana matua. Me piri tonu ki ngā tikanga motuhake mō tō tauira (hei tauira, Alaris, Baxter, Sigma, Fresenius).

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1. Te Tiaki Auau me te Tiaki Ārai (Kua Whakaritea)

He mea whakarite tēnei hei ārai i ngā hapa.

· Ngā Arowhai o ia Rā/I mua i te Whakamahinga (nā ngā Kaimahi Hauora):
· Tirotiro Tirohanga: Tirohia mēnā he pakaru, he turuturu, he pātene pakaru, he taura hiko wetekina rānei.
· Tirotiro Pūhiko: Manatokohia kei te mau te pākahiko i te utu, ā, kei te mahi te papu i runga i te mana pākahiko.
· Whakamātautau Whakaoho: Whakaū kei te mahi ngā whakaoho oro me ngā whakaoho tirohanga katoa.
· Tikanga Whakamau/Whakamau: Me whakarite kia mau pai kia kore ai e rere noa.
· Mata me ngā Kī: Tirohia mēnā he urupare me te mārama.
· Te Tapanga: Me whakarite kiapapukei a ia te tapanga tirotiro e whai mana ana, ā, kāore anō kia roa te wā e tukuna ai te PM.
· Te Tiaki Ārai Kua Whakaritea (PM) – nā te Hangarau Hauora Koiora:
· Auautanga: Ia 6-12 marama te tikanga, e ai ki te kaupapa here/kaihanga.
· Ngā Mahi:
· Manatoko Mahi Katoa: Mā te whakamahi i tētahi tātari kua whakatikatikaina hei whakamātautau:
· Te Tika o te Rere: I ngā tere maha (hei tauira, 1 ml/hr, 100 ml/hr, 999 ml/hr).
· Te Kitenga i te Ārai Pēhanga: Te tika i ngā rohe iti me ngā rohe teitei.
· Te Tika o te Rōrahi Bolus.
· Te Horoi Hōhonu me te Patupatu: Ā-roto, ā-waho hoki, me te whai i ngā aratohu whakahaere mate.
· Whakamātautau Mahi Pūhiko me te Whakakapinga: Mena kāore e taea e te pākahiko te pupuri i te utu mō tētahi wā kua tohua.
· Ngā Whakahōutanga Pūmanawa: Te tāuta i ngā whakahōutanga i tukuna e te kaihanga hei whakatika i ngā hapa, i ngā take haumaru rānei.
· Tirotiro Mīhini: Ngā mōtini, ngā taputapu, ngā pūoko mō te pakaru.
· Whakamātautau Haumaru Hiko: Te tirotiro i te pumau o te whenua me ngā ia turuturu.

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2. Te Tiaki Whakatikatika(Te Whakatau Raruraru me te Whakatikatika)

Te aro atu ki ngā hapa motuhake.

· Ngā Take Noa me ngā Mahi Tuatahi:
· Whakatūpato "Ārai": Tirohia te raina tūroro mō ngā piko, te tūnga o te rawhi, te āheinga o te pae IV, me te aukati tātari.
· Whakaoho "Tūaha Tuwhera" "Kāore rānei i Rakahia": Tirohia mēnā he paru kei roto i te pūnaha tatau, he raka kua tawhito, he awa pakaru rānei.
· Whakaoho "Pūhiko" "Pūhiko Iti" rānei: Monohia te papu, whakamātauria te roa o te mahi o te pūhiko, whakakapia mēnā he hapa.
· Ngā hapa o te tere rere: Tirohia mēnā he hē te momo weronga/tautuhinga IV, te hau e tū ana i te rārangi, te pakaru rānei o te pūnaha papu (me whakamahi BMET).
· Kāore e taea te whakamahi i te papu: Tirohia te putanga hiko, te taura hiko, te fiusi ā-roto, te pūtake hiko rānei.
· Te Tukanga Whakatika (nā ngā Kaihangarau Whakangungu):
1. Tātaritanga: Whakamahia ngā rangitaki hapa me ngā tātaritanga (he maha ngā wā i roto i tētahi tahua ratonga huna).
2. Whakakapinga Wāhanga: Whakakapia ngā wāhanga kua pakaru pēnei i:
· Ngā kaitaraiwa pūwero werowero, ngā maihao peristaltic rānei
· Ngā huihuinga tatau/raka
· Ngā papa whakahaere (CPU)
· Ngā papapātuhi
· Ngā kaikorero/ngā pūoro whakaoho
3. Manatoko Whai Muri i te Whakatika: Me whakaoti. Me whakaoti te whakamātautau mahi me te haumaru katoa i mua i te whakahokinga i te papu ki te mahi.
4. Tuhituhi: Tuhia te hapa, te mahi whakatika, ngā wāhanga i whakamahia, me ngā hua whakamātautau ki te pūnaha whakahaere tiaki rorohiko (CMMS).

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3. Te Horoi me te Patupatu (He mea nui mō te Whakahaere i ngā Mate)

· I waenganui i ngā Tūroro/I muri i te Whakamahinga:
· Whakawetohia te mana, ka momotu.
· Horoi: Whakamahia he patu huakita hōhipera (hei tauira, he wai mākū kua whakaranua, he waipiro, he haukini kua whāwhā) ki runga i tētahi kakahu ngohengohe. Kaua e rehu tika kia kore ai e uru te wai.
· Ngā Wāhi Arotahi: Te kakau, te papa whakahaere, te rawhi pou, me ngā mata e kitea ana.
· Te Rohe o te Hongere/Syringe: Tangohia te wai, te paru rānei e kitea ana, e ai ki ngā tohutohu.
· Mō ngā maringi, ngā poke rānei: Whāia ngā tikanga whakahaere mō te horoi i te pito. Tērā pea me wetewete te tatau o te awa e ngā kaimahi whakangungu.

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4. Ngā Haumarutanga Matua me ngā Tikanga Pai rawa atu

· Whakangungu: Ko ngā kaimahi whakangungu anake me whakahaere me te mahi i ngā mahi tiaki kaiwhakamahi.
· Kāore he Whakakorenga: Kaua rawa e whakamahia he rīpene, he katinga ā-ringa rānei hei whakau i te raka o te tatau.
· Whakamahia ngā Taputapu Whakaaetia: Whakamahia noa ngā huinga werohanga/ngā werohanga IV i tūtohutia e te kaihanga. Ka taea e ngā huinga tuatoru te whakaputa hapa.
· Tirohia i mua i te whakamahinga: Me tirotiro tonu te pai o te huinga werohanga me te papu mō te tapanga PM tika.
· Pūrongohia tonutia ngā hapa: Tuhia, ka pūrongohia hoki ngā hapa o te papu, inā koa ko ērā ka arahi pea ki te kore e ringihia te wai, te nui rawa rānei o te ringihia, mā te pūnaha pūrongo aituā (pēnei i te FDA MedWatch i te US).
· Whakahaere Whakamaumahara me te Whakahaere Pānui Haumaru: Me whai me te whakatinana e te Hangarau Koiora Hauora/Haumanu ngā mahi katoa a te kaihanga i te mara.

Te Mahere Kawenga Tiaki

Auautanga o te Mahi e Mahihia ana e
Tirotiro Ātaahua i mua i te whakamahinga o ia tūroro Nēhi/Taonga Hauora
Te Horoi i te Mata I muri i ia whakamahinga o ia tūroro Nēhi/Taonga Hauora
Aroturuki Mahi Pūhiko ia Rā, ia Wiki rānei, te Nēhi, te BMET rānei
Manatoko Mahi (PM) Ia 6-12 marama Kaiwhakahaere Hauora Koiora
Te Whakamātautau Haumaru Hiko i te wā o te whakatikatika PM, i muri rānei i te whakatikatika Kaihangarau Hauora Koiora
Tātaritanga me te Whakatikatika Ina hiahiatia (whakatikatika) Kaihangarau Hauora
Ngā Whakahōutanga Pūmanawa I tukuna e te kaiwhakahaere o te Tari Hauora/Hangarau

Whakakape: He aratohu whānui tēnei. Me tirotiro tonu, me whai hoki i ngā kaupapa here motuhake a tō whare hauora me ngā tikanga kua tuhia e te kaihanga mō te tauira papu e tiakina ana e koe. Ko te haumaru o te tūroro e whakawhirinaki ana ki te tiaki tika me te tuhi.