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September 16, 2009

病院 小ネタ集

 さて、大規模病院の病棟を訪れたのは、10年以上ぶり。医療器具が小型化・電脳化されていてびっくりでした。

心電図モニタ

 ある日、病室へ行くと、心電図・呼吸・SPO2のモニタリング用にセンサ&トランスミッタが取り付けられてました。データを電波で飛ばしてナースステーションでモニタリングしているのだそうです。心電図というとベットサイドにでっかいオシロスコープのイメージがあったんですが、最近の電子機器の進化を考えてみれば小型化&無線化されていて当然ですよね。

日本光電
ZS-930P

 母が動いて、センサがはずれてしまったとき、あわてて看護士さんが飛んできたので、ちゃんとモニタできているんだなあとひと安心(笑)

パルスオキシメーター

 定期的に、体温・血圧・動脈血酸素飽和度(SPO2)を計ります。動脈血酸素飽和度は、指先に洗濯ばさみのようなセンサをつけて測定していたけれど、いったいどんな原理なんだろう?

パルスオキシメーター
 プローブから赤色と赤外光が発光し、酸化ヘモグロビンと還元ヘモグロビンの透過光の違いを利用して動脈血酸素飽和度(SpO2)を算出します。
コニカミノルタ パルスオキシメータ知恵袋より

 入院当時は97~98%、末期は60~70%だったでしょうか。

 パルスオキシメーターで脈拍も同時に測定できるのだけれど、みなさん脈は静脈に手をあて、人力で計測していました。「測定器は正確じゃないときがあるんですよ」ってなことを言ってました。脈が弱くなってくると不正確になるのかもしれません。それに、脈の強さや不整脈はパルスオキシメーターでは検出できないでしょう。


輸液ポンプ

 口からの食事がとれないので24時間点滴だったのだけれど、8月下旬からは点滴に痛み止めが混ざるようになりました。適量を点滴するためか、自然落下式から輸液ポンプに替わりました。
テルモ 輸液ポンプ
 腕を動かしてしまうので、そのたびに"閉塞"アラームがピロロロロ鳴ってました。生死にかかわるアラームなので当然といえば当然ですが、かなりの音量。巷で売っている目覚まし時計よりも確実に目が覚めます(笑)。

※腕に刺せる場所がなくなってきて、足に刺すようになってからアラームは激減しました。


PC

 看護士さんが、FujitsuのノートPCをカートに載せて病室にやってきます。血圧、体温等はその場で入力、データは無線LANで随時共有化なのでしょうね。
 たまに廊下にカートが置かれ、よく見ると壁のコンセントで充電中だったりするのが、なんだか微笑ましいです。

 富士通PCなので、ソフトも富士通のソリューションかと思いきや、株式会社SBS情報システムという地元企業の電子カルテシステム PrimeKarteというものらしい。

 室内にもLAN端子がありましたが、医療用器具またはPC用のLAN端子であることはあきらか。病院でネットするためにe-mobileに加入しちゃいました。実家のADSLよりも安定していて快適♪(実家のADSLはよく切れるんだよなあ)


レントゲン

 レントゲンって、フィルムをライトボックスで見るのかと思ってたら、最近はPCで見ちゃうですね。

 内視鏡はCCDだからPC撮込も容易だろうけれど、レントゲンは...ということで調べてみると、いまどきのレントゲンはフィルムではなくイメージングプレートというものを使うのだそうな。
FUJIFILM イメージングプレート
 フィルムより高感度で、現像の必要がなく、再利用可能とある。へぇ。

 FUJIFILMが開発したのだそうだ。撮影画像はフィルムではなくデータとして保存されるため、フィルムが必要な場合はフィルムプリンターで印刷しなくてはいけない。データ形式はDICOMというの共通規格があるらしい。
 

看護師さん

 Windows2000のIMEが"看護士"としか変換してくれない。なぜかというと"看護師"の名称がスタートしたのは2002年だからですね。

そんなことはさておき...

 静岡市立病院は24時間完全看護体制なので、多くの看護師さんが居ます。不細工な人が一人も居ないのが不思議といえば不思議(...というかかわいい看護師さんが多いです♪)。ベテランの看護師さんも、「きっと昔はかわいかった(きれいだった)んだろうなあ」という方ばかりでした(笑)

病院の食堂

朝飯を2回食べただけですが、吉野屋の朝食セットのほうが安くてうまいです。
最大の難点は御飯、前日炊いて保温しておいたものじゃないかな(昨夜の残りかも)、パサパサしていておいしくないでーす。

売店

店内にパン焼き設備があるので、焼きたてパンが食べられる。ここの売店はデイリーヤマザキ系なのかな?

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