Competence investigation on insulation testing on electrosurgical instruments and needs analysis of training for Central Sterile Supply Department staff

Objective:The objective of this article is to investigate the competence of Central Sterile Supply Department(CSSD)staff in insulation testing on electrosurgical instruments,to analyze the needs of training for CSSD staff,and also to strengthen the effectiveness of monitoring the insulation testing on electrosurgical instruments for CSSD staff to provide a reference for the nursing safety training.Materials and Methods:A total of 180 CSSD staff from 36 hospitals were enrolled as the research objects and investigated using“self‑assessment questionnaire of the competence in insulation testing on electrosurgical instruments and the needs of training".Results:The overall self‑assessment score of competence in insulation testing on electrosurgical instruments for CSSD staff is 3.10±0.42,including four dimensions which are attitude,system,cognition,and skills with the scores 3.31±0.55,2.80±0.63,2.74±0.68,and 3.03±0.36,respectively.Based on the survey of training needs for CSSD staff,the top three ranked training needs are trace management record of insulation testing on electrosurgical instruments(93.89%),disposal procedures for insulation damage of electrosurgical instruments(92.78%),and adverse events caused by leakage of electrosurgical instruments(80.55%).Conclusion:The competence of insulation testing for CSSD staff is at a low level by overall.The competence of CSSD staff could be improved by analyzing the needs of training,establishing a systematic training system,and taking effective training action,thus ensuring the safety of patients and medical personnel.

Experimental Study on Insulation Properties of Epoxy Casting Resins Using High-frequency Square Waveforms

Although the transmission efficiency of high-voltage high-frequency transformers improve as the rated frequency increases,their insulation performance is severely affected.Through a high-frequency experimental platform,insulation tests on epoxy casting resins are carried out using high-frequency square wave signals.Subsequently,the variations of discharge inception and flashover voltages with frequency were analyzed based on the Secondary Electron Emission Avalanche(SEEA)model.The breakdown characteristics of epoxy casting resins are studied based on the Weibull distribution analysis and inverse power function model.Finally,an insulation test standard is proposed based on the breakdown characteristics of epoxy casting resins for dry-type HV-HF transformers.The results show that,the flashover voltages are noticeably reduced with the increase of frequency while the discharge inception is hardly affected by frequency.Moreover,the drop in breakdown voltages and insulation lifetime shortening are caused by high-frequency thermal effects.Also,the applied voltages of epoxy resin cast dry-type HV-HF transformers are recommended to be 3.27 to 3.49 times their maximum operating voltages in 1min applied withstand tests.The applied voltages of the induced withstand tests should be 2.20 to 2.52 times their maximum operating voltages.