Construction of exchange integrated information chain management model leading by information nurse for large instrument and equipment in operating room

Background This study aims to explore the information chain management model of large instrument and equipment inter-working in the operating room (OR) led by information nurses. Methods Through the chain management process of large instruments and equipment in the OR, which was based on information nurses, the management model of inter-working and integrating information chain was established, the key links were controlled, and the whole life cycle management of instruments and equipment from expected procurement to scrapping treatment was realized. Using the cluster sampling method, 1562 surgical patients were selected. Among these patients, 749 patients were assigned to the control group before the running mode, and 813 patients were assigned to the observation group after the running mode. The related indexes for large instrument and equipment management in the department before and after the running mode were compared. Results In the observation group, the average time of equipment registration was (22.05 ± 2.36), the cost was reduced by 2220 yuan/year, and the satisfaction rate of the nursing staff was 97.62%. These were significantly better, when compared to the control group (P < 0.05). Furthermore, the awareness rate of the whole staff for equipment repair application was 95.12%, and the arrival time of maintenance personnel and the examination and approval time of equipment management were greatly shortened (P < 0.05). Conclusion The integrated management model of large instrument and equipment interworking in the OR based on chain flow realizes the whole life cycle management of instruments and equipment, which is essential to improve management efficiency.

Analysis of the Peak Load Leveling Mode of a Hybrid Power System with Flywheel Energy Storage in Oil Drilling Rig

The load frequently oscillates in large amplitude like pulses when the draw-works lift or lower in the oil well drilling rig, and that makes the diesel engine run uneconomically. A new solution for the pulse load problem is to add a motor/generator set and a flywheel energy storage (FES) unit to the diesel engine mechanical drive system to form a hybrid power system with energy storage. The storage capacity of the power and energy, and the charging-discharging operation modes are discussed for the first time. The engine power output in frequent fluctuation was measured in the oil well drilling engineering practice. The configuration and the theoretical model of the hybrid power system with energy storage and peak load leveling were established. Furthermore, 1% to 12% saving of fuel is possible for the case of single engine in the load leveling running mode compared to bi-engines in a traditional running mode for the peak load between 900 to 1200 kW and the valley load between 200 to 600 kW. The experimental verification of the load leveling with FES confirmed that the diesel engine worked more smoothly with less smoke emission. In addition, 5% to 10% more fuel was consumed in the load leveling test compared to the traditional running mode with the drive-by 800 kW diesel engine. However, 21% fuel saving was obtained in the load leveling test with the drive-by 400 kW diesel generator.