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Annual Work Plan of Department Infection in 2022 _ Work Plan of Department Hospital Infection Management
The management of department infection needs the participation of all medical staff in the department, and * * * carries out and completes the prevention work formulated by the hospital infection department. The following is the content of the annual work plan for departmental infection in 2022, which I brought, hoping to make everyone gain something!

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Annual work plan for department infection in 2022 (1) In order to improve the quality of infection management in our hospital, further improve the management of nosocomial infection and infectious diseases, and ensure the safety of medical care, the work plan for 20__ years is specially formulated:

First, hospital infection control

1. Go to each department every month to monitor the occurrence of hospital infection among inpatients, and urge clinicians to report hospital infection cases in time to prevent the outbreak or prevalence of hospital infection.

2, every month to the operating room, delivery room, hemodialysis room and other key departments of air, surface, staff hands, disinfectants, disinfectants, disinfection and sterilization items such as disinfection effect and environmental hygiene monitoring once. Found unqualified, strict rectification, until the monitoring results are qualified.

3. Every quarter to clinical departments and key departments for a disinfection and isolation quality inspection, feedback the inspection results, put forward improvement measures.

4, according to the requirements of hospital infection monitoring and management this year, with the national hospital infection monitoring and management training base, to carry out cross-sectional investigation of hospital infection.

Second, the application of antibacterial drugs:

1, according to the relevant provisions of the implementation of hierarchical management of antibacterial drugs, regularly investigate the use of antibacterial drugs in inpatients.

2. Assist the clinical laboratory to regularly publish the spectrum of the top five infected bacteria and their drug-resistant bacteria in the hospital, so as to provide a basis for clinicians to use antibiotics reasonably.

Third, infectious disease management:

1, collect infectious disease report cards, death medical diagnosis certificates and residents' malignant tumor report cards from various departments of the hospital every day, and do a good job in reporting the epidemic situation, death and tumor cases in the hospital.

2. Check the collected infectious disease report cards every day to ensure that their contents are complete and true.

3, after receiving the epidemic report card and death report, according to the prescribed time limit, through the national infectious disease epidemic monitoring information system for network direct reporting.

4. At the end of each month, consult the outpatient log of the whole hospital this month, the registration of admission and discharge, the examination results of radiology department and the positive results register of clinical laboratory, and make up the report in time if there are any omissions.

5. Register the death cases with the medical department every month, and report the missing cases in time.

6, conscientiously do a good job in the hospital epidemic management, report and inspection work of the superior health administrative department, and cooperate with the disease prevention and control department to do a good job in epidemic investigation.

Four. Supervision and management of medical waste

1, once a month to the hospital clinical support center for inspection, supervise the implementation of medical waste classification, collection, transportation and other systems, to avoid the loss of medical waste.

2. Check the medical waste transfer register once a month, and fill in any missing items in time.

Five, hand hygiene and occupational exposure protection

1, hand hygiene disinfection will be included in the quality inspection items of the department, and hand hygiene disinfection technology inspection will be conducted for medical staff once every quarter.

2, strengthen the publicity and education of occupational exposure protection knowledge, reduce the risk of occupational exposure.

3. After occupational exposure of medical personnel, they should be properly handled in strict accordance with relevant regulations.

Six, hospital awareness knowledge training

1. This year, we cooperated with new medical and educational personnel and conducted pre-job training on hospital awareness and infectious disease knowledge.

2. Train the medical staff in the hospital twice in different levels to improve their hospital awareness knowledge.

Annual Work Plan for Department Infection in 2022 (II) In order to improve the quality of hospital infection management in our department, according to the relevant documents and regulations such as Hospital Infection Management Standard, Disinfection Technical Standard and Infectious Disease Prevention Law, our department has formulated the corresponding hospital infection control plan as follows:

First, improve the management system and give full play to the role of the system.

1. In order to further strengthen hospital infection management, clarify responsibilities, implement tasks, adjust and enrich the infection monitoring team in clinical departments, and improve the three-level network management system.

Outpatient hospital infection control team

Group leader

Deputy team leader:

Hospital infection control members are doctors:

Nurse nosocomial infection control members:

2. Hospital infection management has been added to the medical quality supervision in our department, and corresponding reward and punishment measures have been formulated.

3. Make monthly plans, weekly arrangements and daily priorities, and make records for the record while implementing them.

Second, the hospital infection monitoring

1, medical record monitoring: control infection rate and reduce missed reports.

2. Environmental monitoring; Regularly monitor the outpatient environment, air, clothing, hands of medical staff, disinfectants and sterile items.

3, disinfection and sterilization monitoring: daily monitoring of disinfectants used in general practice; Monitor the ultraviolet lamp in use, register the irradiation time and replace it regularly to ensure the disinfection quality. Check the disinfectants and disposable medical instruments and supplies used in our department every week.

4. Investigation on the use of antibiotics

Regularly check the use of antibiotics by general practitioners to prevent the abuse of antibiotics.

Three, outpatient service strictly implement the triage system.

Four, strict implementation of medical waste classification, collection, transportation and other systems to prevent leakage.

Seven, multi-channel training, improve the hospital awareness of medical staff.

Eight, the occurrence of nosocomial infection report in time.

Nine, take various forms of infection knowledge training: organically combine centralized training with morning meeting department training to increase medical staff's knowledge of hospital infection and improve hospital awareness.

X. Incorporate hand hygiene and occupational exposure protection into the focus of infection control in our hospital, and strengthen hand hygiene and occupational exposure protection.

In order to strengthen the prevention and control of nosocomial infection in our hospital, ensure the safety of patients, improve the quality of medical care, ensure the occupational safety of medical staff, and gradually make the management of nosocomial infection more scientific, systematic and standardized, combined with the actual situation in our hospital, the 20-year work plan of nosocomial infection management is as follows:

First, according to the laws, regulations and normative documents on nosocomial infection promulgated by the state and the Ministry of Health, we will constantly revise and improve the relevant systems, measures and processes for preventing and controlling nosocomial infection in our hospital.

Two, to carry out hospital infection prevention and control knowledge training and education.

This year, the hospital sensory department organized at least four hospital-wide trainings (once every quarter). This year, the hospital focused on training related knowledge such as disinfection and isolation, hand hygiene, occupational protection of medical staff, and classified disposal of medical waste. Each department formulates its own training plan according to the actual situation to improve the knowledge and professional level of all staff in preventing and controlling hospital infection.

Third, carry out hospital infection monitoring.

1, carry out comprehensive monitoring of nosocomial infection.

Medical staff in clinical departments find hospital infection cases in time, and doctors in clinical departments fill out report cards in accordance with the prescribed time limit and methods and report them to the hospital infection department.

The Department of Hospital Infection confirms and verifies the reported cases of hospital infection, collects the monitoring data in time, feeds it back to relevant departments, and works with relevant departments to formulate control measures to reduce the incidence of hospital infection.

2. Investigate the prevalence rate of nosocomial infection during the year.

Four, strengthen the prevention and control of nosocomial infection in respiratory tract, catheter-related urinary tract, skin and soft tissue and other major parts.

All clinical departments should check the implementation of relevant systems and measures, find problems in time and make improvements.

The hospital sensory department regularly visits various clinical departments to supervise, give timely feedback on existing problems and put forward rectification suggestions.

Five, the implementation of hand hygiene standards, compliance supervision and improvement.

Equipped with convenient hand hygiene equipment and facilities to provide necessary protection for hand hygiene. Conduct hand hygiene training and evaluation for all hospital employees.

Hospital sensory departments and departments regularly supervise, check, summarize and improve the standard hand washing.

Six, strengthen the supervision and guidance of hospital cleaning, disinfection, sterilization, hospital isolation, aseptic technology operation.

Strict implementation of aseptic technical operation specifications and disinfection and isolation system, disinfection work conforms to the Technical Specification for Hospital Disinfection and Isolation, which effectively cuts off the transmission route of exogenous infection and minimizes hospital infection caused by the spread of exogenous pathogens.

Seven, to carry out hospital disinfection and sterilization effect monitoring.

1, concentration monitoring of chemical disinfectants and disinfectants in use

Chlorine-containing disinfectant: once a day, use G- 1 disinfectant concentration test paper for quick and simple detection.

Glutaraldehyde: once a week, use glutaraldehyde concentration test paper for rapid monitoring.

2. Monitoring of bacterial contamination of disinfectants in use

Once a month, monitor the bacterial contamination of disinfectants and skin mucosa disinfectants in use.

3, pressure steam sterilization effect monitoring

Chemical monitoring: each package should be monitored, with a chemical indicator tape attached outside the package and a chemical indicator card inside the package.

4, ultraviolet lamp disinfection effect monitoring

Daily monitoring: including lamp service time and cumulative exposure time.

Lamp irradiation intensity monitoring: once every quarter, test with ultraviolet intensity irradiation indicator card.

Eight, regularly carry out hospital environmental health monitoring-medical staff's hands, air, object surface monitoring.

Conduct routine monitoring on key departments such as operating room, laboratory, stomatology, endoscopy room and clinical department every month, analyze the causes of unqualified items and formulate improvement measures.

Nine, do a good job in the supervision and guidance of medical waste treatment.

Strictly implement the medical waste management system, collect and place medical waste according to the classification catalogue of medical waste, and it is strictly forbidden to mix medical waste with domestic garbage, and it is strictly forbidden to lose, leak, spread, transfer and trade medical waste.

The storage of medical waste shall be handed over to the centralized medical waste disposal unit for disposal in time, and the medical waste shall be registered.

Medical waste collection, transportation and storage personnel should be equipped with necessary protective equipment.

Ten, do a good job in the occupational safety protection of medical personnel, minimize the risk of occupational exposure, and ensure the safety of medical personnel.

To train and guide medical personnel on occupational safety protection knowledge; Provide necessary protective equipment for medical personnel; Medical personnel should register, report, evaluate and prevent occupational exposure in time.

Eleven, hospital infection prevention and control work quality evaluation and control.

The hospital infection department formulates the quality evaluation standard of hospital infection control in each department. According to this standard, the quality of hospital infection prevention and control in each department is evaluated, so as to control and manage the foundation, link and final quality, and continuously improve and improve the quality of hospital infection management.

Hospital infection department evaluates the quality of hospital infection in all departments and parts of the hospital every quarter, conducts special supervision from time to time, reports the problems found in the inspection to the relevant departments of the hospital in time, makes rectification within a time limit, and checks and supervises again until it is corrected. ?

Annual Work Plan of Department Infection in 2022 (IV) In the new year, hospital infection management will adhere to the policy of putting prevention first, and do a good job in hospital infection management in order to strengthen hospital infection management, improve medical quality and ensure patient safety. The 20-year hospital infection work plan is formulated as follows:

First, strengthen education and training.

1, the department organizes hospital infection related knowledge training once a month, and makes records.

2. The hospital infection department organizes lectures on hospital infection knowledge twice a year, and carries out various forms of staff training and paper distribution to improve the awareness of hospital infection prevention of medical staff.

3. Implement pre-job training for new employees.

4. Conduct medical waste collection and occupational protection knowledge training for health workers.

5. Full-time staff of hospital infection participated in continuing education training courses on hospital infection held at provincial and municipal levels, and learned about the new trends and trends in the development of hospital infection management in the whole province and the whole country, so as to improve the level of hospital infection management.

Two, the implementation of disinfection and isolation system, strengthen the monitoring and evaluation of disinfection and sterilization effect.

1. Disinfectants used by various departments should be replaced on time according to performance, and instruments should be disinfected and sterilized in time according to regulations. The qualified rate reached 100%. All kinds of catheters in use should be disinfected and replaced according to regulations.

2. Strengthen the management of hand hygiene of medical staff, and check the compliance of hand washing of medical staff from time to time.

Third, strengthen the monitoring of hospital infection and implement the early warning report of hospital epidemic situation.

1, strictly implement the "Hospital Operation Site Management Specification", and monitor the infection of surgical incision every month.

2, give full play to the role of clinical monitoring management team, timely detection of hospital infection cases, a 24-hour reporting system.

3, clinical cluster hospital infection cases (3 cases of the same kind) the implementation of hospital infection outbreak warning report, analysis and investigation of the source of infection, take effective measures to control the route of transmission, put an end to the occurrence of malignant hospital infection cases.

4, to do a good job of occupational protection of medical personnel, each department will report each personnel's occupational exposure and injury to the hospital infection department, and the hospital infection department will register to protect susceptible people and effectively control hospital infection.

Four, strict medical waste classification, collection, transportation, storage and transportation management, to prevent leakage.

1. Medical wastes should be classified and placed according to requirements, sealed, labeled in packaging bags, registered out of the department, recycled by special personnel and signed, and sent to the temporary storage place of medical wastes for centralized storage.

2, medical waste transfer form by full-time personnel to fill in, and save the stub for future reference.

Annual work plan of department infection in 2022 (V) In order to improve the quality and safety of hospital medical treatment, reduce the spread of diseases and control the outbreak and epidemic of hospital infection, it is necessary to strengthen the management of hospital infection, and now the work plan of hospital infection management in 2022 is formulated.

First, further improve the system and measures of hospital infection control, continue to check the implementation of the system and measures in accordance with the requirements of the evaluation of "Dimethyl" hospital, supervise the infection quality of key departments such as operating room, supply room, delivery room, endoscopy, pediatrics, stomatology, laboratory and hemodialysis room, help control hospital infection, prevent and control the outbreak and prevalence of hospital infection, and regularly check and assess the quality of hospital infection links in various departments of the hospital.

The second is to strengthen the training of hospital infection knowledge, and train hospital staff in various forms, so that the staff can understand and pay attention to the importance and necessity of hospital infection management, learn the relevant standards, laws and regulations of hospital infection, master the concepts and operations of disinfection, sterilization, aseptic technology and hospital infection prevention and control, and organize staff to take 1-2 hospital infection knowledge exams.

Third, do a good job in the monitoring and management of hospital infection, including the health monitoring and effect evaluation of environment, air, sterile items and so on. , check the health monitoring of key departments such as operating room, supply room and delivery room every month, urge all departments to do a good job of disinfection, sterilization and isolation, monitor and evaluate the irradiation intensity of ultraviolet lamps in all departments of the hospital every six months, urge the timely replacement of unqualified lamps and disinfectants, and monitor the intensity of newly purchased lamps.

Four, monthly statistics, summary of hospital infection cases in all departments of the hospital, urge clinical departments to report and summarize hospital infection cases, regularly understand the situation of the next department, check medical records for omission investigation, analyze and summarize hospital infection couples, report to the dean and the competent dean in time, report back to all departments of the hospital every quarter, conduct spot checks on outpatient prescriptions every month, check the use of antibiotics, and calculate the utilization rate.

Five, continue to strengthen the management of medical waste, often check and supervise the standardization of medical waste collection, classification and transportation. Standardize the treatment of medical wastes according to the Regulations on the Management of Medical Wastes and other laws and regulations.

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