If the gap between heaven and earth is fleeting, suddenly, our work has entered a new stage. In order to have a better growth in our work, we need to make a detailed plan for the next step at this moment. I believe everyone is worried about writing a plan again, right The following are six infection work plans that I collected and sorted out for reference only. Let's have a look.

Work plan for infection 1 1. Strengthen the improvement of hospital infection management system, and carry out the work in accordance with relevant national laws, regulations, rules, norms and routine requirements.

1, prevention and control of hospital infection management knowledge and skills training, assessment, training and assessment at least once a quarter.

2, to further improve the prevention and control of hospital infection related rules and regulations, and check and guide the implementation.

3, to further improve the hospital infection management team related responsibilities, and supervise its performance.

Two, strengthen the monitoring and supervision of hospital infection.

1. Monitor, analyze and give feedback on nosocomial infection and its related risk factors, put forward measures to solve the problem and guide the implementation.

2. Investigate and analyze the occurrence of hospital infection once every six months, report to the Hospital Infection Management Committee, and actively take measures to control hospital infection. The incidence of nosocomial infection was 7%.

3, report and investigate the hospital infection, put forward control measures, and coordinate and organize relevant departments to deal with.

4, actively carry out the investigation on the rate of missed report of hospital infection, quarterly survey, and timely feedback the results to the hospital infection management committee and relevant departments, the rate of missed report should be 20%.

5, clinical departments, hospital infection management department according to the requirements of the "measures for the administration of hospital infection" time limit in a timely manner to report hospital infection cases to the higher authorities.

6, according to the requirements of the measures for the administration of hospital infection, do a good job in environmental sanitation, disinfection and sterilization effect monitoring.

7. The Hospital Infection Management Committee shall supervise and manage the purchased sterilized medical devices and disposable medical care products, and keep copies of relevant certificates of such products purchased by the hospital.

8. Provide guidance for hospital cleaning, disinfection, sterilization and isolation, aseptic technology and medical waste management.

9, to provide guidance for hospital infection control of infectious diseases.

10. members of the hospital infection management Committee actively participated in the management of clinical application of antibacterial drugs by the pharmaceutical affairs management Committee.

Third, strengthen the management of hospital infection in the supply room, delivery room and operating room of key departments, formulate the system of preventing and controlling hospital infection in key departments according to relevant national laws and regulations, and conscientiously implement and supervise it.

Fourth, improve the awareness of hospital infection control, strengthen the self-protection of medical staff, and nip in the bud.

1, strengthen the prevention awareness of medical staff and the training of relevant laws and regulations.

2, strict requirements for medical personnel to perform aseptic technical operation, disinfection and isolation system, hand hygiene, hand disinfection norms and mandatory management.

3, strict medical personnel to implement standard preventive measures, try to avoid infection due to occupational exposure.

4. Under the guidance and strong support of the Hospital Infection Committee, we should focus on the clinical implementation of various measures for hospital infection management, manage the prevention and control of hospital infection according to law, and nip in the bud.

Infection Work Plan II: In 20xx, the hospital infection management office will conscientiously perform the management and supervision functions according to the hospital work objectives, and strive to do a good job in hospital infection management.

First, strengthen quality control to prevent the outbreak of hospital infection.

1, give full play to the role of the three-level hospital infection management system, especially the role of the members of the department monitoring team, strengthen the training of hospital infection diagnosis standards, conscientiously implement the hospital infection case reporting and monitoring system, and adhere to the principle of "early detection, early reporting and early control" to prevent the occurrence of hospital infection outbreaks.

2, the implementation of hospital infection management meeting system, held a quarterly hospital infection management committee meeting, discuss and solve the difficult problems encountered in hospital infection management, summarize and arrange the work. Supervise clinical departments to hold hospital infection management group meetings on a regular basis, discuss and analyze the problems existing in hospital infection management of undergraduate departments, formulate rectification measures, and actively rectify.

Two, continue to carry out hospital infection monitoring.

1, continue to monitor the environmental sanitation and disinfection and sterilization effect of hospital infection, and routinely monitor the air, object surface, medical staff's hands, disinfection articles, sterilization articles, disinfectants and pressure steam sterilizers in key departments and departments of hospitals such as delivery room, operating room, disinfection supply room and intensive medicine department.

2, continue to carry out targeted monitoring work, including ventilator-associated pneumonia, catheter-related urinary tract infection in intensive care medicine and surgical site incision infection monitoring.

3. Strengthen hospital infection monitoring. Full-time staff of the Hospital Sensation Office collect data from clinical departments every week, monitor and count the incidence of hospital infection, and conduct an annual survey on the prevalence rate of hospital infection 1 time, complete the statistics, summary, analysis and reporting of hospital infection data, and feed it back to clinical departments in time.

4. By strengthening supervision, strengthen the awareness of pathogen monitoring in various departments, improve the inspection rate, and continuously carry out multi-drug resistant bacteria monitoring; Record the positive results of microbiology laboratory in time, find the epidemic trend of multi-drug resistant bacteria as soon as possible, and analyze the drug resistance of pathogenic bacteria in hospital, so as to provide basis for rational drug use in clinic.

Three, to carry out hospital infection knowledge training, improve the awareness of hospital infection prevention and control.

1. Hospital infection management professionals actively participate in hospital infection control and management training courses, strive to improve their professional level and their own quality, and improve the level of hospital infection management.

2. Make a hospital infection knowledge training plan, and hold hospital infection management knowledge training for 4 times throughout the year. According to the training content, the knowledge of hospital infection management was tested twice. 20xx plans to publish the quarterly report of hospital infection, publicize the management of hospital infection and feed back the monitoring information. Through training, the majority of medical staff can master the basic knowledge and skills of hospital infection management and promote the effective control of hospital infection.

Fourth, strengthen the hand hygiene of medical staff.

Implement the hand hygiene management system for medical staff, strengthen hand hygiene publicity, education and training activities, enhance the awareness of preventing hospital infection, and conduct spot checks on hand hygiene knowledge and implementation of medical staff regularly or irregularly every month to ensure the effect of hand washing and hand disinfection.

Five, the rational use of antibacterial drugs management

Actively assist the medical department and pharmacy department to supervise and manage the rational use of antibacterial drugs, do a good job as a bridge between clinical, laboratory, pharmacy and other departments, assist the clinical laboratory to monitor pathogens, count the names and drug resistance rates of the top five pathogenic microorganisms in hospital infection in clinical departments every quarter, and conduct drug resistance analysis, so as to provide more reliable guarantee for the rational use of antibacterial drugs in clinic.

Institutionalization and standardization of medical waste management with intransitive verbs.

The Hospital Sense Office will give full play to the functions of supervision and inspection, business guidance and professional training. On the basis of daily supervision, strengthen the training of medical staff, cleaning staff and staff engaged in the collection, transportation and storage of medical waste in terms of laws and regulations, professional technology, safety protection and emergency treatment, prevent the leakage and loss of medical waste, and effectively implement the rules and regulations of medical waste management in our hospital.

Work Plan for Infection Chapter III Summary of Work in 20xx

In 20XX, under the great attention and correct leadership of the central leadership, with the strong assistance, support and cooperation of all staff, the hospital infection department revised and improved the hospital infection management system according to the relevant requirements of hospital infection and infectious disease management, strengthened the training of hospital infection knowledge, participated in the new construction, reconstruction and layout design, and monitored the environmental sanitation, disinfection effect and hand hygiene according to the requirements of hospital infection management. Strengthen the supervision and management of disposable medical supplies, instruments and medical devices, and strengthen the management of medical waste and wastewater. The key work is to strengthen the publicity of hand hygiene, the management of rational use of antibacterial drugs, put forward targeted control measures and guide their implementation, focus on monitoring the key departments of central infection, continuously increase the quality control and continuous quality improvement of key links, and effectively prevent and control the occurrence of hospital infection. There were no hospital infections and outbreaks of infectious diseases throughout the year. The work summary of 20 13 is reported as follows:

First, according to the requirements of hospital safety production, detailed hospital quality management measures?

According to the requirements of "safe production" and "quality management" in hospitals, the quality control of hospital infection has been improved and the comprehensive target assessment standard of hospital infection quality has been refined. According to the comprehensive objectives, supervision and feedback were carried out, and all aspects of hospital infection prevention and control were comprehensively inspected and sorted out, and potential safety hazards were carefully investigated. In order to ensure the safety of the hospital, the management of key departments, key parts and key links has been effectively carried out. In particular, the hospital infection management in key departments such as injection room, stomatology department, laboratory and inoculation room has also formulated preventive measures for hospital infection in key parts and key links, and the hospital infection department regularly conducts supervision and guidance to prevent the outbreak of hospital infection. ?

Second, strengthen the prevention and control of nosocomial infection of infectious diseases according to the requirements of infectious disease management?

During the epidemic period of hand, foot and mouth infected with H7N9 avian influenza, we will further strengthen the management of pre-inspection triage desks, fever clinics and other key places, conscientiously implement the requirements for hospital infection control of hand, foot and mouth infected with H7N9 avian influenza, intensify the prevention and control of hospital infection, standardize the work flow, especially for medical staff and staff, strengthen the training on prevention and control of infectious diseases such as hand, foot and mouth infected with H7N9 avian influenza and self-protection, strictly implement the prevention and control of hospital infection and personal protection measures, and actively cooperate with relevant departments.

Three. Environmental sanitation, disinfection and sterilization effect and hand hygiene monitoring?

Hospital infection department monitors the disinfection and sterilization effect of treatment room, laboratory and inoculation room in the department, and strengthens the monitoring of environmental hygiene and hand hygiene of medical staff in high-risk areas such as treatment room, stomatology department, laboratory and inoculation room. The qualified rate of important air, surface of objects, hand hygiene, disinfectants and sterile articles reached 100%.

Fourth, strengthen the management of medical waste to ensure environmental safety?

Hospital medical waste and sewage treatment are strictly in accordance with the Regulations on the Management of Medical Waste and the management regulations of the health administrative department on medical waste disposal, requiring recycling personnel to be strictly handed over to the clinical medical technology department and signed by both parties, and then sealed and transported with double yellow medical garbage bags. Implement accountability system to avoid the loss of medical waste and ensure medical safety. It is required to equip the staff with necessary personal protective equipment, and the medical wastes in all clinical departments should be classified and handled, with handover registration records, and the temporary storage points of medical wastes should meet the requirements. Five defenses? Regulations, and strictly implement the cleaning and disinfection measures.

Five, hospital sense and infectious disease training and assessment

Five trainings on hospital infection and infectious diseases were given to medical staff in the center and rural doctors. The training contents include: basic knowledge training of hospital infection, knowledge training of disinfection and isolation of hand, foot and mouth disease, knowledge training of hospital infection control and disinfection and isolation of human infected with H7N9 avian influenza, and training of hand hygiene standards for medical staff.

20xx work plan

Standardize and implement various rules and regulations

In accordance with the "Measures for the Administration of Hospital Infection" and relevant national laws and regulations, we will further strengthen supervision and carefully supervise the implementation of various rules and regulations. Effectively prevent and control the occurrence of hospital infection and ensure medical safety.

Second, strengthen organizational leadership, improve the hospital infection management Committee, and give play to its decision-making ability.

The Hospital Infection Committee shall hold a meeting at least once every six months to study, coordinate and solve the problems related to hospital infection management, and give full play to the leadership and decision-making ability of the Committee. Hospital infection management team was set up in clinical departments to supervise and inspect the rational use of antibiotics by undergraduate doctors, strictly implement aseptic technical operation, implement disinfection and isolation and standard preventive measures to ensure medical safety.

3. Strict monitoring and supervision

Monitoring of disinfection and sterilization effect Conduct disinfection and sanitation monitoring every month, and conduct regular and irregular random sampling monitoring on disinfectants, hands of medical staff, surfaces of objects, indoor air and pressure steam sterilizers used in clinical departments. When problems are found, they should be rectified in time to improve the quality of medical care. Strictly control housing to ensure medical safety.

Fourthly, strengthen the management of nosocomial infection in key departments.

All personnel should abide by the rules of hand washing, wash their hands before and after handling different patients or different parts of the same patient, and strictly carry out aseptic operation. When all kinds of rescue articles and monitoring instruments are switched to use, the surfaces should be disinfected and cleaned, and all kinds of catheters, humidification bottles, oxygen masks, etc. Sterilization should be standardized to ensure medical safety.

Fifth, carry out knowledge training on hospital infection and infectious diseases to raise awareness of hospital infection.

Formulate the training plan, implementation plan and specific measures of hospital infection and infectious diseases knowledge, and hold lectures and trainings. Pre-job training on hospital infection knowledge should be given to new employees, and they can only take up their posts after passing the examination. Through training, the majority of medical staff fully realize the importance of hospital infection, master the basic knowledge and skills of hospital infection, and promote the effective control of hospital infection. Strengthen the training of occupational exposure knowledge of hospital staff, provide health checkups for high-risk departments and medical staff of departments every year, and medical staff strictly implement standard prevention and do self-protection. When occupational exposure occurs, strictly follow the principle of occupational exposure treatment, and report, register, evaluate, prevent and treat and follow up regularly as required.

6. Institutionalization and standardization of medical waste management

The Department of Hospital Sensory will give full play to the functions of supervision and inspection, business guidance and professional information. On the basis of daily supervision, it is an effective implementation of the medical waste management rules and regulations of our center to strengthen the training of medical personnel, cleaners and staff engaged in the collection, transportation and storage of medical wastes in terms of laws and regulations, professional technology, safety protection and emergency treatment, so as to prevent the leakage and loss of medical wastes.

Infection work plan 4 I. Hospital infection monitoring:

Prospective monitoring method is adopted to monitor the incidence of nosocomial infection among inpatients in the whole hospital, monitor the occurrence of nosocomial infection among inpatients every month, and urge clinicians to report nosocomial infection cases in time to prevent the outbreak or epidemic of nosocomial infection.

Retrospective monitoring method was used to investigate the rate of missing report of discharged patients once every six months. Reduce the omission of hospital infection, and gradually standardize the medical record reporting system of hospital infection.

3, disinfection and sterilization effect monitoring and environmental hygiene monitoring

According to the requirements of Technical Specification for Disinfection and Management Measures for Hospital Infection, the disinfection effect of air, object surface, staff hands, disinfectants, disinfectants and sterilized articles in key departments is monitored every month.

4. In accordance with the requirements of "Technical Specification for Hospital Infection Prevention and Control in Operating Places" and "Technical Specification for Infection Prevention and Control in Disinfection Supply Center", the cleaning, disinfection and maintenance of operating room instruments should be done strictly.

Second, the rational use and management of antibacterial drugs:

According to the Detailed Rules for the Rational Use of Antibacterials and the Measures for the Rational Management of Antibacterials in our hospital, the antibiotics are managed at different levels. Investigate the utilization rate of antibacterial drugs in inpatients every quarter.

Third, urge 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.

Four, hospital infection management knowledge training: to carry out different levels of hospital infection knowledge training for hospital medical staff, the main training content is the new progress and new methods of infection prevention and control, hospital infection diagnosis standards, rational use of antibacterial drugs, etc. The main training contents for nursing staff are disinfection and isolation knowledge, prevention and control of hospital infection, and classified collection of medical waste. Job requirements of cleaning staff, basic knowledge of disinfection and sterilization, cleaning procedures, personal protective measures and hand hygiene and disinfection of medical staff.

Five, ward environmental sanitation and medical waste supervision and management:

Regularly supervise the classified collection and disinfection of medical wastes, and supervise and manage the disinfection, destruction, recovery and incineration of disposable medical supplies after use.

Six, infectious disease management:

Do a good job in the management of legal infectious diseases, intestinal clinics and fever clinics as required to prevent the omission and prevalence of infectious diseases. In particular, it is necessary to strengthen the monitoring and prevention of key infectious diseases. Put an end to the spread of the epidemic caused by the omission of the epidemic.

Seven, the hospital renovation and expansion work:

When the supply room and operating room are rebuilt, sterile area, clean area and polluted area should be strictly distinguished; The cleaning, disinfection and sterilization of contaminated materials must have a clear circulation route and cannot be reversed; Walls and roofs should be smooth and flat to facilitate cleaning and disinfection.

In order to actively cooperate with the overall work plan of our hospital, better implement hospital infection management measures, control and prevent hospital infection, ensure medical safety and improve medical quality, this implementation plan is specially formulated:

First, improve the hospital infection management organization in our hospital, improve and strictly implement the various systems of hospital infection management. Hospital infection management implements three-level management. Hospital infection management committee is set up in the hospital, with hospital infection management section, and hospital infection control group is set up in all clinical medical departments, with the director or deputy director as the team leader, and each is equipped with a monitoring doctor and a monitoring nurse, who perform their respective duties.

1. Adjust the hospital infection monitoring organization at any time according to the personnel changes, so as to better perform their respective duties and better manage the infection in our hospital.

2. Implement disinfection technical specifications, cooperate with the quality inspection and acceptance of various departments, and do a good job in hospital infection monitoring.

3. Further develop the function of the infection management team, carefully and systematically monitor all indicators, report the monitoring data on time, summarize and analyze the monitoring data every month, and handle the problems in time when found.

The second is to further strengthen monitoring. On the basis of the leadership of the president, the assistance of the clinical laboratory and the existing conditions of the hospital, we will continue to do a good job in various monitoring work in accordance with the requirements of the "Regulations on Hospital Infection Management".

1, strengthen the monitoring of nosocomial infection cases.

⑴ Using prospective investigation method to control the quality of inpatients. By summarizing and analyzing the data reported by each monitoring team, the infection rate is calculated, the frequent parts and high-risk factors of hospital infection are found out, and active preventive measures are taken to reduce the hospital infection rate and improve the medical quality. The nosocomial infection rate should be controlled below 8%, and the infection rate of the first type of operation incision should be controlled below 65438 0.5%.

⑵ Check the discharged medical records every month, conduct a retrospective investigation on the reports and omissions of hospital infection, and calculate the omission rate, which must be controlled below 20%.

⑶ Summarize and analyze the data every month, put forward improvement measures, and feed back the results to all departments in time to guide clinical infection control.

2. Strengthen the monitoring of disinfection and sterilization effect, and the sterilization qualified rate reaches 100%. Find the problem, find the reason in time, and improve in parallel.

3. Environmental health monitoring.

(1) Monthly air monitoring in key departments. When the monitoring is unqualified, find out the reason, analyze and improve until it reaches the standard. The bacteriology of medical staff's articles and hands is expected to be done by the laboratory this year. )

⑵ The Hospital Sense Office conducts spot checks on key departments every quarter, and checks the operating room, supply room, delivery room, endoscopy room, stomatology department and other departments every month. Find problems and give timely feedback.

(3) Actively cooperate with the disease prevention and control department of Yangquan City to monitor the key departments of our hospital, analyze and give feedback in time when problems are found, and put forward improvement measures.

Three, all departments continue to strictly implement the disinfection and isolation system, aseptic technology operating rules, antibacterial drug management system, medical waste treatment system and other rules and regulations, to reduce the occurrence of iatrogenic infection and medical personnel infection.

4. On-the-job education to enhance the awareness of hospital staff to prevent and control hospital infection. Establish the concept of "zero tolerance" for hospital infection.

1. Each department organizes to learn the new Management Measures for Hospital Infection, Technical Specification for Disinfection, Guiding Principles for Clinical Application of Antibiotics, and new regulations and documents issued by the Ministry of Health, so as to establish standard prevention awareness and standardize their own behaviors.

2, to participate in the hospital knowledge training lectures and assessment. Twice a year, twice a year.

3, organize new employees to learn the knowledge and system of hospital infection.

4 A prevalence survey was conducted from June 5438 to1October 065438 every year.

In the new year, under the specific guidance of the dean in charge, with monitoring as the technology, management as the means and training as the support, according to the Evaluation Standards and Implementation Rules of General Hospitals in Shandong Province and the Quality Miles Activity Plan issued by the Ministry of Health in 20xx, aiming at the shortcomings of hospital infection management in our hospital in 20xx and the norms and requirements for prevention and control of hospital infection at higher levels, the department work plan for 20xx is formulated as follows.

First, do a good job in hospital infection prevention and control knowledge training and assessment.

Hospital medical staff were trained in hospital infection knowledge at different levels, a systematic training plan was formulated and various forms of training were adopted. All staff training should be combined with key training, and centralized training should be combined with decentralized training. Strive for the training rate of on-the-job personnel to reach over 90%, and the score of hospital knowledge test to reach over 85; And through publicity columns, posters and other ways to promote hospital common sense knowledge. Medical staff are familiar with the reporting and handling process of hospital infection outbreaks, and gradually establish the concept of "zero tolerance" for hospital infection, so as to comprehensively and substantially control the risk factors of hospital infection.

1. This year, the full-time staff of hospital infection management should participate in the hospital infection study upgrading class organized by the national, provincial and municipal health departments, and the annual study time should be no less than 15 class hours.

2. Newcomers, including interns, nurses and advanced students, should be trained in the basic knowledge of hospital infection for at least 3 hours.

3. Organize the medical staff of the whole hospital to seriously study the compilation of hospital infection management documents and hospital infection management rules and regulations issued by Weifang Municipal Health Bureau.

4. According to the specific conditions of different majors and different positions, professional training is carried out in stages and batches. The main training contents for clinicians are the new progress and methods of infection prevention and control, the diagnostic criteria of nosocomial infection, the knowledge of rational use of antibacterial drugs, and the basic knowledge of pathogenic microorganism monitoring. The main training contents for nursing staff are disinfection and isolation knowledge, prevention and control of hospital infection, and classified collection of medical waste.

5. Part-time staff in the whole hospital received theoretical training on basic knowledge of hospital sense, and took the exam 1-2 times.

6. Training the job requirements of cleaning staff, basic knowledge of disinfection and sterilization, cleaning procedures, personal protective measures and basic knowledge of hand hygiene and disinfection of medical staff 1-2 times.

7. New employees will make a study plan after taking up their posts, and carry out systematic training for three consecutive years according to the training plan of our college, and conduct closed-book examinations twice a year, with a passing rate of 100%. Those who fail the exam must make up the exam until they are fully mastered.

Second, do a good job in comprehensive management and key monitoring of hospital infection.

1. On the basis of comprehensive hospital infection management monitoring, we will continue to carry out targeted monitoring according to the specifications, focusing on monitoring urinary tract infection caused by indwelling catheter in ICU, ventilator-associated pneumonia, blood flow-related infection caused by angiostomy, and surgical site infection.

2. Clinicians should master the diagnostic criteria of hospital infection cases, find hospital infection cases, and report to the infection management department within 24 hours as required. All departments should establish and improve the system of diagnosis, registration, reporting, analysis and feedback of hospital infection cases.

3. Strengthen the management of cases of multi-drug resistant bacteria infection, especially in ICU of key departments. For the infected cases found, the staff of the hospital infection department should go to the scene in time to understand the situation, help find out the reasons, and take preventive measures to prevent the outbreak of hospital infection.

4. For the discharged cases, the sensory department of the hospital conducts spot checks. If any cases are found to be omitted, they will be immediately fed back to the department for correction, so as not to omit them, but to report them well. The annual hospital infection rate was controlled at about 65438 0.5% to prevent serious infection and epidemic events.

5. According to the requirements of testing frequency issued by Shandong Province, all key departments conduct environmental sanitation monitoring every month and quarter, find out the reasons in time if the monitoring results do not meet the requirements, and put forward rectification measures.

6. An annual prevalence survey was conducted in June from 5438+065438+ 10.

7. Disinfectants and disinfectants in use: The Infection Management Section conducts biological monitoring and spot checks every quarter. All key departments should make records of microbial monitoring according to the inspection items and time requirements. Disinfectants and disinfectants cannot detect pathogenic microorganisms; Sterilizers and sterilized articles cannot detect any microorganisms.

8. Monitoring of various sterilizers

Pressure steam sterilization: the supply room is responsible for physical monitoring, chemical monitoring and biological monitoring. Each tank shall be physically monitored and recorded in detail. Chemical monitoring is carried out in each package, B-D test is carried out every day before sterilization by pre-vacuum pressure steam sterilizer, and biological monitoring is carried out every week. Physical monitoring, chemical monitoring and biological monitoring should be carried out after the new installation, overhaul and relocation of the sterilizer, and it can only be used after it is qualified. Ethylene oxide gas sterilization: the supply room is responsible for physical monitoring of each pot, chemical monitoring of each package and biological monitoring of each sterilized batch. Monitoring of hydrogen peroxide plasma sterilization: the operating room is responsible for physical monitoring of each pot, chemical monitoring of each package and biological monitoring once a day.

9. Ultraviolet disinfection: the daily monitoring is carried out by the user department, and the lamp intensity monitoring is carried out by the infection management department. The radiation intensity of lamps in use shall be monitored once every six months, and its intensity shall be no less than 70uW/cm2. Before the new lamp is used, the infection management section is responsible for monitoring the irradiation intensity, which shall not be lower than 100 uW/cm2.

10. Various endoscopes: The Infection Management Section conducts spot checks on the monitoring of various endoscopes every quarter.

The user department monitors according to the standard time. After disinfection, biological monitoring shall be carried out on disinfection items such as endoscopes every quarter, and pathogenic microorganisms shall not be detected. Sterilized endoscopic biopsy forceps and sterilized articles must be monitored monthly, and no microorganisms can be detected. The endoscope room can be monitored at any time as required.

1 1. monitoring of dental instruments: the infection management department conducts spot checks every quarter, and the stomatology department conducts monitoring according to the standard requirements. Disinfectants (including sterilized items) are monitored biologically once every quarter, and disinfectants (including sterilized items) are monitored biologically once a month. Biological monitoring of rapid pressure steam sterilizer should meet the requirements of supply room.

12. blood purification system: the infection management department conducts spot checks every quarter, and the hemodialysis room monitors according to the standard requirements. Monitoring dialysis water every month, the total number of bacterial colonies must be

13. Environmental sanitation monitoring in key departments, with a qualified rate of 98.5%; All kinds of sterilizers, disinfectants, disinfection and sterilization articles and medical supplies have reached the disinfection and sterilization qualification rate of100%;

14. Hand hygiene is the most effective and economical measure to control hospital infection. In accordance with the requirements of "Manual for Hand Hygiene of Medical Staff", further implement the hand hygiene management system, popularize the concept of "hand hygiene", vigorously publicize the importance of hand hygiene in infection control, actively implement the hand hygiene facilities in departments, improve the compliance of medical staff's hand hygiene, and urge head nurses to receive hand disinfectants and hand disinfectants as needed every month. The hospital sensory department suggested that the hospital should improve the hand hygiene facilities as soon as possible, regularly supervise the hand hygiene work of medical staff and carry out continuous quality improvement.

Third, strengthen the management of medical waste.

Conduct disinfection and isolation knowledge and occupational protection training for cleaning staff twice a year, so that they can master the basic disinfection and isolation knowledge of the hospital. Strengthen the monitoring of the whole process of medical waste classification, collection, packaging, transportation and disposal. Medical waste temporary storage station is managed by special personnel, carefully recorded and signed in two directions to prevent various hazards caused by poor management of medical waste.

Four, the whole process management of disposable sterile medical supplies

The Infection Management Department (1) conducts routine supervision and regular spot checks on clinical departments every month, and takes samples from the Supply Department for evidence collection. All certificates must be complete and qualified, and whether the supplier's "four certificates" are complete is strictly examined; (2) Strict warehouse management, in addition to placing corpses as required, keep the inventory to a minimum to avoid the expiration of disposable goods; ③ Strengthen the management of used infusion sets, syringes and various catheters. Full-time cleaning personnel are responsible for the collection, transportation and storage, and strictly registered, which will be recycled by Weifang Medical Waste Disposal Center. The qualified rate of disposable sterile medical supplies is 1.000%.

Verb (abbreviation of verb) annual key work

1. Continue to strengthen the awareness of all employees on the importance of hand hygiene, do their best to improve hand washing facilities in key departments, and try their best to meet the standard requirements.

2. Investigate the types and methods of self-disinfection and sterilization instruments in all departments of the hospital, establish basic files, standardize the disinfection and sterilization methods of instruments, and sterilize surgical instruments that can be autoclaved without glutaraldehyde soaking.

3 continue to strengthen the monitoring and management of multi-drug resistant bacteria, especially in key departments and high-risk groups. Establish SOP in line with the actual situation of our hospital.