In this regard, I, Kurt, have made a work plan for 20xx years, as follows:
First, the main objectives:
1, the training rate of knowledge in obstetrics and gynecology hospitals is over 90%, and the qualified rate of training is 100%.
2, air, medical staff hands, object surface qualified rate? 98%; The qualified rate of disinfectant in use is100%; The qualified rate of disinfection items reached 100%.
3. Missed diagnosis rate of nosocomial infection
4. Epidemic report of patients with infectious diseases100%; The timely rate is 98%;
5. The recovery rate of medical waste is 100%.
Second, the guarantee measures
(1) Strengthen education and training: the training of infection management knowledge will be included in the focus of this year's work, and all staff will be trained and papers will be distributed through various channels in the form of in-hospital lectures to improve the awareness of hospital infection prevention among medical staff. Train general practitioners on hospital infection knowledge every month.
1, every month, the department organizes hospital infection related knowledge training according to the undergraduate business development, and makes records.
2. Actively participate in the hospital awareness knowledge education and training organized by the hospital, and incorporate the learning situation into the department assessment.
3. Conduct pre-job training for new employees. The main training contents are disinfection and isolation knowledge, prevention and control of hospital infection, and classified collection and treatment of medical wastes, so that they can carry hospital awareness throughout their work.
4. Strengthen the training of disinfection and isolation knowledge for nurses, such as their job requirements, basic knowledge of disinfection and sterilization, cleaning procedures and personal protective measures.
5, the implementation of personnel responsibilities at all levels, do a good job of isolation and protection, to avoid cross infection.
(2) Strengthen the monitoring and management of hospital infection.
1, give full play to the role of hospital quality control management team, and find problems and correct them in time through monthly quality control inspection.
2. 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 items in key departments should be monitored every quarter.
3. General practitioners are required to do a good job in occupational protection of medical staff, and those who have occupational exposure and injuries should be reported and registered to protect susceptible people and effectively control hospital infection.
4. Clean the air disinfection machine filter in use once a month.
(3) Strictly manage the classification, collection, transportation, storage and transportation of medical wastes to prevent leakage.
1. Medical wastes shall be classified and placed as required, sealed and transported, and the packaging bags shall be marked and registered when leaving the department. Collect and sign by special personnel, and send them to the temporary storage point of medical waste for centralized placement.
2, medical waste transfer form by full-time personnel to fill in, and save the stub for future reference.
Chapter 2 1. Improve the hospital infection management system of undergraduate course room, carry out the work according to the relevant national laws, regulations, rules, norms and routine requirements, and inspect and supervise its implementation.
Second, earnestly perform the duties of the hospital infection management team and fill in the hospital infection management records every month.
Three, strengthen ward management, strict implementation of disinfection and isolation system.
Fourth, hospital infection monitoring.
1, department hospital infection incidence
2, hospital infection cases, fill in in time? Hospital infection report? And report it to the infection office 24 hours a day, and the department will make records.
3, on time to do a good job in environmental sanitation and disinfection and sterilization effect monitoring, quality analysis and improvement measures.
4. In case of hospital infection outbreak in the department, the department director shall notify the infection office immediately after confirmation, and do a good job in investigation and registration.
Five, hospital infection knowledge training
1. According to the training plan, all kinds of personnel in the department are trained in hospital infection management knowledge and skills every month, and each training is recorded.
2. The hospitalization information issued by the hospital is complete, and the department organizes learning in time.
3, medical staff hospital infection knowledge examination qualified.
Five, antibiotic application management
1, antibiotic utilization rate; 60%。
2. There are indications for the combined use of antibiotics, and there are opinions from superior doctors. The combination is reasonable.
3. Antibacterials are used reasonably in different levels, and the leapfrog use is approved by the superior doctor or department director, and the medical records are clear.
4. Prevent the use of antibacterial drugs.
5. The use of antibiotics during the perioperative period of aseptic surgery is standardized and reasonable.
6, strictly control the skin, mucous membrane local medication.
Intransitive Verb Medical Waste Management
1. Medical wastes shall be classified and clearly marked.
2. Medical wastes shall be collected and transported by special personnel, with clear handover and complete registration, and handover records shall be kept for three years.
3. After blood transfusion, the department should keep the blood transfusion bag for 24 hours, and treat it as infectious medical waste without abnormality.
Seven, personnel and hand hygiene management
1, the staff should be dressed neatly, wear masks when operating, and wear gloves when contacting blood, body fluids and excreta.
2. Wash your fingers strictly, and wash your hands before and after operation, after taking off gloves, and before and after contact with patients.
3. Implement standard prevention and control measures.
Step 4 wash your hands correctly
5, execute hand disinfection instructions.
6, body surface pollution or sharp damage can be handled in time.
Eight, hospital infection inspection and evaluation
1. Every day, the department infection monitoring physician and infection monitoring nurse supervise and inspect the above-mentioned related indicators, register in time when problems are found, and give feedback to individuals for timely correction.
2, fill in the hospital infection knowledge training records every month, fill in the environmental sanitation and disinfection effect monitoring and quality analysis, hand hygiene consumption records on time.