First, strengthen organizational leadership to ensure the smooth development of hospital infection management.
The business director of the hospital infection management team takes the lead, the medical department and nursing department take part-time jobs, and the heads of each department are members. Be responsible for infection control in the whole hospital and give guidance to all departments. The hospital infection team pays special attention to its daily work, regularly and irregularly supervises and inspects the hospital infection control work in all subjects, and collects and counts the relevant data of the whole hospital. The implementation of the work at different levels ensures the smooth development of hospital infection management in our hospital.
Second, further improve the management system and implement it.
Hospital infection management system is the basis and important guarantee for doing a good job in hospital infection, so it is very important to formulate a scientific and practical management system. At the beginning of the year, according to the specific situation of our hospital, SOP was formulated to revise the hospital work; Strengthen system construction and study, regularly train and assess all medical staff, and conscientiously implement them to improve prevention awareness and reduce the incidence of hospital infection; The hospital infection group regularly checks the implementation of the system, gives full play to the binding role of the system, and puts all the work in place.
Third, continue to pay special attention to disinfection and isolation and infection monitoring in clinical departments.
1, according to SOP and Law on the Prevention and Control of Infectious Diseases, etc. The hospital infection group strengthened disinfection and isolation and infection monitoring in all clinical departments. Check once a month, and handle the problems in time, which greatly reduces the possibility of hospital infection. In the annual disinfection solution replacement and equipment soaking inspection, except for occasional omissions or incomplete records in individual departments, the equipment soaking and disinfection solution preparation and replacement time all meet the requirements.
2. Monitor hand surface, object surface, air, disinfectant, ultraviolet intensity, high-pressure sterilization package, etc. The qualified rate of nurses in clinical departments reached 100%.
3. The staff of the hospital infection group regularly go to relevant departments to find out whether there is nosocomial infection, whether there is omission or misstatement. All departments should register the hospital infection cases found in time and report to the hospital infection team. According to statistics, the culture rate of functional microorganisms in this hospital is 100%, and the incidence of nosocomial infection in the whole year is 8%, which is 1. 1% lower than last year.
Four, the management of disposable supplies, to ensure the medical safety of patients, to prevent social pollution.
In this year's disposable supplies procurement, the leaders of the hospital strengthened the management work in this area and carried out strict verification and inspection on the quality. Hospital infection department and warehouse keeper are responsible for checking and registering the purchased disposable articles, ensuring the purchase of disposable articles and sterilized medical devices, and preventing unqualified products from entering our hospital. This year, all disposable supplies purchased by our hospital were unqualified. The hospital infection team shall inspect the disposable sterile medical supplies stored in warehouses and departments once every quarter, and the nursing staff shall strictly inspect them before using them to prevent the expired disposable supplies from being used by patients. Due to strict control, no patients used unqualified disposable sterile medical supplies. For used disposable products, all departments have always insisted on destruction, disinfection and recording. Therefore, the disinfection rate of disposable empty needles, infusion sets and urine bags in our hospital reached 100%. Disposable sterile medical supplies after destruction and disinfection shall be recovered by the Municipal Health Bureau.
Five, strengthen the training of hospital infection knowledge, improve the awareness of hospital staff to control hospital infection.
Combined with the actual situation of our hospital, the hospital infection group organized a special lecture on preventing hospital infection, such as the diagnostic criteria of hospital infection, the use of antibiotics, the regulations on handling medical accidents, disinfection, safety knowledge training, blood transfusion-related laws and regulations, and blood transfusion knowledge learning. To train the medical staff in hospital on the knowledge of preventing and controlling hospital infection, and enhance their awareness of preventing and controlling hospital infection. Improve the level of prevention and control of nosocomial infection in our hospital.
In the hospital infection control work throughout the year, due to the great attention of hospital leaders, the guidance of superior experts, the organization and guidance of hospital infection group and the active cooperation of various departments, the work was carried out smoothly and achieved good results. However, due to the late start of nosocomial infection control in our hospital, there are still some shortcomings in the diagnosis, reporting and statistics of nosocomial infection cases, which need to be improved and perfected in the future. We believe that in the new year, as long as we constantly sum up experience and learn with an open mind, we will certainly do a better job in hospital infection control.
20 19 hospital infection management points;
1, strengthen the study and training of medical staff. Such as hospital infection diagnosis standards, disinfection technical specifications, rational use of antibiotics in hand hygiene, occupational protection of HIV, etc.
2, clinical departments should organize learning to master the hospital infection diagnosis, inspection, recording and reporting procedures, etc. , improve the accuracy of hospital infection case reports and reduce missed reports;
3. Strengthen microbial culture and drug sensitivity test;
4. Strengthen the monitoring of ultraviolet intensity;
5, medical waste management should be carried out according to the requirements of hospital medical waste management system;
6, the hospital management team should be regular activities, completes the relevant accounting records, and according to the existing problems for rectification.