Personal summary of hospital infection department 1
This year, with the correct leadership and strong support of hospital lead
Personal summary of hospital infection department 1
This year, with the correct leadership and strong support of hospital leaders, we conscientiously implemented the hospital management-related laws and regulations promulgated by the Ministry of Health, such as the Measures for the Management of Hospital Infection, the Technical Specification for Disinfection, and the Measures for the Management of Medical Wastes in Medical and Health Institutions, strengthened link quality management and hospital infection knowledge training, and strictly monitored and assessed the quality, which reduced the incidence of hospital infection and ensured medical safety. The nosocomial infection rate was 0% in. The qualified rate of disinfection of instruments is 100%, which effectively controls hospital infection and ensures medical safety. The annual work is summarized as follows:
First, improve the organization and management
In order to further strengthen the hospital infection management, clarify responsibilities and implement tasks, members of the infection management team set up an infection quality inspection team, which is responsible for the monthly infection quality inspection, improved the three-level management system, refined the tasks, implemented them to people, and the sense control team leader was responsible for rectification, and all the work was gradually implemented, so that the hospital sense control work was continuously improved.
Second, strengthen quality management to ensure medical safety.
Quality control: check once a month and immediately every week, systematically investigate, collect, sort out and analyze the hospital infection, feedback and sort out the existing problems in time, and effectively prevent and control hospital infection.
Two-link quality control
1. Strengthen the management of nosocomial infection in key departments: pediatric ward, neonatal ward, hyperbaric oxygen, etc., and make irregular inspections every week, so as to make daily arrangements, weekly priorities and special management, formulate departmental infection quality inspection standards, focus on inspecting various instruments after operation in the operating room according to the hospital infection quality inspection standards, monitor the indoor disinfection effect, and supervise the environmental management, personnel management and disinfection of various items in the neonatal department.
2. Strengthen sanitary hand washing: Hand washing is closely related to people's health. The pathogenic bacteria carried on hands not only threaten the health of medical staff and their families, but also are easily transmitted to patients through various operations. Therefore, hand washing facilities, hand sanitizer and quick hand disinfectant are provided for medical staff, which greatly improves the quality of hand washing and reduces hospital infection.
Iii. Monitoring occupational exposure of medical staff: Medical staff are strictly required to implement standard preventive measures, try to avoid occupational exposure, and monitor and register occupational exposure.
Four, pediatrics and neonatal ward no hospital feeling occurred throughout the year, pediatrics continue to strengthen the management and control of hospital feeling.
Personal summary of the second department of nosocomial infection
My job entrusts me with responsibility. I am a nurse, and it is my duty to contribute my strength. Treating patients is also my ideal. I chose this road because I have a high recognition of nurses in my heart. I want to be a white dress in the hearts of patients and wait for them like an angel.
I don't care how high my salary is and how tired I am at work. I only care about how many patients I have treated, because the responsibility in my heart makes me stick to my post every day. Sometimes we are very busy at work, especially when the flu season comes, we should not only treat patients well, but also complete basic work operations from them. A medical staff must complete the basic tasks of nurses, and how difficult and important the tasks are can reflect a person's ability.
In my past work, I kept exercising myself every day and explained some basic protective measures to myself, which was very good. You can't rely on some simple tasks to complete the basic work, you can only rely on your own persistence and refueling. I have been in the hospital for more than a year. I didn't understand it from the beginning, but now I can do it myself. Thanks to this recognition of work, I work in the hospital every day. At first, because of the problem of ability, I did some simple work, as long as I completed the task, but it took more effort and painstaking efforts to do it well.
Infectious diseases department is an important department. Disinfect the input of the department every day after work. The purpose of disinfection is to ensure that no germs breed. All our patients are susceptible to infection and need to be taken seriously. We are responsible for examining patients, asking questions, making infusion bottles and so on. Doctors mainly look at the patient's condition and how to solve it. I have to do it myself. At the same time, in addition to basic work, we should also learn nursing knowledge. Every once in a while, we have to test and care for them.
I often try to memorize and learn nursing knowledge to improve myself. Although there are many new nurses like me, I still need to continue to strengthen my study in order to complete the basic tasks. I have been walking in the best direction, because in my opinion, if the goal is low, the pursuit will be small and not serious enough, so I still don't insist on being serious and responsible. Not only set a higher goal for yourself, but also do better.
From the beginning to the hospital, we have experienced a lot of growth and changes. We take care of patients every day and check their basic conditions. Once there is a change, it is necessary to make a record in time, and at the same time, it is necessary to convey it in time and make emergency treatment. Especially for patients to contact other departments in time, do a good job of handover, so that patients can get treatment as soon as possible, and have a better start.
Although this work has made great progress, it is still going on. My task is still a long way to go, and I need to make persistent efforts. Just like a struggle, I will continue to work in the infectious diseases department and make contributions to our hospital.
Personal summary of three subjects of nosocomial infection
With the correct leadership and strong support of hospital leaders and hospital infection management committee, and under the guidance of relevant experts in the city and district, the Department of Infectious Diseases of our hospital has done a lot of work in strict accordance with the Management Measures for Hospital Infection, Technical Specifications for Disinfection, Regulations on the Management of Medical Wastes and other laws and regulations and the industry standards newly promulgated by the Ministry of Health, aiming at standardized and streamlined management. It is necessary to strictly manage the system, take various measures to strengthen the training of hospital awareness knowledge of medical staff in the hospital, improve the hospital awareness of medical staff in the hospital, strive to improve the management level of hospital infection in our hospital, control the hospital infection rate at a low level, and escort the hospital medical quality. Now we will summarize and report the work of hospital public opinion this year as follows:
A, hospital consciousness management:
1. The sensory control work in our hospital adopts the methods of prospective investigation and case review, which lacks timeliness and accuracy. In order to solve this problem, our department applied cross-sectional survey for the first time this year, and linked with the provincial hospital perception network, which made the case investigation work in our hospital more timely, reliable and scientific. A report card for patients with nosocomial infection was made and distributed, requiring medical staff to find and report it in time. According to the report, the full-time staff of infection control should go deep into the clinical department in time to understand the relevant information, put forward the corresponding infection control measures and supervise and guide the implementation.
2. According to the relevant laws, regulations, norms, standards and systems of the Ministry of Health, combined with the situation of our hospital, the standards and systems of hospital infection in our hospital were revised, and learning was organized to make everyone know that there will be rules to follow in their respective medical activities, and at the same time, the corresponding responsibilities of all kinds of staff at all levels in hospital infection management were clarified.
Second, the quality control:
1. According to the requirements of hospital medical safety and quality control, the quality control and evaluation system of hospital infection was improved. According to the comprehensive objectives, conduct supervision and feedback, comprehensively check and sort out all aspects of hospital infection prevention and control, and carefully investigate potential safety hazards. In order to ensure the safety of hospital feeling, the management of key parts, key parts and key links of hospital feeling has been carried out seriously, especially in operating room, disinfection supply center, intensive care unit, delivery room, gastroscope room and intensive care unit. The prevention and control measures of hospital infection in key parts and key links have been formulated, and the hospital infection department conducts supervision, guidance and assessment every month to avoid the outbreak of hospital infection.
2. The Department of Hospital Sensory conducts quality control supervision and evaluation on each department (including key departments and clinical departments) every month according to the requirements of each part of the Department of Hospital Sensory, and timely feeds back the department when problems are found and assists in rectification.
Three. Infection monitoring:
1, according to the requirements of hospital infection management, do a good job in hospital infection case monitoring and targeted monitoring. 859 discharged medical records were monitored throughout the year, with a monitoring rate of 77.8%, of which 0 cases were infected and the infection rate was 0%. There were 203 cases of operation, of which the monitoring rate above appendectomy was 90%, and no incision infection occurred. The hospital prospectively investigated 422 cases, the infection rate was 0%, and the use of antibacterial drugs was monitored in 568 cases. Compared with last year, the combined use and triple use of antibacterial drugs were significantly reduced. Completed the cross-sectional survey of inpatients' hospital sensation required by the provincial hospital sensation Committee in time.
2, environmental sanitation, disinfection and sterilization effect and hand hygiene monitoring. According to the requirements of "Management Measures for Hospital Infection" and "Technical Specification for Disinfection of Medical Institutions", environmental sanitation and disinfection and sterilization effect were monitored in 8 departments, with a total of 235 samples, and the qualified rate was 9365438 0%. Among them, the qualified rate of air is 98%; Object surface 91%; Medical staff 861%; Disinfectant in use100%; Sterilized articles and pressure steam sterilizer 1000%.
In March and June, our department conducted a survey on the prevalence rate of nosocomial infection in the whole hospital. During the investigation, there were 67 inpatients in the hospital, and 67 people were actually investigated. The actual investigation rate was 100%. Among them, the infection rate of nosocomial infection cases is 0, the infection cases are 0, and the infection rate is 0; There were 9 cases of community infection, and the community infection rate was 134%, 1 case of infected person was sent for bacterial culture. Culture rate 1 1% (this item is not up to standard).
Fourth, education and training:
1, strengthen the training and assessment of hospital infection, formulate hospital infection management training program, and carry out four times of hospital infection knowledge training in the whole year, with the participation of medical staff and logistics personnel in the whole hospital. The training contents include: prevention and control of hospital infection in key parts, training of hospital infection management knowledge and methods, knowledge of aseptic technology and hand hygiene, standardized management training of departments, knowledge training of occupational protection and disinfection and isolation of employees, and training of medical waste management laws and regulations. New medical staff receive pre-job training, and those who are lagging behind are trained and assessed, and they will take up their posts after passing the assessment.
2. The full-time and part-time staff in the hospital and the staff in the supply room have participated in the hospital infection knowledge training organized by provincial and municipal health administrative departments and superior hospitals for many times, and obtained corresponding employment certificates and credits.
Five, medical device disinfection and disposable sterile medical supplies management:
In order to strengthen the management of sterilized medical instruments and disposable sterile medical supplies, the hospital infection department conducts routine concentration inspection of disinfectants used every week and bacteriological monitoring every two months. Register the names of products used in clinical departments from time to time, and check the relevant qualification certificates of products used in pharmacy departments. The results show that the certificates are complete and qualified.
Six, medical staff occupational protection management:
Strengthen the safety of medical staff, avoid the management of occupational exposure such as sharp instrument injury, start with the use of hand hygiene and protective equipment, organize relevant knowledge training, and improve the occupational protection awareness of medical staff. There were 2 cases of occupational exposure in the whole year.
Seven, strengthen the management of hospital medical waste:
Strengthen the propaganda and training of logistics cleaning personnel, improve their awareness, ensure that medical wastes and domestic garbage are not mixed, and medical wastes are recovered in time. The recovered medical wastes are transported in a sealed manner by means of transport, and medical wastes are not resold. The temporary storage place of medical waste should be disinfected and handed over to xx Company in time to prevent the loss of medical waste caused by reselling medical waste. Hospital infection department regularly and irregularly supervises the management of medical waste and corrects the problems found in time.
Personal summary of hospital infection department 4
Summary of prevention of infection in psychology department in xx years
For xx years, with the correct leadership of the hospital and the help and support of various departments, the heart
The Ministry of Science actively carries out infection prevention work according to the relevant regulations such as Hospital Infection Management Standard, Disinfection Technical Standard and Infectious Disease Prevention Law, and monitors the effect in time. The incidence of department infection was controlled within a good range, and no infection cases occurred. The main work this year is summarized as follows:
First, improve the management system and give full play to the role of the system.
Strengthen the management of department infection, clarify responsibilities, implement tasks and report work in time.
Two, strengthen the knowledge training and assessment of infection and infectious diseases.
In order to improve the knowledge of infection prevention of department staff, the training and examination of hospital infection introduction and medical waste management knowledge were carried out, and the pass rate of examination was 100%. Doctors and nurses were trained in hospital infection knowledge.
Third, strengthen disinfection and hygiene monitoring.
Regularly supervise and monitor the environmental sanitation and disinfection and sterilization effect in the department, summarize and analyze the monitoring results in time, find out the risk factors of hospital infection, and find effective prevention and control methods. Through monitoring-control-monitoring, the occurrence of hospital infection is finally reduced and controlled, and the medical quality is improved.
Fourth, strengthen the prevention of infection in key parts.
Spot check the infection management of key parts, find problems, and take the initiative to talk to the department director.
Or the head nurse improves communication and supervision. Check the patient's condition regularly, and ask the medical staff to strictly operate the procedures to avoid infection.
Verb (abbreviation of verb) strengthens the management of medical waste.
Recover medical waste in strict accordance with the regulations, designate full-time personnel to be responsible for it, and complete it
Full-time employees should be trained in necessary laws, regulations and personal protection. It makes the management process of medical waste more realistic and reduces the chances of pollution and injury to medical staff.
Hospital psychology department
Xx year 65438+February 30th.
Xx-year work plan for prevention of infection in psychology department
First, strictly enforce the rules and regulations
In accordance with the Measures for the Administration of Hospital Infection and relevant national laws and regulations, improve the management responsibility system, further strengthen supervision, and conscientiously implement various rules and regulations. Effectively prevent and control the occurrence of hospital infection and ensure medical safety.
Second, strengthen monitoring.
The first is to strengthen the monitoring of infection. According to the diagnostic criteria of nosocomial infection, effective infection monitoring should be carried out. The second is to monitor the disinfection and sterilization effect. Conduct disinfection, sterilization and environmental sanitation monitoring every month, and conduct regular and irregular random sampling monitoring on disinfectants used in clinical departments, hands of medical staff, surfaces of objects and indoor air. The third is to monitor the pathogenic bacteria and drug resistance rate, give regular feedback to departments, guide the rational use of antibiotics in clinic, and improve the treatment level of infectious diseases in hospitals.
All personnel should abide by the rules of hand washing when dealing with different patients or the same patient.
Wash your hands before and after different parts, and strictly carry out aseptic operation. Hand training once a month.
Blood pressure monitor, stethoscope, bedside supplies, oxygen supply and suction used by each patient.
Equipment, etc. Do not use it interchangeably with others. After leaving the room, patients must be thoroughly cleaned and disinfected before being used by others.
When all kinds of rescue articles and monitoring instruments are converted to use, they should be eliminated from the surface.
Poisoning, cleaning, various catheters, humidification bottles, oxygen masks, etc. Sterilization should be standardized.
Four, strengthen the implementation of "hand hygiene standards"
Implement the hand hygiene management system for medical staff and equip them with effective and convenient hand hygiene.
Sanitary equipment and facilities. Strengthen the publicity, education and training activities of hand hygiene, enhance the awareness of preventing hospital infection, master the knowledge of hand hygiene, and ensure the effect of hand washing and hand disinfection.
Five, to carry out infection knowledge training
Make the department infection knowledge training plan, implementation plan and specific measures, such as
Lectures and training. 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 infection.
Hospital psychology department
Xx year 65438+February 30th.
Summary of nosocomial infection work
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Summary of nosocomial infection work
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Summary of nosocomial infection work
Summary of Infection Prevention in Psychology Department In the past xx years, with the correct leadership of the hospital and the help and support of departments, the psychology department has actively carried out infection prevention work in accordance with the relevant regulations such as Hospital Infection Management Standard, Disinfection Technical Standard and Infectious Disease Prevention Law. ......
Personal summary of hospital infection department 5
Since the beginning of this year, under the leadership of the Hospital Infection Committee, the hospital infection management department has actively completed various tasks according to the requirements of hospital infection management. We often focus on the inspection of key departments such as wards, operating rooms, obstetric delivery rooms and supply rooms, and check the key links, key processes and risk factors that may cause hospital infection one by one, guide the problems found in the inspection, put forward rectification opinions, and require rectification within a time limit. The work is summarized as follows:
First, the development of hospital infection monitoring work
1, the hospital established an organization and formulated the relevant hospital sense system. And the training and assessment of hospital perception knowledge were carried out.
2, hospital infection management can be carried out in accordance with the work standards, monthly work plan and work summary, inspection records, a total of * * * check 90 times.
3. There are various registration records of this specification, high-pressure disinfection items are recorded, disinfection packages are monitored by indicator cards, and packages are monitored by indicator belts.
4. Medical waste disposal is recorded, and all departments use hand sanitizer, which further standardizes hand hygiene.
5, able to monitor hospital infection cases and disinfection and hospital environment monitoring.
6, every month to ward, delivery room, operating room and outpatient treatment room and other important departments for a hospital sense monitoring. Test items include: air, objects, countertops, alcohol, iodophor, staff hands, etc.
7, environmental sanitation, disinfection and sterilization effect and hand hygiene monitoring:
In order to standardize the disinfection and sterilization work and prevent nosocomial infection, sampling monitoring of nosocomial infection was strengthened in 20xx, and the disinfection and sterilization effect of all departments in the hospital was monitored. At the same time, the environmental hygiene monitoring of key departments such as operating room, delivery room, supply room and ward and the hand hygiene monitoring of medical staff have been strengthened. In the whole year, the hospital sampled 177 samples, including 49 samples of air, 2 samples of object surface, 57 samples of medical staff's hands, 6 samples of dining table 16 samples of alcohol, 26 samples of iodophor, 0 samples of hand sanitizer/kloc-0 samples and 65,438 samples of medicine cups. The pass rate is 98%. After that, the hospital sensory office analyzed the causes, fed back and rectified the four unqualified samples, and re-sampled the four unqualified samples, and the qualified rate was 100%.
8. Strengthen medical waste management 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. The staff are required to equip with necessary personal protective equipment, and the medical wastes in all clinical departments should be classified and handled, with handover registration records. The temporary storage point of medical waste should meet the requirements and the "five prevention" regulations, and the cleaning and disinfection measures should be strictly implemented.
Implement the hospital infection monitoring team in clinical departments, strictly implement the relevant laws and regulations of hospital infection and implement various rules and regulations according to the requirements of hospital infection management responsibility, give full play to the responsibilities of monitoring doctors, monitoring nurses and other medical personnel in hospital infection management, and put the hospital infection management work in place.
Disadvantages need to be improved:
1, it is necessary to further strengthen the supervision and management of disposable medical supplies, further strengthen the inspection and certification of disposable medical supplies and disinfection instruments, ensure that they meet the requirements of hospital infection, achieve disinfection and sterilization effects, and prevent reuse.
2. Further strengthen the hospital sense monitoring of key departments, key departments and key links such as operating room, delivery room and ward.
3. The monitoring work of the hospital infection management department needs to be more detailed and in-depth to reduce the hospital infection rate.
4. Employees' awareness of hand hygiene needs to be strengthened.
5. The classification of infectious medical waste and traumatic medical waste, domestic waste and infectious medical waste is unclear by a few staff members, so it is necessary to strengthen the study of hospital awareness knowledge.
Fourth, the next step of work requirements
1, strengthen the management of hospital infection, establish and improve the organization, and make the annual work plan. Carefully monitor hospital infection.
3. Strengthen the training of hospital management, personal protection, aseptic operation technology and other knowledge of medical staff in the hospital, improve the quality of all staff, and strive for the hospital's attention and participation in this work.
4, strengthen the management of key departments, constantly improve the layout and process, standardize the equipment cleaning and disinfection procedures, and take effective measures to ensure the disinfection effect. Ensure medical safety.
6. Train all employees in the Regulations on the Management of Medical Wastes and the Measures for the Management of Medical Wastes in Medical and Health Institutions to further standardize the management of medical wastes; Standardize the use of medical garbage bags and sharp tools.
Hospital infection control department
20xx65438+February 28th.
Personal summary of hospital infection department 6
Under the leadership and care of the superior health department, our hospital conscientiously implemented the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases, Technical Specification for Disinfection of Medical Institutions, Measures for the Management of Medical Wastes and Emergency Plan for Medical and Health Rescue in Public Emergencies, formulated the corresponding hospital infection control plan, and organized its implementation, so that the incidence of hospital infection in our hospital was controlled within a good range, and no hospital infection occurred this year. Hospital infection in the past 20 years is summarized as follows:
1, improve the management system and give play to the role of the system.
In order to further strengthen the management of hospital infection control, clarify the responsibilities and implement the division of labor, this year, the leading group of hospital infection management was adjusted and enriched, headed by the dean himself, equipped with full-time prevention and health care personnel, and the responsibilities of hospital infection management were clarified. The college-level management system of various disciplines has been formulated. Hold regular hospital management meetings to find out the hospital infection in medical activities in time, and give timely and correct guidance and treatment according to the feedback from various departments. It improves the scientificity and predictability of hospital infection management, and ensures the medical quality and safety.
2, seriously study the prevention and control of infectious diseases, improve the epidemic reporting system.
Organize the staff of the whole hospital to seriously study the Law on the Prevention and Control of Infectious Diseases in People's Republic of China (PRC), establish and improve the registration system, reporting system and reward and punishment management system of infectious diseases, and earnestly perform the duties entrusted by law. Patients with infectious diseases shall report in time through the electronic network according to the time limit prescribed by the health administrative department of the State Council. Three cases of Class B infectious diseases were reported this year.
3. Strengthen the awareness of disinfection and sterilization to ensure the quality of disinfection and sterilization.
Organize the clinical medical staff in the hospital to learn the new disinfection technical specifications of medical institutions and strictly implement the disinfection and sterilization system. Injection, puncture and blood collection instruments in each department shall be disinfected by one person. Disposable medical devices should be destroyed immediately after use, and detailed records should be made to eliminate the hidden danger of secondary use. Our hospital has a filing system for purchased disinfectants and disposable medical devices.
All medical appliances in the department have clear disinfection replacement dates and detailed records.
The whole hospital strictly implements the ultraviolet disinfection system, and has strict requirements on the time and place of disinfection, and makes records carefully. All ultraviolet lamps are wiped and disinfected every week, which not only ensures the service life of lamps, but also improves the disinfection effect. Replace the ultraviolet lamp in time and resolutely ensure that the working environment meets the health requirements.
The supply room of our hospital strictly monitors the disinfection effect of steam pressure sterilizer. According to the requirements of disinfection specifications, bd tests are carried out on all disinfection items every day, and detailed marks and records are made to ensure the disinfection quality and provide reliable and safe medical security for the time being.
4. Strengthen the management of medical waste and improve the quality of hospital feeling.
According to the requirements of the Regulations on the Management of Medical Wastes, this year, with the guidance and help of the Environmental Sanitation Bureau, our hospital rebuilt the medical waste storage room, which met the hygiene requirements. Realize the daily production and cleaning of medical and domestic wastes in the hospital, strictly hand over all links, and strictly classify, package and label all medical wastes. The medical waste recycling register has been redesigned to facilitate recycling and filing. There is a detailed registration and strict handover system for the outbound quantity of medical wastes. Clear responsibility, division of labor to people. Professional training on medical waste disposal was given to hospital staff, which made the management of medical waste more practical, reduced the chances of pollution and injury to medical staff, and made efforts to prevent the spread of diseases and protect people's health.
5. Strengthen the management of hospital health environment and effectively prevent and control hospital infection.
In order to improve medical quality, ensure medical safety, and establish a good health environment for patients to see a doctor, a strict health inspection system has been established, and a general cleaning of the health environment has been carried out once a month. A large-scale cockroach killing work was carried out; Changed the original bad eating habits. All employees eat in the canteen lobby and wash in the cleaning room of the canteen after meals, which eliminates the problem of eating in the department and polluting the sanitary environment of the department. In order to improve the quality of hygiene, the leading group for hospital infection has formulated weekly, monthly and quarterly inspection systems for the appearance, hygiene, disinfection records, disinfection and isolation, drug use and medical waste treatment of various departments, which has promoted the management of hospital infection to a higher level.
6, to carry out various forms of hospital awareness training, improve the hospital awareness of medical staff.
In order to strengthen the awareness of hospital infection control and popularize the knowledge of hospital infection, disinfection technology, prevention and control of infectious diseases and other related laws and regulations, the hospital infection leading group has formulated a detailed study plan and adopted various forms of infection knowledge training, which has realized centralized learning, group learning, recording, taking notes, signing in and asking questions on the spot, and practical operation assessment. The clinical medical staff in the hospital were assessed on the examination paper of hospital infection knowledge, and the assessment results were classified into personal files.