Model essay on hospital infection for half a year 1
I. Work Completion in the First Half of the Year
1. According to the resolution of the first hospital infection committee in June, 2000, and according to the evaluation standards of secondary hospitals, efforts were made to promote the management of hospital infection. Seriously study and master the evaluation standards of grade hospitals, formulate and improve the hospital infection management system, disinfection and isolation system and SOP documents according to the standards and the actual situation of our hospital, and conduct repeated training for all medical staff; In order to improve the training effect, first, the training is concentrated in the whole hospital, then each department learns the relevant knowledge and system of training hospital sense one by one, and then the department organizes the second written test. By repeatedly strengthening supervision and retraining those who have not mastered it in time, medical staff can better master the knowledge of hospital infection management, implement the relevant systems of hospital infection management, fully implement the evaluation standards of grade hospitals, and strive to achieve better results in the evaluation of grade hospitals.
2. Strive to improve the hand hygiene compliance of all employees and effectively control the risk of cross infection. Train all kinds of personnel at all levels in the hospital on the theoretical knowledge and practical operation of hand hygiene, and further improve the hand hygiene facilities in the hospital, including placing quick hand disinfectant at the entrance of each ward, replacing faucets that do not meet the requirements in key departments, placing disposable paper boxes and tissues next to each faucet, and replacing hard soap with soap to improve the compliance of medical staff's hand hygiene. Check the six-step method of washing hands of every employee (including cleaning staff); During the pre-examination, the implementation of hand hygiene of medical staff in clinical departments was supervised every week, which improved the compliance of hand hygiene of medical staff.
3. Increase the intervention of hospital infection management in key departments and key departments. Intervention measures for the construction of key departments such as disinfection supply center, operating room, ICU, neonatal ward and hemodialysis room have been put forward many times in hospital infection management Committee and hospital quality and safety Committee. Now the disinfection supply center has been put into use, reaching the basic operation; Disinfection and packaging management of interventional surgical instruments; Put forward suggestions on the management of foreign devices and strengthen the disinfection and sterilization management of implanted devices; The neonatal ward is under intense construction; The reconstruction plan of hemodialysis room has been decided, and only construction is needed. Further strengthen the hemodialysis management of patients with blood-borne diseases, and strictly implement special plane dialysis and district management; Strengthen the hand hygiene of medical staff, strengthen the disinfection of hemodialysis machines between hemodialysis patients, and minimize the risk of cross-infection. Strengthen the management of nosocomial infection in ICU. The full-time staff of nosocomial infection management supervise the ICU and other key departments every day, especially the key patients under the management of "three management", understand the condition through network and field visits, and intervene in time if there are signs of infection. Timely urge medical staff to strengthen disinfection and isolation of cases of multi-drug-resistant bacteria (separate isolation as far as possible, and strict bedside isolation when there is no separate isolation bed) and hand hygiene. It places special emphasis on hand disinfection before and after touching each patient.
4, timely query cases of multi-drug resistant bacteria infection, and actively cooperate with the microbiology laboratory of clinical laboratory to strengthen the disinfection and isolation supervision of multi-drug resistant bacteria infection cases. Real-time monitoring of multi-drug-resistant bacteria cases, reminding and urging clinical medical staff to do a good job in disinfection and isolation of multi-drug-resistant bacteria infection cases every day: hanging isolation signs on hospital beds, clamping contact isolation signs on the first page of medical records, and adopting isolated isolation as far as possible. When there is no separate isolation bed, strict bedside isolation should be implemented, hand hygiene should be strengthened, and the rooms and surrounding items of patients infected with multi-drug-resistant bacteria should be disinfected and specially managed every day to avoid cross-infection of patients.
5, floor comprehensive monitoring
In the first half of the year, * * * monitored 1 19 14 cases, and 54 people developed hospital infection, with the incidence rate of hospital infection being 0.45% and the infection rate being 0.48%. 13 cases were missed, and the missed diagnosis rate was 0. 1 1%. The infection rate of type ⅰ operation incision was 0.0%; Health monitoring was 79 1 copy, the qualified rate was 99%, and the re-inspection qualified rate was 100%, which reached the medical quality control index of the second-level general hospital of the Ministry of Health.
6. Target monitoring
We monitored ventilator-associated pneumonia, catheter-associated urinary tract infection, central venous catheter-associated bloodstream infection, hernia repair in children and general appendectomy in ICU. In the first half of the year, * * * monitored that the number of bed days of ventilator use was 43 1, with 8 cases of infection, and the infection rate of ventilator use per thousand days was18.56 ‰; The number of bed days of patients with urethral catheterization was 1 175, 6 patients were infected, and the infection rate of urethral catheterization was 5. 1‰/ thousand days. The number of days of central venous catheter bed was 143, with 0 cases of infection, and the infection rate of central venous catheter per thousand days was 0‰. 76 cases of hernia repair in children, 0 cases were infected, and the infection rate was 0%; There were 76 cases of appendectomy, 0 cases were infected, and the infection rate was 0%.
7, efforts to reduce the occupational exposure risk of medical staff.
In the first half of the year, staff suffered sharp instrument injuries 12, all of which were minor injuries. We register the injured in time, put forward suggestions for treatment, provide necessary help, recommend relevant experts, and provide free inspections regularly. In view of this situation, the training and drills of occupational exposure knowledge were carried out in the whole hospital, and efforts were made to reduce the hidden dangers of infection caused by occupational exposure of medical staff.
Second, the existing problems:
1, the hand hygiene compliance of some medical staff still needs to be further improved. Some medical staff do not have a strong awareness of hand hygiene and do not strictly implement hand hygiene, which is easy to cause cross-infection. The insufficient amount of quick hand disinfectant in some departments shows that hand hygiene is not implemented effectively (ICU, emergency ward, obstetrics and gynecology, surgery, surgery, ENT). The compliance of hand hygiene in outpatient department is not well implemented, and the awareness of hand hygiene among clinical and medical staff is not strong. Hand hygiene was not strictly implemented after touching patients and surrounding objects and before touching public goods such as therapeutic vehicles.
2. There are still hidden dangers in key departments and links of hospital infection management such as neonatal ward, hemodialysis room and disinfection supply center. Due to infrastructure, renovation, personnel and other problems, it is not fully in place and does not meet the evaluation standards of grade hospitals.
Three. Work plan for the second half of the year
1, to further strengthen the hand hygiene work, it is especially necessary for the department director and the head nurse to vigorously advocate and take the lead in implementation, urge all department personnel to seriously implement hand hygiene, and strive to improve the hand hygiene awareness of medical staff; Hospital quality control personnel (including hospital full-time managers) strengthen hand hygiene supervision, urge medical staff to do hand hygiene well, and strive to promote hand hygiene in the whole hospital.
2. Strengthen the management of nosocomial infection in key departments and key links, strictly control the number of intensive care units and inpatients, speed up the transfer of patients when there are many patients, strictly isolate patients at the bedside, and strive to reduce the risk of cross-infection; The staff in hemodialysis room should improve their awareness of hand hygiene, formulate standardized operating procedures for getting on and off the machine and strictly implement them. Hospital infection department often checks and urges staff to strictly implement disinfection and isolation, and strive to eliminate hidden dangers of cross-infection; Every staff member in the infection department should be strictly disinfected and isolated, and strive to do a good job of hand hygiene to avoid cross-infection.
3. Continue to strengthen the supervision of the cleaning quality of surgical instruments, especially foreign instruments, intervene in the quality management of disinfection supply center, and strive to improve the cleaning quality of surgical instruments in the whole hospital to ensure the safety of surgery.
4. Further strengthen the monitoring of multi-drug resistant bacteria. Hospital administrators screen multi-drug-resistant bacteria in the hospital every day, promptly urge clinical medical staff to isolate cases of multi-drug-resistant bacteria infection (try to arrange them in a single room, not in a single room, but strictly isolate them at the bedside), disinfect (strictly disinfect everything in the room every day) and hand hygiene of staff, and strive to control cross-infection of multi-drug-resistant bacteria.
5. Continue to make targeted monitoring, intervene in the high-risk factors of ventilator-associated pneumonia, catheter infection, central venous catheter infection and surgical incision infection, and strive to control ventilator-associated pneumonia, catheter infection, central venous catheter infection and surgical incision infection.
6. In the second half of the year, it is necessary to complete the cross-sectional survey of the whole hospital and standardize the incidence rate, which requires the strong support and cooperation of the directors of various departments, the head nurse and the medical staff of the whole hospital.
7. Do a good job in the prevention and control of occupational exposure, especially the prevention of acupuncture injuries and standardized treatment after acupuncture injuries; Strengthen the management of needles after use, and strive to avoid needle damage; After the medical staff had a needle injury, the hospital administrators immediately put forward opinions on preventing infection, and coordinated relevant experts to help the injured do a good job in prevention, treatment and other related matters, and tried their best to reduce the risk of needle injury infection.
Summary of nosocomial infection pattern in half a year (Part II)
First, improve the hospital infection management system, conscientiously implement the National Ministry of Health's Hospital Infection Control Standard and related regulations, establish and improve the system of discovery, registration, reporting, analysis and feedback of hospital infection cases, report hospital infection cases immediately according to the prescribed procedures, conduct timely isolation treatment, take corresponding preventive measures, and conduct irregular spot checks on discharged cases and hospital infection departments. Hospital infection cases 13 cases in the first half of the year.
Second, strengthen the disinfection management of medical devices.
Hospital Infection Department conducts bacterial culture on samples of sterilized items every month in strict accordance with the Technical Specification for Hospital Disinfection, so that the sterilization rate of sterilized items can reach 100%.
Third, strengthen the rational use of antibiotics.
According to the spirit of the Notice of the Ministry of Health on Carrying out Special Remediation of Antibacterials, the Hospital Sensory Department conducts a monthly follow-up survey on the use of antibacterial drugs for inpatients and discharged patients in our hospital, and timely summarizes, reports and gives feedback, which provides an important basis for the rational use of antibacterial drugs.
Fourth, strengthen the disinfection and isolation of wards.
Regularly monitor and spot check the air in the ward, the surface of objects, disinfectants and the hands of medical staff, and try to use the oxygen inhalation device and atomizing inhaler once, so that one person can use it once and disinfect it once.
Five, strengthen hand hygiene
Hospital sensory department checks the implementation of hand hygiene in each department every month and evaluates the hand hygiene of medical staff. Head nurses in each department are responsible for inspection and guidance, so as to really cut off the way of transmitting diseases through the hands of medical staff.
Six, strengthen the standardized management of key departments
Standardize the layout of each department, clearly mark the clean area, polluted area and sterile area and delimit the boundaries, irregularly supervise the disinfection and isolation work of key departments, strengthen the awareness of aseptic concept, improve aseptic operation technology, ensure the smooth progress of the work, and eliminate the hidden dangers of hospital infection in the bud.
Seven, to carry out targeted monitoring
From 1 month, the targeted monitoring of type I incision (thyroid and hernia) was carried out during the operation, and the monthly summary analysis showed that there was no 1 case of type I incision infection.
Eight, strengthen the management of medical waste.
In all aspects of garbage classification, collection and transportation, inspection and supervision shall be carried out in strict accordance with the medical waste management system, and handover shall be strictly carried out. All bad departments are registered, handed over and signed clearly, and all departments have spring scales. Weighing registration shall be made at the time of each handover, and the medical waste administrator shall make the final statistics. There is a special person in charge of every link. If there is a problem, the responsibility will be traced. The hospital sensory department will check the garbage temporary storage point from time to time to ensure that medical waste will not be lost.
Nine, strengthen the monitoring of floor disinfectants and disinfectants.
Hospital infection department conducts sampling inspection on disinfectants every month and quarter, and the qualified rate is 100%.
10. In the first half of the year, the hospital knowledge training was conducted, and the hospital sense quality analysis meeting was held, which successfully completed the hospital sense task in the first half of the year.
Summary of nosocomial infection for half a year model essay 3
In the first half of 20 _ _ _, under the leadership of the dean and the dean in charge, with the assistance of the medical department and the nursing department, various measures were taken, from organization and implementation to strict management system and necessary clinical monitoring, especially the outbreak of "H7N9 influenza", which led to deaths all over the world and the whole country. According to the unified deployment of the higher authorities, our department has done a lot of work to gradually standardize and institutionalize the hospital infection management in our hospital.
First, strengthen organizational leadership to ensure the smooth development of hospital infection management.
Hospital Infection Committee regularly holds hospital-wide infection committee meetings, and conscientiously implements the national laws and regulations on hospital infection, especially this year's "H7N9 influenza epidemic". Our hospital has established a leading group for H7N9 influenza prevention and control, an expert group for epidemic prevention and control, and an emergency epidemic prevention team; And formulated an emergency plan and consultation process for H7N9 influenza prevention and control; Improve the rules and regulations of fever clinic, strengthen the control of nosocomial infection in fever clinic, and formulate the rules and regulations of nosocomial infection in our hospital and effective measures to control nosocomial infection. Formulated an emergency prevention and control plan for human infection with highly pathogenic avian influenza; Provide technical guidance, supervision and inspection on hospital infection management, and link the existing problems with the quality award.
The second is to strengthen pre-inspection and triage.
For H7N9 influenza, pre-inspection and triage points should be set up at the entrance of outpatient and emergency departments, and full-time staff should be arranged to carry out pre-inspection and triage, so as to strengthen the control of temperature ≥37. 5℃, monitoring the symptoms of unexplained pneumonia and flu-like cases, and finding patients with flu-like symptoms such as fever. Ask the patient's epidemiological history in detail and organize diagnosis and treatment according to the prescribed procedures. All clinics work according to the H7N9 influenza diagnosis and treatment process; After diagnosis, transport to the designated hospital.
Third, strengthen the training of hospital infection knowledge, so that everyone in the hospital can clearly understand the urgency and importance of controlling hospital infection.
According to the requirements of hospital sense, the hospital staff were trained in hospital sense knowledge in batches, and the examination and assessment were carried out. We have trained hospital staff on the knowledge of hospital infection control, technical guidelines for hospital infection control, and personal protection training for medical staff, part-time doctors, nurses and head nurses in various departments. Every month, we give feedback on different weak links, especially the problems existing in inspection, and have needle-like learning and training, so that all hospital staff can pay attention to and seize hospital infection.
Four, strengthen the hospital infection case report.
Conscientiously implement the National Ministry of Health's Hospital Infection Control Standard and related regulations, and establish and improve the system of detection, registration, reporting, analysis and feedback of hospital infection cases. Doctors in clinical departments should be familiar with the classification and diagnostic criteria of nosocomial infection, report nosocomial infection cases immediately according to the prescribed procedures, conduct isolation treatment in time, take corresponding preventive measures, conduct irregular spot checks on discharged cases and nosocomial infection departments, and immediately report the missing cases to the departments for correction, so as to ensure that no leakage is reported and no leakage is reported.
Five, strengthen the management of medical device disinfection.
All medical instruments in the hospital should be cleaned and disinfected by the supply room as far as possible (except the operating room), and the initial washing and fine washing should be separated. In order to achieve better instrument cleaning effect, we are introducing high-pressure water guns, air guns and so on. For sterilization of instruments, pressure steam sterilization, pre-vacuum pressure sterilizer in operating room, daily B-D test, chemical monitoring of each package and monthly biological monitoring should be adhered to according to the Technical Specification for Hospital Disinfection. Supply autoclaves indoors, with process monitoring for each pot, chemical monitoring for each package, biological monitoring for each month, and bacterial culture for sterilized articles for each month, so that the sterilization rate of sterilized articles can reach 100%.
Six, strengthen the rational use of antibiotics:
Abuse of antibiotics is a common problem in China, and it is also a serious social problem faced by medical staff. The emergence of a large number of adverse reactions of antibiotics and the spread of drug-resistant strains have brought great difficulties to clinical medical work, and it is everyone's responsibility to use antibiotics rationally. We have organized clinicians to learn the rational use of antibiotics for many times, and made clear the indications for preventive and combined use of antibiotics in various departments. The hospital infection monitoring team of each department checks the application of antibiotics in this department every week, makes a summary and analysis, and adjusts the unreasonable application in time; The hospital infection department will check once a month, and the problems found will be linked to the quality award, urging clinicians to do bacterial culture according to regulations, so as to make the application of antibiotics timely and effective.
Seven, strengthen the ward disinfection and isolation work.
Regularly monitor the air, object surface, disinfectant and hands of medical staff in the ward, and conduct spot checks every week; Disinfection and isolation in the ward, especially the management of mop, rag, thermometer and tourniquet has been standardized; Oxygen inhalation device, atomizing inhaler, etc. You should try to use it once, otherwise a person can use it once for disinfection. The management of six-step washing technology has been strengthened, and the head nurses in all subjects are responsible for inspection and guidance, which has really cut off the way of spreading diseases through the hands of medical staff.
Eight, strengthen the standardized management of key departments
Standardize the layout of each department, have clear marks and boundaries for clean areas, polluted areas and sterile areas, supervise the disinfection and isolation work of key departments from time to time, strengthen the training of staff, cultivate a good work style, have a serious and responsible work attitude, have a high professional quality, strengthen the awareness of aseptic concept, improve aseptic operation technology, ensure the smooth progress of work, and eliminate hidden dangers of hospital infection in the bud.
Nine, strengthen the management of medical waste
In all aspects of garbage classification, collection and transportation, inspection and supervision shall be carried out in accordance with the medical waste management system, and three-level handover shall be implemented. All bad departments are registered, handed over and signed clearly, and all departments have spring scales. Weighing registration shall be made at the time of each handover, and the medical waste administrator shall make the final statistics. There is a special person in charge of every link. If there is a problem, the responsibility will be traced. The hospital sensory department will check the garbage temporary storage point from time to time to ensure that medical waste will not be lost.
Although some achievements have been made, there are still some shortcomings, such as sometimes individual patients in wards do not have special garbage bags, sometimes individual doctors do not wear masks when entering dressing rooms, and individual departments do not grasp the study of hospital sense tightly. In the future, we must carry forward our achievements, correct our shortcomings and do a better job in hospital infection control in our hospital.
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