In the new year, hospital infection management will adhere to the principle of prevention first, in order to strengthen hospital infection management, improve medical quality, ensure patient safety, and do a good job in all aspects of hospital infection management. 20xx hospital infection work plan is formulated as follows:

First, strengthen education and training.

1, the department organizes hospital infection related knowledge training once a month, and makes records.

2. The hospital infection department organizes lectures on hospital infection knowledge twice a year, and carries out various forms of staff training and paper distribution to improve the awareness of hospital infection prevention of medical staff.

3. Implement pre-job training for new employees.

4. Conduct medical waste collection and occupational protection knowledge training for health workers.

5. Full-time staff of hospital infection participated in continuing education training courses on hospital infection held at provincial and municipal levels, and learned about the new trends and trends in the development of hospital infection management in the whole province and the whole country, so as to improve the level of hospital infection management.

Two, the implementation of disinfection and isolation system, strengthen the monitoring and evaluation of disinfection and sterilization effect.

1. Disinfectants used by various departments should be replaced on time according to performance, and instruments should be disinfected and sterilized in time according to regulations. The qualified rate is 100%. All kinds of catheters in use should be disinfected and replaced according to regulations.

2. Strengthen the management of hand hygiene of medical staff, and check the compliance of hand washing of medical staff from time to time.

Third, strengthen the monitoring of hospital infection and implement the early warning report of hospital epidemic situation.

1, strictly implement the "Hospital Operation Site Management Specification", and monitor the infection of surgical incision every month.

2, give full play to the role of clinical monitoring management team, timely detection of hospital infection cases, a 24-hour reporting system.

3, clinical cluster hospital infection cases (3 cases of the same kind) the implementation of hospital infection outbreak warning report, analysis and investigation of the source of infection, take effective measures to control the route of transmission, put an end to the occurrence of malignant hospital infection cases.

4, to do a good job of occupational protection of medical personnel, each department will report each personnel's occupational exposure and injury to the hospital infection department, and the hospital infection department will register to protect susceptible people and effectively control hospital infection.

Four, strict medical waste classification, collection, transportation, storage and transportation management, to prevent leakage.

1. Medical wastes should be classified and placed according to requirements, sealed, labeled in packaging bags, registered out of the department, recycled by special personnel and signed, and sent to the temporary storage place of medical wastes for centralized storage.

2, medical waste transfer form by full-time personnel to fill in, and save the stub for future reference.

The second hospital department hospital consciousness work plan mode

First, comprehensively promote the establishment of the "three top", strengthen organizational construction and strengthen the division of responsibilities management;

1. Give full play to the functions of the Hospital Infection Management Committee of Stomatological Hospital, hold regular working meetings and carry out regular inspections.

2, functional departments cooperate with each other, give full play to the functions of various functional departments, detailed tasks, carry out their duties.

3, hospital infection management into the overall hospital work planning and quality and safety management objectives. According to the requirements of higher authorities and hospital infection, formulate and implement the "Thirteenth Five-Year Plan" and work plan.

Second, improve the system and workflow, do a good job in training all kinds of personnel at all levels and improve the implementation rate.

1, according to the relevant laws and regulations, constantly revise and improve the hospital infection prevention and control system, revise the hospital infection management workflow of all medical activities in the hospital, guide and supervise specific measures, and make all the work implemented.

2, hospital infection management related personnel at all levels are familiar with the relevant system, workflow and the characteristics of the departments under the jurisdiction of the hospital, the floor staff are familiar with this department, this position and hospital infection management related systems and requirements, and correctly implemented.

3, for all kinds of personnel at all levels of hospital infection management training program, training programs and training content, preparation of training manuals and design related knowledge and skills test questions.

Third, strengthen the targeted monitoring of hospital sense and carry out targeted prevention and control of hospital sense.

1. Hospital infection monitoring is carried out in a planned way, including targeted monitoring and comprehensive monitoring in the whole hospital. The scope of monitoring catalogue/list conforms to the requirements of "Hospital Infection Monitoring Standard". Hospital infection monitoring covers all hospital infection monitoring items and different specimen types, and has a complete record.

2. Focus on the management and monitoring of key groups such as supply room, ward, operating room, outpatient operating room, surgery, planting surgery and other high-risk factors such as cleaning, disinfection and sterilization of medical devices, and formulate prevention and control measures and workflow.

3. Conduct risk assessment on the departments with high risk of infection and infection control, and formulate targeted control measures.

4, continue to do a good job in the prevention and control of surgical site infection, and constantly improve the system and measures.

5, key departments such as operating room (including outpatient operating room), supply room and other hospital infection prevention and control system and measures to implement the monitoring data.

Four, do a good job in hospital infection outbreak emergency handling ability training.

1, according to the hospital situation, conduct training and drills, and re-establish the hospital infection outbreak reporting process and disposal plan.

2, there are various forms and channels, so that medical personnel and hospital infection related management personnel can get hospital infection information in time, open network information, and report the hospital infection epidemic in time as required.

3. Relevant personnel's awareness rate of hospital infection outbreak reporting process and disposal scheme reached 100%.

Five, continue to do a good job in the management of medical staff hand hygiene behavior norms.

1. Conduct "Three Points: Grading, Stratification and Grading" once every quarter, train and assess the health knowledge and skills of opponents, and incorporate them into the comprehensive target assessment of departments.

2. The awareness rate of hand hygiene knowledge of medical staff should reach 100%, the correct rate of hand hygiene should reach 90%, and the standard rate of hand hygiene should reach 70%.

Six, strictly implement the joint meeting system of multi-drug resistant bacteria management, strengthen management.

1, aiming at the diagnosis, monitoring, prevention and control of hospital infection with multi-drug-resistant bacteria, and combining with the actual work, constantly improve and formulate rules and regulations and prevention and control measures, and implement the management of multi-drug-resistant bacteria infection.

2. Regularly supervise the implementation of control measures for multidrug-resistant bacteria in wards, including hand hygiene measures, isolation measures, aseptic operation, cleaning and environmental disinfection systems, etc.

3, according to the bacterial drug resistance monitoring, joint medical department, medical machinery department to strengthen the management of clinical application of antibacterial drugs, the implementation of the rational use of antibacterial drugs.

4. Workflow of implementing MRSA, CRE, VRE, CRPAE and CRABA control measures. Improve and revise the cooperation mechanism and specific implementation plan of clinical departments, laboratory departments and hospital infection management departments in the management of multi-drug-resistant bacteria.

5, clinical laboratory regularly provide clinical trends of drug-resistant bacteria and antimicrobial sensitivity report.

6. Establish training system, training plan and implementation measures for clinical medical personnel and laboratory personnel to prevent multi-drug resistant bacteria infection.

7, continue to do a good job of bacterial resistance monitoring and early warning mechanism, and regular feedback (at least once a quarter); Timely publish the names and drug resistance rates of the top five pathogenic microorganisms in hospital infection; Statistical analysis of monthly microbial inspection rate of clinical therapeutic use of antibacterial drugs; Annual statistical analysis of clinical application of antibacterial drugs and microbial detection.

8. Investigation and statistics were made on "the implementation of prophylactic use of antibiotics in perioperative period" and "the standard of prophylactic use of antibiotics in class I surgery (variety selection, drug use opportunity, postoperative application time, etc.). )"; Relevant personnel know and implement rate management.

Seven, strengthen the management of hospital medical environment cleaning and disinfection, continue to do a good job in hospital management and supervision, formulate inspection standards, strengthen the assessment.

1, the layout of wards and outpatient departments should reasonably meet the requirements of specifications, the environment should be clean and tidy, the ventilation facilities should be good, and the air disinfection should meet the standards.

2, ward, outpatient department and related departments have hospital infection prevention and control related rules and regulations and work norms, and seriously implement them. The workflow of ward and outpatient departments conforms to the principle of hospital infection control.

3. Strictly implement hand hygiene standards, technical specifications for disinfection of oral instruments and medical waste management standards, so that medical personnel can use occupational protective equipment correctly.

4, develop the operating room, supply room, ward, clinical laboratory, outpatient department hospital feeling inspection standards to implement regular inspection assessment score, the assessment results into the medical quality assessment.

Eight, strengthen the supervision and information management of disinfection supply room.

1, guiding the disinfection and isolation system of the supply room and the ten processes of cleaning, disinfection and sterilization; And standardize the procedures and criteria for monitoring the cleaning, disinfection and sterilization effect.

2. The awareness rate of disinfection and sterilization knowledge of disinfection personnel is 100%, and they receive regular disinfection and sterilization training.

3. Establish the information system of hospital infection monitoring index system, and carry out monitoring work and record it according to the Norms for Hospital Infection Monitoring (WS/T3 12-20xx). There are monitoring information collection and feedback channels to ensure information quality.

Nine, strengthen the hospital staff awareness knowledge training and assessment work.

Educate and train medical staff on relevant knowledge and disinfection and isolation technology as planned, establish complete training and assessment records, and improve the training record manual.

Third hospital departments hospital consciousness demonstration work plan

In order to improve the quality of nosocomial infection management in our hospital, further improve the management of nosocomial infection and infectious diseases, and ensure the safety of medical care, the 20xx work plan is formulated:

First, hospital infection control

1. Go to each department every month to monitor the occurrence of hospital infection among inpatients, and urge clinicians to report hospital infection cases in time to prevent the outbreak or prevalence of hospital infection.

2, every month to the operating room, delivery room, hemodialysis room and other key departments of air, surface, staff hands, disinfectants, disinfectants, disinfection and sterilization items such as disinfection effect and environmental hygiene monitoring once. Found unqualified, strict rectification, until the monitoring results are qualified.

3. Every quarter to clinical departments and key departments for a disinfection and isolation quality inspection, feedback the inspection results, put forward improvement measures.

4, according to the requirements of hospital infection monitoring and management this year, with the national hospital infection monitoring and management training base, to carry out cross-sectional investigation of hospital infection.

Second, the application of antibacterial drugs

1, according to the relevant provisions of the implementation of hierarchical management of antibacterial drugs, regularly investigate the use of antibacterial drugs in inpatients.

2. Assist 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.

Third, infectious disease management.

1, collect infectious disease report cards, death medical diagnosis certificates and residents' malignant tumor report cards from various departments of the hospital every day, and do a good job in reporting the epidemic situation, death and tumor cases in the hospital.

2. Check the collected infectious disease report cards every day to ensure that their contents are complete and true.

3, after receiving the epidemic report card and death report, according to the prescribed time limit, through the national infectious disease epidemic monitoring information system for network direct reporting.

4. At the end of each month, consult the outpatient log of the whole hospital this month, the registration of admission and discharge, the examination results of radiology department and the positive results register of clinical laboratory, and make up the report in time if there are any omissions.

5. Register the death cases with the medical department every month, and report the missing cases in time.

6, conscientiously do a good job in the hospital epidemic management, report and inspection work of the superior health administrative department, and cooperate with the disease prevention and control department to do a good job in epidemic investigation.

Four. Supervision and management of medical waste

1, once a month to the hospital clinical support center for inspection, supervise the implementation of medical waste classification, collection, transportation and other systems, to avoid the loss of medical waste.

2. Check the medical waste transfer register once a month, and fill in any missing items in time.

Five, hand hygiene and occupational exposure protection

1, hand hygiene disinfection will be included in the quality inspection items of the department, and hand hygiene disinfection technology inspection will be conducted for medical staff once every quarter.

2, strengthen the publicity and education of occupational exposure protection knowledge, reduce the risk of occupational exposure.

3. After occupational exposure of medical personnel, they should be properly handled in strict accordance with relevant regulations.

Six, hospital awareness knowledge training

1. This year, we cooperated with new medical and educational personnel and conducted pre-job training on hospital awareness and infectious disease knowledge.

2. Train the medical staff in the hospital twice in different levels to improve their hospital awareness knowledge.