In recent years, with the deepening of reform, the logistics service of our hospital has been gradually pushed to social security. The sanitation, cleaning and disinfection in the hospital are all done by the cleaning department. Because the cleaning staff in hospitals are mostly from rural areas or laid-off workers, they have a low education level and lack health knowledge and self-protection awareness. In addition, the mobility of personnel is large, there is a lack of systematic health knowledge training, the work is not standardized, and the system is not implemented. Therefore, there are various hidden dangers in this work, which can lead to hospital infection. Therefore, it is necessary to strengthen the knowledge training and supervision and management of hospital cleaning staff in order to better control hospital infection.
1 Risk factors of nosocomial infection
1, 1 Most cleaning staff come from rural areas and laid-off workers, with low education level, older age, lack of medical knowledge, poor ability to accept new knowledge, poor hygiene habits, low salary and high mobility. Although they all received training on hospital infection knowledge before taking up their posts, there are still many problems in their work.
1 2 the nonstandard work of cleaning staff is directly related to the infection rate and medical safety of the hospital. Because the cleaning staff have not received professional training, they are blind in their work, and often bring bad habits in their lives to work, such as wiping all bedside tables with towels, not hanging mops after use, and not using mops separately in different areas.
1 and 3 lack knowledge of disinfection and isolation. Because the cleaning staff's cultural quality is relatively low and the concept of disinfection and isolation is weak, although they have received training in cleaning before taking up their posts, they still know little about cleaning-related hospital infections and are unaware of the harm of disease transmission. It often happens that people directly touch dirt without wearing masks and gloves, clean or even sterilize things without taking off gloves after handling dirt, and the skin of hands is often polluted by patients' blood and body fluids or stabbed by sharp instruments. When preparing disinfectant, it can not be prepared strictly according to the required concentration, which will lead to the failure of disinfection effect and the spread and infection of microorganisms.
1 4 Poor self-protection awareness. Due to the lack of relevant medical knowledge, insufficient understanding of infection, careless thinking, and the particularity of occupation, cleaning staff have to deal with some medical waste and patients' domestic waste every day, and do not wear gloves when contacting cleaning items or taking off gloves when contacting dirt. In addition, if you don't know how to protect yourself, you will be easily stabbed by discarded sharp instruments, which will spread the disease and increase the chance of infection.
1, 5 Lack of effective management measures In recent years, the logistics service of our hospital has been gradually pushed to social security, and the management of cleaning personnel has been completed by cleaning companies. Because the managers at all levels of the cleaning company have a certain distance from the knowledge of hospital infection control, the management measures and various rules and regulations are not perfect, so the supervision is not in place. For example, the cleaning staff have long-term contact with dirt, dressings and sharp objects contaminated by blood and body fluids, as well as patients' excreta and secretions. If they do not operate according to the requirements of cleaning, disinfection and isolation, it will easily cause hospital environmental pollution and increase the potential risk of hospital infection.
2 Preventive measures
2. 1 Strengthen the pre-job training of cleaning staff and raise the awareness of infection control. Hospitals should train cleaning staff in a planned, purposeful and systematic way, and train cleaning staff in basic knowledge such as medicine and hospital infection in easy-to-understand language, so that they can initially understand the concepts of cleaning, disinfection and sterility, abide by various rules and regulations such as cleaning, disinfection, isolation and cleaning, change bad hygiene habits, and gradually master the basic knowledge of controlling hospital infection.
2, 2 to strengthen the standardization of cleaning staff, cleaning and disinfection work done by cleaning staff is mostly carried out without supervision. Therefore, first of all, we should strengthen professional ethics education and improve the consciousness of implementing cleaning and disinfection norms. Pay attention to the supervision of cleaning staff at ordinary times, cultivate their normative consciousness of cleaning, disinfection and isolation, and consciously implement various rules and regulations to ensure the quality of cleaning work and reduce the risk of hospital infection.
2, 3 to strengthen the self-protection education and publicity of cleaning staff, enhance the self-protection awareness of cleaning staff, and guide them how to protect correctly, if there is any injury, it should be handled in time and the correct treatment method. Strengthen the awareness of hand washing, guide the six-step washing method, pay attention to personal hygiene, wear gloves to isolate all contact with blood, secretions and pollutants, and ensure the health of cleaning staff.
2, 4 Establish and improve rules and regulations According to the requirements of hospital infection management and cleaning, disinfection and isolation, combined with the actual situation of the hospital, establish and improve the working system, job responsibilities, workflow and safety protection system of cleaning staff, so that they can have theoretical guidance and action basis in their work. Make the mechanism perfect, the system sound, the measures strong, and the rewards and punishments clear.
2.5. Strengthen supervision and inspection. The management of the cleaning company is responsible for supervising and inspecting the work and quality of the cleaning staff every day, and finding and correcting the mistakes and deficiencies in the cleaning staff's work in time. Hospital staff often go deep into the ward to understand the work of cleaning staff, point out the shortcomings and existing problems, order them to correct in time, and feed back the inspection results to the managers of relevant departments.
3 abstract
Hospital cleaning has its particularity, and managing hospital cleaning as an asset is one of the important measures for the socialization of hospital logistics services. Strengthen the pre-job training of cleaning staff, improve their awareness of cleaning, disinfection and isolation, and enhance their awareness of self-protection. Establish and improve various rules and regulations, strengthen supervision and inspection, so that they can have theoretical guidance and action basis in their work and consciously implement various rules and regulations. At the same time, strengthen ideological and moral education, so that they can truly understand the importance of hospital infection to individuals, families, hospitals and society.
Matters needing attention in hospital cleaning 1. Standardize the cleaning workflow and scientifically arrange the operation steps of employees. Operation process:
2. Arrange the daily work of employees in an orderly way, and each work has a timetable for managers to check.
3, safety protection:
The implementation of cleaning and safety protection is to safeguard the personal safety of employees, so that employees can go to work happily, work enthusiastically and easily, and get off work safely while ensuring safety.
4, disinfection and isolation requirements:
Disinfection and isolation is the basic system of hospital medical treatment, the basis of medical quality and an important link that cannot be ignored in medical management. Standardizing cleaning work as required is an important measure to avoid cross-infection and actively prevent it, and it is also a powerful guarantee for medical quality.
5, quality standards:
Quality is the life of cleaning work, and achieving quality standards is the purpose of cleaning work. For example, there are many users of outpatient toilets, which is difficult to manage. It is stipulated that quality standards must be published on the wall, and the names of cleaning staff should be clearly marked, which is convenient for users to supervise and enhance their sense of responsibility.
6. Improving the quality of employees is the key to improve the quality of cleaning work.
It is only a good start after the operating procedures and quality standards are formulated. To truly achieve the goal, it is still necessary to rely on people to complete everything, and people are the foundation.
Therefore, it is very important to improve the quality of employees, establish the idea of serving hospitals and patients wholeheartedly, and love their jobs. Have professionalism, and ask employees to firmly establish it in the process of performing their duties? Should I do it? , not? Do you want me to do it? Professional ethics.
In terms of business construction, we conduct operation training in batches before employees go to work, from their own safety protection to the operation and use of cleaning equipment, from the cleaning and maintenance requirements of various floors to the knowledge of disinfection and isolation, and conduct comprehensive and systematic training, and go to work after passing the examination one by one, changing the traditional concept that cleaning is low-level labor and everyone can do it.
7, strict management, is the guarantee of cleaning work standard.
Cleaning management is to make the hospital's environmental sanitation meet the hygiene requirements according to the quality standards. Doing a good job of cleaning has not only aesthetic significance, but also sanitary significance.
Summary of hospital cleaning work. Responsibilities of cleaning staff in outpatient department
Work summary: Responsible for the cleanliness of outpatient and auxiliary departments, and create a good environment for medical treatment and examination.
Job responsibilities:
1, responsible for the cleaning and disinfection of tables, chairs and beds in various departments and inspection departments.
2. Clean and disinfect the surfaces of telephones, computers and other electrical appliances and instruments.
3, clean the outpatient service stairs, corridors, handrails and doors and windows, walls, ground health.
4. Responsible for cleaning the desks, chairs and sphygmomanometers of nurses.
5. Assist the nurse to change the bed unit, usually once a week, and change it in time if it is dirty.
6, timely cleaning the outpatient public toilets, toilets, and strict disinfection.
7, timely eliminate the patient's vomit, secretions, etc.
8. Clean up the dirt and garbage in the clinic in time. According to the requirements of disinfection and isolation, medical wastes and domestic garbage are classified, packaged and cleaned before work, and garbage trucks are cleaned and kept.
9, the medical staff's clothing inventory handover inventory recipients, clothing cleaning handover inventory and tidy, establish clothing and work clothes register, daily inventory.
10. Assist the security guard to keep the patient's rain gear in rainy days, distribute bags, and be responsible for cleaning and drying the ground.
Second, the emergency cleaning responsibilities
Work summary: Clean up the emergency area in time and comprehensively to provide a clean environment for emergency medical treatment.
Job responsibilities:
1。 Scrub the appearance of beds, tables, chairs and instrument cabinets in the rescue room, treatment room and observation room several times a day.
2. Wash the blood and vomit on the ground and walls of the emergency area with disinfectant in time.
3, responsible for cleaning the doctor's office, nurses' station and duty room tables, chairs, cabinets and bookshelves, and in accordance with the requirements of medical staff, timely disposal of useless specimens, paper and patient relics.
4. Keep the appearance of telephones, computers and other medical devices and other medical AIDS clean and tidy.
5. Strengthen the key disinfection of tables, chairs, doors, handrails and bathrooms.
6, timely replacement of garbage bags in emergency areas.
7. Complete temporary assignments and various tasks.
8, the medical staff's clothing inventory handover inventory recipients, clothing cleaning handover inventory and tidy, establish clothing and work clothes register, daily inventory.
Three, ward cleaning responsibilities
Job Description: Responsible for the ward and the office of medical staff, providing a comfortable and clean environment for the ward.
Job responsibilities:
1。 Clean the beds, tables, chairs, cabinets, lamps, equipment belts, doors, windows, walls and floors in the ward.
2. do it well? Two pots and one mirror? Cleaning (washbasin, bedpan and mirror).
3, keep the ward corridor, doors, windows, walls, floors, handrails and stairs, elevator doors and signs clean.
4. Keep the tables, chairs, cabinets, refrigerators, pools and the surrounding environment of the nurse station clean and tidy.
5, responsible for the doctor's office, duty room, dressing room and treatment room doors and windows, tables and chairs and walls, floor and bathroom cleaning.
6. Mops should be marked with red, yellow, blue and white, and operated separately (red toilet, yellow corridor treatment room, blue ward, white duty room and lounge).
7. Wipe a rag on the bed and follow the rag mark. After finishing, soak the towel in disinfectant for 30 minutes in bed, then pick it up and dry it.
8, every morning to supply drinking water in the ward.
9. Clean and disinfect the boiling water room, dirt room and trash can.
10, the medical staff clothing inventory delivery inventory recipients, clothing cleaning delivery inventory finishing, the establishment of clothing and work clothes register, daily inventory.
Four, the operating room cleaning responsibilities
Job Description: Responsible for cleaning the operation area and providing a good operating environment.
Operating system
1。 In strict accordance with the regulations of the operating department, operating room work clothes, pants, hats, masks and gloves must be replaced before going to work.
2. Carefully clean and disinfect the operating table, tables and chairs, walls, floors and equipment outside the cabinet.
3. Thoroughly clean and disinfect the beds, tables, chairs, cabinets, glass doors and windows in the preoperative preparation room and postoperative resuscitation room.
4. Keep the nurses' desks, duty rooms, dressing rooms and bathrooms clean and hygienic.
5, timely disposal of garbage in the operating room, and in accordance with the provisions, into the corresponding color of garbage bags.
6, surgical gown, surgical pants unified pile up, and concentrated in the designated bag.
7. Keep the floors, walls, doors and windows, elevator lobby and stairs of the corridor clean.
8. It is forbidden to wear rings, watches and other accessories to prevent infection.
I. departmental objectives:
1, qualitative target
The qualitative goal is relatively stable, long-term and sustainable, which is the key goal of the development of this department. The qualitative indicators that hospital customer service centers need to focus on mainly include:
(1) departmental process design objective: All key process designs related to hospital service centers must be in place.
(2) departmental training objectives: the training plan for the business, skills and ideas of departmental personnel must be put in place.
(3) Implementation goal of management system: design and improve the rules and regulations of various departments to ensure that the implementation of the system must be strict and complete.
2. Quantify objectives
Quantitative objectives are quantifiable, easy to evaluate and implement, and key objectives related to departmental development.
(1) The service quality management objective that the department must strictly monitor, that is, the service satisfaction among customer satisfaction;
(2) Related indicators of hospital brand: such as popularity, reputation and loyalty;
(2) Department management indicators issued by the hospital: customer management compliance rate.
(3) Operating performance indicators issued by the hospital: such as the proportion of old customers, the completion rate of word-of-mouth customers, the on-site transaction rate, the appointment rate to the hospital, the number of members in the member center, the number of newly developed members, the number of member activities, etc.
For the customer service center, although quantitative indicators have the advantage of convenient assessment, they should not be too complicated.
Business performance indicators are the key to assessment, and service satisfaction is the basis of departmental assessment.
Second, the functional positioning:
This department is the main management and implementation department of hospital services, and also the main department of relationship marketing and membership expansion. The management work involved includes:
(1) telephone and network consultant
(2) Guide doctors
(3) Assistant to the outpatient doctor
(4) Membership activities and developers
Including the implementation, supervision and management of the above-mentioned personnel, customer service center, consultation center and member center.
Third, the department responsibilities:
Including business responsibilities, service management responsibilities and functional management responsibilities: