Personal summary of disinfection supply room 1 disinfection supply room is the general logistics of hospital clinical work. Responsible for the disinfection and supply of various instruments, dressings and other sanitary materials in the clinical front line. The quality of its work directly affects patients' life safety and medical quality, and even worse, it will affect the reputation of the hospital. Therefore, our hospital has taken effective management measures from both hardware and software to prevent hospital infection.
Sound leadership and management system
The disinfection supply room in our hospital is directly led by the vice president in charge of nursing, and the nursing department and the nosocomial infection department provide professional guidance, supervision and inspection. The department has a quality supervisor and a member of the nosocomial infection team to assist the head nurse in quality inspection of various medical supplies. The staff in the department should have a clear division of labor, but they all help each other to form a complete leadership and management system.
Construction of high-standard hardware facilities
In strict accordance with the requirements of the Ministry of Health's Acceptance Standard for Hospital Disinfection Supply Room, the most reasonable structure has been achieved in the building. The room is far away from pollution sources and close to clinical departments, and is in a relatively independent and pollution-free area. The indoor three rooms are clearly divided into polluted area, clean area and sterile area. Take the way of compulsory traffic to form a "dirty-clean-sterile" running route, so that people and logistics do not cross retrograde. The floor, wall surface and roof are smooth, and the wall is placed, and the floor is rubbed with glue, which is convenient for cleaning and disinfection and does not drop dust. The room is also equipped with ventilation and purification equipment, hot and cold water devices, ultraviolet disinfection facilities, and an advanced pulsating vacuum pressure sterilizer has been purchased to prevent nosocomial infection caused by outdated facilities.
Effective quality monitoring standards
Quality inspection standards for medical supplies and staffing; The nursing department rationally allocates human resources and sends high-quality and responsible personnel to the supply room. Nursing department and hospital infection department regularly go to the department for business guidance, supervision and inspection. Departments conduct "three basics" knowledge tests on staff every month, regularly learn the knowledge of hospital infection, improve the staff's awareness of disinfection and isolation, and strictly implement various technical operating procedures to prevent the prevalence of hospital infection caused by human factors. There are strict quality control standards for the classification, cleaning, disinfection, packaging and sterilization of all kinds of medical supplies. The head nurse and quality inspector will randomly check at any time in their work to ensure the disinfection and sterilization effect of medical supplies.
Bacterial and microbiological detection standards
Environmental microbial detection; Indoor sanitation shall be cleaned by wet method twice a day, and the ultraviolet radiation amount shall not be less than 1h every day. There is also a system of regular and regular disinfection by ozone sterilizer. The disinfectant is wiped 1 time every day, cleaned once a week and thoroughly cleaned once a month. Use rags and mops for each area, and hang them dry after use. Regularly detect bacteria and microorganisms in the air and the surface of objects in each area, and the number of bacteria in the air and the surface of objects in each area is within the normal range and does not exceed the standard.
Microbial detection of disinfectants; The disinfectants used in our department have been strictly tested by our pharmaceutical laboratory. In order to ensure its disinfection effect, disinfectants are now prepared, especially chlorine-containing disinfectants, which are highly volatile, so they should be tested every day. Biological detection solution, its bacterial content
Sterile goods testing; Hospital infection department will send special personnel to the department to sample sterile items from time to time, and microorganisms shall not be detected in sterile items.
Inspection standard for disinfection and sterilization equipment
Detection of ultraviolet lamp; In order to ensure the effective performance of ultraviolet lamp, daily inspection, intensity inspection and biological inspection are carried out on ultraviolet lamp. Strict principles for the use and maintenance of lamps. The contents of daily inspection include the service time, cumulative irradiation time and user's signature of the lamp. Conduct 1 strength test every quarter to ensure that the strength of new lamps is not less than 100μW/cm2, and that of lamps in use is not less than 7μW/cm2. Biological experiments should be carried out when necessary.
Effect detection of pressure sterilizer Pulsating vacuum pressure steam sterilizer is adopted in our hospital. Carry out B-D test before sterilization every day to ensure that there is no residual cold air in the cabinet. Check the process of each pot and make records. Each package must undergo chemical testing, biological testing with thermophilic Bacillus slices every month, and sterilizer maintenance every week.
Due to effective management and quality inspection measures, there has never been any hospital infection caused by unqualified disinfection items in our hospital. In our daily work, we will make persistent efforts to make more and better achievements for the logistics work of the hospital and ensure the safety of hospital infection and patients.
Personal Summary of Disinfection Supply Room In the past 2 xx years, under the direct leadership of hospital leaders and nursing department, we have taken clinical needs as the center and ensured medical safety as the goal, attached importance to the relationship between hospital infection and supply room, and continuously improved the quality of nursing. Meet the supply of clinical sterile articles and earnestly perform the duties of disinfection supply room. The work of this department for one year is summarized as follows.
First, strengthen departmental management and establish and improve various rules and regulations.
Carry out job responsibilities, conscientiously implement the three industry standards of disinfection supply room, and formulate organizational management and equipment receiving workflow according to the requirements of post training in xx years.
Two, strengthen the quality management of sterile goods, the implementation of quality control.
1. Pay attention to the cleaning and packaging quality of instruments. For reusable instruments, strictly implement the workflow of recycling, sorting, cleaning, disinfection, drying, inspection, packaging and sterilization, check the packaging of a set of instruments, and count the instruments and articles placed in some packages, which is convenient for both parties to check and reduce the loss of articles. Timely rectification of problems found in the work.
2. Strictly implement the monitoring system, monitor the records of the traceability process of cleaning, disinfection and sterilization quality, and save all monitoring records as required.
3. Strictly implement the operation process of sterilizer, and carry out physical, chemical and biological monitoring on sterilized articles. The qualified rate of disinfection is 100%.
4. Standardized the management of foreign instruments and implantable articles, and formulated the registration and handover system of foreign instruments. Through centralized cleaning and disinfection management of foreign instruments and implants, medical safety is improved and the safety of patients is guaranteed.
Third, adhere to the receiving and dispatching system, communicate with clinical departments, improve work in time, expand service projects, and meet clinical needs.
1. Plastic packaging is used for some instruments that are not commonly used, so as to extend the validity period, reduce the clinical workload and return the nurse's time to patients.
2, take the initiative to make a phone call to the clinical department to ask about the clinical items needed, and change them in time, so as to avoid forgetting to change the spare items because of the busy clinical work, which will affect the work needs.
3. Develop various cotton ball bags according to work needs to meet clinical needs.
Fourth, pay attention to the training of department personnel.
1. Make an annual study plan, break down the three industry standards of disinfection supply room into monthly study contents, ask questions about the study contents from time to time, and evaluate the study contents once every six months.
2. In the first half of the year, we conducted training on equipment safety operation and common troubleshooting.
3. The department sent 1 person to Guiyang for post training of disinfection supply.
Five, pay attention to the management of hospital infection, timely cooperate with the work of hospital infection department, improve the awareness of safety and personal protection, and the supply room has no occupational exposure and disinfection throughout the year.
Shortcomings in work
1. Manual records are required to be traceable. The contents of the cleaning process and the use record of sterile articles are missing, and the traceability is not perfect.
2. The staff do not have enough professional knowledge and lack forward-looking safety awareness.