Hospital infectious patients, should be based on the transmission pathway, respectively, close isolation, as well as respiratory, digestive, contact, insect and blood isolation. Here is my carefully organized for you to hospital infection management system related content, I hope you will like!
A hospital infection management system
(a) the establishment of the hospital infection management committee, departmental hospital infection management team and hospital infection full-time (part-time) managers of the three-tier monitoring organization, to carry out monitoring of hospital infection.
(2) The Hospital Infection Management Committee should hold regular meetings to listen to the work of the hospital infection management personnel, research and improve the work.
(C) hospital infection management full-time (part-time) staff should be based on the hospital infection surveillance program, every six months 1 hospital environmental health, microbial contamination, disinfection and sterilization, sewage treatment, etc., sampling and testing, a monthly survey of the incidence of hospital infections, and regular assessment of disinfection and isolation techniques for medical staff.
(d) The department should designate a physician or nurse in charge of monitoring the incidence of hospital infections, discovering problems, providing timely feedback, and proposing improvement measures.
(e) to strengthen the publicity and education of the management of hospital-acquired infections, to understand the significance of hospital-acquired infection monitoring work, to master the knowledge of monitoring, and to improve the monitoring level of health care personnel.
Second, the hospital infectious agent management system
(a) hospital infectious patients, should be based on the transmission pathway, respectively, close isolation, as well as respiratory, digestive, contact, insect and blood isolation.
(ii) strict implementation of sterilization routines, infectious patients discharged, transfer, death, etc. leave the isolation area, all items must be final disinfection.
(C) test infectious specimens, should prevent contamination of the workbench, floor, clothing and so on. Test completed specimens should be disinfected and then processed, the test sheet should be disinfected before issuance, strains should be kept by a special person, a special register.
(d) of the infected infectious patients should be treated as soon as possible, medical personnel in contact with infected patients should be strictly enforced sterilization, isolation system.
(e) high-risk area staff should be carried out on a regular basis with the bacterial examination, according to the results of the examination to take appropriate measures.
Third, the environmental health management system
(a) smoking is prohibited in the hospital room, so that the air is fresh, no mosquitoes, no flies, no rodents, no cockroaches, regular cleaning, and sanitation utensils dedicated room.
(b) Prohibit spitting, throwing dirt and sewage.
(c) The discharge of sewage in the hospital should be in line with national standards for the discharge of hospital sewage.
(d) all kinds of medical equipment, indoor tables, chairs, operating tables, ground and air disinfection should be in accordance with the "Medical Care Technology Operation Routine" and "Disinfection Management Measures" in the implementation of the relevant requirements, and regularly monitor the concentration of disinfectants, the effect of disinfectants, and the air bacterial content.
(E) medical staff before and after the operation, must wash their hands in accordance with the requirements, the infection of high prevalence areas of medical staff before and after the operation should be disinfected hands, a variety of injections, puncture, blood collection instruments must be one person, one with a sterilized, single-use medical and health supplies, after the use of timely recycling must be centralized and destroyed.
(F) *** with key monitoring departments (disinfection supply room, operating room, treatment room, injection room) should be strictly enforced disinfection routine, has been disinfected, sterilized items should indicate the expiration date, and regular bacteriological monitoring of sterilized items and air.
Fourth, the hospital infection prevention system
1, health care workers into the room, should be neatly dressed, strictly aseptic operation, wearing masks, hats.
2, to do sterile items and non-sterile items placed separately, the upper level of the treatment cart for the clean area, the lower level for the contaminated area.
3, rinse, nebulizer, laser, microwave and other treatments to do a person with a one-item disinfection (sterilization) a wipe (disinfectant wipe) (chlorine disinfectant), rinse with a one-item medicinal solution, not long exposed in the air, the patient treatment is completed in a timely manner to organize.
4, open the sterile solution needs to be used within 4 hours, a variety of solutions shall not exceed 24 hours indicated open time.
5, placed in the container cattle of sterile items once opened, the preservation time does not exceed 24 hours.
6, after the use of disposable items in a timely manner to destroy the shape, placed in a designated container centralized soaking treatment, loaded with yellow garbage bags sent to the designated location.
7, the ground, desktop 2 times a day with chlorine disinfectant wet cleaning.
8, holding pliers dry storage, open and write on the open time, the use of time does not exceed 4 hours, the ointment cylinder written on the date of disinfection, expiration date, open time, holding saline cotton balls open 24 hours after replacement, holding iodophor ointment cylinders, the second weekly replacement.
9, ultraviolet irradiation half an hour a day, and have records, ultraviolet intensity every six months to monitor
tube once a week with 95% alcohol gauze wipe, air culture once a month.
10, weekly cleaning once a week, thoroughly clean doors, windows, walls, floors and object surfaces.
11, daily check for expired items, general sterilization items shall not exceed one week.
12, non-therapeutic items are not allowed to enter the treatment room.
V. Antibiotic use system
(a) The hospital regularly investigates and analyzes the use of antibiotics in the hospital, and puts forward improvement measures for the problems; and develops management methods for the rational use of antibiotics.
(2) Physicians at all levels should strictly grasp the indications for antibiotics and the route of administration, to avoid the abuse of drug-resistant strains of bacteria and the increase in the normal bacterial dysbiosis, the joint application of antibiotics should be a clear indication, and should take into account the drug interactions, to prevent adverse reactions, and the external application of antibiotics should be strictly controlled.
(C) has been identified as a simple viral infection disease, do not use antibiotics. The cause of fever is unknown, should be as far as possible to clarify the aetiological diagnosis before the use of antibiotics. Patients with particularly serious bacterial infections, in blood or body fluids sent to the bacterial culture can be initially selected antibiotics, to be the bacterial culture results of the mountain to come, and then according to the results of bacterial drug sensitivity test to guide the use of medication.
(d) Acute bacterial infections using antibiotics for 3-5 days, and the clinical effect is not obvious, should consider adjusting the dose and route of administration, or according to the results of bacterial culture and drug sensitivity tests to adjust the antibiotic.
(e) After the bacterial infection is effectively controlled, antibiotics should be discontinued in a timely manner.
(6) In general, antibiotics are not used as prophylaxis, but can be used as short-term prophylaxis or one-time prophylaxis in special cases.
(7) The use of antibiotics should be based on the principle of effective, adequate amount, the development of individualized drug delivery program, to determine the dose and duration of treatment, to master the contraindications of drug dispensing, concentration, drip speed, prevention of allergic reactions and rescue.
(H) The Pharmacy Department should establish a registration system for the entry and exit of antibiotics and the consumption of various types of antibiotics, and implement restrictive application of expensive antibiotics and antibiotics with greater toxicity and side-effects, and regularly report on the clinical use of antibiotics and the existence of problems.
Medical information work system
A medical statistics system
(a) medical registration, statistics is to improve the work of the hospital, strengthen the quality of medical management of the scientific basis, each department and the relevant personnel should be conscientiously responsible for the summary and collection of reports and information, on schedule, analysis, statistics, reported.
(b) The outpatient department should do a good job of outpatient registration and hospitalization registration, fill in the hospitalization card and infectious disease report card, and summarize the movement of patients in various departments, and report to the medical department and medical information statistics room every day.
(C) the clinical departments of the patients in and out of the hospital should fill out the first page of the case, hospital registration and patient flow daily, the rescue of critically ill patients, to carry out new technologies, new businesses, hospital infections, medical errors and accidents, as well as blood transfusion, transfusion reactions, etc. should be registered in detail and reported in accordance with the provisions of the report.
(d) Medical and technical departments should do a good job in the quality of the work of registration, statistics, and reported on time.
(e) Medical information statistics office is responsible for the collection, collation, analysis and reporting of medical information in the hospital, the implementation of statistical services and statistical supervision, and do a good job of health statistics reports, and report on time.
(F) a variety of medical registration, statistics, should be filled out completely, accurately, clearly written, properly stored, health statistics statements should be kept permanently.
(G) the time of the various reports
1, daily: the next day at nine o'clock in the morning to report (except for holidays and other special circumstances).
2, the monthly report: reported before the 6th of the following month.
3, quarterly report: the first quarter of the next month before the 10th report.
4, annual report: January 20 of the next year before the report.
5, half-yearly report: reported before July 15th.
6, the annual statistical summary in the first quarter of the next year.
7, inpatient disease classification annual report in the next year before January 15 report.
Second, the case management system
(a) The hospital case room is responsible for the collection, organization and storage of hospital cases.
(b) To build a card number according to the classification of disease, unified and centralized management.
(C) shall not be unauthorized access, transcription, copying of medical records.
(d) Copying the case, you must hold a letter of introduction to the unit, approved by the Medical Department, can be carried out.
(e) involving medical disputes or accidents in the case, in the absence of identification and treatment, should be properly stored by the Medical Department, any individual without the approval of the leadership of the hospital, may not borrow, transcribe or copy.
(F) the case room should be discharged on time case filing, the right to the clinical department to inquire about the whereabouts of the unreturned cases, on time to the hospital leadership written report on the filing and management of the case.
(VII) hospitalized cases should be permanently preserved, and to comply with the confidentiality of case information system.
(viii) to keep the case room clean and tidy, do a good job of fire, moisture, loss prevention, indoor smoking should be prohibited.
Third, the book management system
(a) The library should be in accordance with the "Chinese book classification method" of books and periodicals for registration, classification, cataloging, shelves, a sound collection of books directory, to facilitate readers to query.
(2) All the staff of the hospital to borrow books, you must apply for a library card, vouchers for borrowing, leaving the hospital to return the book return? The certificate? Procedures, each borrowing of books and periodicals shall not exceed two books, borrowing time shall not exceed one month, overdue, the library has the right to call back, more than three months do not return, according to the loss of the book deductions to compensate (the original price of the book 3-5 times).
(C) readers should take care of books and materials, borrowed books must be properly stored, not in the books and publications on the batch of painting, writing, tearing, cutting, damage and loss, violators of the provisions of the compensation, where the loss or loss of the library's orphaned or higher value of books and publications to be added to the 5-10 times compensation.
(d) The library staff should closely cooperate with the medical, preventive, teaching, scientific research and other tasks, take the initiative to provide relevant information, regularly introduce new books and magazines.
(e) Recent magazines, tools and library only survived the book, only allowed to read indoors, not out of the outdoors.
(vi) The library should be kept quiet and clean, no smoking, the periodicals on the shelves, reading should be put back to the original place, not by the managers agreed, not to take the periodicals privately.
Fourth, the microcomputer work system
(a) staff use of computers, you must take care of computers and other auxiliary equipment in the computer room, the use of various equipment in strict compliance with the operating procedures. The application software should be regularly detected and processed, external software without detection and processing, shall not be used and copied.
(b) strict implementation of the confidentiality system, to do a good job of all kinds of information custody. In the use, all according to the relevant confidentiality system, shall not be outsourced, lost, leaked.
(b) The machine room should be kept clean, the machine room is strictly prohibited smoking, guests clamor, play games and all other activities not related to work, prohibit the entry of idle personnel into the machine room.
(d) Information should be managed by a person responsible for information, where the need to call, copy, should be approved by the leadership.
(e) work is completed to turn off the machine, cut off the power, close the doors and windows to ensure safety.