Departmental infection management requires the participation of all health care workers in the department, *** with the development and completion of the various preventive work developed by the Department of Hospital Infection. Here is what I bring about 2022 departmental infection Annual work plan, I hope you can make a difference!
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2022 department infection annual work plan (a)In order to improve the quality of infection management in our hospitals, to further improve the management of hospital infection management, infectious disease management, to protect the medical care, care safety. Special 20__ year work plan:
A hospital infection control
1, monthly to each department to monitor the hospital inpatient hospital infection occurs, urging clinicians to timely report cases of hospital infection, to prevent outbreaks of hospital infections or epidemics.
2, monthly operating room, delivery room, hemodialysis room and other key departments of the air, object surfaces, staff hand, disinfectant, disinfectant, disinfectant and sterilized items, such as disinfection and sterilization effect and environmental hygiene monitoring once. Found unqualified place, strict rectification, until the monitoring results are qualified.
3, quarterly clinical departments, key departments to disinfection and isolation quality inspection, feedback on the results of the inspection, and put forward improvement measures.
4, according to this year's hospital infection monitoring management requirements, with the national hospital infection monitoring management training base, to carry out a cross-sectional survey of hospital infections.
Second, the application of antimicrobial drugs:
1, in accordance with the relevant provisions of the implementation of antimicrobial graded management, regular investigation of the use of antimicrobial drugs in hospitalized patients.
2, to assist the Department of Laboratory Medicine regularly announced the hospital's top five infectious bacterial spectrum and its drug-resistant bacteria, for clinicians to provide a basis for the rational use of antimicrobial drugs.
Third, infectious disease management:
1, daily collection of infectious disease report card, death medical diagnosis certificate, residents of malignant tumor report card of the hospital departments, to do a good job in the hospital outbreak report and death, tumor case report.
2, every day on the collection of infectious disease report card audit, to ensure that its content is complete and true.
3, after receiving the epidemic report card and death case report, in accordance with the specified time limit, through the national infectious disease epidemic surveillance information system for network direct reporting.
4, at the end of each month, access to the hospital's outpatient logbook for the month, in and out of the hospital registration, discharge medical records, radiology examination results and test results of positive results of the registry, found that omission to make up for the report in a timely manner.
5, the monthly registration of death cases with the Medical Department approved, found that the omission of timely replacement.
6, conscientiously do a good job of the higher health administrative departments of the hospital's epidemic management, report the inspection work, with the disease prevention and control departments to do a good job of epidemic investigation.
Fourth, the supervision and management of medical waste
1, once a month to the hospital clinical support center inspection, supervise the implementation of medical waste classification, collection, delivery and other systems to avoid the loss of medical waste.
2, a monthly review of the medical waste handover register, found that the omission of timely fill.
V. Hand hygiene and occupational exposure protection
1, hand hygiene and disinfection included in the department of quality inspection projects, quarterly sampling of medical staff to carry out hand hygiene and disinfection technology assessment.
2, strengthen the knowledge of occupational exposure protection publicity and education to reduce the risk of occupational exposure.
3, after the occurrence of occupational exposure of medical personnel, strictly in accordance with the relevant provisions of the proper handling.
Six, hospital sensory knowledge training
1, this year, in conjunction with the medical education department to organize new personnel for hospital sensory, infectious disease knowledge of pre-service training.
2, the level of the hospital medical staff to carry out the knowledge of hospital infection training twice, to improve the level of knowledge of medical staff hospital infection.
2022 Department of infection annual work plan (two)Combined with the higher health administrative departments and our hospital infection control requirements, in order to improve the quality of our hospital infection management as the goal, my department according to the "Hospital Infection Management Code", "Disinfection Technical Specification" and "Prevention and Control of Infectious Diseases Act" and other relevant documents and regulations, to develop the corresponding hospital infection control plan as follows:
First, improve the management system, play the role of the system
1. To further strengthen the management of hospital infection, clear responsibilities, the implementation of the task, re-adjustment of the clinical departments to enrich the infection monitoring group, improve the three-tier network management system.
An outpatient nosocomial infection control team
Team leader
Deputy team leader:
Doctors nosocomial infection control members:
Nurses nosocomial infection control members:
2. Hospital infection management part of the Department of medical care quality inspection, the development of the corresponding rewards and punishments.
3. Develop a monthly plan, weekly arrangements, daily focus, in the implementation of the same time to do a good job of record-keeping.
Second, the hospital infection monitoring
1, medical records monitoring: control the infection rate and reduce underreporting
2, environmental monitoring; outpatient clinic environment, air, clothing, medical staff hand, disinfectant, sterile goods regular monitoring.
3, disinfection and sterilization monitoring: daily monitoring of disinfectant in use in the Department; monitoring of ultraviolet lamps in use, and the implementation of irradiation hours registration, regular replacement to ensure the quality of disinfection. Weekly self-inspection of disinfectants and disposable medical devices and items used in our department.
4, antibiotic use survey
Regularly check the use of antibiotics in the whole department to prevent the abuse of antibiotics.
3. The outpatient clinic strictly implement the triage system.
Fourth, the strict implementation of medical waste classification, collection, transportation and other systems to eliminate leakage incidents.
7, multi-channel training to improve the awareness of medical staff hospital infection.
viii. The occurrence of nosocomial infection timely completion of the report.
Nine, to take a variety of forms of infection knowledge training: centralized training and morning meeting departmental training organic combination, to increase the knowledge of medical staff of hospital infections, improve the awareness of hospital infection.
X. Hand hygiene and occupational exposure protection issues into my department of hospital infection control work in the focus, strengthen hand hygiene and occupational exposure protection.
2022 Department of infection annual work plan (three)In order to strengthen the prevention and control of hospital infections in our hospitals, to protect patient safety, improve the quality of medical care, maintain the occupational safety of medical personnel, so that the management of hospital infections is gradually moving towards scientific, systematic and standardized, combined with the actuality of the hospital, the development of the hospital infection management work plan for the year 20__ is as follows:
One, According to the laws, regulations and standardized documents issued by the State and the Ministry of Health concerning hospital infection, we will continue to revise and improve the relevant systems, measures and processes for the prevention and control of hospital infection in our hospital.
Second, to carry out training and education on the prevention and control of hospital infection.
This year, the Hospital Infectious Disease Division organized hospital-wide training at least four times (once a quarter). This year, the hospital focused on training knowledge related to disinfection and isolation, hand hygiene, occupational protection of medical staff, medical waste classification and disposal, etc.; each department combined with the actual development of the department's training program to improve the prevention and control of hospital infections of all personnel knowledge and business level.
Third, to carry out hospital infection monitoring
1, to carry out hospital infection hospital-wide comprehensive monitoring.
Clinical departments of health care workers found in a timely manner hospital infection cases, clinical departments of physicians to fill out the report card, according to the prescribed time limit and the way to report to the Department of Hospital Infectious Diseases.
The Hospital Infectious Disease Department confirms and verifies the reported cases of hospital-acquired infections, summarizes the monitoring information in a timely manner, gives feedback to the relevant departments, and jointly develops control measures with the relevant departments to reduce the incidence of hospital-acquired infections.
2, the year to carry out a hospital infection rate survey.
Fourth, to strengthen the respiratory tract, catheter-related urinary tract, skin, soft tissue and other major parts of the prevention and control of hospital infections.
Each clinical department to self-check the implementation of relevant systems and measures, timely detection of problems and improvement.
The Hospital Infectious Disease Division regularly to the clinical departments to carry out supervision, guidance, timely feedback on the existence of problems, and put forward proposals for rectification.
Fifth, the implementation of hand hygiene standards, the implementation of compliance regulation and improvement.
Configure convenient hand hygiene equipment and facilities to provide the necessary protection for the implementation of hand hygiene. Hand hygiene training for all hospital staff and assessment.
Hospital Sensory Department and departments regularly supervise, inspect, summarize and improve the standard hand washing.
Sixth, to strengthen the hospital cleaning, disinfection, sterilization, hospital isolation, aseptic technical operations and other work supervision and guidance.
Strict implementation of aseptic technology practices and disinfection and isolation system, disinfection work in line with the "Hospital Disinfection Technical Specification", isolation work in line with the "Hospital Isolation Technical Specification", to effectively cut off the transmission of exogenous infections, and minimize the transmission of exogenous pathogenic microorganisms caused by hospital infections.
VII, hospital disinfection, sterilization effect monitoring
1, the use of chemical disinfectants, sterilization agent concentration monitoring
Chlorine-containing disinfectants: once a day, the application of G-1 type disinfectant concentration test paper for rapid and simple test.
Glutaraldehyde: once a week, apply glutaraldehyde concentration test paper for rapid monitoring.
2, the use of disinfectants in the monitoring of bacterial contamination
Once a month, to carry out the use of disinfectants, skin and mucous membrane disinfectants in the monitoring of bacterial contamination.
3, pressure steam sterilization effect monitoring
Chemical monitoring: each package is monitored, the package outside the adhesive chemical indicator tape monitoring, the package is placed inside the chemical indicator card monitoring.
4, UV lamp disinfection effect monitoring
Daily monitoring: including lamp application time, cumulative exposure time.
Lamp irradiation intensity monitoring: quarterly monitoring, the application of ultraviolet intensity exposure indicator card test.
VIII. Regular monitoring of hospital environmental hygiene - medical staff hands, air, object surface monitoring.
Monthly routine monitoring of the operating room, laboratory, stomatology, endoscopy, clinical departments and other key departments, the failure of the project to analyze the reasons and develop improvement measures.
IX, do a good job of supervision and guidance on medical waste disposal.
Strict implementation of the medical waste management system, in accordance with the "Medical Waste Classification List" of medical waste to implement the classification of collection, placement, strictly prohibit the mixing of medical waste into domestic garbage, and prohibit the loss of medical waste, leakage, proliferation, transfer, trade.
Medical waste storage in a timely manner to the centralized disposal of medical waste disposal unit, do a good job of medical waste registration.
Medical waste collection, transportation, storage and other staff equipped with the necessary protective equipment.
X. Do a good job of occupational safety protection of medical personnel, minimize the risk of occupational exposure, to protect the safety of medical personnel.
The medical staff to carry out occupational safety and protection of knowledge training and guidance; for medical staff to provide the necessary protective items; medical staff in the event of occupational exposure, timely registration, reporting, assessment, prevention and treatment.
XI, hospital infection prevention and control work quality assessment and control.
The Hospital Infectious Disease Division to develop the quality of hospital infection control assessment and evaluation standards, based on this standard, the quality of hospital infection prevention and control of the various departments to assess the basic, link and end of the quality of the control and management, and constantly improve, continuously improve the quality of hospital infection management.
Hospital Infectious Disease Division of the hospital quarterly assessment of the quality of hospital infection work in all departments and parts of the hospital, from time to time to carry out special supervision, guidance, the problems found in the inspection, timely feedback to the relevant departments of the hospital, the deadline for rectification and re-inspection, supervision, until the correction.?
2022 Department of infection annual work plan (four)In the new year, the hospital infection management will adhere to the policy of prevention, in order to strengthen the management of hospital infections, improve the quality of health care, to protect the safety of the patient's goal to seriously grasp the hospital infection management of the various tasks, especially the development of 20 ___ years of hospital sensory work plan is as follows:
First, strengthen the education and training
1, the department monthly organized by the hospital to improve the quality of care, to protect the patient's safety, and the hospital infection management of the work of the hospital infection management. p> 1, the department organized a monthly hospital infection-related knowledge training, and make a good record.
2, the hospital sensory section of the annual organization of hospital-acquired knowledge of two lectures, taking a variety of forms of full training, examination papers, to improve the awareness of medical personnel to prevent hospital infections.
3, the implementation of pre-service training for new employees.
4, the hygienist medical waste collection and occupational protection knowledge training.
5, hospital sensory staff to participate in provincial and municipal hospital sensory continuing education training courses, in order to understand the province and the country's hospital infection management work development of new trends, new dynamics, to improve the level of infection management in our hospitals.
Second, the implementation of disinfection and isolation system, strengthen the effect of disinfection and sterilization monitoring and evaluation
1, the disinfectant used in various departments according to the performance of the timely replacement, timely disinfection and sterilization of instruments in accordance with the provisions of the qualification rate of 100%. Various catheters in use are sterilized and replaced according to regulations.
2, to strengthen the management of hand hygiene of medical staff, from time to time under the department to check the compliance of medical staff hand washing.
Third, to strengthen the monitoring of hospital infection, the implementation of hospital outbreak early warning report
1, strict "hospital surgical site management specification" implementation, monthly surgical incision infection monitoring.
2, give full play to the role of clinical surveillance management team, timely detection of hospital-acquired infections, the implementation of 24-hour reporting system.
3, clinical cases of hospital infection aggregation (3 cases of the same type) the implementation of hospital infection outbreak early warning report, analyze and investigate the source of infection, take effective measures to control the transmission pathway to prevent the occurrence of malignant hospital infection cases.
4, do a good job of occupational protection of medical personnel, each department will be each time the occurrence of occupational exposure and injury to the personnel reported to the Hospital Infectious Disease Branch, Hospital Infectious Disease Branch to do a good job of registering, protecting susceptible populations, and effective control of hospital-acquired infections.
Fourth, strict medical waste classification, collection, remote delivery, storage, transportation management, to eliminate leakage
1, medical waste according to the requirements of the classification placed, sealed, bag with a logo, out of the Department of registration, specialists to recover with a signature, sent to the medical waste storage place centrally placed.
2, medical waste transfer orders filled out by specialized staff, and save the stub for inspection.
2022 Department of infection annual work plan (five)In order to improve the quality of hospital care and medical safety, reduce the spread of disease, control the outbreak and prevalence of hospital-acquired infections, it is necessary to strengthen the management of hospital-acquired infections, and is now formulated to 2022 hospital infection management work plan.
First, further improve the hospital infection control systems and measures, continue to check the implementation of its systems and measures in accordance with the requirements of the "Second A" hospital accreditation, the operating room, supply room, delivery room, endoscopy, pediatrics, stomatology, laboratory, hemodialysis, and other key departments of the quality of the infection supervision, and to assist in doing a good job of hospital infection control work, prevention and control of hospital infections. Hospital infection control work, prevention and control of outbreaks and epidemics of nosocomial infections, and regular inspection and assessment of the quality of hospital infection linkage in all departments of the hospital.
Second, strengthen the knowledge of nosocomial infection training, and through a variety of forms of hospital staff to carry out nosocomial infection knowledge training, to let the staff to understand and pay attention to the importance of hospital infection management and the need to learn the relevant standards of hospital infections, and laws and regulations, to master disinfection, sterilization, aseptic technology concepts and operations and the prevention and control of hospital infections and other knowledge, and organization of staff Hospital infection knowledge test 1-2 times.
Third, seriously do a good job of monitoring and management of hospital infections, including the environment, air, aseptic items, such as health monitoring and evaluation of the effect of monthly spot checks of key departments, such as operating rooms, supply rooms, maternity wards, such as hygienic monitoring, supervise departments to do a good job of disinfection and sterilization isolation and other work, every six months on the whole hospital departments of the intensity of exposure to ultraviolet lamps to monitor and evaluate the effect of the failed, failed to disinfect the lamps and the effect of the The lamps and disinfectants that are not qualified for disinfection are urged to be replaced in a timely manner, and the newly purchased lamps are monitored for intensity, and qualified products can be put into use in the department.
Fourth, monthly statistics and summary of nosocomial infection cases in all departments of the hospital, supervise the clinical departments of the nosocomial infection cases report and summary, regularly under the department to understand the situation, sampling medical records for underreporting investigations, the hospital's nosocomial infection couples to analyze and summarize the report to the president and the president in charge of the report in a timely manner to the quarterly notification of feedback to the whole hospital departments, monthly outpatient prescription sampling, view the use of antibiotics, and calculated the number of antibiotics. The antibiotic use situation, and calculate the utilization rate.
Fifth, continue to strengthen the management of medical waste, often down to the department to check and supervise the collection of medical waste, classification and transportation norms. In accordance with the "Medical Waste Management Regulations" and other regulations in the requirements of medical waste standardized treatment.
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