Shandong Province, hospital disinfection supply center assessment and evaluation procedures
(Trial)
Objects of assessment and evaluation
The province's hospitals at all levels and types of disinfection and supply centers, hospitals provide disinfection and sterilization services to the social disinfection sterilization agencies, the temporary implementation of the disinfection and supply of the work of centralized management of the hospital surgery (department) room.
Two, assessment and evaluation of the division of responsibilities
In accordance with the principle of who approves who is responsible for the principle of health administration at all levels is responsible for medical institutions within the jurisdiction of the disinfection supply center inspection and guidance, disinfection and supply center construction (new or renovation) of the program justification, review and acceptance and other work. Provincial health administrative departments are responsible for the province's health care institutions disinfection supply center management, the organization of the province's three hospitals disinfection supply center of new or renovated programs (drawings) of the demonstration, assessment and evaluation and issuance of certificates of qualification; municipal health administrative departments are responsible for the jurisdiction of the second level and other hospitals below the second level of disinfection supply center of new or renovated programs (drawings) of the demonstration, assessment and evaluation and issuance of certificates of qualification. Work.
County (district) level health administrative departments should refer to this standard, to strengthen the central health centers, township health centers and other primary health care units and the following level of disinfection supply center construction management.
Three, assessment and evaluation procedures
Assessment and evaluation is divided into three stages:
(a) construction demonstration (new or altered disinfection supply center). In order to avoid blind construction, medical and health institutions in the disinfection supply center before the new construction or renovation, should be the new construction or renovation of the program and drawings reported to the competent health administrative departments; by the health administrative departments to organize experts according to the requirements of the Ministry of Health disinfection supply center construction management documents and the "Shandong Province, disinfection and supply centers assessment evaluation criteria" for demonstration, put forward a written opinion; hospitals in accordance with the views of the demonstration of the construction.
(2) assessment and evaluation
1, self-examination. Hospital organization or the region's nursing, hospital infection management, supply room, logistics and other related areas of experts, according to "Shandong Province, disinfection supply center assessment and evaluation standards" requirements one by one cross-checking, audit, scoring, the experts signed; self-examination of qualified medical institutions to fill out the "Shandong Province, hospitals, disinfection supply center assessment and evaluation of the application form" a type of triple reported to the competent administrative department of health. Provincial (Ministry of) medical institutions directly to my Office of the Medical Affairs Department.
2, review. Health administrative departments within 30 working days after receiving the application for assessment and evaluation, the organization of experts in accordance with the "Shandong Province disinfection supply center assessment and evaluation standards" for on-site audit, scoring, with the signatures of the personnel involved in the acceptance; and in the "Shandong Province, the hospital disinfection supply center assessment and evaluation of the application form" on the signing of opinions, seal.
Three licenses. Three hospital disinfection supply center, organized by the provincial Department of Health assessment of qualified, issued "hospital disinfection supply center certificate", valid for three years.
Second-level and the following hospital disinfection supply center, the municipal health bureau organization after passing the audit, issued by the "hospital disinfection supply center certificate".
"Hospital disinfection supply center certificate" should include: the name of the institution, the name of the legal representative of the hospital, the supply center address (specific to the floor of the building number floor), number, licensing authority, the date of issuance of certificates, validity and so on.
Four, assessment and evaluation of the audit materials submitted
A "Shandong Province hospital disinfection supply center assessment and evaluation of the application form"
Shandong Province, two disinfection supply center assessment and evaluation of the standard "self-examination scorecard"
Three other documents:
1, the medical institutions license to practice (a copy of);
2, disinfection supply center staff practice certificate (copy);
2, disinfection supply center staff practice certificate (copy). Center staff related practice certificate (copy);
3, disinfection supply center staff to participate in the provincial health administrative department or commissioned by the organization of the relevant technical training certificate; disinfectant need to hold the local Quality and Technical Supervision issued by the "Chinese People's Republic of China *** and the State of the special equipment operator certificate".