1. Strictly implement the "Disinfection and Isolation System" and "Medical Waste Disposal Regulations".
2. Focus on checking the rationality of the layout, zoning and placement of items in treatment rooms, dressing rooms, wards and other areas.
3. Sterile items should be guaranteed to be 100% qualified, placed in special counters, and arranged in the order of disinfection and sterilization. The name of the item, sterilization date, expiration date, sterilizer number, and The batch and the name of the packager; there should be a chemical indicator card inside the package, and the package should be free of moisture, damage, and moderately tight; mark the time after opening the package, and it will be valid for 24 hours.
4. Sterile tray: It should be used as it is, marked with the time (validity period is 4 hours), and replaced in time (for intramuscular injection in a small pot to add medicine).
5. The opening time of the sterile solution should be marked. The effective time according to the purpose is - the effective time of the sterile solution is ≤ 4 hours; the dispensing, atomization and other solvents are ≤ 24 hours; the withdrawal of the medicinal solution is ≤ 2 hours. Therefore, they should be prepared immediately before use; special drugs such as insulin should be stored at room temperature for intramuscular injection and should be stored in the refrigerator for infusion. Please read the instructions.
6. The alcohol/iodophor container should be kept closed and sterilized twice a week. The sterilization date should be marked on the container.
7. The tongs are individually packaged and sterilized once for each use, in a Class II environment. The dry cans are marked with the sterilization date, activation date and time, and must be replaced every 4 hours.
8. Pay attention to the expiration date of disposable sterile items, keep them intact (opened items cannot be stored again), and should be used once.
9. The items in the treatment cart are placed in an orderly manner, with the upper level clean (treatment trays, hand sanitizer and infusion liquids, etc.) and the lower level contaminated (sharp tool boxes, garbage bags, used items, etc.).
10. For hand hygiene, medical staff should choose hand washing, hygienic hand disinfection or surgical hand disinfection according to the operation content, and regularly monitor the disinfection effect.
11. The refrigerator should be clean and tidy, with no expired personal belongings. It should be cleaned every week, defrosted regularly, and stored medicines must be registered.
12. For morning and evening care, bed units should be wet cleaned one set per bed (one time). The total number of bed sweeping sets should not be less than the number of beds. The bed sweeping sets should be soaked and disinfected with chlorine-containing disinfectant.
13. When a patient is transferred, discharged or dies, the bed unit should be terminally disinfected, the ward should be ventilated, the air should be exposed to ultraviolet rays, and surfaces should be wiped with chlorine-containing disinfectant.
14. The tabletop should have one table and one cloth, no less than the number of beds, and should be disinfected and dried after use.
15. Each pipe (oxygen suction pipe) in the equipment panel should be closed when not in use.
16. The ward is clean and the air is fresh (ventilate for 30 to 60 minutes after morning and evening care). The floor is wet-cleaned and disinfected immediately when contaminated (wiping with chlorine-containing disinfectant).
17. Change bed sheets, quilt covers, and pillowcases once a week. Change them at any time if they are contaminated. Beddings should be disassembled, washed and disinfected regularly. Dirty clothes should be replaced. Dirty clothes should be placed in the dirty clothes bag or on the lower floor of the treatment vehicle (no counting in the ward or corridor is allowed). ).
18. The concentration of chlorine-containing disinfectant reaches the standard (generally 500mg/L, 2000mg/L for special infections), and nursing staff should master the preparation and use methods.
19. Carry out regular environmental hygiene testing, wipe and monitor the intensity of UV lamps.
20. The medicine cup should be soaked and disinfected with chlorine-containing disinfectant every week, and dried before use.
21. Tourniquets should be used by one person and disinfected at the same time. 22. After use, soak in chlorine-containing disinfectant and store in a dry place.
23. The oxygen tube/mask is disposable.
24. Treatment equipment and utensils such as dressing packs, debridement packs, etc. should be cleaned first after use and then disinfected by the disinfection supply center. Double disinfection is implemented for special infections.
25. For public utensils, such as thermometers, the quantity should be ensured to be sufficient. After use, they should be soaked in chlorine-containing disinfectant and dried for later use. The blood pressure cuff should be kept clean, and chlorine-containing disinfectant should be used when it is contaminated. Soak for disinfection, and wipe and disinfect the stethoscope and flashlight with 75% alcohol.
Legal basis: "Basic Medical Care and Health Promotion Law of the People's Republic of China"
Article 4 The state and society respect and protect citizens' right to health.
The country implements the Healthy China strategy, popularizes healthy living, optimizes health services, improves health security, builds a healthy environment, develops health industries, and improves the health level of citizens throughout their life cycle.
The state establishes a health education system to protect citizens’ rights to health education and improve citizens’ health literacy.
Article 5 Citizens have the right to obtain basic medical and health services from the state and society in accordance with the law.
The state establishes a basic medical and health system, establishes and improves a medical and health service system, and protects and realizes citizens' rights to obtain basic medical and health services.
Article 6 People’s governments at all levels should put people’s health in a strategic position of priority development, integrate health concepts into various policies, insist on giving priority to prevention, improve the health promotion work system, and organize and implement health promotion policies. Plan and take actions to promote national fitness, establish a health impact assessment system, and incorporate the improvement of citizens' main health indicators into the government's target responsibility assessment.
The whole society should jointly care about and support the development of medical and health services.