Sense of control hierarchical management system at all levels of the main body including the hospital sense of control committee, sense of control management department, clinical and medical management team, sense of control full-time and part-time staff.
I. Hospital sensory control committee.
1, conscientiously implement the hospital infection management laws and regulations and technical specifications, standards, the development of the hospital to prevent and control hospital infection rules and regulations, responsibilities, processes, emergency plans, infection prevention and control measures, and supervise the implementation.
2, according to the prevention of hospital infections and hygiene requirements, the hospital's architectural design, the construction of key departments, the basic standards, basic facilities and workflow review and comments.
3, is responsible for studying and determining the hospital infection management program, and the implementation of the program for assessment and evaluation.
4, is responsible for studying and determining the key departments of hospital infection, key links, key processes, risk factors and interventions to be taken, and clarifying the responsibilities of all relevant departments and personnel in the prevention and control of hospital infection.
5, is responsible for the development of a meeting system, regular research, concordance to solve problems related to hospital infection management, and focus on the implementation of the solution to key or difficult problems.
Two, sensory control management department.
1, according to the national and higher health administrative departments related to hospital infection management regulations, standards, the formulation of hospital infection control planning, work plan, organization and development of hospitals and departments of hospital infection management rules and regulations, and the implementation of inspection and guidance.
2, is responsible for the hospital at all levels and types of personnel to prevent and control hospital infection knowledge and skills training, assessment. Provide guidance on infection control of infectious diseases.
3, is responsible for monitoring the incidence of hospital infections, regular monitoring of hospital environmental hygiene, disinfection, sterilization effect, monitoring, supervision, timely summary, analysis, feedback, found that the problem, the development of control measures, and supervise the implementation.
4, hospital infection outbreaks occurring in the hospital to investigate and analyze, organize the relevant departments to carry out emergency response, put forward control measures, and organize the implementation.
5, to participate in the Pharmacy Management Group on the application of anti-infective drug management, participate in bacterial drug resistance monitoring, to assist in the formulation of rules and regulations for the rational use of drugs, and participate in the supervision and implementation. Strengthen the management of multi-drug resistant infections.
Three, clinical and medical management team.
1, under the leadership of the director of the department, is responsible for this section of the hospital infection management, according to the characteristics of the department, the development of management systems, well organized.
2, the hospital infection cases and infection link monitoring, take effective measures to reduce the incidence of hospital infection in this room, found that there is an epidemic of nosocomial infections, or virulent infectious diseases, timely report to the Hospital Infection Management Division (or preventive health care), the well survey to investigate the cause, and actively deal with the patient.
3, supervision and inspection of the use of anti-infective drugs in the room, the rational use of hangnail.
4, the organization of this section of the prevention and control of hospital infection knowledge training.
5, supervise the implementation of aseptic operation techniques, disinfection and isolation system in this room.
4, sensory control full-time and part-time personnel.
1, under the leadership of the director of the department, the head nurse, at the beginning of each year, the organization of the department of the previous year's in-depth analysis of the status of the department's management of hospital infections, to find the department of high-risk factors and high-risk links, the department of the sense of the risk of control and the focus of the summary, to assist the head nurse in the development of the characteristics of the department's infection management plan.
2, for multi-drug-resistant bacteria patients, the doctor prescribed contact isolation, supervise the implementation of preventive and control measures to reduce the incidence of hospital infections in this section, found that the trend of the epidemic in a timely manner to report to the Office of Sentinel Control and assist in the investigation.
3, a monthly survey of the department of medical staff hand hygiene compliance, hospital infection management register on the truthful record for summary, the department of hand hygiene compliance rate, the existence of problems in a timely manner to analyze the reasons and rectification.
4, key departments need to carry out environmental hygiene monitoring according to the specified time, the results on file.
5 mastery of hospital infection outbreak reporting process and disposal plan, conduct drills, guide the implementation of departmental prevention and control measures to improve emergency response capabilities.