There are about medical emergency plan (General 5)
In the study, work or life, sometimes there will be some unexpected accidents, in order to avoid things worse, it is necessary to need to formulate an emergency plan in advance. So what kind of emergency plan is good? Here is what I help you organize about the medical emergency plan (generic 5), welcome to read and collect.
Medical emergency plan 1
I. Preface
According to national laws and regulations as well as the relevant provisions of our hospital, the development of this plan.
Second, the purpose
To ensure that in the event of medical waste accidents, timely and effective measures to quickly control the accident to a minimum, to prevent accidents on the human body injuries or environmental pollution to expand, and do our best to reduce the degree of harm.
Third, the plan to start the conditions
Where the hospital within the scope of the accident occurred in the medical waste, that is, the start of this plan.
Fourth, the medical waste accident refers to: medical waste is not in accordance with the "Hospital Medical Waste Management Measures" requirements of the loss, leakage, proliferation and human injury.
V. Countermeasures and measures
(a), organizational leadership, departmental cooperation
When an accident occurs in the medical waste, the accident should be reported to the leadership of the department and the hospital emergency response office of the emergency public **** health incident, the office reported to the hospital leadership in a timely manner by the hospital leaders of the deployment of emergency response work. The leadership of the hospital will unify the deployment of emergency response work, and coordinate the clinical departments, medical education, control and sensory control office, logistics and general affairs, security and other departments, in accordance with their respective responsibilities and division of labor, to do a good job in all emergency response work. Hospital public **** health emergency response office is responsible for the specific implementation and the implementation of emergency measures and disposal of the effect of the evaluation, the departments should obey the orders and actively cooperate.
(2), report
The incident occurred in the department should be the first time to report to the hospital disposal of public **** health emergencies Office and the Office of the Control of Sensory and timely report to the hospital leadership, by the hospital in accordance with the Ministry of Health "Measures for the Management of Medical Waste," the requirements of Article VII and Article VIII of the report to the higher administrative departments of the loss of medical waste, leakage, proliferation, accidental situation and the results of investigations and treatments.
(C), the admission of exposed persons
When someone is exposed to the leakage or proliferation of medical waste, timely isolation measures will be taken, the patient will be admitted to the relevant business units, the receiving department should be actively treated, control the condition.
(D), the duties of each department
When an accident occurs, the accident department should be the first incident in accordance with the procedures for reporting, and to buy time to actively take appropriate disinfection and isolation measures to deal with the accident scene, to control the expansion of the accident. The General Logistics Department is responsible for providing human and material resources and technical support for medical waste, dealing with the accident scene, with the accident occurred in the department to recover the loss of medical waste; control of sensory office is responsible for providing on-site disinfection and isolation and technical support for personal protection; infectious diseases, dermatology and other clinical departments should be ready for first aid; other departments and departments should be subordinate to the hospital emergency response office of the public health emergencies **** the command and scheduling.
(E), disinfection and isolation protection requirements
Occurrence of medical waste leakage, proliferation, according to the nature of medical waste in a timely manner on the contaminated environment for air, goods and personnel isolation, isolation area for air, goods and goods surface disinfection; occurrence of human contamination should be cleaned and disinfected in a timely manner in the consideration of the admission of the relevant business units; in the emergency treatment site, all types of Personnel should take respiratory, blood and skin mucous membrane protection measures.
(F), publicity and education
In the event of an accident, in the effective range of positive response to the prevention and treatment of knowledge publicity and education, stabilize public sentiment, to protect the normal medical order.
Medical Emergency Plan 2
First, the establishment of the leadership group
Group leader: the hospital responsible.
Members: Logistics Service Center, Hospital Infection Management, Nursing Department, Medical Office and other departmental leaders (section chiefs, head nurses), Director of the Department of Pharmacy, Director of Radiology, Director of Laboratory, Director of Pathology, Medical Waste Collection Manager.
The leading group is responsible for organizing, directing and coordinating the handling of accidents; determining the loss, leakage, proliferation of medical waste categories, quantities, time of occurrence, the scope of the impact and severity; and minimizing the impact on patients, medical staff, other site personnel and the environment.
Second, the establishment of emergency response team
The leading group set up four subgroups on the occurrence of medical waste leakage, proliferation of the scene to deal with.
1, rescue group: outpatient and inpatient medical staff, is responsible for the scene of the injured people to rescue and transfer.
2, site treatment group: by the relevant person in charge of the leakage of the site for disinfection.
3, expert assessment group: composed of hospital experts, responsible for the leakage of the site and casualties to assess the condition.
4, logistical support group: by the Finance Department and logistics personnel, responsible for emergency response required for personal protective equipment, disinfection equipment procurement and routine maintenance.
Third, emergency treatment requirements and measures
When the loss of medical waste, leakage, proliferation and accidents, should be in accordance with the following requirements in a timely manner to take emergency measures.
1, to determine the loss, leakage, proliferation of medical waste categories, quantities, time of occurrence, the scope of influence and severity.
2, the organization of the relevant personnel as soon as possible in accordance with the emergency plan, the occurrence of medical waste leakage, proliferation of the scene to deal with; temporary placement of warning signs, solid items should be immediately collected into the yellow medical waste bags.
3, when visibly contaminated, the first moisture-absorbent material to remove visible dirt, and then disinfected with 1000-2000m several L of chlorine disinfectant, should minimize the impact on the patients, medical staff, other site personnel and the environment.
4, take appropriate safety measures, disinfection of leaks and contaminated areas, items or other harmless treatment, if necessary, blockade the contaminated area to prevent the expansion of pollution.
5, disinfection of infectious waste contaminated area, disinfection work from the least contaminated area to the most seriously contaminated area, may be contaminated with all the tools used should also be disinfected.
6, staff should do a good job of health and safety protection after work. After the treatment work, the cause of the incident should be investigated, and take effective preventive measures to prevent the occurrence of similar incidents.
Fourth, the measures of safety, disinfection and standardization, close protection
1, to take appropriate safety measures, the leakage and contaminated areas, items for disinfection or other non-disposable, contaminated or suspected of being contaminated with a few chlorine-containing disinfectant spray disinfectant Yong 1000-200m, stay 30 minutes before processing. 30 minutes before processing. If necessary, blockade the contaminated area to prevent the expansion of contamination.
2, disinfection of infectious waste contaminated area, disinfection work from the least contaminated area to the most seriously contaminated area, may be contaminated with all the tools used to 200?g several L chlorine disinfectant spray disinfection.
3, the staff should do a good job of personal protection, wear masks, hats and gloves, work should be avoided with contaminated gloves to avoid contact with other items to avoid contamination of the environment.
V. Emergency Reporting Mechanism
1, after the occurrence of medical waste loss, leakage, proliferation and accidents, should be reported to the Municipal Health Bureau and the Environmental Protection Agency within 48 hours.
2, the occurrence of improper management of medical waste led to more than one death or more than three health damage, the need to provide medical care and on-site rescue of sick people, within 24 hours to the Municipal Health Bureau and the Environmental Protection Agency report.
3, the investigation and treatment work is completed, the results will be promptly reported to the Health Bureau and the Environmental Protection Agency.
Six, other emergency measures
When the occurrence of medical waste centralized disposal center can not be collected and transported on time medical waste over the national time limit. Should do the following:
1, immediately contact with the centralized disposal center of medical waste to identify the situation, and reported in writing to the environmental protection, health departments.
2, on the temporary storage place overdue storage of medical waste to use the national provisions of the container storage, to ensure safety.
3, immediately reported to the relevant departments of the hospital, the organization of overdue storage of medical waste on a regular basis for disinfection, and the establishment of disinfection records.
4, to prevent the open storage of medical waste, do a good job of "three prevention" work.
5, by the hospital to arrange a 24-hour duty, to prevent the loss of medical waste, and make a good duty record.
6, the implementation of the daily reporting system.
7, after the occurrence of occupational exposure, in strict accordance with the relevant provisions of the disposal.
Medical Emergency Plan 3
All medical departments should have strict safety management of medical wastes, and should take timely emergency measures in accordance with the following requirements in the event of loss, leakage, proliferation of medical wastes and accidents:
1. Determine the category, quantity, time of occurrence, scope of influence and severity of medical wastes lost, leaked or proliferated;
2, The medical waste management team shall organize the personnel of the relevant sections to deal with the site where the leakage or proliferation of medical waste occurs as soon as possible in accordance with the emergency plan;
3. When dealing with the area contaminated by medical waste, the impact on the patients, medical personnel, other on-site personnel and the environment shall be reduced as much as possible;
4. Adopt appropriate safety disposal measures, disinfection or other non-invasive measures for the leaked material and the contaminated Disinfection or other harmless disposal of the leaked materials and contaminated areas and articles, and sealing the contaminated areas if necessary to prevent the expansion of the contamination;
5. When disinfecting the contaminated areas of infectious medical wastes, the disinfection work should be carried out from the least contaminated area to the most seriously contaminated area, and all the used tools that may be contaminated should be disinfected as well;
6. Staff should work after good health and safety protection.
7, after the treatment work, the medical department and the relevant sections should investigate the cause of the incident, and take effective preventive measures to prevent the occurrence of similar events.
Medical Emergency Plan 4
First, the organization and management
The establishment of the hospital medical waste management organization:
Leader: the vice president in charge of business, in charge of logistics vice president.
Members: Hospital Infection Management, Nursing, General Affairs, Medical Services, Pharmacy, Radiology, Laboratory, Pathology and other departmental directors and medical waste collection managers.
Second, the report
(a) All hospital staff are obliged to supervise the management of medical waste, when found in the loss of medical waste, leakage, proliferation should be immediately reported to the Hospital Infection Management Division or the director in charge of the off-duty time reported to the administrative general duty. The hospital should be reported to the City Health Bureau and the Municipal Environmental Protection Bureau and other relevant higher authorities within 48 hours.
(b) health care institutions in the event of improper management of medical waste resulting in more than one death or more than three health damage, the need to provide medical care and on-site rescue of sick people in major accidents, should be reported to the Municipal Bureau of Health, the competent department of environmental protection within 24 hours. And in accordance with the provisions of the "Medical Waste Management Regulations", to take appropriate emergency treatment measures, and reported to the next level.
(C) the occurrence of medical waste leading to infections and the spread or evidence of infectious disease transmission of the accident is likely to occur, should be reported in accordance with the "Prevention and Control of Infectious Diseases Act" and the relevant provisions of the report, and take appropriate measures.
Third, when the loss of medical waste, leakage, proliferation and accidents, should be in accordance with the following requirements in a timely manner to take emergency measures.
(a) to determine the loss, leakage, proliferation of medical waste loss, quantity, time of occurrence, the scope of influence and severity.
(b) Organization of the relevant personnel on the occurrence of medical waste leakage, proliferation of the scene.
(C) the area contaminated by medical waste treatment, should minimize the impact on patients, medical staff, other site personnel and the environment.
(D) to take appropriate safety measures to dispose of the leakage and contaminated areas, items for disinfection or other harmless treatment, if necessary, blockade of the contaminated area to prevent the expansion of pollution.
(v) disinfection of infectious waste contaminated area, disinfection from the least contaminated area to the most seriously contaminated area, all used tools that may be contaminated should also be disinfected.
(vi) Staff should work after health and safety protection. After the treatment work, the cause of the incident should be investigated and effective preventive measures should be taken to prevent the occurrence of similar incidents.
(VII) once the occurrence of a person infected, take immediate measures to actively rescue.
Medical Emergency Plan 5
A patient suicide emergency plan and procedures
1, found that the patient has suicidal tendencies, immediately report to the head nurse and the doctor in charge.
2, check the environment in the patient's room, if found to be hiding drugs, sharp instruments and other dangerous items to be confiscated; lock the doors and windows to prevent accidents.
3, tell the family 24-hour supervision, not to leave.
4, detailed handover, pay close attention to the patient's psychological changes, accurately grasp the psychological state.
5, find the cause of patient suicide, targeted psychological care, minimize the impact of adverse stimuli on patients.
6, found that the patient suicide, notify the doctor immediately to the scene, to determine whether the patient has the value of rescue, if possible immediately rescue.
7, to protect the scene, including the sick room and suicide.
8, notify the medical office or the general duty, listen to the arrangement of processing.
9, do a good job of comforting the family.
Second, the patient went out or out of the emergency plan
1, the patient was admitted to a detailed explanation of hospitalization, told the patient is not allowed to go out during hospitalization, so as not to miss the treatment, sudden changes in condition and other serious consequences.
2, strengthen the patrol, as far as possible to help patients solve the problem, minimize the opportunity to go out. If you have to go out, in the case of the condition allows, approved by the doctor in charge, the patient and his family signed the care sheet before leaving, and return to the ward within the specified time.
3, once the patient is found to go out privately, immediately report to the head nurse to notify the doctor in charge.
4, through the communication method left by the patient, get in touch with the family, *** with the search.
5, if necessary, notify the medical department, nursing department or general duty.
6, the patient did go out and did not return, two people need to *** with the cleanup of the patient's belongings, valuables to the Security Section.
Third, the theft of the emergency plan
1, to maintain good order in the ward, the suspicious person to ask.
2, strengthen the patrol, do a good job of security, with the door, often check the doors and windows.
3, the introduction of hospitalization instructions to the patient safety knowledge, keep valuables and cash.
4, once the theft, do a good job of site protection.
5, notify the security section or the general duty, to help do a good job of detection.
Fourth, the encounter with the thugs of the emergency plan
1, do a good job of ward safety management, ward doors locked at night.
2, after encountering thugs, calm and cool, take decisive measures to protect patients and public property, minimize unnecessary losses.
3, pay attention to observe the characteristics of criminals.
4, try to notify the security office, notify the general duty at night, by the general duty depending on the situation to call 110.
5, the thugs fled, pay attention to the direction, to provide clues for the detection of the case.
V. Fire emergency evacuation of patients contingency plan
1, do a good job of ward safety management, often checking the warehouse, power supply and lines, found that the hidden danger timely notification of the relevant departments, to eliminate hidden problems.
2, hospitalized patients are not allowed to use private appliances.
3, when the fire occurred in the hospital area, all staff should follow the "high-level first evacuation, the patient first evacuation, heavy patients and the elderly first evacuation, the last evacuation of the medical staff" principle, "to avoid the fire source, the nearby evacuation, unified organization, organized", emergency evacuation of patients. The first thing you need to do is to evacuate the patients in an emergency.
4, the nurse on duty and the doctor in charge should immediately organize the patients, not crowded in the building, spectators, and immediately notify the security section or the general duty, emergency alarm.
5, focusing on the existing fire fighting equipment and personnel to actively fight, try to eliminate or control the expansion of the fire.
6, all personnel immediately use wet towels, wet masks or wet gauze to cover the mouth and nose to prevent suffocation.
7, in order to ensure the safe evacuation of personnel under the conditions, should be withdrawn as soon as possible flammable and explosive substances, and actively rescue valuables, equipment and scientific and technological information.
8, found that a room fire, indoor flammable and explosive substances, to move out immediately, such as has been impossible to move out, to evacuate the neighboring people as quickly as possible.
9, such as indoor no one, no flammable and explosive substances, do not rush to open the door, so as to avoid the expansion of the fire, the spread of the fire; to quickly focus on the existing fire-fighting equipment, be fully prepared to open the door, and actively fight the fire.
10, close the doors and windows of neighboring rooms, disconnect the fire parts of the electric switch (operated by the fire center or electrician room personnel).
11, found that the fire can not be put out, to immediately dial "119" alarm, and inform the exact location.
Six, the patient hospitalized during the fall of the emergency plan
1, check the ward facilities, continuous improvement, to eliminate unsafe hidden dangers.
2, when the patient suddenly fell, the nurse immediately to the patient's side, check the patient's fall: notify the doctor to determine the patient's state of mind, the injured part, the degree of injury, the whole body, etc., and a preliminary judgment of the cause of the fall or cause of disease.
3, suspected fractures or muscle, ligament damage to the patient, according to the part of the fall and the injury to take the appropriate method of handling patients, the patient will be lifted to the hospital bed; ask the doctor to check the patient, if necessary, follow the doctor's orders to X-ray examination and other treatment.
4, for the fall head injury, consciousness disorder and other life-threatening conditions, the patient should be immediately gently lifted to the hospital bed, closely observe the changes in the condition, pay attention to the pupil, mental, respiratory, blood pressure and other vital signs of the changes in the situation, and quickly take the appropriate first aid measures.
5, the lesser degree of injury, can assist or wheelchair patients back to the bed, asked to bed rest, comfort patients, and measure blood pressure, pulse, according to the condition of further examination and treatment.
6, for the skin bruises for local cold compresses; skin abrasions oozing blood with iodine or 0.1% Neosporin to clean the wound, with a sterile dressing bandage; bleeding more or have a wound first with a sterile dressing compression hemostasis, and then by the doctor's discretion, wound wound debridement suture. Large trauma, deeper wounds follow the doctor's instructions for tetanus injection.
7, strengthen the patrol, timely observation of the effect of measures taken until the condition is stabilized.
8, accurate and timely writing nursing records, serious shift.
9, to the patient to understand the scene of the fall, to help the patient to analyze the cause of the fall, to the patient to do missionary guidance, to improve the patient's awareness of self-prevention, as far as possible to avoid re-fall injury.
Seven, hospitalized patients fall out of bed emergency plan
1, for patients with confusion and restlessness, should be added to the bed stalls, and accompanied by family members.
2, for extreme agitation of the patient, can be applied to the restraint belt to implement protective restraint, but pay attention to the gentle action, often check the local skin, to avoid damage to the patient.
3, in bed activities of the patient, asked to be careful when moving, do what you can do, if necessary, can let the nurse help.
4, for patients who may have a change of condition, we should do a good job of health education, and tell the patients not to do sudden changes in position, so as not to cause rapid changes in blood pressure, resulting in transient cerebral insufficiency of blood supply, causing fainting and other symptoms, easy to occur danger.
5, teach the patient once the symptoms of maladaptation, it is best not to activities, the application of the signal light to tell the medical staff, to give the necessary measures to deal with.
6, once the patient accidentally fell out of bed, the nurse should immediately go to the patient's side, notify the doctor to check the patient fell out of bed when the point of impact, and quickly check the general condition and local injuries, and initially determine whether there is a life-threatening symptoms, fractures, or muscle and ligament injuries and other conditions.
7, with the doctor to check the patient, according to the injury to take the necessary first aid measures.
8, strengthen the patrol to the stabilization of the condition. Closely observe the changes in the condition during the rounds, and report to the doctor in time if you find any changes in the condition.
9, timely and accurate record of changes in condition, and carefully do a good job of handover.
Eight, water and sudden stoppage of the emergency plan
1, received a notice of water shutdown, inform the patient of the time of the water shutdown, do a good job of water shutdown preparation.
2, make emergency preparations, according to the time of water outage as much as possible to reserve water for use and drinking.
3, when the water suddenly stops, contact the General Affairs Section during the day to report the situation and inquire about the cause; notify the general duty at night to report the water outage.
4, patients to do a good job of explaining the work, try to assist patients to solve the inconvenience caused by water outages.
Nine, power outages and sudden power outages of the emergency plan
1, notify the power outage, immediately after the power outage, ready for emergency lights, flashlights, candles, etc.; such as the use of power electrical appliances to resuscitate the patient, you need to find an alternative method.
2, after a sudden blackout, immediately use the power method of resuscitation of the patient's machine operation, to maintain the resuscitation work, open the emergency lights or light candles lighting.
3, contact with the electrician class, inquire about the cause of the power outage, try to troubleshoot or turn on the emergency power generation system.
4, strengthen the patrol ward, pacify the patients, while paying attention to fire prevention, anti-theft.
10, flooding of the emergency plan
1, immediately find the cause of flooding, notify other people, and actively take measures to prevent the continuation of flooding.
2, can not be resolved on their own, immediately notify the General Services Section or the General Duty.
3, to assist the maintenance staff **** with the water sweeping, to maintain a clean environment.
4, warning patients, do not wade into the flooded area or wet place, if necessary, placed conspicuous signs to prevent falls.
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