Medical staff in the pharmaceutical infection management center should perform the following duties:
Strict implementation of aseptic technology operating procedures and other rules and regulations of hospital infection management.
Master the principle of rational application of anti-infective drugs in the clinic, so as to achieve rational use.
Master the diagnostic criteria of hospital infection.
Discovered cases of infection, fill out the hospital infection case registration form in a timely manner, and retained specimens Song pathogenicity test and drug sensitivity experiments, in order to guide the patient treatment; found that the epidemic trend of hospital infections, timely report to the Hospital Infection Surveillance Department, and assist in the investigation.
Participate in training on prevention and control of hospital infections, acquire knowledge of self-protection, correctly carry out all technical operations, and prevent stabbing by sharp instruments.
In the process of diagnosis, treatment and care of patients, found any signs of infection or cases with signs of infectious diseases, should take the initiative to isolate the patient, timely collection of culture specimens.
Protect the patient from exposure to contaminated environments or close contact with infected visitors, staff, and other patients.
Provide patients with safe and reasonable equipment, medications, and diagnostic and nursing supplies.
Disinfecting equipment in use is monitored regularly to ensure its effectiveness.
Implementing a system of separate collection of medical waste and strict implementation of the Regulations on the Management of Medical Waste.
Strictly enforcing standard precautions and instructing patients and visitors to use effective protective measures to prevent the spread of infection.
The following measures must be taken:
Departments in accordance with the "Hospital Infection Management" to develop a system to carry out the control of hospital infections as required.
Training on knowledge of hospital infection: study classes or academic lectures are held for on-the-job medical and nursing staff and related personnel to organize the study of "Hospital Infection Management Measures" and "Disinfection Technical Specification". Pre-service training on hospital infection for new health care workers and interns.
Monitoring of hospital infections: monitoring of hospital infection cases to grasp the incidence of hospital infections, multiple sites, multiple departments, high-risk factors, pathogen characteristics and drug resistance, etc., to provide a scientific basis for the control of hospital infections; monthly monitoring of the effect of disinfection and sterilization on a regular basis; and monthly monitoring of environmental hygiene. Timely summarize and analyze the monitoring results, identify problems and develop control measures.
Reporting and control of hospital infections: When there is a case of hospital infection, the attending physician fills out a form to report to the Health Care Section within 24 hours to find out the cause of infection in time and take effective control measures. When there is a trend of hospital infection epidemic, full-time staff within 24 hours to report to the dean in charge and the Medical Department, and notify the relevant departments. When the hospital infection epidemic is confirmed by investigation, the hospital will report to the local health administrative department within 24 hours. When there is a trend of epidemic fire outbreak of hospital infection, corresponding control measures will be taken. Specialized staff regularly fill in the monthly requirements of the "monthly statement of hospital infections," reported to the City Epidemic Prevention Station, Division of Eradication. Opened the hospital infection omission investigation, omission of a case of deduction 0..25 points.
Establishment of the meeting system. Quarterly meeting of members of the Hospital Infection Management Committee, regular research, coordination and resolution of major issues related to the management of hospital infections, held at any time in the event of emergency issues. Health care department full-time staff of the monthly summary of monitoring information, analysis, quarterly written report to the dean in charge, the hospital infection management committee, feedback to the departments.
The health department hospital infection specialists monthly to participate in the Ministry of Nursing quality control inspection (disinfection and isolation) equal points.
Strict implementation of the disinfection and isolation system, each department to do a good job of disinfection, sterilization and isolation to prevent exogenous infections.
Anti-infective drug management: comply with the principle of rational use of anti-infective drugs, the Laboratory Department and Pharmacy Department regularly announce the main pathogenic bacteria and regularly provide information on anti-infective drugs to the clinical medical staff, to provide a basis for the rational use of anti-infective drugs. Clinicians should improve the rate of sending relevant specimens for examination before the use of drugs, and according to the results of bacterial culture and drug sensitivity test, strictly grasp the indications and rationally select drugs; nurses should accurately execute the doctor's orders according to the pharmacological effects, contraindications and preparation requirements of various anti-infective drugs, and observe the patients' reactions to the drugs, and cooperate with the physicians to do a good job in the retention of the specimens and the sending of the test work.
Strictly according to the state to do a good job of disinfection of medicines and equipment and single-use sterile medical supplies management. The management of hospital infection in each key department is carried out in accordance with the Measures for the Management of Hospital Infections.
Management of hospital dirt: the General Affairs Section is responsible for organizing the collection, transportation and harmless treatment of hospital dirt, and for organizing the treatment and discharge of hospital sewage.
Outpatient, emergency hospital infection management
Hospital emergency department (room), pediatric outpatient should be separated from the general outpatient clinic, self-contained system, set up a separate exit and isolation clinic, the establishment of the pre-screening and triage system, the discovery of infectious diseases or suspected infectious diseases should be designated isolation clinic, and timely disinfection.
Infectious diseases clinic, hepatitis, intestinal clinic, etc. should be done in the clinic, personnel, time, equipment fixed; registration, waiting, medicine, medical records, blood and laboratory tests, injections and other general outpatient clinics separately. Intestinal outpatient clinic must set up a special place.
Establishing and improving the daily cleaning and disinfection system.
Each clinic should have running water hand-washing equipment, or have hand sanitizing facilities.
Outpatient clinic, emergency treatment room, dressing room hospital infection management according to the treatment room, dressing room, injection room hospital infection management standards; observation room hospital infection management according to ward hospital infection management standards; operating room hospital infection management according to the operating room hospital infection management standards.
Emergency rescue room and flat car, wheelchair, diagnostic beds, etc. should be disinfected regularly on a daily basis, and should be disinfected and treated in a timely manner when contaminated by blood and body fluids. Emergency rescue equipment should be used within the validity of disinfection and sterilization, a use of a sale of poison or sterilization.
Diagnosis, reporting and control of hospital infection records
Diagnosis of hospital infection records is strictly in accordance with the diagnostic standards set forth in the Hospital Infection Management Code.
Reporting and control of hospital-acquired infections
When there is a hospital-acquired infection, the treating physician should report to the head of the hospital infection monitoring team of this section in a timely manner and fill out a form to report to the Hospital Infection Management Section within 24 hours.
But the person in charge of the surveillance team should promptly organize the treating physicians and nurses to find the cause of infection and take effective control measures.
Hospital infections diagnosed as infectious diseases are reported and controlled according to the relevant provisions of the Infectious Diseases Prevention and Control Act.