Control measures for hospital infection management
1, disinfection and sterilization and isolation
①, hospitals must comply with the principle of disinfection and sterilization, medical supplies that enter human tissues or sterile organs must be sterilized; utensils and supplies that come into contact with the skin and mucous membranes must be disinfected. All items that need to be disinfected and sterilized must be thoroughly cleaned. Contamination of medical equipment and articles, all should be disinfected and then cleaned, then disinfected or sterilized.
②, according to the performance of the items selected physical or chemical methods of disinfection and sterilization, sterilization preferred physical sterilization method, such as pressure steam sterilization (such as surgical instruments, a variety of puncture needles, syringes, etc.), dry heat sterilization (oil, powder, paste); heat-insensitive, moisture-intolerant items can be used to select the chemical disinfection method, such as ethylene oxide sterilization (eg, a variety of catheters, precision instruments, endoscopes, artificial grafts, etc.), 2% glutaraldehyde immersion sterilization, etc.; disinfection preferred boiling method; can not be disinfected by physical methods before using chemical methods.
3, chemical disinfection according to different circumstances can be selected respectively high-efficiency, medium-effective, low-effective disinfectants. The use of chemical disinfectants must understand the performance of the disinfectant, bactericidal spectrum, the method of use, factors affecting the disinfection effect, etc., the preparation of the effective concentration of attention, and regular monitoring. Containers used to hold disinfectants should be cleaned, disinfected or sterilized depending on the situation.
4, formaldehyde can not be used for air disinfection, formaldehyde fumigation box can be used for heat-intolerant, moisture-intolerant items of disinfection, can not be used for sterilization, disinfection methods can not be used to fumigate the natural volatilization method.
5, continuous use of oxygen humidifier bottle, nebulizer, ventilator and its pipeline, preterm baby warmer humidifier and other equipment, must be disinfected weekly; end of use disinfection, dry storage; oxygen humidifier should be replaced daily sterile water.
6, hand skin cleaning and disinfection should meet the following requirements:
A, hand washing equipment requirements:
1> hand washing with flowing water, the switch is best used foot, elbow or induction.
2> Cleaners should be kept clean and dry.
3> Hand towels should be kept clean, dry and sterilized daily.
B, hand washing method requirements: rubbing the palm, finger cracks, back of the hand, finger joints, finger belly, fingertips, thumbs, wrists carefully with cleaners for not less than 10~15 seconds, and wash with flowing water.
⑦The cleaning and disinfection of the ground should meet the following requirements:
1>, the ground should be wet sweeping, keep clean; when there is blood, feces, bodily fluids and other contaminants, it should be instantly mopped and washed with chlorine-containing disinfectant.
2>, mopping tools should be washed, disinfected and then dried after use.
8 hospitals should be based on the implementation of standard precautions, depending on the circumstances, the implementation of strict isolation, respiratory isolation, contact isolation, or protective isolation of patients.
2, the management of single-use sterile medical devices
①, the hospital infection management department (office) is responsible for the unit of single-use sterile medical device procurement, use management and recovery and disposal of supervision, and monitoring the quality of purchased products.
②, hospitals purchased sterile medical devices for single-use manufacturers should have the People's Republic of China **** and state medical device registration or production license and health license.
③, the hospital purchasing department must be purchased each time the quality of acceptance, ordering contract, delivery location and loan remittance account number and the manufacturer. And check each batch number of product inspection certificate, production date and expiration date, random sampling of biological and pyrogenic products.
4, the hospital procurement department is responsible for the establishment of a register, record each order and arrival time, product name, quantity, specifications, unit price, product lot number, expiration date, supply and demand parties, such as the name of the operator.
5, strict storage, warehouse inventory, cool, dry, well-ventilated, stored on the floor rack, 20 centimeters from the ground. The products with broken package, invalid, moldy shall not be issued to the using department.
6, the use of the department shall not be unauthorized purchase, replacement of single-use medical devices, single-use medical devices should be planned to receive, before using the checklist for packaging damage, failure, product unclean.
⑦, the use of pyrogenic reactions, physical, chemical changes, infections or related medical events, must leave a sample, according to the provisions of the registration of the time of occurrence, type, clinical performance, treatment results; involved in the production of disposable sterile medical devices, product name, date of manufacture, batch number and supplier, date of supply, etc., and timely reporting.
8, single-use syringes, infusion (blood) and other sterile medical devices after use, the implementation of harmless disposal, is strictly prohibited re-use and return to the market.