20 18 according to the requirements of hospital system implementation, combined with the actual work of undergraduate course room, the disin
20 18 according to the requirements of hospital system implementation, combined with the actual work of undergraduate course room, the disinfection supply room continued to earnestly pay special attention to and strengthen the management of the supply room, control hospital infection, and conscientiously do a good job in active service and supply room transformation. The work plan is as follows:
1. Improve the organizational management mode: implement the division of labor responsibility system under the leadership of the head nurse, and carry out job training and workflow arrangement in different regions in stages. The staff in each region should master the overall workflow of the supply room first, and then work in different regions to ensure the consistency and correctness of the work in each region, and rotate their posts regularly.
2. Improve the rules and regulations: use the system to regulate employee behavior and improve the quality of work. According to the management requirements of the health administrative department for the supply room, constantly improve various rules and regulations, and improve the quality management documents according to the actual situation of the rebuilt supply room, standardize various working procedures, achieve weekly inspection, monthly plan and annual quality objectives, keep records of all aspects of work, and constantly put forward improvement measures according to the problems existing in quality control. By perfecting rules and regulations, implementing post responsibilities and strictly implementing operating procedures.
3. Strengthen departmental management and improve safety awareness: strengthen departmental quality management awareness; Strengthen each nurse's awareness of safe service; Do a good job of disinfection and sterilization; Strictly operate sterilization technology, improve the new concept of disinfection and isolation knowledge, and make contributions to the prevention of hospital accidents.
4. Change the service concept, establish the clinical service consciousness, and go to the clinical department to consult the supply room every month. According to the department's requirements for the use of instruments, it can effectively guarantee the first-line clinical work.
5. Strengthen disinfection quality control to ensure that all kinds of aseptic items are safe and qualified.
6. Implement network management in disposable goods to improve management efficiency. After the transformation, it is suggested to configure a computer, and the medical insurance office will formulate a set of goods collection system. Each user department should input the items required by the undergraduate course, and indicate the model and quantity required in the current month. According to the requirements, the supply room prepares materials for each department and transports them to each department, which is convenient and quick to meet the clinical needs.
With the help of the spring breeze of dimethyl transformation, the support of hospital leaders and the efforts of all colleagues in Qi Xin, we will have new improvements and new highlights in the new year, do every job well, serve the front desk well, and make a good pass for the hospital.
extreme
First, strengthen departmental management and improve relevant rules and regulations. Implement post responsibilities and strictly implement various operating procedures. The department has weekly inspection, monthly plan and annual quality target. Second, the whole process of quality control of sterilized articles, complete manual traceability records, and the establishment of a sound testing system. Continuous quality improvement, standardize the management of implants and foreign instruments, and the quality control process meets the requirements.
Third, attach importance to hospital infection management, improve safety awareness, strengthen the safety service awareness of each staff member, put prevention first, improve the new concept of disinfection and isolation knowledge, do a good job in hand hygiene and occupational protection, control the occurrence of hospital-acquired incidents, and ensure medical safety.
The fourth is to change the service concept, expand the service items, actively solicit the opinions of clinical departments, meet the clinical needs, and effectively ensure the smooth progress of clinical quality nursing work.
Fifth, strengthen the professional training of department staff, pay attention to the improvement of the comprehensive quality of general practitioners, and further improve the step-by-step training of personnel. Strengthen the training and assessment of "three basics" theory and technology and professional courses, and do a good job in teaching interns.
Six, strengthen the safety management of equipment, regular maintenance. Do a good job in material management and control service costs.
Seven, according to the requirements of tertiary hospital evaluation rules, self-examination and rectification, continuous quality improvement, to achieve high-quality hospital evaluation. Eight, nursing quality objectives:
1. The management ledger of the head nurse department is complete, and the records are timely and true. Quality control can reflect continuous improvement.
2. The staff dress code, the correct use of protective equipment, no occupational exposure and infection. Medical waste management meets the requirements of hospital philosophy.
3. Communicate with clinical departments and related departments, the relationship between internal and external departments is harmonious, and there is no complaint about nursing work.
4. Behavior habits such as hand hygiene have been continuously improved, and the compliance of hand hygiene is more than 85%. 5. The cleaning, packaging, sterilization and loading of reusable items conform to the operation process and quality standards.
6. The storage and distribution of aseptic goods meet the quality standards, and the correct rate of goods distribution reaches 100%.
7. Adhere to the acceptance system, and the clinical satisfaction survey is greater than 98%.
8. Ensure the disinfection supply of clinical departments and surgical items without affecting the quality of departments and operations.
9. The specialist training and assessment in the department are recorded, and the assessment rate is greater than 95%. The assessment rate of participating in the three basic theories and operations organized by the nursing department is greater than 95%.
10. The quality monitoring of sterile articles conforms to the specifications, the monitoring records are complete, and the qualified rate of sterile articles reaches 100%.
Tisso
In order to strengthen hospital infection management, effectively prevent and control hospital infection, improve medical quality and ensure medical safety, combined with the actual situation of our hospital, under the leadership of hospital leaders, hospital infection department and nursing department, our department plans to make the following plans for 20 18:
First, set up a departmental monitoring team, improve the responsibilities of the team and do a good job in the monitoring and management of the department.
1. The quality control team leader will check the department's hospital work irregularly, record the existing problems, analyze the reasons, and have corresponding corrective measures.
2. Learn from the problems found, prevent similar things from happening again, and do a good job in hospital supervision and prevention.
3. Organize general practitioners to learn the knowledge related to hospital sense every month, and make a meeting summary every quarter to feed back the problems existing in undergraduate hospital sense this quarter.
4, organize department personnel to learn hospital knowledge every month, and strengthen their business knowledge.
5. Learn the deficiency of knowledge in an all-round way every quarter, and have corresponding rectification measures.
The second is to strengthen the monitoring of the irradiation intensity of ultraviolet lamps in departments.
1, ultraviolet lamp irradiation intensity monitoring, with monitoring records every quarter.
2, strengthen the disinfection work in each work area, and make records.
3. Wipe the disinfection ultraviolet lamp with 95% alcohol every week.
Third, strengthen the study of health knowledge of department staff and improve the compliance of health knowledge of department staff.
1. Conduct a weekly spot check on the "Seven Steps of Hand Washing and Hand Hygiene Knowledge" of department employees.
2. Improve the compliance of department staff with health knowledge.
Four, the environmental sanitation of the work area, the treatment of medical waste.
1, the mops are classified and labeled in strict accordance with the disinfection and isolation specifications, and the mops are treated in strict accordance with cleaning-disinfection-drying.
2. Wipe the countertops and surfaces of each working area with 500mg/l chlorine-containing disinfectant every day.
3. The instruments with special infection should be soaked and disinfected with 1000-2000mg/l chlorine-containing disinfectant before cleaning and disinfection.
4. Do a good job in the classification, collection, storage and handover of medical wastes.
Article 4
Supply room is an important part of hospital infection management, focusing on the recovery, cleaning, disinfection and sterilization of medical devices in the hospital. It plays an important role in medical treatment, nursing and teaching. The supply room of our hospital is facing new reforms. This year will be a new starting point, and our department has made a new plan.
1, strengthen department management, formulate and improve various rules and regulations, and strictly implement various operating procedures.
2, the whole process of quality control of sterilized goods, complete manual traceability records, establish a perfect monitoring system, continuous quality improvement, standardize the management of implants and foreign instruments, and the quality control process meets the requirements.
3. Pay attention to hospital infection management, improve safety awareness, strengthen the safety protection awareness of each staff member, put prevention first, improve the new concept of disinfection and isolation knowledge, do a good job in hand hygiene and occupational protection, control the occurrence of hospital infection events, and ensure medical safety.
4. Change service concept, expand service items, actively solicit opinions from clinical departments, meet clinical needs, and effectively ensure the smooth progress of clinical quality nursing work.
5. Strengthen the professional training of department staff, pay attention to the improvement of the comprehensive quality of general practitioners, further improve the training of staff, and strengthen the training and assessment of the theory and technology of the three basics and specialties.
6, strengthen the safety management of equipment, regular maintenance.
chapter five
Disinfection supply center is the supply center of hospital disinfection and sterilization items, and its management level and work quality are related to medical quality problems such as hospital infection control. Therefore, the Ministry of Health issued the Specification for Management, Operation and Monitoring of Disinfection Supply Center in April of xxxx. In view of the poor working conditions in the supply room of our hospital, I can't make a decision on the hardware, so I can only improve the software as much as possible, specifically:
1. Adhere to weekly management interaction, monthly business study and quarterly safety education.
2. Do pre-job training for new employees and work alone after passing the examination.
3. According to the three standards, do a good job of final quality effect verification and continuous quality improvement.
4. Adhere to the monthly communication with clinical departments, timely feedback to relevant departments or leaders in charge.
5. Under the premise of not violating the hospital's control, we can consider carrying out the receiving and dispatching work under the condition that the hardware facilities are not perfect but the human resources (at least one fixed nurse) are available. The receiving and dispatching work under illness needs the operation of nurses, who undertake the handover work with the ward. Before any new project starts, the supply room should evaluate whether it has the ability, not consider it as a condition, which is also the premise to ensure the quality of work.
Having said that, it is also based on industry standards. Although the supply room of dimethyl re-inspection has been recognized by experts in mastering theoretical knowledge and monitoring sterilized items, it is only the skin of the supply room transformation, far from reaching the standard. The supply room needs the strong support of hospital leaders to achieve a high level of service quality.