According to the requirements of the higher management, the work is carried out smoothly, in order to work, we should make a good work plan in advance. The work plan can help us to clarify the next stage of work objectives and help us to improve the efficiency of our work. Then how to come to write a work plan? I recommend that you may want to read 2023 Hospital Infection Department Work Plan, just for your reference in work and study.
2023 Hospital Infection Section work plan (Part 1)1. Continue to implement the Ministry of Health 6 industry norms, the focus of the work is to put the supply room alteration work, the implementation of the centralized management of sterilized items, so that the disinfection of the supply center to reach the norms of evaluation.
2. Enhance the general knowledge of the management of hospital sensory training: according to the requirements of the provincial hospital sensory management committee, the key departments of the medical staff must bear the provincial hospital sensory general knowledge professional training. Therefore, in this year's work, will send ICU, obstetrics and gynecology, laboratory and other departments of the medical staff to participate in the provincial hospital sensory training.
3. Carry out purposive monitoring: monitoring of infections in newborn pediatric hospitals, monitoring of bacterial resistance, monitoring of ventilator-associated pneumonia, monitoring of central venous pressure tube infections in ICUs, and monitoring of infections in indwelling urinary catheters. After purposeful monitoring, real-time discovery of the cause of infection, take a responsive approach to avoid hospital infections 'outbreak of prevalence.
4. Continue to do a good job in the situation, the table, medical staff hand monitoring; sterile goods, sterilizing agents, the use of disinfectants, autoclaves and other items of monitoring.
5. Continue to do a good job in the key departments of the hospital management: enhance the enemy operating room, artificial kidney, endoscopy, stomatology and other key departments of the hospital management, on a regular basis or not on a regular basis under the department of hospital quality inspection and supervision.
6. Continue to do a good job of hand hygiene: improve the clinical department hand washing equipment and supplies. Supervise medical staff to do a good job of hand hygiene.
7. Guidance for medical staff to implement the "Employee Occupational Safety Guidelines", to do a good job of occupational exposure protection methods.
8. In order to standardize the management of hospital infections, hospital infections for the management of the key and difficult to put forward the relevant prevention and control methods, the program to prepare "hospital infections and control standard operating procedures".
9. Suggested reconstruction of the sewage disposal system: the existing sewage disposal system was built in 2007, the use of time has been 7 years long, in this period, the hospital has a new hospitalization building, health care building. According to the supervision of the city environmental protection bureau and requirements, the existing sewage disposal system can not reach the disposal of relevant national environmental protection requirements.
2023 hospital infection work plan (Part 2)A, strengthen publicity and education, improve the awareness of the Department of health care personnel, the establishment of the control of nosocomial infections in the on-the-job education system, the regular prevention of nosocomial infections of the Department of staff publicity. Second, the development of practical nursing work plan, regular supervision of the implementation, and constantly improve the quality of care, summarize the experience of the hospital ......
a. Strengthen publicity and education to improve the awareness of the Department of health care personnel, the establishment of control of nosocomial infection in-service education system, regular prevention of nosocomial infection of the Department of staff publicity.
Second, the development of practical nursing work plan, regular supervision of the implementation, and constantly improve the quality of care, summarize the experience, the control of nosocomial infections, is to improve the quality of medical care and the specific embodiment of the important guarantee, is to prevent the important measures of medical accidents.
Third, the hospital infection management knowledge training: the general medical staff hospital infection knowledge training, the main training content for infection prevention and control of new developments, new methods, hospital infection diagnostic standards, the rational use of antibacterial drugs knowledge. For nursing staff, the main training content is knowledge of disinfection and isolation, prevention and control of hospital-acquired infections and classification and collection of medical waste. Cleaning staff work requirements, basic knowledge of disinfection and sterilization, cleaning procedures, personal protective measures and hand hygiene disinfection of health care workers.
Sixth, infectious disease management: in accordance with the requirements to improve the management of statutory infectious diseases and fever clinic management, to prevent infectious disease underreporting.
2023 hospital infection work plan (Part 3)In order to protect the health of hospitalized patients and medical staff, reduce the occurrence of hospital infections, to avoid the emergence of outbreaks of hospital infections, in the current year to further strengthen the monitoring of hospital infections. The following monitoring plan has been developed
1, hospital infection incidence monitoring
1.1 In the current year, hospital infection specialists should continue to go into the clinical departments and related departments for prospective hospital infection monitoring, daily collection of hospital infection case report card and various sections of the communication, verification of the diagnosis of hospital infections and to find out the infections caused by the relevant risk factors; timely detection of hospital infections. Relevant risk factors; timely detection of hospital infections and aggregation of hospital infections occurs, timely analysis of the causes of infection, find the risk factors of hospital infections, and at the same time put forward appropriate preventive and control measures, and continuous monitoring of hospital infection events. Minimize the occurrence of hospital infections, avoid hospital infection outbreaks and suspected hospital infection outbreaks.
The second week of each month focuses on the investigation of underreporting of hospital infections, and after the investigation of the hospital and the hospital infections of each department are summarized, the incidence of hospital infections, underreporting rate and the rate of hospital infections in each clinical department, underreporting rate, underreporting, late reporting of cases and distribution of hospital infections are statistically analyzed, and corresponding preventive and control measures are put forward to the departments with a high rate of infections and the parts of hospitals and are provided to the hospital in writing. Feedback. The doctor in charge of the underreporting of hospital infections is notified and criticized, and appropriate financial penalties are imposed.
Quarterly meeting of the Hospital Infection Committee, the Infection Management Division of the quarterly management of hospital infections and the incidence of hospital-acquired infections to the Hospital Infection Committee, *** with the discussion, research, and to solve the problems in the management of hospital infections.
1.2 In this year, according to the incidence of hospital infections, plans to carry out a hospital inpatient hospital infection rate survey in May. Infection management by the host, each section *** with the participation of the provisions of a unified time, the development of a unified form, in accordance with the unified standards for the hospital inpatient hospital infection rate survey. Understand the hospital at the same point in time, the rate of infection in various departments, site infection rate. In order to grasp the basic situation of hospital infections in the hospital and different departments and hospital infections of high incidence departments, high incidence parts, high incidence departments and high incidence parts of the search for risk factors, the development and adoption of preventive and control measures.
1.3 This year, the neurosurgery icu, nicu, ricu for hospital infection target-oriented monitoring, especially to strengthen the monitoring of ventilator-associated pneumonia, intravascular catheters due to bloodstream infection, indwelling catheters due to urinary tract infection, infection management department to the neurosurgery icu, nicu, ricu every week to assess and understand the patient's condition and the infection situation, the use of the ventilator, indwelling intravascular catheters due to urinary tract infection. Ventilator, indwelling intravascular catheter, indwelling urinary catheter patients and the time of intubation and extubation by the neurosurgery icu, nicu, ricu nurses on duty to establish the icu logbook one by one to record, and close observation of the signs and symptoms of infection, to make a correct diagnosis in a timely manner, and at the same time to find the risk factors for infection, and to actively take the appropriate control measures, to further reduce the rate of hospital infections, and to do a good job in the infection of the critically ill patients The patient's condition is not a problem, but the patient's condition is not a cause for concern.
2, surgical site infection monitoring
In order to further understand the surgical site infection rate of surgical patients; timely detection of risk factors, and actively intervene; and effectively evaluate the effect of control to reduce the surgical site infection, the surgical site monitoring was carried out: the surgical site of all the elective and emergency surgery patients in the Department of Obstetrics and Gynecology after surgery was monitored. Monitoring. Specialized hospital infection surveillance staff went to the wards every day to learn about and register the monitored surgical patients, determined the time of dressing change with the surgeons, checked the healing of surgical incisions, urged the doctors to send abnormal incisional secretions for examination, traced the results of the examination in a timely manner and asked for the rational application of antimicrobial drugs; checked the contact information of each surgical patient, publicized and explained the purpose and manner of the investigation to the surgical patients, contacted the discharged patients by telephone To determine whether infection occurs, enter the monitoring data of each surgical patient and statistical analysis, calculate the rate of surgical site infection, and physicians, departmental sensory control nurses *** with the analysis of the causes in order to improve, prevent and reduce surgical incision infections. 12 Next
2023 Hospital Infection Work Plan (Part 4)This year, our hospital will usher in the review of the third-class hospital, combined with the provincial health department of the "three hospitals of the first class", the "three hospitals of the first class". The "three hospitals of the review of the standard", in order to improve the quality of infection management in our hospitals as the goal, seriously fulfill their respective functions, to protect medical safety, improve the development of quality control of hospital infections and continuous improvement of the work of the development of the work of the Department of work in conjunction with the actual work of the Department of hospital infection management work plan for the year 20xx:
My section resolutely implement the "Chinese People's *** and State Infectious Disease Prevention and Control Law", "Hospital Infection Management Code", "Disinfection Technical Specification", "Medical Waste Management Regulations", "Guiding Principles for the Clinical Application of Antimicrobial Drugs".
A good department of nosocomial infection monitoring; ① control the infection rate and reduce underreporting; ② emphasize the significance of hospital infection monitoring to all staff in the department; ③ monthly routine monitoring of the department's environment, air, medical staff hands, disinfectant, sterile items, etc.; ④ guidance on related infectious diseases should be triage of the department; ⑤ in accordance with the provisions of the Ministry of Health to further standardize the endoscopy, stomatology, instrument cleaning and disinfection processes , purchasing a number of new ones in line with the actual work . Instruments and equipment and protective equipment.
Second, conscientiously implement the new "Chinese People's *** and the State Law on Prevention and Control of Infectious Diseases", strengthen the management of direct reporting of infectious diseases network, the department of doctors for direct reporting process training network.
Third, strengthen the disinfection and isolation system, and carry out monthly monitoring and evaluation of the effect of disinfection and sterilization. Ensure that the various monitoring programs are up to standard. Air, medical staff hands, object surface qualification rate ≥ 98%, the use of disinfectant in the qualification rate of 100%; sterile instrument preservation fluid qualification rate of 100%; sterilized items qualification rate of 100%. This year, the implementation of a quarterly program to carry out the target monitoring, such as hand hygiene, counter, computer keyboard.
Fourth, the use of ultraviolet lamps quarterly monitoring of irradiation intensity.
V. Strict medical waste classification, collection, transportation, storage, and outbound management to eliminate leakage incidents.
Six, the implementation of hospital infection outbreak early warning report. Actively prevent the outbreak of hospital infection epidemic, to eliminate the occurrence of malignant hospital-acquired infections.
VII, to the department staff of hospital infection knowledge training into this year's work focus. Adoption of full training, test paper assessment, to improve the awareness of medical personnel hospital infection prevention. The implementation of pre-service training.
eight, hand hygiene and occupational exposure protection issues into this year's hospital infection work focus.
IX, regular self-examination, the results into the quality of nuclear examination. The implementation of the system of responsibility of the head of the department, quality control doctors, quality control nurse supervision and management.
2023 hospital infection work plan (Part 5)In order to eliminate the occurrence of nosocomial infections, to protect the health of patients, and effectively do a good job of nosocomial infection control, combined with the actual development of the implementation of the program in our hospital as follows:
First, set up a business dean as head of the control of nosocomial infections leading group, and by the head of the nurses are responsible for nosocomial infection control of the day-to-day work.
Second, the leading group held regular meetings to discuss the work of the problem, and in accordance with the regulations and standards related to the management of hospital infections, hospital infection control planning and work plan, the organization of the development of hospital infection management rules and regulations, and supervise the implementation.
Third, all kinds of personnel in the hospital for the prevention and control of hospital infection knowledge and skills training and assessment.
Fourth, supervise and inspect the implementation of hospital infection management rules and regulations.
V. Strict management of key departments:
1, department staff must dress according to regulations.
2, to maintain indoor cleanliness and hygiene, the room is regularly ventilated to change the air, at least twice a day, each time not less than 30 minutes.
3, check the patient or before and after the operation must be standardized hand washing, disinfection.
4, the use of sterile goods should be checked before the expiration date of sterilization, packaging is not broken, wet. Sterile goods should be one person a copy.
5, each department should fill out the hospital infection case registry in a timely manner, the occurrence of nosocomial infection timely report.
Sixth, strict management of single-use medical supplies:
1, hospitals use disposable medical supplies must be centralized and unified procurement, the use of the department shall not be privately purchased.
2, the production of disposable medical supplies must be fully documented, product packaging, marking must be consistent with the national "health standards for single-use medical supplies" provisions.
3, the purchasing department each time the quality of acceptance must be carried out, the items are stored in a cool, dry, well-ventilated shelves.
4, disposable medical supplies after use, must be harmless treatment, and have a record of treatment.
5, the hospital infection management section of the procurement of disposable medical supplies, management and recycling of the implementation of supervision and inspection.
Seven, the rational use of antibiotics
Clinicians should strictly grasp the principles of the application of antibacterial drugs, rational selection, rational use of antibacterial drugs, to prevent the misuse of antibiotics, so as not to produce bacterial resistance, increase the chances of nosocomial infection.
2023 Hospital Infection Work Plan (Part 6)This year, the hospital infection work of the Department of Traditional Chinese Medicine, will be under the unified leadership of the hospital, to strengthen the active collaboration with the hospital sensory department, and conscientiously carry out the implementation of the "Management of Hospital Infection", "Chinese People's *** and the State of the Prevention and Control of Infectious Diseases Act", "Disinfection Technical Specification", "Regulations on the Management of Medical Wastes", "Management Standards for Disinfection Supply Centers" and other laws and regulations.
For the 20__ years of our hospital sensory work deficiencies, I Kotter developed 20__ years of work plan, as follows:
a. Improvement of the department's hospital infection management system, and according to the relevant national laws, rules, regulations and norms, routine requirements to carry out the work and the implementation of the situation of its inspection and supervision.
Second, conscientiously fulfill the duties of the hospital infection management team, fill out the monthly hospital infection management records.
Third, the strict implementation of disinfection and isolation system
Fourth, hospital infection monitoring
1, the incidence of hospital infections
2, the occurrence of hospital infections, fill out the "Hospital Infections Report Card" and immediately report to the Hospital Infectious Diseases Division, the Department of good records.
3, on time to do a good job of environmental hygiene and sterilization effect monitoring, quality analysis and improvement measures.
4, the department occurred in the hospital infection outbreak, the director of the department to confirm the immediate notification of the Hospital Infection Division, and do a good job of investigation and registration.
Fifth, hospital infection knowledge training
1, according to the training program, the department of various types of personnel each month for hospital infection management knowledge and skills training, each training meeting has a record.
2, the hospital issued by the relevant hospital infection information is complete, the department in a timely manner to organize learning.
3, medical personnel hospital infection knowledge assessment.
Six, antibiotic application management
1, antibiotic utilization rate of 60%.
2, the joint use of antibiotics have indications, a superior doctor's opinion, the joint use of reasonable.
3, graded use of antimicrobial drugs is reasonable, over the use of superior doctors or department heads agree to record, the medical record is clearly recorded.
4, preventive use of antibacterial drugs standardized.
5, aseptic surgery perioperative antibiotic use standardized and reasonable.
6, strict control of skin, mucous membrane local use of drugs.
7, medical waste management
1, medical waste is categorized and placed, clearly marked.
2. Specialized collection and transportation of medical waste, clear handover, complete registration, handover records are kept for three years.
VIII. Personnel and hand hygiene management
1, the staff is neatly dressed, wear masks when operating, and wear gloves when contacting blood, body fluids and excreta.
2, the strict implementation of the finger-washing signs, before and after the operation, after the removal of gloves, before and after contact with the patient to wash their hands.
3, the implementation of standard preventive control measures.
4, hand washing steps correct
5, the implementation of hand disinfection indications.
6, the occurrence of body surface contamination or sharp instrument injury can be dealt with in a timely manner.
Nine, hospital infection inspection and assessment
1, daily by the department infection monitoring physician, infection monitoring nurse for the above project supervision and inspection, for the inspection of the problem, timely registration and feedback to the individual, in order to correct in time.
2, fill in the hospital infection knowledge training records every month, fill in the environmental hygiene and sterilization effect monitoring and quality analysis on time, hand hygiene consumption records.
2023 hospital infection work plan (Part 7)20xx year is our hospital will soon accept the "three A review", seeking development of the key year. At the same time, in order to further improve the management of hospital infection, to ensure medical safety. According to the "Hospital Infection Management", "Disinfection Technical Specification" and other relevant documents and regulations, under the leadership of the director in charge, this year, the main work is to do the following:
First, hospital infection monitoring
1, comprehensive monitoring: to take a prospective monitoring method, monthly clinical monitoring of inpatient hospital infections according to the plan, the situation, statistics of patients hospital infection The company's website is a great source of information about the company's products and services, and the company's website is a great source of information about its products and services. At the same time, according to the monitoring results to determine whether the hospital infection aggregated cases, analyze and investigate the source of infection, take effective measures to control the transmission pathway, to prevent outbreaks or epidemics of hospital infections.
2, target monitoring
Continue to key departments and key populations in our hospital target monitoring, including cesarean section surgery hospital infection target monitoring, oncology urinary tract intubation-related urinary tract infection monitoring, oncology vascular catheter-related bloodstream infection monitoring, NICU ventilator-related pneumonia monitoring, NICU vascular catheter-related bloodstream infection monitoring.
3, disinfection and sterilization effect monitoring and environmental hygiene monitoring
Quarterly monitoring of disinfection and sterilization effect on surfaces of objects, air, hands of staff, disinfectants, sterilizers, disinfected and sterilized items, etc. in key departments.
4, bacterial drug resistance monitoring
Quarterly classification and summary of bacterial drug resistance data reported by the Laboratory Department, to grasp the trend of bacterial drug resistance changes in the hospital, the hospital infection newsletter notification of the hospital's top five infected bacterial spectrum and drug resistance rate.
5, the current rate of infection survey
Selected to carry out a survey of the current rate of hospital infection, to understand the hospital infection, antibiotic use, microbial sent to the situation.
Second, improve the hospital infection management system
Every six months to convene a meeting of the Hospital Infection Management Committee, to discuss the existing problems, and according to the existing problems to put forward prevention and control measures. According to the latest requirements of hospital infection management, timely revision of the hospital infection management system. Supervise the corresponding departments to make timely revisions to the department's hospital infection management system.
Third, infection management knowledge training
Multi-channel training to improve the awareness of hospital infection prevention and control of health care workers. Quarterly training, training content includes:
1, disinfection and isolation knowledge, hand hygiene, medical waste classification, occupational exposure protection and other key hospital infection management content;
2, according to the country's new hospital infection-related documents timely arrangement of appropriate training;
3, the pre-service training of the new staff;
4, cleaning staff of the Training includes work requirements, basic knowledge of disinfection and sterilization, cleaning procedures, personal protective measures and hand hygiene disinfection.
Four, medical waste management
Regular inspection of the hospital medical waste classification, weighing, registration, handover, the relevant personnel to carry out training, to prevent the occurrence of medical waste loss phenomenon.
V. Strengthen the academic exchange of hospital infection management, to carry out research on hospital infection.
Actively participate in the national and provincial organizations of hospital infection management academic exchange activities, where possible, to complete the control of hospital infections related to the subject of research, and continue to apply for new subjects.
2023 hospital infection work plan (Part 8)1, give full play to the role of the hospital infection management system, especially the role of the hospital quality control team members. By strengthening the training of the hospital infection management system, so that everyone understands the hospital's hospital infection management system, and conscientiously implement it in practice, so as to improve the cognitive level of each employee on hospital infection. Do standardize the operation and reduce the occurrence of hospital infection.
2, the implementation of the hospital's hospital sensory conference system, held every six months hospital hospital sensory management committee meeting, research and solve the problems encountered in the management of hospital hospital sensory, summarize, arrange every six months work. Analyze the causes of problems, develop corrective measures, and actively rectify.
3, continued to carry out the hospital hospital infection supervision work
(1) biological monitoring of hospital infections, key departments such as operating rooms, disinfection supply room, stomatology, treatment rooms, dressing rooms, air, object surfaces, and hand hygiene monitoring of medical staff.
(2) Strengthen the management of disposable consumables, the manufacturer, the expiration date is in line with the standard.
(3) Strengthen the management of hand hygiene of medical staff, strengthen the training, regular spot checks, to understand the knowledge of hand hygiene of each medical staff.
(4) The management of medical waste should be normalized and standardized to strengthen the training of medical staff, cleaners and staff engaged in the collection, delivery and storage of medical waste in terms of laws and regulations, professional technology, safety protection and emergency treatment expertise, to prevent the leakage and loss of medical waste, so that the hospital's rules and regulations on the management of medical waste can be effectively implemented.