In the blink of an eye, the years rush by! We will usher in a new year, the annual summary of the infectious diseases doctor has been in the written plan. Annual summary for the unit or yourself, the significance can not be underestimated. How can we write a good year-end personal summary of the infectious diseases doctor? Maybe the following "selected infectious diseases doctor annual work summary 2022" is just what you want! Just for reference, welcome to read this article.
Selected infectious diseases doctor annual work summary 2022 Part 1My department in the hospital leadership and infection management committee under the leadership of the hospital, according to the "Hospital Infection Management Code", "Disinfection Technical Specification" and "Infectious Diseases Prevention and Control Act" and other relevant documents and regulations, the development of the corresponding hospital infection control plan, and organize the implementation of the timely monitoring of the effectiveness of the timely revision of the measures, so that the incidence of infection in the hospital control within a good range, no infection, no infection. The incidence of nosocomial infection in our hospital is controlled within a good range, and there is no outbreak of nosocomial infection. Now the main work of this year is summarized as follows:
First, strengthen the organizational leadership, strict implementation of the management system to ensure the smooth progress of the management of hospital infection
Hospital infection management system is the basis for a good hospital infection and an important guarantee to strengthen the system of construction and learning, and conscientiously carry out the implementation of the system to improve the awareness of prevention, The first step is to make sure that you are aware of the importance of the system and that you are aware of the importance of the system.
Second, hospital infection monitoring
Regular supervision and monitoring of hospital environmental hygiene, disinfection, sterilization effect, timely summary, analysis of the monitoring results, to find the existence of hospital infection risk factors, looking for effective prevention and control methods. Through monitoring-control-monitoring, ultimately reduce and control the occurrence of hospital infections and improve the quality of medical care.
1, medical records monitoring
① infection rate monitoring: I strictly implement the "Hospital Infection Management Code", "Disinfection Technical Specification" to meet the requirements of the Department of Health ≤ 8%.
② leakage rate monitoring: our hospital will be hospital infection management into the quality of medical care management began, our department for leakage of more penalties, now meet the requirements of the Ministry of Health 20%.
③ Our department carried out a survey on the infection rate of sterile incisions, and the infection rate was 0.2%. The infection rate was 0.2%, which meets the requirements of the Ministry of Health of ≤ 0.5%
2, environmental hygiene and disinfection and sterilization monitoring
My section of the monthly monitoring of the air, the table, staff hand, disinfectant, etc., the Hospital Infection Office quarterly rotation monitoring, and the results of the monitoring of the analysis of the summary of the Hospital Sense of Communication timely feedback to the departments.
3, targeted monitoring: patients receiving invasive operations, surgical patients incisions, hand hygiene, aseptic operation of targeted monitoring, by observing the doctor to change medication, collection of medical records and nursing records, a variety of test reports (X-rays, chest x-rays), etc., to the doctor, nurses to learn about the patient's situation, bedside view of the patient, etc., selected target, focusing on the use of indwelling catheters, arterial intubation, use of respirators and other invasive treatments, operations, and so on. The patients with invasive treatments and operations such as indwelling urinary catheters, arterial and venous intubation, use of ventilators, and long-term or multiple use of antibiotics are given prospective guidance on the prevention of hospital-acquired infections, and the cycle of monitoring is constantly being monitored to adjust the monitoring strategy in a timely manner in order to achieve the purpose of reducing the incidence of hospital-acquired infections by minimizing the various risk factors, and achieving a good result.
4, strengthened the management of medical waste: the department continues to improve the rules and regulations, clear responsibilities of medical waste management personnel, the implementation of the accountability system, to strengthen the management of medical waste and routine inspection, found that the problem of timely rectification and feedback.
5, occupational exposure: occupational protection of medical personnel, the development of protective systems and related measures (including hand hygiene, standard prevention, dress protection, etc.), in the daily medical activities, according to the department's work characteristics to provide appropriate protective supplies, such as masks, hats, gloves, goggles isolation clothing, protective clothing, etc., in order to ensure that the occupational safety of medical personnel. Occupational exposure survey, the number of people with sharp instrument injuries occurred, and timely treatment of wounds and reporting, tracking and investigation.
6, disinfection of medicines and disposable sterile medical supplies management: in order to strengthen the management of disinfection of medicines and disposable sterile medical supplies, the Department of its use of routine supervision and regular spot checks. Sampling of sterilized medicines and single-use sterile medical supplies is quarterly, and the results are complete, all qualified.
Three, multi-channel training to improve the awareness of medical staff hospital infection.
Take a variety of forms of infection knowledge training will be centralized training and morning meeting section training organic combination of clinical medical staff to increase the knowledge of hospital infections, improve the awareness of hospital infection. Improve the level of prevention and control of hospital infections. Distribute information about the diagnosis of nosocomial infection to improve the level of diagnosis of hospital infection. During the whole year of infection control work in the department, due to the high attention of the department, and the active cooperation of the department members, the work was carried out relatively smoothly, and good results were achieved. We believe that in the new year, as long as we continue to summarize the experience, learning with an open mind, we will do a better job of infection control.
IV. Although this year, the work of our department has made great progress, but there are still some problems:
1. Clinical infection management team did not give full play to its role.
2. Part of the staff on the degree of importance of nosocomial infection is not enough, on the patient's 'diagnosis of nosocomial infections and the analysis of the condition of the lack of hospital infection registry can not be reported in a timely manner.
3. The management of patients with multi-drug-resistant bacteria did not achieve tracking and monitoring.
The above problems in 20xx will strengthen the learning and management.
The Department of Critical Care Medicine of the People's Hospital of the People's Republic of China 20xx.12.22
Selected Infection Doctor Annual Work Summary 2022 Part 2
In 20xx under the correct leadership and strong support of the hospital leadership and the Hospital Infection Management Committee, in the province, the state under the guidance of the relevant experts, the work of the Hospital Infection Department of the hospital adhere to the "patient-oriented", strictly in accordance with the "hospital infection management committee", the work of the Hospital Infection Department. ", in strict accordance with the "Hospital Infection Management Measures", "Disinfection Technical Specification", "Regulations on the Management of Medical Waste" and other laws and regulations and the Ministry of Health's newly promulgated industry standards, in order to standardize, process management as the goal, has done a lot of work, starting from the organization of the implementation of the strict management system, to take a variety of measures to strengthen the hospital's medical and nursing staff hospital infection knowledge training, to improve the hospital's hospital infection awareness. Nosocomial infection awareness of health care personnel, and strive to promote the hospital's hospital infection management, the hospital infection rate control at a low level, for the hospital's medical quality escort. This year's hospital infection work is summarized as follows:
I. Nosocomial infection management:
1, our hospital in the sense of control work in the prospective investigation, this year for the first time the use of cross-sectional investigation, so that our hospital case investigation work is more timely and reliable, more scientific and standardized; the production of issued a nosocomial infection patient reporting card, requiring health care workers to timely detection, timely reporting, the hospital infection is the most important thing. 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 the company's products and services, and the company's website is a great source of information about the company's products and services.
2, according to the Ministry of Health's relevant laws and regulations, norms, standards, systems, combined with the hospital's hospital conditions, revised our hospital infection standards, systems and organizations to learn, so that everyone knows, so that they are engaged in their respective medical activities will be followed, but also clear at all levels of various types of personnel in the management of hospital infection management of the corresponding duties.
Second, quality control:
1, according to the requirements of the hospital medical safety and quality control, improve the quality of hospital infections and evaluation system, according to the comprehensive objectives of the supervision and feedback, a comprehensive inspection and sorting out the various aspects of the work of the prevention and control of hospital infections, and seriously investigate the safety of hidden dangers, in order to ensure that the safety of hospital infection. Effectively grasp the management of key departments, key parts and key links of hospital infection, especially the management of hospital infection in key departments such as operating room, labor and delivery room, gastroscopy room, laboratory, stomatology and so on. Developed key parts,
key links of the prevention and treatment of nosocomial infection measures, hospital infection department monthly supervision, guidance and assessment, to prevent nosocomial infection outbreaks in the hospital.
2, the Department of Hospital Sentinel monthly according to the requirements of the department of hospital infection of each department (including key departments and clinical departments) to carry out quality control supervision and assessment, found that the problem of timely feedback to the department and to assist in rectification.
Third, infection monitoring:
1, according to the requirements of hospital infection management, hospital infection case monitoring and targeted monitoring. Annual prospective survey of antimicrobial drugs hospitalized cases of 719 cases, the number of cases of use of 565 cases, the use rate of 78.60%. Among them, 278 cases were investigated in the surgical system, 227 cases were using antimicrobial drugs, and the utilization rate was 81.70%; 441 cases were investigated in the medical system, 338 cases were using antimicrobial drugs, and the utilization rate was 76.60%; 340 cases of targeted surveillance*** were counted, and there were no infected cases, among which 308 cases of targeted surveillance of catheter-related infections, 32 cases of surveillance of surgical site infections for hernia surgery and 32 cases of use of antimicrobial drugs were counted, and the utilization rate was 100%. 32 cases, the use rate of 100%, 0 cases of surgical site infections, infection rate 0%; timely completion of the Hospital Infectious Disease Committee requirements of the hospital inpatient hospital infection present rate survey.
2, to carry out environmental hygiene, sterilization effect monitoring. According to the "Hospital Infection Management", "Disinfection Technical Specification for Medical Institutions" and other relevant norms, the departments carried out environmental hygiene, disinfection and sterilization effect monitoring, sampling 729, the qualification rate of 100%; of which 94 air monitoring, the qualification rate of 97%; ultraviolet lamp irradiation monitoring 393, the qualification rate of 100%.
3, my section in November of the hospital to carry out a hospital infection rate survey, the day of the investigation of the hospital's inpatients for 233 people, the actual investigation of 225 people, the actual investigation rate of 96.6%. No cases of hospital-acquired infections, bacterial culture of 1 case, the rate of delivery of 0.69%.
Fourth, education and training:
1, to strengthen the hospital infection training and assessment, the development of a hospital infection management training program, the year in the hospital carried out 8 times in the hospital knowledge of hospital infections training, the participants include the entire hospital medical staff and the workforce. The training contents are: prevention and control of hospital infection in key departments, hospital infection management knowledge, management training, aseptic technique, hand hygiene knowledge training, standardized management training in departments, work
personnel occupational protection and disinfection and isolation knowledge training, medical waste management regulations training and so on. Newly employed medical and nursing staff carried out pre-service training, training assessment after training, qualified and then on duty.
2, hospital sensory full-time and part-time personnel to participate in the provincial and state health administrative departments and higher hospitals to organize the training of knowledge of hospital infections, and obtain the appropriate induction certificate and credits.
Fifth, to strengthen the management of hospital medical waste:
Increase the propaganda and training of the logistics cleaning staff to raise awareness, so that the medical waste and domestic waste to eliminate the mixing of loads, medical waste recycling in a timely manner, the recovery of medical waste with the delivery of tools for the closed transfer, and to eliminate the dumping of medical waste. The temporary storage of medical waste is properly disinfected, and medical waste is promptly handed over to the State Medical Waste Disposal Center, so that the loss of medical waste due to the dumping of medical waste is prohibited. Hospital Sense regularly and irregularly on the management of medical waste supervision, found that the problem of timely rectification, the hospital sent medical waste *** counted 4854 bags, about a total of 9.71 tons; State Medical Waste Disposal Center transfer of medical waste 1606 boxes.
Infection Management Section
20xx X month X
Selected Infection Doctor Annual Work Summary 2022 Part 3xx year hospital infection work summary
A, hospital infection management to complete the main work:
1, according to the higher level of health administrative departments of the requirements of the development of the xx year of the hospital infection management work plan, hospital infection knowledge continuing education and training program; the hospital infection knowledge of the review. Infection knowledge of continuing education and training programs; review the revised and updated hospital infection prevention and control of quality inspection and scoring standards, careful study of the Ministry of Health, "disinfection supply center management norms" and other six standards, to further improve and perfect the relevant hospital infection workflow.
2, strengthen the hospital infection prevention and control of quality supervision and management and continuous improvement, improve the quality of hospital infection management supervision and assessment mechanism, set up a part-time quality control team of hospital infection, monthly aseptic technique operation, medical waste management, hand hygiene, disinfection and isolation of hospital infection control link quality of the regular self-checking supervision and adhere to the self-checking situation evaluation and analysis of the notification, and supervise the clinical departments on the existence of problems in a timely manner. Clinical departments on the existence of problems in a timely manner to rectify, to ensure the healthy operation of the basic work of hospital infection management.
3, adhere to carry out key departments environmental microbiological monitoring and disinfectant use process monitoring, sterile goods sterilization effect monitoring, clinical disinfection and isolation work to play a substantial role in the inspection and supervision.
4, do a good job of hospital infection case monitoring and reporting:
(1) to carry out the key to regional hospital infection case monitoring, continuous ICU hospital infection target monitoring and network direct reporting.
(2) to do a good job of hospital infection outbreak epidemic monitoring and reporting and preventive control work, conscientiously implement the "hospital infection outbreak early warning report processing system", to strengthen the outbreak of hospital infections prospective monitoring, in March to investigate and deal with outbreaks of nosocomial infections in the upper respiratory tract early warning events, to assist the clinic to take the appropriate control measures, so that outbreaks of infections in a timely manner to get under control, did not cause the spread of the incident.
(3) carried out a survey of hospital infection rate and network direct reporting, the survey rate of 97.6%.
5, do a good job of infectious disease hospital infection prevention and control work, do a good job of pre-screening and triage desk, isolation ward hospital infection prevention and control guidance, especially in the hand-foot-mouth disease, influenza A H1N1 prevention and control work, hospital infection control seriously implement the relevant spirit of the higher health administrative departments, seriously standardize the development of relevant work systems and processes, so that it meets the requirements of the prevention and control of hospital infections and to strengthen the relevant departments training and prevention and control supervision. The hospital has been working hard to develop relevant work systems and processes to meet the requirements of hospital infection prevention and control, and to strengthen the training and supervision of the relevant departments.
6, to further strengthen the knowledge of hospital infection continuing education and training, hospital-wide training 4 times a year, each department to do the monthly intensive training for the staff of the section, to the hospital issued more than 1,000 copies of the training assessment questionnaire, the hospital infection knowledge training examination rate of 100%; for the current situation of our hospital infection management, organized by the Yichang City level of continuing education program for hospital infections training
7, hand hygiene management: the hospital implemented hand sanitizer hand washing, hand drying towel to do a person once a use a disinfection without secondary pollution, part of the key departments to implement the dry phone dry hands.
8, the key departments of the hospital infection management: the hospital has strengthened the key departments of the layout of the construction and improvement of the new blood purification room in recent years, purification ICU, laminar flow operating room, laboratory, gastroscopy room, and standardize the corresponding facilities and equipment, so that it reaches the requirements of the management of hospital infections, the center of the supply room is being prepared for the construction.
The Department of Hospital Sensory Nursing jointly implemented a monthly quality control supervision of the operating room and other key departments of the hospital.
9, to further standardize the classification of medical waste collection management, medical waste management related systems and treatment process health
full, and standardize the implementation of the classification of collection, reasonable storage, focusing on rationalization of uncontaminated medical waste packaging, prohibit the mixing of medical waste with infectious, standardize the configuration of the collective infusion car medical waste containers and the standardized use of the hospital's medical waste containers; infectious medical waste, such as To do day-to-day clean and timely incineration, incinerator in the hospital has been smoke-free treatment; there are standardized new sewage treatment facilities, there are relevant management systems and responsibilities, a person in charge.
10, strengthen the management of multi-drug-resistant bacteria: the hospital has multi-drug-resistant bacteria disinfection and isolation measures and the implementation of the laboratory found multi-drug-resistant bacteria can be timely reported to the Hospital Infection Branch, Hospital Infection Branch timely feedback to guide the clinical departments to take disinfection and isolation measures, and multi-drug-resistant strains of patients to implement the labeling management.
11, to strengthen the management of occupational exposure protection of medical personnel: improve the emergency plan for occupational exposure of medical personnel, treatment process, registration and reporting system, and can be the whole hospital medical staff related knowledge training, there are medical personnel occupational exposure of special preventive funds; medical personnel have occupational protection awareness, the key positions of the corresponding protective equipment is available (hat, mask, isolation suit, protective clothing, mask, eye mask.), staff can correctly protect the health of the patient and the patient's health, the patient's health and the patient's health, Rubber shoes, etc.), staff can correctly use protective equipment.
12, disinfection of medicines and disposable medical supplies management: Hospital Infection Management Division of the purchase of disinfection of medicines and disposable medical supplies, storage and use of regulatory oversight, quarterly inspection guidance and analysis of the briefing.
13, conscientiously implement the hospital infection evaluation and analysis system, do a good job of statistical reporting of relevant information, adhere to the regular convening of the hospital infection work conference, the occurrence of hospital infections, monitoring and evaluation of the hospital infection prevention and control measures to implement the implementation of the evaluation and analysis of the notification, and at the same time to carry out the monitoring of drug-resistant strains of bacteria, the rate of hospital infections sent to analyze the rate of pathogenicity of the cases, and the regular issuance of the Hospital Infection Newsletter
Second, there is a problem with the hospital infection management department. >
Second, there are problems:
1, the hospital did not implement the centralized cleaning and disinfection supply, a few departments there are self-contained packages or daily diagnostic supplies section cleaning and disinfection of immersion, its cleaning facilities are not standardized, a small number of medical personnel disinfection methods and chemical disinfectants in place to master the use of disinfectants (disinfection and supply centers are in the pipeline).
2, the medical staff hand hygiene awareness to be further strengthened (infusion injection, wound surgical dressing, critical checkups and other aspects of the quick dry hand disinfectant need to use hand disinfection), the hospital's quick dry hand disinfectant annual purchase of only 500 bottles, far from reaching the clinical norms of the demand for hand disinfectant, the actual operation of the medical staff did not standardize the implementation of the hand hygiene system.
Selected infectious diseases doctor annual work summary 2022 Part 4In order to standardize the hospital's disinfection and sterilization work, to prevent nosocomial infections, ** the annual hospital infection department to strengthen the hospital infection sampling and monitoring, the hospital departments carried out disinfection and sterilization effect of monitoring, and at the same time, strengthened to the operating room, gastroscopy room, stomatology, supply room, bacteriological room, such as high-risk areas of the environmental hygiene monitoring and monitoring of the hand hygiene of the medical staff. The whole hospital *** sampling, including air sampling and culture, object surface sampling and culture, medical staff hand sampling and culture, disinfectant sampling and culture, disinfectant sampling and culture, aseptic sampling and culture 137, autoclave disinfection and sterilization effect monitoring, the qualification rate of 100%. This year, the city CDC sampling and monitoring of our hospital, the qualification rate of 100%.
The strength of ultraviolet lamps in use in the hospital's clinical departments, medical technology departments, outpatient monitoring, *** monitoring of various types of ultraviolet lamps 29, found unqualified and timely replacement, so that its qualification rate of 100%.
Selected Infectious Disease Physician Annual Work Summary 2022 Part 5In order to strengthen the management of disinfectant medication and disposable sterile medical supplies, ** the Hospital Sensory Section conducted routine supervision and regular spot checks on their use. Sampling of disinfectant medicines and single-use sterile medical supplies is quarterly, annual **** sampling 4 times, the method is sampling from the clinical departments, to the Pharmaceuticals and Devices Section to claim the certificate. Annual **** 45 copies of the certificate, the results of the certificate is complete, all qualified.
Summary of the work of the Hospital Infection Branch in the first half of the year, under the correct leadership of the Health Bureau and hospital leadership, seriously carry out the management of hospital infections, the beginning of the year to formulate a work plan and organize the implementation of the work plan, completed the work plan, is now half a year's work is summarized as follows:
Selected infectious diseases doctors annual work summary 2022 Part 620xx, the Hospital Infection Branch of the hospital leadership of the correct leadership and the hospital departments and units
In 20xx, under the correct leadership of the hospital leadership and the strong support of all departments in the hospital, to strengthen the management of hospital infection, to ensure the smooth implementation of the work of the hospital infection department, but there are still a number of problems need to be solved and improved. Now the hospital infection management work in 20xx is summarized as follows:
First, strengthen the quality control of hospital infection, especially for the management and supervision of key departments and key links
1, according to the standard of the hospital infection inspection of the hospital every month, especially the supply room, operating room, delivery room, abortion room, laboratory and other key departments to carry out unscheduled inspections, supervision, and found that the hospital infection management work in the hospital infection management work in the hospital infection management work. Unscheduled inspection, supervision, found that the problem and hospital-acquired hazards, timely written feedback, the department to find out the reasons for the development of corrective measures to return to the Department of Hospital Sentinel, Hospital Sentinel according to the corrective measures, tracking and checking the effect of improvement.
2, strengthen the supervision and inspection of key links, focusing on hand hygiene norms, disinfection and isolation system, aseptic technology operation norms and the implementation of medical waste management norms, found not to implement, timely feedback, stop. Reduce the chances of cross-infection and hospitalization.
3, monthly on all clinical, medical technology, outpatient, property cleaning, a comprehensive supervision, inspection, inspection of the departments disinfection isolation, aseptic technology, medical waste management, hand hygiene implementation, as well as the department of hospital infection control management, hospital sensory knowledge learning, assessment of the situation, found that the problems and pitfalls in a timely manner, feedback, put forward corrective comments, tracking and checking the effect of rectification.
Second, to strengthen the hospital infection monitoring
1, the hospital infection rate survey, the hospital's current rate of zero.
2, carried out in the first half of 20xx surgical incision targeting monitoring, summarizing the first half of our hospital cesarean section incision infection rate of 0, indicating that the control of surgical incision infection in our hospital is effective.
3, antibiotic use of each department statistics, analysis of 2 times, and the analysis report printed and distributed to the department, comments and suggestions.
4, retrospective nosocomial infection survey of all inpatient medical records, timely discovery
found nosocomial infection underreporting cases, surgical incision targeting of all surgical cases, in order to timely detection of nosocomial infection problems, clues, and timely response measures. *** survey cases more than 6,000 cases, our hospital infection incidence rate of 1.8%, lower than last year.
5, environmental hygiene monitoring and biomonitoring, monthly key departments, quarterly non-focused departments of the air, object surfaces, disinfectant, staff hand and other environmental sampling and monitoring of bacterial growth and disinfection and sterilization effect monitoring, monthly summary. Weekly biological monitoring of pressure steam sterilization, daily pre-vacuum test, chemical and physical testing of each pot, and record the monitoring results. The annual sterilization effect of the monitoring pass rate of 100%, biological monitoring pass rate of 100%, air bacterial culture pass rate of 100%, object surface bacterial culture pass rate of 99.6% (100% after rectification), medical staff hand bacterial culture pass rate of 95.6%, disinfectant bacterial contamination detection pass rate of 98.7% (100% after rectification), the qualification rate are higher than last year.
Third, strengthen the management of medical waste
Focused on strengthening the daily supervision of the hospital's medical waste, dirt disposal, requiring the strict implementation of the laws, regulations and rules, medical waste and living garbage are strictly separated, medical waste in the generation of department that is the classification of the collection of double packaging, clear labeling, sealed transportation, medical waste in the temporary storage place stored not more than two years ago. The medical waste is stored in the temporary storage place not more than 48 hours, found that the problem, timely feedback, rectification, to ensure the timeliness and effectiveness of the management of medical waste.
Four, strengthen the knowledge of hospital infection prevention and control of learning and training
According to the hospital infection training requirements and the plan formulated at the beginning of the year, the organization of the whole staff to carry out the "importance of infection control in the hospital", "prevention and control of Ebola", "20xx", "20xx", "20xx", "20xx" and "20xx". ", "20xx version of the interpretation of disinfection technical specifications", "grass-roots personnel hospital infection knowledge training" and other knowledge of hospital infection prevention and control training *** four times, and carried out the examination, the new medical staff of the hospital infection knowledge pre-service training and assessment. Each department once a month to learn the knowledge of hospital sensory, quarterly examination, hospital sensory department monthly supervision of the implementation of the situation. Not only increased knowledge, but also improve the medical staff hospital infection prevention and control of the importance of awareness, improve compliance.
Fifth, there are problems
1, the hospital medical staff to implement hand hygiene norms of compliance is still not high, the implementation of hand hygiene system of various departments generally ineffective, there is a hidden danger of hospital cross-infection.
2, part of the medical staff and property staff lack of asepsis concept, the implementation of disinfection isolation system and aseptic technology is not strict. The property staff has a low cultural level, poor compliance in learning and implementing disinfection and isolation, and there is a security risk of cross-infection.
3, clinical departments of nosocomial infection. Diagnosis, reporting is not enough attention, there is the phenomenon of underreporting, the annual underreporting rate of 33.3%, higher than the standard of no more than 20%.
4, our hospital hospital sensory staff has not yet obtained a certificate of competency, and hospital sensory staff and part-time staff lack of relevant knowledge and technical training, to carry out some of the targeted monitoring and hospital sensory control program is more difficult
Hospital Sensory Department
20xx12.4