参加全国医院感染监控管理

Pushing ahead East North West development facilitating shanty complete xincheng West Road stability and reconstruction of the street Star Ding garden built century Garden District subject public housing construction heating the gas expansion accelerated implementation Jing Rui River and bridge style line solid shaft further expanded the town development Beautiful country adhere to the advance and typical for a group to lead According to ecological lay based and industry increased income and live upgrade civilization and culture rich connotation of thought caught built beautiful village and whole village advance and easily relocation and five modified three built project near 30 a depth into ecological and industry and culture and tourism elements high standards caught party original city Liu and jade are Xia AO model village in province City set has benchmark Four is equal benefits to promote sharing coordinated development of various social undertakings In the case of rigid spending slowing revenue growth increase financial 75 to the people s livelihood the masses have more access in the sharing Cuoban something good and benefit Adhere to the affordable best carefully cuoban village oil water and heat cultural city and County columns practical developments benefit families bring more welfare to the masses Development of social convenience Acceptance of balanced development of compulsory education through the national assessment the County vocational education center was named top School of vocational education in China the third batch of national reform and development model through provincial Five is to deepen reform and innovation to break bottlenecks and endogenous development of effective fire As an engine of dynamism adding reform key to adopting reform measures stress energy and break bottlenecks and promoting development Pay close attention to the key areas of reform Conscientiously implement the provincial deployment and cancel adjustment to undertake the administrative approval items according to Regulation 347 to further improve administrative efficiency continuing deepening reform for poverty alleviation speeding up rural land right registration certification pilot project encouraging the orderly transfer of land management utilize the land resources in order to promote scale management laid the Foundation Actively cultivate the market Firmly establish a market oriented nurturing family farms industrial users professional cooperation organization new market management main body 456 effectively improve the industry intensive and marketization of encouraging support social capital into the small micro credit urban development culture and tourism public services and other areas easing development shortfall To promote mass innovation To support the rural sector to use new thinking and new ideas creative work incentives such as actively promoting financial intermediation bring added 159 in non public enterprises individually 1540 created a 参加全国医院感染监控管理 培训汇报材料 张兴芬 尊敬的田院长 我于 5 月 11 日 5 月 24 日在院领导的高度重视下 有 幸参加了全国医院感染培训基地中南大学湘雅医院举办的 重点部门医院感染预防与控制提高班 培训结束后进行了 考试 取得了全国医院感染监控管理合格证书 这是以后 在院感科的上岗证必备之一 通过两期的重点部门医院感 染预防与控制培训 掌握了重点部门医院感染防控的重点 会议期间还安排参观了湘雅医院的 ICU 胸外 血透室 内镜室 口腔门诊 病区的治疗及处置室等部门的实地查 看 学习了重点部门重点环节的建筑布局 消毒隔离措施 多重耐药菌的监测管理 层流手术室的管理 新生儿及 ICU 的医院感染管理等以及对重点部门的监测采样方法 口腔诊疗器械管理 以及今后工作中如何开展综合监测与 目标监测及手术部位感染等监测 结合我院现在实际情况 以及搬新院后的管理谈谈我的体会 我院目前医院感染管理情况 自去年 5 月到院感染科 以来 在现有的条件下 首先让医务人员的头脑中树立院 感意识观 围绕二甲标准 除做好日常管理工作外 主要 做了如下工作 Pushing ahead East North West development facilitating shanty complete xincheng West Road stability and reconstruction of the street Star Ding garden built century Garden District subject public housing construction heating the gas expansion accelerated implementation Jing Rui River and bridge style line solid shaft further expanded the town development Beautiful country adhere to the advance and typical for a group to lead According to ecological lay based and industry increased income and live upgrade civilization and culture rich connotation of thought caught built beautiful village and whole village advance and easily relocation and five modified three built project near 30 a depth into ecological and industry and culture and tourism elements high standards caught party original city Liu and jade are Xia AO model village in province City set has benchmark Four is equal benefits to promote sharing coordinated development of various social undertakings In the case of rigid spending slowing revenue growth increase financial 75 to the people s livelihood the masses have more access in the sharing Cuoban something good and benefit Adhere to the affordable best carefully cuoban village oil water and heat cultural city and County columns practical developments benefit families bring more welfare to the masses Development of social convenience Acceptance of balanced development of compulsory education through the national assessment the County vocational education center was named top School of vocational education in China the third batch of national reform and development model through provincial Five is to deepen reform and innovation to break bottlenecks and endogenous development of effective fire As an engine of dynamism adding reform key to adopting reform measures stress energy and break bottlenecks and promoting development Pay close attention to the key areas of reform Conscientiously implement the provincial deployment and cancel adjustment to undertake the administrative approval items according to Regulation 347 to further improve administrative efficiency continuing deepening reform for poverty alleviation speeding up rural land right registration certification pilot project encouraging the orderly transfer of land management utilize the land resources in order to promote scale management laid the Foundation Actively cultivate the market Firmly establish a market oriented nurturing family farms industrial users professional cooperation organization new market management main body 456 effectively improve the industry intensive and marketization of encouraging support social capital into the small micro credit urban development culture and tourism public services and other areas easing development shortfall To promote mass innovation To support the rural sector to use new thinking and new ideas creative work incentives such as actively promoting financial intermediation bring added 159 in non public enterprises individually 1540 created a 1 在开展全院综合监测的基础上 开展了妇产科剖宫 产切口目标监测及全院留置导尿目标监测 这是二甲必备 条件 2 在现有条件下 规范了供应室的器械清洗 消毒灭 菌流程 将各科使用的压脉带 湿化瓶等物品统一规范到 供应室处理 实行统一下收下发 改变了以往由科室自行 处理的流程 降低感染风险 3 规范医务人员手卫生 使职工在意识上树立了手卫 生 从无到有的意识观念 特别是手术室规范了洗手流程 改善了洗手的方法 从原来的肥皂洗手 改成抗菌洗手液 及感应式外科手消毒方法 为手术室制定了洗手的流程图 提高了洗手的正确率和合格率 每月进行手卫生抽查及监 测 4 为各科制定了各种消毒登记本 规范了各种消毒液 的配制及使用 规范了医疗废物分类收集及交接 制定统 一的登记本及医疗废物转移交接单 5 每季度 重点部门每月 对各科进行环境卫生学监 测 6 每月组织各科护士长召开院感反馈会议 对存在的问 题加以整改 计划每半年召开医院感染委员会议 今年 6 月 12 月 7 制定了年度每月培训计划 分别对保洁员 新上岗 Pushing ahead East North West development facilitating shanty complete xincheng West Road stability and reconstruction of the street Star Ding garden built century Garden District subject public housing construction heating the gas expansion accelerated implementation Jing Rui River and bridge style line solid shaft further expanded the town development Beautiful country adhere to the advance and typical for a group to lead According to ecological lay based and industry increased income and live upgrade civilization and culture rich connotation of thought caught built beautiful village and whole village advance and easily relocation and five modified three built project near 30 a depth into ecological and industry and culture and tourism elements high standards caught party original city Liu and jade are Xia AO model village in province City set has benchmark Four is equal benefits to promote sharing coordinated development of various social undertakings In the case of rigid spending slowing revenue growth increase financial 75 to the people s livelihood the masses have more access in the sharing Cuoban something good and benefit Adhere to the affordable best carefully cuoban village oil water and heat cultural city and County columns practical developments benefit families bring more welfare to the masses Development of social convenience Acceptance of balanced development of compulsory education through the national assessment the County vocational education center was named top School of vocational education in China the third batch of national reform and development model through provincial Five is to deepen reform and innovation to break bottlenecks and endogenous development of effective fire As an engine of dynamism adding reform key to adopting reform measures stress energy and break bottlenecks and promoting development Pay close attention to the key areas of reform Conscientiously implement the provincial deployment and cancel adjustment to undertake the administrative approval items according to Regulation 347 to further improve administrative efficiency continuing deepening reform for poverty alleviation speeding up rural land right registration certification pilot project encouraging the orderly transfer of land management utilize the land resources in order to promote scale management laid the Foundation Actively cultivate the market Firmly establish a market oriented nurturing family farms industrial users professional cooperation organization new market management main body 456 effectively improve the industry intensive and marketization of encouraging support social capital into the small micro credit urban development culture and tourism public services and other areas easing development shortfall To promote mass innovation To support the rural sector to use new thinking and new ideas creative work incentives such as actively promoting financial intermediation bring added 159 in non public enterprises individually 1540 created a 人员 医务人员进行不同层次医院感染知识培训 每季度 进行院感知识考试 建议 1 新区医院重点部门在房屋建筑布局上 遵循院感管 理规定 特别是 ICU 新生儿 供应室 产房 手术 室等部门 应安装感应水龙头 ICU 应每个房间有一 洗手设施 干手设施 在人员管理上医生 床 0 8 1 护士 床 2 5 1 人 物 洁 污流线不得交叉 逆 行 新生儿科在房屋布局上 进入办公区应有进门的 缓冲间 医务人员进入办公区更衣 换鞋 外科洗手 设施 干手设施 新生儿入院通道和出院通道窗口 才能有效控制医院感染 2 层流手术室在搬迁启用时 要请疾控中心进行采样 监测合格 方可投入使用 特殊手术间眼科 手术台 工作面高度截面平均风速比其他手术室宜降低 1 3 一 级眼科专用手术室手术区每边不小于 1 2m 如果眼科 手术风速大 会加快结膜蒸发失水 产科手术间净化 空调机组只有新风 无回风 正负压切换 手术室护 士长要在搬迁前提前进入 层流管理 3 随着新区医院搬迁 重点部门 重点环节科室增 加 特别是 ICU 新生儿 手术室等是医院感染高危区 建议检验科开展药敏实验及病原微生物检测和鉴别 Pushing ahead East North West development facilitating shanty complete xincheng West Road stability and reconstruction of the street Star Ding garden built century Garden District subject public housing construction heating the gas expansion accelerated implementation Jing Rui River and bridge style line solid shaft further expanded the town development Beautiful country adhere to the advance and typical for a group to lead According to ecological lay based and industry increased income and live upgrade civilization and culture rich connotation of thought caught built beautiful village and whole village advance and easily relocation and five modified three built project near 30 a depth into ecological and industry and culture and tourism elements high standards caught party original city Liu and jade are Xia AO model village in province City set has benchmark Four is equal benefits to promote sharing coordinated development of various social undertakings In the case of rigid spending slowing revenue growth increase financial 75 to the people s livelihood the masses have more access in the sharing Cuoban something good and benefit Adhere to the affordable best carefully cuoban village oil water and heat cultural city and County columns practical developments benefit families bring more welfare to the masses Development of social convenience Acceptance of balanced development of compulsory education through the national assessment the County vocational education center was named top School of vocational education in China the third batch of national reform and development model through provincial Five is to deepen reform and innovation to break bottlenecks and endogenous development of effective fire As an engine of dynamism adding reform key to adopting reform measures stress energy and break bottlenecks and promoting development Pay close attention to the key areas of reform Conscientiously implement the provincial deployment and cancel adjustment to undertake the administrative approval items according to Regulation 347 to further improve administrative efficiency continuing deepening reform for poverty alleviation speeding up rural land right registration certification pilot project encouraging the orderly transfer of land management utilize the land resources in order to promote scale management laid the Foundation Actively cultivate the market Firmly establish a market oriented nurturing family farms industrial users professional cooperation organization new market management main body 456 effectively improve the industry intensive and marketization of encouraging support social capital into the small micro credit urban development culture and tourism public services and other areas easing development shortfall To promote mass innovation To support the rural sector to use new thinking and new ideas creative work incentives such as actively promoting financial intermediation bring added 159 in non public enterprises individually 1540 created a 开展耐药菌检测 如果此项工作不开展 到时将无法 对 ICU 新生儿科等重点部门的医院感染进行控制 也 才能使医生合理应用抗生素 同时对抗生素的合理使 用及联合用药无法进行监测 并且也是创二甲复审必 备的条件 4 按照现行医院感染管理 建议在条件允许情况下 安装院感实时监测系统和供应室追溯系统 以便更好 地管理 5 在搬新区后 对重点部门如 ICU 手术室 新生儿 科的消毒等工作好与坏是预防控制医院感染的重要环 节 建议这些科室的保洁人员直接由科室监督管理 因为在这些科室如果保洁人员消毒隔离工作做不到位 最容易导致医院感染事件发生 如果仍然由保洁公司 吃大锅饭管理 是做不好医院感染防控这块工作的 这样存在的隐患大 不利于科室管理 6 层流净化设备的维护 应设专门维护管理人员定期 检查初 中 高级过滤器 新风过滤网清洗 1 次 月 粗效过滤器清洗 1 次 月 中效过滤器宜每周检查 3 个月更换一次等等的维护工作 实行感染 后勤 手 术室三位一体的管理 7 胃镜室搬入新区后 按照内镜清洗规范管理 结合 我院现行实际情况 胃镜室杨昌友每日早上要完成 15 Pushing ahead East North West development facilitating shanty complete xincheng West Road stability and reconstruction of the street Star Ding garden built century Garden District subject public housing construction heating the gas expansion accelerated implementation Jing Rui River and bridge style line solid shaft further expanded the town development Beautiful country adhere to the advance and typical for a group to lead According to ecological lay based and industry increased income and live upgrade civilization and culture rich connotation of thought caught built beautiful village and whole village advance and easily relocation and five modified three built project near 30 a depth into ecological and industry and culture and tourism elements high standards caught party original city Liu and jade are Xia AO model village in province City set has benchmark Four is equal benefits to promote sharing coordinated development of various social undertakings In the case of rigid spending slowing revenue growth increase financial 75 to the people s livelihood the masses have more access in the sharing Cuoban something good and benefit Adhere to the affordable best carefully cuoban village oil water and heat cultural city and County columns practical developments benefit families bring more welfare to the masses Development of social convenience Acceptance of balanced development of compulsory education through the national assessment the County vocational education center was named top School of vocational education in China the third batch of national reform and development model through provincial Five is to deepen reform and innovation to break bottlenecks and endogenous development of effective fire As an engine of dynamism adding reform key to adopting reform measures stress energy and break bottlenecks and promoting development Pay close attention to the key areas of reform Conscientiously implement the provincial deployment and cancel adjustment to undertake the administrative approval items according to Regulation 347 to further improve administrative efficiency continuing deepening reform for poverty alleviation speeding up rural land right registration certification pilot project encouraging the orderly transfer of land management utilize the land resources in order to promote scale management laid the Foundation Actively cultivate the market Firmly establish a market oriented nurturing family farms industrial users professional cooperation organization new market management main body 456 effectively improve the industry intensive and marketization of encouraging support social capital into the small micro credit urban development culture and tourism public services and other areas easing development shortfall To promote mass innovation To support the rural sector to use new thinking and new ideas creative work incentives such as actively promoting financial intermediation bring added 159 in non public enterprises individually 1540 created a 18 个人次的胃镜清洗及检查 工作量大 是无法按照 规范流程完成 这样的操作流程是不合理的 建议搬 入新区后 胃镜的清洗可以增加一名护士协助胃镜室 人员完成 降低安全隐患 8 新区医院在医疗废物管理暂存处及医疗废物运送路 线上要按照医疗废物管理设施 特别是暂存处必须远离 生活区 要做到五防 防鼠 防蟑螂 防蚊 防盗 防 渗漏 要具备冲洗消毒的条件 9 目前院感工作中的难点 检验科无法提供感染病例 病原学检查 无法对感染病例实施正确的治疗 临床医 生凭经验性用药 效果不理想 这也是临床医生在为病 人实施治疗中的困惑 请院领导在搬入新区后考虑这块 工作 通过学习 结合医院实际情况 我院院感工作几乎是从 零起 医务人员对院感意识观念淡薄 需加大力度培训 从我到院感科一年来 现在院感工作已搭成了一个框架 但是还有大量的工作要去完成 而且院感工作是许多人体 会不到的 不身临其中是体会不到工作的难点和重点 认 为是一项简单的工作 下一步计划 1 将这次学习的内容拟定培训计划对相应的科室及人员 作培训 Pushing ahead East North West development facilitating shanty complete xincheng West Road stability and reconstruction of the street Star Ding garden built century Garden District subject public housing construction heating the gas expansion accelerated implementation Jing Rui River and bridge style line solid shaft further expanded the town development Beautiful country adhere to the advance and typical for a group to lead According to ecological lay based and industry increased income and live upgrade civilization and culture rich connotation of thought caught built beautiful village and whole village advance and easily relocati