Hospital Infection Management Division Office Work Summary

With the development of medical science and medical models, hospital infections occupy an important position in hospital management. Hospital infection is not only related to the health of both doctors and patients but also affects the quality of medical care in hospitals . Under the attention and concern of the leaders of the hospital, from the implementation of the organization to the strict management system, various measures have been taken to gradually standardize and institutionalize the hospital infection management of the hospital. In order to further improve the hospital infection management work in the future, the hospital's hospital infection control work this year is summarized as follows:

First, the leadership attaches great importance to ensuring the smooth development of infection management in the hospital

The hospital leadership attaches great importance to hospital infection management. The dean directly serves as the leader of the hospital infection management leading group, and guides the hospital to carry out daily work. The first is to pay attention to the management according to law and carry out hospital infection management according to the norms. Constantly study laws and regulations, implement the "Infectious Diseases Prevention and Control Law", "Disinfection Technical Specifications", " Hospital Infection Management Regulations" and various policies and regulations. The leaders of the hospital emphasize the practice of medicine according to law and standardize management. Due to the attention of the hospital leadership and the serious and responsible management of the director of the hospitality, the legal awareness of the staff of our hospital and the awareness of controlling infection within the hospital have been continuously strengthened. The second is to effectively control hospital infections and ensure the quality of medical care. The hospital leadership attaches great importance to the construction of key departments, and allocates infrastructure to the key departments such as delivery room, operating room, neonatology, and laboratory in strict accordance with hospital infection management requirements. The third is to control hospital infections in high-risk departments as the focus of work, often go to the first line of clinical understanding and check the implementation of the disinfection and isolation system, find problems and weak links in the work, timely communicate with relevant departments to solve problems, and carry out work in a down-to-earth manner. .

Second, enrich the health care hospital infection organization

According to the requirements of the Ministry of Health, the rules and regulations have been gradually improved, and full-time hospital staff have been equipped to ensure the standardized and orderly development of hospital infection management. The infection management network of hospitals, departments and departments established by the hospital has played an effective role in monitoring functions. According to the responsibilities, the quality assessment standards for hospital infection management have been formulated. The quality inspections are carried out according to the assessment standards every month, and the quality inspection results are discussed and discussed. At the same time, according to the problems in hospital infection management, we will formulate improvement measures to carry out hospital infection management work in a standardized manner. At the same time, the infection management quality control team of each hospital will report the in-hospital infection, disinfection and isolation monitoring of inpatients to the hospital. There are problems in the hospital's nosocomial infection organization medical staff discussion; hospital infection monitoring personnel at all levels have fulfilled the corresponding functions of hospital infection management, so that the hospital infection management work is further improved. In the hospital infection management, standardize and conscientiously implement various rules and regulations, especially the medical waste management system, the hospital infection disinfection and isolation system, the management system for disposable sterile medical supplies, the hospital infection management inspection system, and the hospital infection management education and training system. Hospital infection management assessment system.

Third, strengthen the training of hospitality knowledge, improve the awareness of infection among hospital staff

Combining with the actual situation of the hospital and creating an atmosphere, the Institute has organized a series of special lectures and hospital infection training, and used the Internet to keep abreast of the status and principles of hospital infections at home and abroad, new progress in control methods, and medical treatment for the hospital. Personnel personnel conduct training on prevention and control of hospital infection related knowledge. In the whole year of 2019, the training of medical staff and logistics personnel in our hospital was assessed four times. The training period of the probationary period was 2 times, and the training of interns and advanced students was assessed twice. Enhance everyone's awareness of prevention and control of hospital infections; improve hospitals' prevention and control of hospital infection levels. In the hospital's infection control work throughout the year, due to the high attention of the hospital leaders and the active cooperation of various departments, the work carried out smoothly and achieved good results.

Fourth, further improve the management system and implement it

Hospital infection management system is the basis and important guarantee for doing a good job in hospital infection. In order to improve the quality and effectiveness of the hospitality of our hospital, a set of scientific and practical management systems have been formulated to regulate the behavior of relevant personnel in the hospital . According to the " Hospital Infection Management Measures", the "Disinfection and Isolation Management System" of the various departments of our hospital, "Integrated Scoring Rules for In-Hospital Infections", "In-Hospital Infection Self-examination Quality Control Feedback", "Hospital Quality Control Staff Monthly Assessment Standards", " Hospitals " Infection Management Quality Control Penalty. Regularly or irregularly, according to the hospital system, norms and rules of our hospital, the quality inspection, evaluation, and scoring of the hospital infection management in each department, check the implementation of the system, check the operation norms, and deepen the people from the upper level. The hospital senses the implementation of the regular inspection system and gives full play to the binding role of the system so that all work can be implemented.

V. Establishing the " Hospital Infection Case Reporting System"

In order to conscientiously implement the relevant provisions of the "Administrative Measures for Hospital Infections", we will promptly grasp the infection status, incidence, disease types, common pathogens and drug resistance in our hospital, and combine them according to the requirements of "Diagnostic Standards for Hospital Infection". According to the actual situation of our hospital, the "In-Hospital Infection Surveillance Registration Reporting System" was formulated. When medical staff finds nosocomial infections or infection trends, they must promptly send pathogen tests to find the source of infection and the route of infection. It is required to fill out the hospital infection case report form and report it to the hospital infection management office in time. The person in charge of the hospital will monitor, analyze and feedback the relevant risk factors to help control the spread of the disease. If necessary, the medical department will organize a seminar to eliminate hidden dangers. To ensure medical safety. In order to ensure the reliability of infection control in the hospital, the hospital will randomly check the incidence and false negative rate of infection in the hospital. In the case of concealment and underreporting of the department, once found, in addition to the criticism of the whole hospital, the person in charge of the party and the department should also be punished according to the regulations. At the same time, medical personnel should be alert to the occurrence of hospital infection outbreaks, and the underreporting of hospital infections is also an important factor causing hospital infection outbreaks. When it is found that there is an infection outbreak tendency, it is necessary to report to the hospital infection management office in time, and the hospital sense office investigates and statistically analyzes the occurrence of hospital infection, and reports to the hospital infection management committee or the person in charge of the hospital .

6. Training all medical personnel to prevent HIV standard protection

According to the requirements of the "Guidelines for the Work of Occupational Exposure Protection for AIDS Workers", the Hospital Infection Office provides necessary guidance and study for the health and safety protection work of various departments of the hospital, supervises the various protective equipments for each department, and masters self-protection knowledge. In order to conduct confidential medical work in an emergency, it is necessary to strictly implement the principle of standard prevention. Properly perform various technical operations to prevent sharp stab wounds. Once occupational exposure occurs, local treatment measures should be implemented immediately and reported to the Hospital Infections Management Office in a timely manner. However, there are still many shortcomings in this work, and further training is needed in the hospital. At the same time, in order to ensure the safety of the surgeon, the risk of occupational exposure is minimized, the yellow surgical notice is strictly used for the infectious surgery, and the use of the yellow infectious surgical notice is included in the accusation assessment standard.