6 infection management work plan

Work plan for infection management 1

First, strengthen the management of hospital infection

According to the measures for the administration of hospi

Work plan for infection management 1

First, strengthen the management of hospital infection

According to the measures for the administration of hospital infection, the norms for monitoring hospital infection and the detailed rules for the examination of tertiary Chinese medicine hospitals, and in view of the problems existing in the examination and assessment of the Health Department of 20xx Autonomous Region and the Health Bureau of Yinchuan City, the detailed rules of each department are further revised, and the usual examination and the end-of-month examination are combined according to the detailed rules, so as to strengthen the examination and further standardize the work.

Second, to carry out hospital infection monitoring

1, comprehensive monitoring to carry out standardized prospective monitoring of nosocomial infection, through the inquiry of clinical case data of patients with high-risk factors, the examination of laboratory bacterial culture results, and the clinical observation of patients. , timely find hospital infection cases, urge doctors to fill in hospital infection cards, and find suspicious epidemic clues in time.

2, to carry out targeted surgical site infection monitoring, gradually standardize the surgical site infection monitoring, timely feedback to clinical departments, to provide reliable information to reduce surgical site infection.

3. Investigation on clinical application of antibacterial drugs

Through the investigation of the use of antibiotics in inpatients, the use of antibiotics in inpatients and perioperative period was monitored.

4. Investigate the prevalence rate of nosocomial infection.

Cooperate with the National Hospital Infection Monitoring and Management Training Base for 20xx years to investigate the prevalence rate of hospital infection in China. A cross-sectional survey of nosocomial infection was conducted in August, and the results were reported to the National Hospital Infection Monitoring and Management Training Base in September.

5, to carry out bacterial drug resistance monitoring.

Strengthen contact with clinical departments and clinical departments, find the infection of multi-drug-resistant bacteria in time, guide and urge departments to take disinfection and isolation measures in time to prevent nosocomial infection and outbreak of multi-drug-resistant bacteria.

Three, infection cases summary, reported to the base hospital.

Summarize the discharged cases according to the disease classification and hospital infection cases every month, and report the hospital infection monitoring report to the hospital infection base according to the regulations.

Four, strengthen the control of nosocomial infection of multi-drug resistant bacteria.

For key departments and patients, through the query of laboratory bacterial culture test results, multi-drug-resistant bacteria infection can be found in time, and the supervision and guidance of hospital infection control measures of multi-drug-resistant bacteria in clinical departments can be strengthened to effectively control hospital infection of multi-drug-resistant bacteria and prevent the outbreak of hospital infection of multi-drug-resistant bacteria.

Five, strengthen the monitoring and management of environmental sanitation, disinfection and sterilization effect.

1, according to the requirements of the detailed rules for the evaluation of tertiary hospitals, monitor the bacterial content in key areas, including operating rooms, dressing rooms in treatment rooms, hands of medical staff, disinfection and sterilization articles, disinfectants in use and disinfectants, once a month 1 time.

2, after disinfection, sterilization of gastrointestinal endoscopy, hysteroscopy, laparoscopy and stomatology equipment monitoring 65438 0 times a month.

3. The intensity monitoring of ultraviolet lamp shall be conducted by the department once every six months and recorded, and shall be checked during the monthly assessment.

4. Monitor the concentration of disinfectant and disinfectant in use with test paper (randomly) in peacetime and monthly assessment.

Assist in analyzing the causes of unqualified departments, put forward rectification measures and strengthen supervision and management.

Sixth, strengthen the training of hospital awareness knowledge.

1. The hospital awareness group conducts 1 time hospital awareness knowledge study every month, and takes the exam in the form of test questions at the end of the month, so that the hospital awareness knowledge training is implemented.

2. Invite experts from other hospitals to our hospital and our full-time management personnel to give lectures on the prevention and control of nosocomial infection in tertiary hospitals and 1 time and special training on hand hygiene and nosocomial infection 1 time.

3, complete the interns, new employees and other new hospital personnel of hospital infection prevention and control knowledge pre-service training.

Seven, strengthen the management of sterilized medical devices, and supervise the quality of disposable medical supplies.

Strengthen the audit of the qualifications related to the procurement of disposable medical consumables.

Eight, strengthen the supervision and guidance of laundry room and sewage treatment.

Nine, strengthen the management of medical waste

Strictly supervise all aspects of classified collection, transportation and centralized temporary storage of medical wastes to prevent medical wastes from mixing with domestic garbage to pollute the surrounding environment.

Ten, standardize the supply room work

According to the Operating Specification for Cleaning and Disinfection Technology of Hospital Disinfection Supply Center, cooperate with the nursing department to further standardize the cleaning, disinfection and sterilization of hospital disinfection and sterilization items.

XI。 Outbreak of nosocomial infection

If there is an epidemic or outbreak of infectious diseases, it should be reported immediately and active measures should be taken to prevent and control the spread of diseases.

Work plan for infection management 2

According to the requirements of "Hospital Infection Management Measures" and the inspection standard of 20xx provincial management year, combined with the actual situation of our hospital, the work plan of hospital infection prevention and control in 20xx was formulated.

1. According to the latest national laws, regulations and rules, improve and revise the rules and regulations of hospital infection management, and revise the 20xx hospital infection inspection and evaluation standards.

2. Hold quarterly hospital infection management committee meeting, hospital infection expert group meeting and clinical application of antibiotics expert group meeting to discuss decision-making related issues.

Three. Training and evaluation

1. Make a training plan.

2. Training scope: medical personnel, management personnel, ground personnel and new employees.

3. Training content: hospital infection management, disinfection technical specifications, new laws and regulations and other related knowledge.

4. Training time: Training related knowledge of hospital infection according to personnel classification, reaching 6 class hours per year, and 3 class hours before working.

5, in addition to organizing training, focus on the exam, and give appropriate rewards, in order to achieve the purpose of promoting learning.

6, full-time staff to participate in national, provincial and municipal training.

Four. Monitoring:

(1) Hospital infection case monitoring: comprehensive monitoring.

65438+ According to the monitoring data of retrospective investigation in previous years, the data obtained now are compared and analyzed.

2. Target monitoring: Continue to carry out icu target monitoring, summarize it every month and give timely feedback.

3. Through the above monitoring, hospital infection cases can be found in time, the phenomenon of missing reports can be avoided, and the hidden danger of epidemic situation can be found in time.

4. Summary items: monthly summary of infection rate, first-class incision infection rate, site infection rate, hospital infection sample inspection rate, positive rate, etc.

5. Feedback method: send emails to department directors and monitoring doctors every month, and use quality control meetings and online feedback.

(two) environmental health monitoring, disinfection effect monitoring:

1, monitor the air, glutaraldehyde, dialysis system, autoclave and endoscope in key departments such as operating room, supply room, obstetrics and gynecology, pediatrics, dialysis room and icu once a month (sampling by department once every quarter), and monitor the superficial hands, ventilators, salmonella and pathogenic microorganisms in gynecology and pediatrics (sampling by hospital infection department); The Hospital Sense Office is responsible for the statistics, summary and analysis of all monitoring results, and puts forward rectification requirements for the problems found.

2, in consultation with the clinical laboratory, plans to carry out the icu, nicu, operating room and other departments of hospital infection routine or epidemiological investigation of air and surface bacteria classification monitoring project.

(3) Other monitoring related to hospital infection:

1. Monitoring of susceptible population, high-risk factors and infection sites of nosocomial infection. Supervise and check the risk factors of lower respiratory tract infection, such as sputum aspiration (20xx 1 1 month, all of which have been changed to disposable materials to avoid operational pollution) and ventilator disinfection.

2. Strengthen the supervision and management of venous catheterization, implement the management measures of venous catheterization, and avoid the occurrence of vascular related infections.

3. Monitor the residual liquid of fever reaction caused by blood transfusion and blood transfusion, investigate the blood transfusion reaction, and take preventive measures for suspicious situations found.

4, strengthen the inspection of daily work, be good at finding dangerous goods and dangerous links used by various departments, and monitor uncertain disinfection effect or possible infection risk factors.

(4) Supervise the clinical pharmacy to formulate the monitoring system of antibacterial drugs, carry out the related monitoring of antibacterial drugs, and temporarily continue the retrospective investigation and rationality evaluation of the rational use of antibacterial drugs by the hospital's sense office, and intervene to achieve the purpose of standardizing the rational use of antibacterial drugs in clinic.

(5) The drug resistance was monitored by the bacteria room of the clinical laboratory, and the monitoring results were summarized and analyzed to guide the clinical experience of rational drug use. The hospital infection office emphasizes the clinical improvement of the inspection rate of infected specimens and the correct rate of specimen collection. According to the results of drug resistance monitoring, the sample rate of community infection is low, and the next step is to improve the sample collection rate, especially for patients who use drugs for treatment. Check the sampling rate of therapeutic drugs,

Verb (abbreviation for verb) management work:

(a) to strengthen the work of the hospital infection management team in this department, and to hold a meeting once a month to analyze and discuss the self-examination and rectification of the hospital infection management in this department, and record the work and meeting, and the hospital office will strengthen supervision and inspection.

(two) the implementation of "disinfection and isolation measures for multi-drug resistant bacteria infection", daily inspection of bacteria room monitoring results, supervision and inspection of mrsa, vre and other patients with multi-drug resistant bacteria infection in clinical disinfection and isolation work and medication.

(three) to promote the implementation of the "hand hygiene system". Hand washing steps, drying methods, soap, hand sanitizer, faucet, swimming pool quick-drying hand sanitizer, etc.

(4) Implement enzyme washing of endoscopes and instruments in all departments of the hospital.

(five) to carry out in-depth audit of disposable medical supplies and disinfection products, and truly audit before purchasing.

(6) Medical waste management: strictly implement the medical waste management system, strengthen classified collection and inspection, urge the standardized construction of temporary medical waste storage points, strengthen the management of disposable medical supplies recycling, and control the supervision and inspection of illegal transactions.

(7) Management of key departments: strengthen the implementation and inspection of hospital infection management system and disinfection and isolation system in the whole hospital, including outpatient service, emergency treatment, ward, medical technology, logistics, etc., especially the management of clean operating room, hemodialysis, oral cavity, baking room, endoscope, urology, obstetrics and gynecology outpatient endoscope, equipment and autoclave.

(8) Strengthen the management of nosocomial infection of infectious diseases: strengthen the prevention and control of avian influenza in winter, and regularly check whether the procedures of fever clinic, intestinal clinic, fever pre-diagnosis and triage, registration room, pediatrics, emergency department and respiratory department are correct.

(9) Occupational exposure protection: strengthen the occupational health and safety education of staff, strengthen the management of occupational exposure protection and the registration, inspection, observation and emergency treatment after occupational exposure, and negotiate with the CDC of Pipeline Bureau to handle the free emergency injection of hepatitis B positive exposure.

(ten) pay attention to the hospital construction and renovation projects, and put forward reasonable suggestions for hospital infection control in a timely manner.

(eleven) to be responsible for the consultation and guidance of hospital infection management;

Feedback from supervision and inspection of intransitive verbs:

Inspection is standardized, institutionalized, comprehensive and focused. Establish inspection standards, conduct a comprehensive inspection of all departments every quarter, and do not miss any departments and projects. Repeatedly check the problems found and constantly check the work assigned by the new requirements. Summarize and analyze the results of hospital infection management and monitoring, and feed back to the competent dean and relevant departments through quality control meetings and online.

Chapter 3 of the Work Plan for Infection Management

Medical quality is an important guarantee for the survival and development of hospitals, and hospital infection management is an important part of medical quality management. Prevention and control of nosocomial infection is an important work in hospital management. 20 1x hospital infection management work plan is as follows:

First, the quality inspection items for controlling hospital sensation in the Manual of Hospital Feeling Work were revised, and the quality inspection of hospital sensation was carried out in relevant departments every month. The contents include:

1, aseptic technology implementation;

2. Implement disinfection and isolation;

3. Disposal of medical wastes;

4. Ward management;

5, the implementation of the department hospital sense knowledge training;

6. Registration of antibiotic use;

7. Report and treatment of hospital infection cases;

8. Hand hygiene. And make a record of the inspection results for analysis and evaluation, and require corrective measures for existing problems and give regular feedback.

Second, the head nurse and the director of the department are required to check the hospital feeling quality once a month, record the inspection results in the hospital feeling manual, and rectify the problems in time when found.

Three, each department to develop hospital awareness training plan, require each department to control the content of the hospital awareness training plan, organize the department staff to learn every month, and conduct assessment. Everyone is required to master the responsibilities, occupational safety awareness, disinfection and isolation system in hospital sense work, and make records.

Fourth, monitor the implementation of the department's infection management system, hospital infection management standard and work system every month and give feedback to the department regularly, so that the hospital infection management control rate is more than 95%.

Five, the department regularly collects hospital infection cases, analyzes the diagnosis basis, infection location and causes, finds out the susceptible population and factors, counts the number of infection cases in various departments, calculates the infection rate, checks the discharge medical records of missed infection cases, puts forward rectification measures and reports to the hospital and the department regularly.

Six, conscientiously implement the antibiotic drug management system, statistics of antibiotic use, analysis and summary of the rational use of antibiotics, as far as possible to carry out the monitoring of drug-resistant strains.

Seven, disinfection and sterilization effect, environmental health general departments to monitor once a month, including: sterile bags, hands, air, disinfectants and dining tables. , used in obstetrics and gynecology delivery room, supply room, sterile room, operating room, sterile bag, hand, air, disinfectant and operating table. Monitor the disinfection effect and environmental hygiene once a week, analyze and evaluate the monitoring results every time, find out the reasons, put forward rectification measures, give feedback, and inform the whole hospital of the monitoring situation.

Eight, strengthen the management of medical waste, in accordance with the medical waste management system, strict collection, classification, packaging, handover, registration, storage and transshipment. It is forbidden to mix domestic waste and medical waste.

Nine, to carry out hospital staff awareness knowledge training, including new employees, interns and cleaning staff, and evaluate the training knowledge.

Ten, the monthly hospital quality assessment is unqualified, in accordance with the provisions of the hospital management, give certain economic penalties.

The fourth chapter of infection management work plan

Preventing and controlling hospital infection is an important content to ensure medical quality and medical safety, and it is also one of the important contents of hospital management. In order to effectively strengthen the management of hospital infection, prevent hospital infection, and cooperate with the evaluation of tertiary Chinese medicine hospitals, this year we plan to carry out the work from the following aspects:

First, strengthen the management of hospital infection

According to the measures for the administration of hospital infection, the norms for monitoring hospital infection and the detailed rules for the evaluation of tertiary Chinese medicine hospitals, and in view of the problems existing in the inspection and evaluation of the Health Department of 20xx Autonomous Region and the Health Bureau of Yinchuan City, the detailed rules of each department are further revised, and the usual assessment and the end-of-month assessment are combined according to the detailed rules, so as to strengthen the assessment and further standardize the work.

Second, to carry out hospital infection monitoring

1, comprehensive monitoring.

Standardized prospective monitoring of nosocomial infection should be carried out. By inquiring the clinical case data of patients with high risk factors, consulting the laboratory bacterial culture results and visiting patients, we can find hospital infection cases in time, urge doctors to fill out hospital infection cards and find suspicious epidemic clues in time.

2, to carry out targeted surgical site infection monitoring, gradually standardize the surgical site infection monitoring, timely feedback to clinical departments, to provide reliable information to reduce surgical site infection.

3. Investigation on clinical application of antibacterial drugs.

Through the investigation of the use of antibiotics in inpatients, the use of antibiotics in inpatients and perioperative period was monitored.

4. Investigate the prevalence rate of nosocomial infection.

Cooperate with the National Hospital Infection Monitoring and Management Training Base for 20xx years to investigate the prevalence rate of hospital infection in China. A cross-sectional survey of nosocomial infection was conducted in August, and the results were reported to the National Hospital Infection Monitoring and Management Training Base in September.

5, to carry out bacterial drug resistance monitoring.

Strengthen contact with clinical departments and clinical departments, find the infection of multi-drug-resistant bacteria in time, guide and urge departments to take disinfection and isolation measures in time to prevent nosocomial infection and outbreak of multi-drug-resistant bacteria.

Three, infection cases summary, reported to the base hospital.

Summarize the discharged cases according to the disease classification and hospital infection cases every month, and report the hospital infection monitoring report to the hospital infection base according to the regulations.

Four, strengthen the control of nosocomial infection of multi-drug resistant bacteria.

For key departments and patients, through the query of laboratory bacterial culture test results, multi-drug-resistant bacteria infection can be found in time, and the supervision and guidance of hospital infection control measures of multi-drug-resistant bacteria in clinical departments can be strengthened to effectively control hospital infection of multi-drug-resistant bacteria and prevent the outbreak of hospital infection of multi-drug-resistant bacteria.

Five, strengthen the monitoring and management of environmental sanitation, disinfection and sterilization effect.

1, according to the requirements of the detailed rules for the evaluation of tertiary hospitals, monitor the bacterial content in key areas, including operating rooms, dressing rooms in treatment rooms, hands of medical staff, disinfection and sterilization articles, disinfectants in use and disinfectants, once a month 1 time.

2, after disinfection, sterilization of gastrointestinal endoscopy, hysteroscopy, laparoscopy and stomatology equipment monitoring 65438 0 times a month.

3. The intensity monitoring of ultraviolet lamp shall be conducted by the department once every six months and recorded, and shall be checked during the monthly assessment.

4. Monitor the concentration of disinfectant and disinfectant in use with test paper (randomly) in peacetime and monthly assessment.

5. Assist in analyzing the causes of unqualified departments, put forward rectification measures and strengthen supervision and management.

Sixth, strengthen the training of hospital awareness knowledge.

1. The hospital awareness group conducts 1 time hospital awareness knowledge study every month, and takes the exam in the form of test questions at the end of the month, so that the hospital awareness knowledge training is implemented.

2. Invite experts from other hospitals to our hospital and our full-time management personnel to give lectures on the prevention and control of nosocomial infection in tertiary hospitals and 1 time and special training on hand hygiene and nosocomial infection 1 time.

3, complete the interns, new employees and other new hospital personnel of hospital infection prevention and control knowledge pre-service training.

Seven, strengthen the management of sterilized medical devices, and supervise the quality of disposable medical supplies.

Strengthen the audit of the qualifications related to the procurement of disposable medical consumables.

Eight, strengthen the laundry room

Supervision and guidance of hospital sewage treatment

Nine, strengthen the management of medical waste

Strictly supervise all aspects of classified collection, transportation and centralized temporary storage of medical wastes to prevent medical wastes from mixing with domestic garbage to pollute the surrounding environment.

Ten, standardize the supply room work

According to the Operating Specification for Cleaning and Disinfection Technology of Hospital Disinfection Supply Center, cooperate with the nursing department to further standardize the cleaning, disinfection and sterilization of hospital disinfection and sterilization items.

XI。 Outbreak of nosocomial infection

If there is an epidemic or outbreak of infectious diseases, it should be reported immediately and active measures should be taken to prevent and control the spread of diseases.

Chapter 5 Work Plan for Infection Management

First, improve the hospital infection management responsibility system, standardize and implement various rules and regulations.

In accordance with the Measures for the Administration of Hospital Infection and relevant national laws and regulations, improve the management of hospital infection, further strengthen supervision, and carefully supervise the implementation of various rules and regulations. Effectively prevent and control the occurrence of hospital infection and ensure the safety of diagnosis and treatment.

1, to further improve the hospital infection management system; At least once every six months to carry out a meeting of the hospital infection management committee to study, coordinate and solve problems related to hospital infection management. In case of problems, hold special meetings at any time to give full play to the leadership and decision-making ability of the infection management Committee.

2. Further improve the multi-department cooperation mechanism of hospital infection management department; Actively carry out hospital infection management, actively cooperate with medical department, nursing department, laboratory, pharmacy department, equipment department, information department and other relevant departments to coordinate with each other, so as to make hospital infection management scientific and standardized.

3. Hospital infection management team in clinical departments should strengthen management; Monitor all kinds of infection links in time and take effective measures to reduce the incidence of nosocomial infection in our department. Supervise and inspect the rational use of antibiotics and antibiotics by doctors in our department, strictly implement aseptic technical operation, implement disinfection and isolation and standardize preventive measures to ensure the safety of diagnosis and treatment.

Second, strict monitoring and supervision.

1, hospital infection monitoring; Implement effective hospital infection monitoring according to the Hospital Infection Monitoring Standard. Hospital infection management department shall conduct microbial monitoring for special departments (hemodialysis room) once a month, and for general departments once a quarter (attached table), and summarize and analyze the monitoring data, and report to the department in time, report to the hospital infection management Committee every six months, and report and feedback in time for special circumstances.

2. Monitoring of disinfection and sterilization effect: disinfection, sterilization and environmental hygiene monitoring are carried out every month, and disinfectants, medical staff's hands, object surfaces, indoor air, endoscope rooms and autoclaves used in clinical departments are randomly sampled and monitored regularly or irregularly.

Third, strengthen the management of nosocomial infection in key departments.

1. Strengthen the management of nosocomial infection in ICU;

(1), all staff should wear special work clothes, change shoes, wear hats and masks, minimize the flow of people, strictly control the entry of personnel, and visitors should wear visiting clothes, shoe covers and hats.

(2) All personnel should abide by the rules of hand washing, wash their hands before and after handling different patients, and strictly carry out aseptic operation. Hand hygiene microbial monitoring once a quarter.

(3) The sphygmomanometer, stethoscope, bedside articles and oxygen inhalation devices used by patients cannot be used interchangeably, and should be used by special personnel. After the patient is transferred to the room, it should be disinfected for later use.

(4) When all kinds of rescue articles and monitoring instruments are exchanged, the surface should be disinfected and cleaned, and all kinds of catheters, humidification bottles and oxygen masks should be disinfected and sterilized in a standardized way.

(5) Strengthen the monitoring and prevention of multidrug-resistant bacteria.

2. Management of surgical patients; The medical staff in the whole hospital are required to strictly implement the operating rules of aseptic technology, strictly implement the disinfection management system and strengthen the awareness of aseptic operation.

Fourth, carry out targeted monitoring;

1, ventilator-associated pneumonia and its incidence.

2, central venous catheter-related blood flow infection and incidence.

3. Urinary tract infection associated with indwelling catheter and its incidence.

4. Infection and incidence of surgical site with different infection risk index.

Five, strengthen the implementation of "hand hygiene standards"

Formulate and implement the hand hygiene management system for medical staff, and equip them with effective and convenient hand hygiene equipment and facilities. All departments of the hospital are required to install dry cartons, and special departments (icu, operating room, delivery room, hemodialysis room, stomatology department, interventional room, gastroscope room, neonatal room and emergency department) are required to install non-contact faucets. Strengthen the publicity, education and training activities of hand hygiene, enhance the awareness of preventing hospital infection, master the knowledge of hand hygiene, and ensure the disinfection effect of hand washing.

Six, strengthen the occupational protection of medical personnel.

1, according to the Law on the Prevention and Control of Occupational Diseases and its supporting infection regulations and standards, formulate the health protection system for medical personnel, clarify the competent departments and their responsibilities, and put them in place. Combined with the nature and characteristics of occupational exposure in our hospital, specific measures are formulated to provide targeted and necessary protective equipment to ensure the occupational safety of medical staff.

2. Strengthen the training of occupational exposure knowledge of medical staff in the hospital, and conduct annual health check-ups for medical staff in all departments of the hospital. Medical staff strictly implement standard prevention and do a good job of self-protection. When occupational exposure occurs, strictly follow the principle of occupational exposure treatment, and report, register, evaluate, prevent and treat and follow up regularly as required.

Seven, to carry out hospital infection knowledge training, improve the understanding of hospital infection.

1, Strengthening the Construction of Hospital Infection Management Team According to the Measures for Hospital Infection Management, full-time hospital infection management personnel should actively participate in hospital infection control training courses and go out to study and train at least twice a year, and strive to improve their professional level and quality, so as to institutionalize and standardize hospital infection management.

2, the hospital infection management knowledge training for all employees, formulate hospital infection training plan, implementation plan and specific measures, held all kinds of lectures and training at all levels. New employees, advanced students and interns shall receive pre-job training on hospital infection knowledge, and they can only take up their posts after passing the examination. Through training, the majority of medical staff fully realize the importance of hospital infection, master the basic knowledge and skills of hospital infection, and ensure the safety of various diagnosis and treatment work.

Eight, strengthen and deepen the management of preventive application of antibiotics in clean surgical incision.

1, coordination and communication with pharmacy department, laboratory department, operation department and other departments.

2. Strengthen multi-department cooperation mechanism, improve clinicians' correct understanding of preventing postoperative infection, and reduce the occurrence of postoperative infection.

Nine, at the end of each year, three excellent doctors and three excellent nurses will be selected and rewarded to improve the enthusiasm of the staff and reflect the importance of the work.

Chapter 6 Work Plan for Infection Management

First, strengthen the improvement of hospital infection management system, and carry out the work in accordance with relevant national laws, regulations, rules, norms and routine requirements.

1, prevention and control of hospital infection management knowledge and skills training, assessment, training and assessment at least once a quarter.

2, to further improve the prevention and control of hospital infection related rules and regulations, and check and guide the implementation.

3, to further improve the hospital infection management team related responsibilities, and supervise its performance.

Two, strengthen the monitoring and supervision of hospital infection.

1. Monitor, analyze and give feedback on nosocomial infection and its related risk factors, put forward measures to solve the problem and guide the implementation.

2. Investigate and analyze the occurrence of hospital infection once every six months, report to the Hospital Infection Management Committee, and actively take measures to control hospital infection. The incidence of nosocomial infection was 7%.

3, report and investigate the hospital infection, put forward control measures, and coordinate and organize relevant departments to deal with.

4, actively carry out the investigation on the rate of missed report of hospital infection, quarterly survey, and timely feedback the results to the hospital infection management committee and relevant departments, the rate of missed report should be 20%.

5, clinical departments, hospital infection management department according to the requirements of the "measures for the administration of hospital infection" time limit in a timely manner to report hospital infection cases to the higher authorities.

6, according to the requirements of the measures for the administration of hospital infection, do a good job in environmental sanitation, disinfection and sterilization effect monitoring.

7. The Hospital Infection Management Committee shall supervise and manage the purchased sterilized medical devices and disposable medical and health supplies, and keep copies of relevant certificates of such products purchased by the hospital.

8. Provide guidance for hospital cleaning, disinfection, sterilization and isolation, aseptic technology and medical waste management.

9, to provide guidance for hospital infection control of infectious diseases.

10. members of the hospital infection management Committee actively participated in the management of clinical application of antibacterial drugs by the pharmaceutical affairs management Committee.

Third, strengthen the management of hospital infection in the supply room, delivery room and operating room of key departments, formulate the system of preventing and controlling hospital infection in key departments according to relevant national laws and regulations, and conscientiously implement and supervise it.

Fourth, improve the awareness of hospital infection control, strengthen the self-protection of medical staff, and nip in the bud.

1, strengthen the prevention awareness of medical staff and the training of relevant laws and regulations.

2, strict requirements for medical personnel to perform aseptic technical operation, disinfection and isolation system, hand hygiene, hand disinfection norms and mandatory management.

3, strict medical personnel to implement standard preventive measures, try to avoid infection due to occupational exposure.

4. Under the guidance and strong support of the Hospital Infection Committee, we should focus on the clinical implementation of various measures for hospital infection management, manage the prevention and control of hospital infection according to law, and nip in the bud.