How to manage the infection in pulp washing room of hospital logistics?

Suggestions on infection management in pulp washing room of hospital logistics

Hospital washing department, as an indispensable department in hospital infection management, is mainly responsible for the recovery, cleaning, washing and redistribution of bed sheets, sick clothes and medical staff uniforms used by hospitalized patients in the hospital. There is no small matter in the hospital's sense of control, and the leaders of our hospital attach great importance to the washing effect and safety of fabrics. Take our hospital as an example. The hospital has about 3200 beds. The pulp washing room is equipped with 8 100kg drum washing machines, 1 30KG drum washing machines, 3 100kg dryers, 3 50KG dryers, 2 three-roll ironing machines and 1 two-roll ironing machines. It provides a strong guarantee for linen washing in our hospital. It is very helpful to improve the infection management level and disinfection and cleaning workflow in pulp washing room.

1 problems in infection management of pulp washing room in hospital logistics

1. 1 The professional level of personnel is insufficient. At present, the staff of pulp washing room in our hospital are mainly laundry workers recruited by labor service, and only a few staff are hospital hygienists. As a result, the staff in pulp washing room generally lack basic medical knowledge, infection management knowledge and cleaning and disinfection knowledge. In their work, there are often some problems, such as the mixed cleaning of infected clothes and general clothes, too short disinfection time of infected clothes, insufficient dosage of disinfectant, failure to operate in accordance with relevant disinfection regulations, failure to operate in designated areas, etc., which greatly improves the possibility of infection spread and cross-infection inside and outside the hospital. 1.2 The process of recovery, storage and redistribution is not standardized. Because there are a large number of clothes, fabrics and other materials recycled by various departments in the pulp washing room of the hospital, if the related infection control measures such as classified stacking and isolation are not perfect, the cleaning items will be easily infected by unsterilized items in the storage stage before washing. In addition, discarded needle knives and used medical instruments often appear in the cloth recovered from pulp washing room, which is easy to cause the receiving and sending personnel to be stabbed by sharp tools, and the risk of infection of washing personnel is greatly increased. If we don't pay attention to control, some staff often recycle and redistribute at the same time in order to reduce the workload, which is easy to cause cross-infection. 1.3 environmental impact of pulp washing room. Due to the special working environment of the pulp washing room, the room is usually humid and warm, which undoubtedly provides favorable conditions for the growth of pathogenic bacteria. If the clothes recycled to the pulp washing room are not cleaned and disinfected in time, or the washed clothes are not distributed in time, they are easily contaminated by pathogenic bacteria in the pulp washing room, causing additional infection risks. 1.4 The management level of the washing room is insufficient. There is no corresponding infection control management system in pulp washing room, and there is no full-time person in charge of hospital infection monitoring in the department; Moreover, the department did not regularly train and learn the knowledge of hospital infection management, which led to insufficient overall infection control level and supervision.

2 Hospital logistics washing room infection management to improve the way

2. 1 Improve the infection management and monitoring system. First of all, according to the hospital infection control plan and various rules and regulations, combined with the actual working situation of pulp washing room and the susceptible links, the relevant operating process system is formulated, the responsibilities and responsibilities of each post and individual are implemented, and the infection control management is strengthened in an all-round way. Arrange a full-time person in charge of hospital infection monitoring in the pulp washing room of the hospital, who is responsible for the overall infection control management of the department, supervise the implementation on a regular basis, urge the staff of the department to seriously implement the regulations and requirements of infection management, and standardize the daily work flow. Establish a reward and punishment system, reward employees with excellent performance every month, punish employees with poor performance or pollution accidents, and improve employees' enthusiasm. 2.2 Strengthen staff training. Carry out vocational skills and infection prevention and control knowledge training, and strengthen the infection management level and cultural level of staff in a targeted manner. Before taking up their posts, all staff members received the education on prevention and control of nosocomial infection organized by the Hospital Infection Committee, and received professional skills training according to the requirements of pulp washing room in the department, mainly learning the knowledge of "Hospital Infection Management Standard" and "Disinfection Technical Standard". After training, master the method of correctly configuring and using disinfectants, and be familiar with the relevant rules and regulations of department infection management, they can be officially allowed to take up their posts. 2.3 Strengthen exchanges and cooperation with various departments. Actively communicate with medical staff in clinical departments, listen to their opinions and feedback, and make improvements; Promote the importance of classified storage and recovery of medical wastes, and nurses in clinical departments should also have the awareness of hospital disinfection. When handing over the cloth, the infected bedding and clothes should be packaged and stored separately in advance and marked, so that they can be disinfected and washed separately when washing. Establish a sharp instrument stabbing record book, strengthen the classified management of pollutants in the recycling process, and reduce the risk of stabbing infection. 2.4 Improve the layout and workflow of the pulp washing room. Re-adjust the layout of the pulp washing room, and set a clear dividing line and prompt signs between the clean area and the polluted area; In the process of cleaning, infectious materials, clothing and baby products are respectively provided with fixed operation areas and special washing machines, and they are not mixed. The recovery and redistribution processes should be carried out separately. Cleaning materials and pollutants should not be equipped with fixed transport vehicles and mixed separately, and vehicles should be disinfected and cleaned regularly. Follow the soaking, washing and disinfection procedures stipulated by the hospital. Washing, sterilization and disinfection of medical cloth materials and prevention of cross-infection are important topics that have been studied in the medical field. Textiles washed with washing powder (agent) can generally kill 50% of common bacteria, and then through three steps of high-temperature washing, chemical disinfectant input and ironing, the purpose of disinfection can be guaranteed in the washing process. To sum up, the infection management in the pulp washing room of hospital logistics has an important influence on the infection management of the whole hospital. We must adopt effective management system, optimize workflow, strengthen personnel training, improve the quality of daily work and improve the overall infection management level of the hospital.