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In 2023, the work plan of hospital infection department is 900 words.
Work plan of hospital infection department in 2023 (1) 1. Continue to implement the six industry norms of the Ministry of Health, focusing on rebuilding the supply room and implementing centralized treatment of disinfection items, so that the evaluation of disinfection supply centers conforms to the norms.
2. Strengthen the common sense training of hospital infection management: According to the requirements of the provincial hospital infection management committee, medical staff in key departments must receive professional training on common sense of hospital infection at the provincial level. Therefore, in this year's work, medical staff from ICU, obstetrics and gynecology, laboratory and other departments will be sent to participate in provincial hospital awareness training.
3. Targeted monitoring: neonatal nosocomial infection monitoring, bacterial drug resistance monitoring, ventilator-associated pneumonia monitoring, ICU central venous pressure tube infection monitoring, indwelling catheter infection monitoring. Through purposeful monitoring, the causes of infection can be found in real time, and countermeasures can be taken to avoid the outbreak of hospital infection.
4. Continue to do a good job in monitoring the situation, the surface of things and the hands of medical staff; Monitoring of sterile articles, disinfectants, disinfectants in use, autoclaves and other articles.
5. Continue to do a good job in the management of hospital sense in key departments: strengthen the management of hospital sense in key departments such as enemy operating room, artificial kidney, endoscopy and stomatology, and regularly or irregularly check and supervise the quality of hospital sense in departments.
6. Continue to do a good job in hand hygiene: improve hand washing equipment and supplies in clinical departments. Supervise medical staff to do hand hygiene.
7. Instruct medical staff to implement occupational safety guidelines for employees and formulate protective measures for occupational disclosure.
8. In order to standardize hospital infection management, in view of the key points and difficulties of hospital infection management, relevant prevention and control measures were put forward, and the standard operating procedures for hospital infection prevention and control were compiled.
9. It is suggested to rebuild the sewage treatment system: the existing sewage treatment system was built in 1999 and has been used for 7 years. During this period, the hospital has built a new inpatient building and a health care building. According to the regulatory opinions and requirements of the Municipal Environmental Protection Bureau, the treatment capacity of the existing sewage treatment system can not meet the relevant national environmental protection requirements.
Work plan of hospital infection department in 2023 (part two) 1. Strengthen publicity and education, improve the understanding of general practitioners, establish an on-the-job education system to control hospital infection, and regularly publicize and prevent hospital infection to general practitioners. Second, formulate feasible nursing work plan, supervise its implementation regularly, constantly improve the quality of nursing, sum up experience and make suggestions to the hospital. ...
First, strengthen publicity and education, improve the understanding of general practitioners, establish an on-the-job education system to control hospital infection, and regularly publicize the prevention of hospital infection to general practitioners.
Second, making a feasible nursing work plan, regularly supervising its implementation, constantly improving nursing quality, summing up experience and controlling hospital infection are important guarantees and concrete manifestations for improving medical quality, and also important measures for preventing medical accidents.
Third, hospital infection management knowledge training: training general medical staff on hospital infection knowledge, mainly including the new progress of infection prevention and control, new methods, hospital infection diagnosis standards, rational use of antibacterial drugs and so on. The main training contents for nursing staff are disinfection and isolation knowledge, prevention and control of hospital infection, and classified collection of medical waste. Job requirements of cleaning staff, basic knowledge of disinfection and sterilization, cleaning procedures, personal protective measures and hand hygiene and disinfection of medical staff.
6. Infectious disease management: do a good job in the management of legal infectious diseases and fever clinics as required to prevent the omission of infectious diseases.
Work plan of hospital infection department in 2023 (Chapter III) In order to protect the health of inpatients and medical staff, reduce the occurrence of hospital infection and avoid the outbreak of hospital infection, the monitoring of hospital infection should be further strengthened this year. The following monitoring plan is specially formulated
1, monitoring of nosocomial infection incidence
1. 1 During this year, full-time hospital infection staff should continue to go deep into clinical departments and related departments to conduct prospective hospital infection monitoring every month, collect hospital infection case report cards every day, communicate with various departments, verify the diagnosis of hospital infection, and find out the related risk factors that cause infection; Timely discover hospital infection and its clustering, timely analyze the causes of infection, find out the risk factors of hospital infection, and put forward corresponding prevention and control measures to continuously monitor hospital infection events. Minimize the occurrence of hospital infection and avoid the outbreak of hospital infection and suspected hospital infection.
In the second week of each month, we will focus on the investigation of missing hospital infection. After the investigation, summarize the nosocomial infection situation in our hospital and various departments, make statistical analysis on the incidence rate, missed report rate, missed report cases and the distribution of nosocomial infection sites in various clinical departments, put forward corresponding prevention and control measures for departments and sites with high infection rate, and give written feedback to our hospital. Informed criticism and corresponding financial penalties were given to the doctors responsible for missing cases of nosocomial infection.
The meeting of the Hospital Infection Committee is held once every quarter, and the Infection Management Section reports the hospital infection management and the occurrence of hospital infection in this quarter to discuss and study together to solve the problems existing in the hospital infection management.
1.2 according to the incidence of nosocomial infection this year, it is planned to investigate the prevalence rate of nosocomial infection among inpatients in the whole hospital in may. Hosted by the Infection Management Section, with the participation of all subjects, the unified time and form were stipulated, and the prevalence rate of nosocomial infection among inpatients in the whole hospital was investigated according to the unified standard. To understand the prevalence rate and site infection rate of all subjects in the hospital at the same time. So as to master the basic situation of hospital infection in the whole hospital and different departments, as well as the high-incidence departments and parts of hospital infection, find out the risk factors of high-incidence departments and parts, and formulate and take preventive and control measures.
1.3 Hospital infections were monitored in neurosurgical icu, nicu and ricu this year, especially ventilator-associated pneumonia, blood infection caused by intravascular catheter and urinary tract infection caused by indwelling catheter. The infection management department goes to neurosurgery icu, nicu and ricu every week to evaluate the patient's condition and infection. Nurses on duty in neurosurgery icu, nicu and ricu record the time of intubation and extubation of patients who use ventilators, indwelling intravascular catheters and indwelling catheters one by one, closely observe the symptoms and signs of infection, make a correct diagnosis in time, find out the risk factors of infection, actively take corresponding control measures, further reduce the hospital infection rate and do a good job in infection monitoring of severe patients.
2, surgical site infection monitoring
In order to further understand the surgical site infection rate of surgical patients; Identify risk factors in time and actively intervene; Effectively evaluate the control effect, reduce the infection of the surgical site, and monitor the surgical site: monitor the surgical site of all patients after gynecological elective and emergency operations. Full-time hospital infection monitoring personnel go to the ward every day to know and register the monitored surgical patients, determine the dressing change time with the surgeon, check the healing of the surgical incision, urge the doctor to send the abnormal incision secretion for inspection, trace the inspection results in time and require the rational use of antibacterial drugs; Check the contact information of each surgical patient, publicize and explain the purpose and method of investigation to surgical patients, contact discharged patients by telephone to determine whether there is infection, input the monitoring data of each surgical patient and make statistical analysis, calculate the infection rate of surgical site, analyze the reasons together with doctors and nurses in departments, and improve, prevent and reduce surgical incision infection. 12 Next Page
Work Plan of Hospital Infectious Diseases Department in 2023 (Part IV) This year, our hospital will welcome the re-examination of tertiary and secondary hospitals. In order to improve the quality of hospital infection management, conscientiously perform their respective functions, ensure medical safety, and promote the continuous improvement of hospital infection quality control, combined with the actual work of our department, a 20xx hospital infection management work plan is formulated:
Our department resolutely carries out the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases, Management Norms for Hospital Infection, Technical Norms for Disinfection, Regulations on the Management of Medical Wastes and Guiding Principles for Clinical Application of Antibacterials.
First, do a good job in hospital infection monitoring; ① Control infection rate and reduce omissions; (2) Emphasize the importance of hospital infection monitoring to all staff in the department; (3) Conduct routine monitoring on the environment, air, hands of medical staff, disinfectants and sterile articles of the department every month; (4) to guide the relevant infectious diseases should be diverted departments; ⑤ According to the regulations of the Ministry of Health, further standardize the cleaning and disinfection process of endoscopes, stomatology and instruments, and purchase a new batch of instruments and protective articles that conform to the actual work.
Second, we should conscientiously implement the new Law on the Prevention and Control of Infectious Diseases in People's Republic of China (PRC), strengthen the management of direct reporting of infectious diseases on the Internet, and train doctors in departments on the process of direct reporting on the Internet.
Third, strengthen the disinfection and isolation system, and monitor and evaluate the disinfection and sterilization effect every month. Ensure that all monitoring items meet the standards. The qualified rate of air, hands of medical personnel and surfaces of objects is ≥98%, and the qualified rate of disinfectants in use is100%; The qualified rate of aseptic instrument preservation solution is100%; The qualified rate of disinfection items reached 100%. This year, we will monitor the project objectives quarterly, such as hand hygiene, counters and computer keyboards.
Four, the use of ultraviolet lamp quarterly monitoring radiation intensity.
Five, strict management of medical waste classification, collection, transportation, storage and transportation, to prevent leakage.
Six, the implementation of hospital infection outbreak early warning report. Actively prevent the outbreak of hospital infection and put an end to the occurrence of malignant hospital-acquired events.
Seven, the department staff hospital infection knowledge training into this year's work focus. To improve the awareness of hospital infection prevention of medical staff by means of all-staff training and examination papers. Implement pre-job training.
Eight, hand hygiene and occupational exposure protection issues into the focus of hospital work this year.
Nine, regular self-examination, the results into the quality inspection. The implementation of the director responsibility system, quality control doctors, quality control nurses supervision and management.
Work Plan of Infectious Diseases Department of Hospital in 2023 (Chapter 5) In order to prevent hospital infection, protect patients' health and do a good job in hospital infection control, combined with the actual situation of our hospital, the implementation plan is as follows:
One is to set up a leading group for hospital infection control headed by the business dean, and the head nurse is responsible for the daily work of hospital infection control.
Second, the leading group regularly holds special meetings to discuss the problems existing in the work, formulate hospital infection control plans and work plans according to the relevant regulations and standards of hospital infection management, organize the formulation of hospital infection management rules and regulations, and supervise the implementation.
Three, all kinds of hospital personnel to prevent and control hospital infection knowledge and skills training and assessment.
Four, supervise and inspect the implementation of hospital infection management rules and regulations.
V. Strictly manage key departments:
1, department staff must dress according to regulations.
2. Keep the room clean and sanitary, and ventilate the room regularly, at least twice a day for at least 30 minutes each time.
3, check the patient or before and after each operation must standardize hand washing and disinfection.
4, sterile items before use should check the validity of sterilization, packaging with and without damage, be affected with damp be affected with damp. Sterile articles should be one for each person.
5, each department should fill in the hospital infection case registration form in time, and report in time when hospital infection occurs.
Six, strict management of disposable medical supplies:
1. Disposable medical consumables used in hospitals must be purchased in a centralized and unified way, and departments using them shall not purchase them without permission.
2, disposable medical supplies production units must complete documents, product packaging, signs must comply with the provisions of the national "hygienic standard for disposable medical supplies".
3. The purchasing department must carry out quality acceptance every time, and the goods should be stored in a cool, dry and well-ventilated shelf.
4, disposable medical supplies after use, must be harmless treatment, and processing records.
5, hospital infection management department to supervise and inspect the procurement, management and recycling of disposable medical supplies.
Seven, rational use of antibiotics
Clinicians should strictly grasp the application principles of antibacterial drugs, rationally select and use antibacterial drugs, prevent abuse of antibiotics, avoid drug resistance of bacteria, and increase the chances of hospital infection.
Work plan of hospital infection department in 2023 (Chapter VI) This year, under the unified leadership of the hospital, the hospital infection work of Chinese medicine department will strengthen its active cooperation with the hospital infection department, conscientiously implement laws and regulations such as the Measures for the Management of Hospital Infection, the Law on the Prevention and Control of Infectious Diseases in People's Republic of China (PRC), the Technical Specification for Disinfection, the Regulations on the Management of Medical Wastes, and the Management Specification for Disinfection Supply Center, and all departments will participate together to complete all the work formulated by the hospital infection department.
In view of the shortcomings in our hospital's 20__ year work, I made a 20__ year work plan, as follows:
A, improve the undergraduate course room hospital infection management system, and according to the relevant national laws, regulations, rules and norms, routine requirements to carry out the work, and check and supervise its implementation.
Second, earnestly perform the duties of the hospital infection management team and fill in the hospital infection management records every month.
Third, strictly implement the disinfection and isolation system
Fourth, hospital infection monitoring.
1, department hospital infection incidence
2. In case of hospital infection, fill in the "Hospital Infection Report Card" in time and report it to the hospital infection department immediately, and the hospital infection department should make records.
3, on time to do a good job in environmental sanitation and disinfection and sterilization effect monitoring, quality analysis and improvement measures.
4. When an outbreak of hospital infection occurs in the department, the department director shall immediately notify the hospital infection department after confirmation, and do a good job in investigation and registration.
Five, hospital infection knowledge training
1. According to the training plan, conduct hospital infection management knowledge and skills training for all kinds of personnel in the department every month, and record each training meeting.
2. The hospitalization information issued by the hospital is complete, and the department organizes learning in time.
3, medical staff hospital infection knowledge examination qualified.
Six, antibiotic application management
1, and the antibiotic utilization rate was 60%.
2. There are indications for the combined use of antibiotics, and there are opinions from superior doctors. The combination is reasonable.
3. Antibacterials are used reasonably in different levels, and the leapfrog use is approved by the superior doctor or department director, and the medical records are clear.
4. Prevent the use of antibacterial drugs.
5. The use of antibiotics during the perioperative period of aseptic surgery is standardized and reasonable.
6, strictly control the skin, mucous membrane local medication.
Seven, medical waste management
1. Medical wastes shall be classified and clearly marked.
2. Medical wastes shall be collected and transported by special personnel, with clear handover and complete registration, and handover records shall be kept for three years.
Eight, personnel and hand hygiene management
1, the staff should be dressed neatly, wear masks when operating, and wear gloves when contacting blood, body fluids and excreta.
2. Wash your fingers strictly, and wash your hands before and after operation, after taking off gloves, and before and after contact with patients.
3. Implement standard prevention and control measures.
Step 4 wash your hands correctly
5, execute hand disinfection instructions.
6, body surface pollution or sharp damage can be handled in time.
Nine, hospital infection inspection and evaluation
1, every day, the infection monitoring physician and infection monitoring nurse in the department supervise and inspect the above items, and register and feed back the problems to the individual in time so as to correct them in time.
2, fill in the hospital infection knowledge training records every month, fill in the environmental sanitation and disinfection effect monitoring and quality analysis, hand hygiene consumption records on time.
2023 Hospital Infectious Diseases Work Plan (Chapter 7) 20xx is a crucial year for our hospital to accept the "three-level evaluation" and seek development. At the same time, it is also to further improve hospital infection management and ensure medical safety. According to the Management Measures for Hospital Infection, Technical Specifications for Disinfection and other relevant documents and regulations, under the leadership of the competent dean, we will mainly do the following work this year:
A, hospital infection monitoring
1. Comprehensive monitoring: Prospective monitoring method is adopted to monitor the incidence of nosocomial infection of inpatients every month as planned and count the incidence of nosocomial infection of patients in the whole hospital. At the same time, according to the monitoring results, we can judge whether there are clustered cases of nosocomial infection, analyze and investigate the source of infection, and take effective measures to control the transmission route to prevent the outbreak or epidemic of nosocomial infection.
2. Target monitoring
Continue to carry out targeted monitoring of key departments and key populations in our hospital, including targeted monitoring of nosocomial infection in cesarean section, urinary tract infection related to urinary catheter in oncology department, blood flow infection related to vascular catheter in oncology department, ventilator-associated pneumonia in NICU and blood flow infection related to vascular catheter in NICU.
3, disinfection and sterilization effect monitoring and environmental hygiene monitoring
Monitor the disinfection and sterilization effect of the surface, air, staff hands, disinfectants, disinfectants and disinfection and sterilization items in key departments every quarter.
4, bacterial drug resistance monitoring
Classify and summarize the bacterial resistance data reported by the clinical laboratory every quarter, grasp the trend change of bacterial resistance in the hospital, and report the bacterial spectrum and drug resistance rate of the top five infected bacteria in the hospital through hospital infection communication.
5. Prevalence survey.
Select the time to investigate the prevalence rate of nosocomial infection, and understand the nosocomial infection, antibiotic use and microbial test in the whole hospital.
Second, improve the hospital infection management system
A meeting of the Hospital Infection Management Committee is held every six months to discuss the existing problems and put forward preventive and control measures according to the existing problems. According to the latest requirements of hospital infection management, the hospital infection management system was revised in time. Supervise the corresponding departments to revise the hospital infection management system in time.
Three, infection management knowledge training
Multi-channel training to improve medical staff's awareness of hospital infection prevention and control. Organize training every quarter, including:
1, disinfection and isolation knowledge, hand hygiene, medical waste classification, occupational exposure protection and other key contents of hospital infection management;
2, according to the new national hospital infection related documents in a timely manner to arrange the corresponding training;
3. Pre-job training for new employees;
4. The training contents of cleaning personnel include job requirements, basic knowledge of disinfection and sterilization, cleaning procedures, personal protective measures and hand hygiene and disinfection.
Fourth, medical waste management.
Regularly check the classification, weighing, registration and handover of medical wastes in the hospital, and train relevant personnel to prevent the loss of medical wastes.
Five, strengthen the academic exchange of hospital infection management, carry out the research of hospital infection.
Actively participate in the academic exchange activities of hospital infection management organized by the state and the province, complete the research on related topics of hospital infection control when conditions permit, and continue to apply for new topics.
Work plan of hospital infection department in 2023 (Chapter 8) 1. Give full play to the role of hospital infection management system, especially the role of hospital quality control team members. Through strengthening the training of hospital infection management system, let everyone know about the hospital infection management system and implement it seriously, so as to improve the cognition of each employee on hospital infection. Standardize operation and reduce the occurrence of hospital feeling.
2. Implement the system of hospital sensation meeting, hold a meeting of hospital sensation management committee every six months to study and solve the problems encountered in hospital sensation management, and summarize and arrange the work every six months. Analyze the causes of existing problems, formulate rectification measures and actively rectify them.
3. Continue to carry out hospital sense supervision.
(1) biological monitoring of hospital infection, air, object surface and hand hygiene monitoring of medical staff in key departments such as operating room, disinfection supply room, stomatology department, treatment room and dressing room.
(2) Strengthen the management of disposable consumables, and whether the manufacturer and the validity period meet the standards.
(3) Strengthen the hand hygiene management of medical staff, strengthen training, and conduct regular spot checks to understand the mastery of health knowledge of each medical staff.
(4) Medical waste management should be normalized and standardized, and medical personnel, cleaning personnel and staff engaged in medical waste collection, transportation and storage should be trained in laws and regulations, professional technology, safety protection and emergency treatment, so as to prevent the leakage and loss of medical waste and effectively implement various rules and regulations of hospital medical waste management.
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