Summary of nosocomial infection work

Overview of nosocomial infection (5 selected articles)

Time flies and a piece of work is over. Looking back on this period, the achievements we have made are hard-won. It is necessary to do a good job of reviewing and sorting out and writing a work summary. So how do you write it? The following is a summary essay (5 selected articles) of hospital infection work compiled by me for reference only. Let's have a look.

1 Summary of nosocomial infection monitoring:

In xxx years, there were xxx patients discharged from internal medicine, xx people were infected in hospital, the infection rate was 1.98%, and 43 cases were infected. There was no late report or omission of hospital infection. The nosocomial infection sites were upper respiratory tract in 4 cases, lower respiratory tract in 36 cases, urinary tract infection in 2 cases and catheter-related infection 1 case. Comprehensive infection factors are: elderly patients with cerebral infarction, long-term bed rest, elderly patients, low physical resistance and high risk of infection. According to the characteristics of patients and diseases in our department, more than 90% of patients with nosocomial infection are elderly patients with more stroke and basic diseases. The main reason is that most patients with nosocomial infection are elderly people with many basic diseases, serious illness and long course of disease, and the normal reflexes such as poor health, malnutrition, swallowing and coughing are weakened or disappeared to varying degrees, the function of expectoration is reduced, sputum is not easy to cough up after being accumulated in bed for a long time, and invasive catheterization procedures and other factors. According to the characteristics of our department, the medical staff of our department seriously standardize various medical operations, and the nursing work is serious and responsible. They encouraged patients to turn over, promoted sputum discharge, carried out oral cleaning, catheter and air mattress to prevent bedsore before going to bed, which effectively reduced the incidence of nosocomial infection in our department.

The second is to strictly implement the disinfection and isolation system, strengthen the management of disinfection items, disposable sanitary products and disinfectants, and strengthen environmental management. The department's hospital feeling team regularly conducts department self-examination, corrects problems in time when found, and summarizes records in time.

Third, cooperate with the testing and inspection work of the subordinate departments of the sense control department, and repeatedly study and summarize the records in view of the problems found in the inspection feedback. * * * With the concerted efforts of Qi Xin, hospital infection has been effectively controlled.

Fourth, pay attention to the education and training of hospital infection knowledge. General practitioners insist on focusing on the knowledge of hospital infection every quarter and actively participate in lectures and training on hospital infection knowledge. Enhance the sense of responsibility of department employees.

5. Standardize the management of medical waste: our department has standardized the management of medical waste, and there has been no illegal treatment and loss of medical waste.

Occupational exposure of intransitive verbs: pay attention to the study of standard procedures for prevention, control and disposal of occupational exposure, and enhance the self-protection awareness of medical staff in departments. There was no occupational exposure of medical staff in the whole year.

Seven, pay attention to the monitoring of bacterial drug resistance and multidrug-resistant bacteria, and bring them into the "critical value" management of the department, organize the department staff to learn the prevention and control measures of multidrug-resistant bacteria, and conduct actual drills according to the case of "multidrug-resistant bacteria infection" 1 in our department, isolate patients in time, affix contact isolation signs as required, train the department staff and cleaning staff on the prevention and control measures of multidrug-resistant bacteria, and partially disinfect and isolate their families.

Eight, seriously organize the study of hand hygiene standards. And the general inspection was carried out, which improved the compliance of hand hygiene.

Existing shortcomings:

1. Some staff members have poor hand hygiene, and there are also a few who do not wash their hands according to the instructions in their daily work.

2. Occasionally do not mark the opening time of disinfectant;

3. Occasionally, the cleaning of the treatment room is not in place, the lighting is dusty, and the air outlet of the air conditioner has cobwebs.

4. Nosocomial infection cases were not recorded in the "Monthly Nosocomial Infection Cases Registration Form" in the "Hospital Infection Management Manual" after being reported to the card.

5. For the problems found in the Hospital Sensory Management Manual in individual months, the department has carried out rectification, but failed to timely record the internal self-examination, cause analysis of existing problems and rectification measures.

6. The "hospital feeling" part of the dimethyl ledger was not completed in time. Failed to file step by step.

In view of the above problems, our department will continue to attach great importance to it and seriously rectify it.

Summary of Hospital Infection Work in 20xx Under the great attention of the Dean and the Party Committee of the hospital, under the correct guidance of the Hospital Infection Management Committee, with the close cooperation of all departments in the hospital and the joint efforts of all medical staff, the hospital infection work has made certain achievements, and now we report to the hospital leaders:

First, according to the work priorities formulated by the Party Committee of the College at the beginning of the year, conscientiously implement the spirit of relevant provincial and municipal documents, strengthen the study of medical ethics, abide by the rules and regulations of the College, actively participate in various activities organized by the College, and make a record of political study and business study once a month.

Second, the adjustment of institutions and the improvement of systems. According to some personnel changes and work needs, the composition of the following five management institutions has been adjusted: hospital infection management Committee, infectious disease management Committee, medical waste management Committee, infection management leading groups of various departments and epidemic situation leading groups. And distributed to all relevant departments in the form of documents. According to the relevant national laws and regulations and work requirements, the relevant management system has been improved. For example, the disinfection and isolation system of hyperbaric oxygen chamber, the cleaning and disinfection system of oxygen humidifying bottle atomizer and its pipeline of ventilator, the prevention and control system of multi-drug resistant bacteria infection, and the safety management system of medical waste.

Thirdly, in order to reduce the writing time of nurses' form records, infectious diseases department redesigned the registration form of disinfectant concentration ratio and the record form of supervision and inspection, so that nurses can have more time to serve patients and save expenses for hospitals. As always, all kinds of report forms and telephones in the treatment area are on call, and the staff of infection department are on standby 24 hours a day.

Four, in order to do a good job in hospital infection monitoring, every quarter will release the hospital infection rate monitoring and analysis feedback in each treatment area, so as to take corresponding intervention measures in time. Targeted monitoring began in July. By the end of 10, the number of discharged patients was * * *, the number of nosocomial infections was * *, and the nosocomial infection rate was 4. 03% (nosocomial infection rate in overseas hospitals ≤ 10%), the missed detection rate was 0, the first-class healing rate of aseptic operation incision was 100%, and the qualified rate of aseptic items was 100%.

Five, strengthen environmental sanitation, disinfection and sterilization effect and hand hygiene monitoring. In order to standardize hospital disinfection and prevent hospital infection, six industry hygiene standards issued by the Ministry of Health were issued to operating rooms and supply rooms. The personnel of infection department monitor the intensity of ultraviolet lamps in various departments of the hospital once every quarter, and replace them in time if they find that they are unqualified, thus ensuring the disinfection effect. The frequency of environmental monitoring in key departments such as operating room and supply room increased, and the qualified rate was 100%.

Six, according to the classification management system of clinical application of antibacterial drugs formulated by our hospital, users of antibiotics should have a superior doctor's approval form, and report the use of antibiotics to the whole hospital every quarter, which provides a reliable basis for doctors in clinical departments to use antibiotics reasonably.

Summary of hospital infection work 3 * years is the most important year in the hospital. In * *, our hospital was evaluated by experts studying abroad by the Provincial Health Department, which was also the most important year for the Hospital Infection Management Department. Nosocomial infection is one of the important contents of grading hospital evaluation, which promotes the hospital's attention to nosocomial infection.

* * In recent years, with the great attention and correct leadership of hospital leaders, with the great assistance, support and cooperation of all hospital departments and staff, according to the relevant requirements of hospital grade evaluation, the Hospital Infection Management Section has completed the following work:

Revise and improve the hospital infection management system, strengthen the training of hospital infection knowledge, hold regular meetings of the hospital infection management committee, participate in the layout design of new and rebuilt buildings, conduct prospective, retrospective and prevalence survey of cases according to the requirements of hospital infection management, carry out monitoring, analysis and feedback on environmental sanitation, disinfection and hand hygiene, strengthen the supervision and management of disposable medical supplies, instruments and medical equipment, and strengthen the management of medical waste and wastewater. The key work is to strengthen the propaganda of hand hygiene, drug-resistant bacteria management and rational use of antibacterial drugs, improve the rate of pathogen inspection, put forward targeted control measures and guide their implementation, carry out special inspection of hospital infection in all departments of the hospital, focus on supervision of key departments of hospital infection, and continuously increase quality control and continuous quality improvement in key links, so as to effectively prevent and control the occurrence of hospital infection and organize hospital infection outbreak drills. The work achieved certain results, and no hospital infection broke out throughout the year.

The work summary report for * * years is as follows:

First, improve the hospital infection management organization

(1) Revised and issued the Notice on Adjusting the Three-level Monitoring Network of Hospital Infection Prevention and Control in the First Affiliated Hospital of Medical College for Studying Abroad, and earnestly implemented various measures of hospital infection management. The Hospital Infection Management Committee holds regular meetings to discuss issues related to hospital infection. The Hospital Infection Management Department carries out specific work of hospital infection management, and all relevant functional departments of the hospital (medical department, nursing department, pharmacy department, equipment department, general affairs department, etc.). ) to perform the relevant duties of hospital infection management.

(2) Implement the hospital infection monitoring team in clinical departments, strictly enforce the relevant laws and regulations of hospital infection and implement various rules and regulations according to the requirements of hospital infection management responsibilities, give full play to the responsibilities of monitoring doctors, monitoring nurses and other medical personnel in hospital infection management, and put the hospital infection management work in place.

Second, revise and improve hospital infection management

Conduct special inspection on the clinical departments of the hospital, focusing on ICU, PICU, NICU, RICU, endoscope, operating room, blood purification center, central supply room and other key departments of hospital infection management, find potential safety hazards, and take early intervention measures to prevent hospital infection.

To prevent and control nosocomial infections such as ventilator-associated pneumonia, catheter-related infection and blood flow catheter-related infection in ICU.

Third, strengthen the management of drug-resistant bacteria, improve the inspection rate of pathogens, and guide the rational use of antibacterial drugs.

Improve the supervision, monitoring and management of multi-drug-resistant bacteria, strictly implement the prevention and control system of multi-drug-resistant bacteria, formulate multi-department joint meetings and multi-department joint management systems, provide regular reports on clinical trends of drug-resistant bacteria, continuously strengthen supervision and management, and implement the system.

Hold regular liaison meetings of multi-drug resistant bacteria. At the joint meeting of multidrug-resistant bacteria, we should improve the supervision mechanism, strengthen multi-sectoral cooperation, especially strengthen the joint management of medical departments, mobilize the enthusiasm of doctors to control bacterial resistance, effectively implement the monitoring and early warning mechanism of bacterial resistance, urge key departments to complete the statistical analysis of drug-resistant bacteria, provide guidance for the rational use of antibacterial drugs in clinic, and strengthen the management of hospital infection.

According to the Guiding Principles of Clinical Application of Antibacterials and the Administrative Measures for Implementing the Guiding Principles of Clinical Application of Antibacterials in Anhui Province, we strengthened the inspection of pathogens, and the Hospital Infection Management Department carried out the inspection of pathogens in clinical departments. Through inspection and publicity, the detection rate of pathogens can reach 30%.

The hospital infection management department analyzes the drug resistance of bacteria in the whole hospital and publishes it in the hospital infection monitoring information, and analyzes the drug resistance of bacteria in key departments to provide a basis for the rational use of antibiotics in clinic, and analyzes the suitability of antibiotics according to the drug resistance.

Four, according to the requirements of hospital infection management, do a good job of case prospective, retrospective and prevalence survey.

Doctors in various clinical departments conducted a prospective survey of nosocomial infection in all inpatients, and found that nosocomial infection could be reported timely and accurately. At the same time, the hospital infection department also strengthened the management of hospital infection case reports, strengthened monitoring and control, and reported hospital infection cases directly to the provincial quality control center online every quarter.

(1) The whole hospital regularly carried out comprehensive monitoring, participated in the survey of the prevalence rate in the whole province in * years, and conducted a comprehensive cross-sectional survey of the prevalence cases in the whole hospital on * months * days. There were * * inpatients in the hospital, and * people were actually investigated, with an acceptance rate of 100%. The number of hospital infections was * person-times, and the prevalence rate was 1.45%. There was no sense of hospital loss.

(two) to carry out secondary targeted monitoring, real-time monitoring of hospital infection, reduce the incidence of hospital infection in key links.

(1) A targeted monitoring of surgical incision infection was carried out from * * to * *, and the monitoring targets were all patients with various surgical incisions in our hospital. Feedback the monitoring results to clinicians regularly, so as to analyze the causes of infection in time, take effective prevention and control measures, reduce the incidence of surgical incision infection, and enhance the awareness of medical staff about hospital infection, which is helpful to improve medical quality and reduce the pain and economic burden of patients.

(3) To carry out targeted monitoring of nosocomial infection of multi-drug resistant bacteria. The monitoring objects are all hospitalized patients with multi-drug resistant bacteria cultivated by bacteriology all year round. Through monitoring, patients infected with multi-drug-resistant bacteria can be found as soon as possible, and clinical medical staff can be instructed to take preventive measures against the separation of drug-resistant bacteria. After infection control, clinicians should be reminded that isolation can be lifted only after the bacterial culture is negative again, so as to effectively prevent and control the spread of multi-drug resistant bacteria in the hospital and ensure medical safety.

(three) environmental sanitation, disinfection and sterilization effect and hand hygiene monitoring.

Hospital infection department monitors the disinfection and sterilization effect of treatment rooms and dressing rooms of all departments in the hospital, and strengthens the monitoring of environmental hygiene and hand hygiene of medical staff in high-risk areas such as operating room, gastroscope room, stomatology department, supply room and catheter room. Two important samples, air, object surface, sanitary hands, disinfectant, sterile articles and degassed culture, failed, and the other qualified rates were 100%. Monitor the discharged sewage once a month and discharge it after reaching the standard. Environmental sanitation monitoring shall be carried out on temporary storage sites of medical wastes every quarter.

Five, participate in the layout design and decoration of new outpatient and emergency buildings.

Participate in the indoor layout design and decoration of the new outpatient and emergency building to make it meet the requirements of hospital infection control, supervise the installation of air purification and disinfection equipment, make the use of corresponding equipment meet the requirements of hospital infection control, cooperate with the relocation of the new outpatient building, and strictly control the environment and disinfection from the perspective of hospital infection.

Six, strengthen the management of medical waste, to ensure environmental safety.

Hospital medical waste and sewage treatment are strictly in accordance with the Regulations on the Management of Medical Waste and the management regulations of the health administrative department on medical waste disposal, requiring recycling personnel to be strictly handed over to the clinical medical technology department and signed by both parties, and then sealed and transported with double yellow medical garbage bags. Implement accountability system to avoid the loss of medical waste and ensure medical safety. The staff are required to be equipped with necessary personal protective equipment, and the medical wastes in all clinical departments should be classified and handled, with handover registration records. The temporary storage point of medical waste should meet the requirements and the "five prevention" regulations, and the cleaning and disinfection measures should be strictly implemented.

Seven. Rapid response to major events

Formulate the reporting process and disposal plan of hospital infection outbreak, respond quickly when the clinical department is found to have infection epidemic trend or special pathogen infection, arrive at the scene at the first time, change the post-event inspection control into early intervention, pay close attention to the hospital infection dynamics, take targeted control measures, turn passivity into initiative, effectively prevent the occurrence of hospital infection, provide guidance for clinical departments, and control the spread of major events in the hospital.

Shortcomings and areas needing improvement:

1, the hospital department-level system has not been updated in time, and the hospital infection management department will organize hospital infection experts to inspect the hospital infection department-level system, requiring the hospital department-level hospital infection system to be updated in time.

2. Joint meetings of multi-drug resistant bacteria should be held regularly and timely, and multi-department cooperation should be further strengthened, especially the joint management of medical department, so as to provide guidance for the rational use of antibacterial drugs in clinic and strengthen the management of hospital infection.

3. It is necessary to further strengthen the supervision and management of disposable medical supplies, and further strengthen the inspection of disposable medical supplies and disinfection equipment to ensure that they meet the requirements of hospital infection, achieve disinfection and sterilization effects, and put an end to repeated use.

4. Further strengthen the monitoring of hospital infection in key departments, key departments and key links, such as the management of key projects such as ventilator-associated pneumonia, indwelling catheter-related infection, surgical site infection and dialysis-related infection.

5. The division of operating room and delivery room, the lack of running water hand washing facilities in ICU monitoring hall and isolation room, the unreasonable location of sewage treatment room in microbiology laboratory and other key departments need to communicate with general affairs department and infrastructure department for rectification.

6. The monitoring work of the hospital infection management department needs to be more detailed and in-depth to reduce the hospital infection rate.

7. Doctor's hand washing compliance needs to be further improved.

Summary of Hospital Infection 4 With the development of medicine and the change of medical model, hospital infection plays an important role in hospital management. Hospital infection is not only related to the health of both doctors and patients, but also affects the medical quality of hospitals. With the attention and concern of hospital leaders, various measures have been taken from organization and implementation to strict management system, which has gradually standardized and institutionalized the hospital infection management in our hospital. In order to further improve the management of hospital infection in the future, the hospital infection control work this year is summarized as follows:

First, strengthen organizational leadership to ensure the smooth development of hospital infection management.

Hospital infection management organization is composed of three levels. Hospital infection management committee-hospital infection management department-hospital infection monitoring group of clinical department, with the business dean as the chairman, focuses on supplementing and adjusting the monitoring group personnel and clarifying the responsibilities of the system personnel at all levels. Hospital infection monitoring personnel at all levels have fulfilled the corresponding functions of hospital infection management, further improving the level of hospital infection management.

Second, carry out education and training as planned to improve the sense of control of the medical staff in the hospital.

(1) On June 25th, the hospital infection diagnosis standard was issued to the inpatient department and the emergency department, with a book for doctors and a review question. The monitoring team studied hard, and on July 6, the department closed the exam, which was invigilated by the hospital department, and ***26 doctors took the exam. Both are above 90 points.

(2) On July 12, medical, nursing and technical personnel, as well as new posts and interns, were trained in "Hand Hygiene Standards and Hospital Awareness Knowledge" and all passed the examination.

(3 3) 10/Oct.2 165438 was organized by the Medical Department, and the hospital sensory department trained medical, nursing and technical personnel in the new edition of the Technical Specification for Disinfection in Medical Institutions, with 85 participants, and finally passed the examination.

(4) The leaders of our hospital attached great importance to hospital infection control, sent the director of hospital infection department, the director of nursing department and the head nurse of operating room to participate in the training of infection knowledge teachers organized by Yangquan Health Bureau, and sent the supply room field to the "Disinfection Supply Center" of Yangquan First People's Hospital for training practice.

Third, the monitoring end:

(1) Assist the clinical laboratory to monitor the air disinfection effect of key departments every month, and other departments once every quarter.

(2) Physical and chemical monitoring of each pot in the supply room, and make records. Unqualified pots shall not be distributed.

(3) The ultraviolet lamp tube shall be monitored once every six months, and the unqualified lamp tube shall be replaced in time.

(4) Each department of hospital infection cases implements the system of zero monthly report, and the department of hospital infection goes deep into each department to investigate the omission every month. This year, * * * admitted 1766 people were infected with 6 people, the infection rate was 0.34%, the rate of missing report was 16%, the directional monitoring of clean surgical incision was 6 1 case, there were 0 cases of infection, and the first-class healing rate of clean surgery was 16%.

(5) In June165438+1October 65438+May, the Municipal Center for Disease Control and Prevention conducted annual environmental sanitation and disinfection and sterilization effect monitoring on the key departments of nosocomial infection in our hospital.

(6 6) 10/Oct. 27th 165438 Investigation on the prevalence of inpatients. There were 29 inpatients and 28 people were investigated, and the actual investigation rate was 96.6%. The survey results show that the prevalence rate is 3.45%, the rate of missing report is 0%, and the utilization rate of antibacterial drugs is 72.4%, which is higher than the standard of 60% of the Ministry of Health.

(7) Collect and count the relevant data of hospital infection monitoring every month. Make monthly summary, quarterly feedback (quarterly briefing) and annual summary.

(8) Cooperate with the Department of Prevention and Protection to solicit the opinions of hospitalized patients by telephone. The satisfaction rate of% not only brings greetings to patients, but also finds cases of surgical incision infection in time.

Fourth, strengthen the management of medical waste.

Cooperate with the Logistics Support Section to strengthen the daily supervision and inspection of medical waste, and ensure that the collection, classification, handover, registration and incineration of medical waste in our hospital are carried out in a standardized manner under the existing conditions, and there is no loss and leakage of medical waste. In particular, cooperate with the clinical laboratory to track and deal with each bag of expired blood, and no bag is lost to cause adverse events.

V. System implementation and inspection in place

Do a good job in daily work, cooperate with the comprehensive target inspection of the hospital, refine the standards, report the inspection results at the regular meeting of the director of the department, and rectify the deficiencies.

Six, the management of occupational protection of medical personnel

Strengthen the safety management of medical staff to prevent occupational exposure such as sharp instrument injury. Starting with the use of hand hygiene and protective equipment, the occupational protection awareness of medical staff has been improved. Annual occupational exposure 1 case, no menstrual infectious disease infection.

Existing problems:

1. According to the management standard of hospital disinfection supply center, the supply room of our hospital is in urgent need of replacement. The inspection of the superior department has been put forward many times, and the nursing department has also sent people to study it.

2. Construction of bacteria room in clinical laboratory.

3. Sewage treatment.

In a word, some hidden dangers of infection in our hospital are still very serious. We firmly believe that hospital infection control can be done well as long as leaders attach importance to it and our functional departments cooperate and perform their duties.

Summary of Hospital Infection Work 5 The Sensory Control Department conducts self-examination in the whole hospital (including community health service stations) on a regular basis according to the Hospital Infection Management Quality Assessment Form. The work of hospital feeling in this quarter is summarized as follows.

First, formulate rectification measures.

1, it is clear that the medical department is responsible for hospital infection management. The hospital recruited 1 practitioner as a specialist in hospital infection, and recently participated in the "Basic Theory of Hospital Infection in Guangdong Province"

Practical skills post training course and 20xx Lingnan Hospital Infection Management Spring Forum ",and passed the examination and obtained the hospital infection management post training certificate.

2. Reorganize the hospital infection management organization, and further clarify the responsibilities of the hospital infection management committee, hospital infection specialists and hospital infection management teams in various departments; Clarify the responsibilities of various functional departments, including medical department, nursing department, general affairs department, pharmacy department, laboratory department and preventive medicine department.

3, develop hospital infection management quality evaluation table, check the hospital infection management subjects every week.

Second, the hospital feeling work summary

1, self-checking situation

(1) organizational construction. The general department carried out well, and formulated the work plan and division of responsibilities for controlling hospital infection.

(2) Strictly implement aseptic operation principles and operating procedures. The concept of sterility in operating room is very strong. In outpatient and emergency departments, general departments and obstetrics and gynecology departments, there are many problems, such as cotton swabs not marked with the opening date after opening, alcohol, iodophor and normal saline not marked with the opening date, and they have not been replaced after expiration, but they have all been corrected after self-examination and feedback. The problems of medical staff and cleaning staff of cleaning company entering the delivery room without wearing isolation gown, masks and hats have been well solved through the supervision and education of the director of obstetrics and gynecology and the head nurse.

(3) Strictly implement the disinfection and isolation system. The treatment vehicles in each department are equipped with quick-drying hand disinfectant, and the system of one person, one needle, one tube, one belt and one hand washing is implemented. The treatment room and dressing room are disinfected with ultraviolet twice a day and wiped with 95% alcohol every two weeks, and the records are perfect.

(4) Monitoring of disinfection effect. All departments meet the requirements. Monitor and record the concentration of chlorine-containing disinfectant every day and glutaraldehyde disinfectant every week.

(5) Medical waste management. Medical waste is mixed in the dustbins of preventive medicine, obstetrics and gynecology, outpatient and emergency departments. After self-examination and feedback, it was corrected.

2, in-patient case monitoring

45 hospitalized cases have been monitored, including general internal medicine 16 cases, general surgery 9 cases and obstetrics and gynecology 20 cases. No loss of hospital feeling was found.

3. Case investigation of nosocomial infection cases

There were 4 cases of nosocomial infection in this quarter, including 3 cases of obstetrics and gynecology/KLOC-0, and 3 cases of general internal medicine, all of which were respiratory infections. Full-time medical staff immediately carried out case investigation to verify the situation.

4. Occupational exposure of medical staff

In this quarter, three medical staff were exposed, including two nurses in general department and nurses in preventive medicine department 1 person. The medical department has dealt with the occupational exposed personnel accordingly, made a good case investigation and registration, and conducted follow-up monitoring.

5, hospital consciousness training

Do training once every quarter.

6. Classified collection, transportation and temporary storage of medical wastes

All departments should do a good job in the classified collection of medical wastes. The medical wastes in the temporary storage room shall be stored neatly, without pollution and blood outflow; There are obvious warning signs of medical waste and warning signs of "No Smoking and Eating". Medical wastes have handover records. After the medical waste is shipped out, the temporary storage room can be cleaned and disinfected in time.

7, hospital disinfection supply center

The workshop of the supply room is clean and tidy, with ultraviolet disinfection records and wiping records, and the records are standardized. Each pot of high-temperature steam sterilization is recorded and monitored by test paper.

Three. Existing problems and suggestions

1, the departments of outpatient, emergency, obstetrics and gynecology, and child care have not formulated the division of labor and work plan of the hospital infection group.

Suggestion: Departments that haven't completed the responsibilities of the release team, defined the division of labor and made work plans should implement them as soon as possible.

2. Sometimes cotton swabs, alcohol, iodophor and normal saline are not marked with the opening date, and will not be replaced after expiration.

Suggestion: All departments should always pay attention to whether the cotton swabs, alcohol, iodophor and normal saline are marked with the opening date, and whether the expired ones have been replaced.

3. There are no Chinese labels on the packages and containers of medical wastes, and the contents of Chinese labels should include: the generating unit, date of generation, category and contents that need special explanation.

Suggestion: Medical waste packages and containers should be labeled in Chinese, and the contents of Chinese labels should include: the generating unit, date of generation, category and special description of medical waste.

4. The medical waste contained exceeds 3/4 of the package or container; The packaging or container is not tightly sealed.

Suggestion: Medical waste should not exceed 3/4 of the package or container; The seal of the package or container should be tight and tight.

5. Each department failed to strictly implement the guiding principles of clinical application of antibacterial drugs, failed to use them rationally, and failed to use drugs according to indications. The supervision of the medical department on the rational use of antibacterial drugs is not in place.

Suggestion: All departments should strictly implement the Guiding Principles of Clinical Application of Antibacterials, so as to use drugs rationally and according to indications. The medical department should strengthen the supervision of the rational use of antibacterial drugs.

6. The implementation of monthly environmental monitoring is not in place.

Suggestion: monthly environmental monitoring should be effectively implemented.

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