1 causes analysis and corrective measures of hospital sensation problems in departments

Rectification measures of hospital nursing consciousness;

1, insist on supervising hospital feeling and nursing on Monday or Tuesday.

2, standardize the use of infusion patrol card

3, chemicals, dispensing double signature

4. All kinds of aseptic packages and articles are arranged according to the period of validity.

5. Improve the registration system of nursing adverse event reports.

6, all nursing staff to master the six-step washing operation and the emergency plan of needle injury.

7, improve the nursing safety measures, check the undergraduate course room nursing safety hidden trouble. Such as the safety signs of hospitalized patients: anti-skid, anti-fall, anti-bedsore.

8. Nurses in inpatient department did not fully understand the patient's condition and health education was not in place.

9, hospitalized patients to achieve "six clean", that is, face, hair, hands and feet, mouth, perineum and bed units clean.

10, clearly classify and package medical wastes, and indicate the department and time of generation.

1 1, the nursing core system needs to be fully mastered.

12, practice nursing operation and study nursing business in a planned way.

Cause analysis and rectification measures of the problems existing in the consciousness of the second hospital

Problems and rectification measures in the evaluation of hospital sense in secondary hospitals

There is a problem:

1, full-time staff does not meet the requirements. Training on prevention and control of nosocomial infection was not carried out and held regularly.

Training and Hospital Infection Committee Meeting.

2. The awareness rate of hospital infection system is not high, and the implementation is not in place.

3, there is no microbial room, bacterial room. No environmental health monitoring was carried out.

4. A comprehensive monitoring of nosocomial infection was carried out, and the monitoring data was inconsistent with the actual situation.

5. The awareness rate and implementation rate of hand hygiene among medical staff are low.

6, individual departments, equipment cleaning is not clean. The supply room layout is unreasonable, and the whole hospital

Medical instruments were not cleaned and disinfected centrally, and biological monitoring was not carried out in the supply room.

7. The hospital did not carry out monitoring of multi-drug resistant bacteria.

8. Some departments did not use glutaraldehyde disinfectant concentration test card, and there was no record. Single part

Indoor ultraviolet intensity monitoring was not carried out on time.

9. There is no daily operation monitoring record for sewage treatment. Medical waste warning signs are incomplete. 10, the hospital infectious disease report was not up to standard, and the infectious disease disposal drill was not carried out. Rectification measures:

1, strengthen the study and training of full-time staff, participate in the on-the-job training of hospital infection management personnel in medical institutions organized by the health department, and hold relevant certificates. Make a training plan for all employees and conduct regular training to implement the system. According to the system of hospital infection committee meeting, the hospital infection committee meeting was held.

2. Organize departments to learn the hospital infection system, so as to implement the system.

3. Actively cooperate with the Municipal People's Hospital (Second Hospital) and sign an agreement to monitor the environmental sanitation of the hospital on a regular basis. Send personnel to study microbiology (already studying in regional hospitals)

Medium). Set up a microbiology room in the new hospital.

4. To carry out comprehensive hospital infection monitoring, it is necessary to go deep into clinical departments, carefully collect all kinds of data of patients, analyze the distribution of hospital infection in a certain population and its influencing factors, determine the causes, results, prevention and implementation of monitoring, ensure the accuracy of monitoring data, and analyze the results every month and feed them back to various departments.

5. Strengthen training, and improve the hand hygiene compliance of each department by counting the amount of hand sanitizer and quick-drying hand sanitizer in each department.

6, each department must master the disinfection technical specifications, work according to the specification requirements. Monitor the pressure cooker and sterile items in the supply room every month to ensure medical safety. The establishment of the new hospital has completed the centralized cleaning of medical instruments.

7, hospital leaders, hospital infection committee decided after the meeting, in a short period of time, to solve the problem, to carry out drug-resistant bacteria monitoring.

8, the hospital sensory department to strengthen inspection.

9, sewage treatment according to the national disinfection standards, should have daily operation monitoring records, concentration monitoring twice a day after dosing; According to the fecal coliform group, it is cultivated once every quarter, and the pathogenic bacteria are monitored once every six months. Medical waste warning signs are complete.

10, infectious disease report should be based on the requirements of the annual plan, so as to collect the infectious disease report card of the next department every day, improve all kinds of projects, accurately report directly on time, and never delay, conceal or omit. Immediately carry out infectious disease disposal drills.

Cause analysis and rectification measures of the problems existing in the consciousness of three hospitals

First, standardize the disinfection of sterile items

1. Clean surgical instruments according to the instrument cleaning process, and pay attention to the cleaning quality; ? 2. Standardize the packaging, and the size, weight, shape and outer packaging of the packaging meet the specified requirements;

3. Cancel the soaking equipment. If you need to soak and sterilize (less equipment, unable to withstand high temperature), you need two bubble trays.

One has been sterilized and the other is being sterilized.

Second, standardize the use and preparation of disinfectants.

The concentration of various disinfectants must be monitored and recorded regularly every day to ensure the disinfection effect.

Third, strictly control the disinfection and sterilization time of air and articles.

When 1.2% alkaline glutaraldehyde is used to disinfect articles, the soaking time is 10 hour.

2. Disposable sterile articles must be marked with time, date and opener, and used within 24 hours, otherwise they will be destroyed again.

Bacteria.

3. All kinds of sterilization containers and bottles should be replaced twice a week.

4. 1:200 Chlordecone and 75% alcohol for 30 minutes.

5. Autoclave sterilization should strictly control the exhaust, pressure (12 1- 126℃) and indicator card monitoring, and the records should meet the standards and specifications. ? 6. The treatment area, examination room, emergency room and operating room shall be disinfected by ultraviolet rays for 30-60 minutes every day, every February.

Monitor it once and record it all.

7. Every month, the hands, soaking liquid and air in the corresponding area of medical staff in each department are cultivated once, and recorded.

Fourth, strengthen the management of key departments.

1. standardize the processes of key departments and supervise the implementation of relevant systems;

2. Pay attention to terminal disinfection of wards;

3. Pay attention to link management, aiming at many factors that may cause hospital infection; ? 4. Further strengthen the monitoring of drug-resistant bacteria to prevent and control the spread of drug-resistant bacteria.

Verb (abbreviation of verb) strengthens occupational protection

1. Key departments should prepare protective articles, such as impermeable aprons, clothes, pants, shoes, protective glasses, protective masks, etc. ? 2. Further emphasize that medical personnel must take standard preventive measures in their work.

Six, strengthen the management of occupational exposure

1. Train medical staff in relevant knowledge.

2. If occupational exposure occurs, it should be handled and reported according to the process, and corresponding treatment measures should be taken according to the exposure.

Seven, strengthen environmental sanitation and sewage management.

1. Further standardize the classification, collection, transportation and registration of medical wastes, and add "Five Prevention" signs in the temporary storage of medical wastes.

(rat-proof, mosquito-proof, cockroach-proof, leak-proof and rainproof); 2. Prevent leakage of medical waste; 3. Strengthen the monitoring of residual chlorine in sewage.

Cause analysis and rectification measures of problems existing in hospital consciousness in four departments

Rectification measures of hospital nursing consciousness;

1, insist on supervising hospital feeling and nursing on Monday or Tuesday.

2, standardize the use of infusion patrol card

3, chemicals, dispensing double signature

4. All kinds of aseptic packages and articles are arranged according to the period of validity.

5. Improve the registration system of nursing adverse event reports.

6, all nursing staff to master the six-step washing operation and the emergency plan of needle injury.

7, improve the nursing safety measures, check the undergraduate course room nursing safety hidden trouble. Such as the safety signs of hospitalized patients: anti-skid, anti-fall, anti-bedsore.

8. Nurses in inpatient department did not fully understand the patient's condition and health education was not in place.

9, hospitalized patients to achieve "six clean", that is, face, hair, hands and feet, mouth, perineum and bed units clean.

10, clearly classify and package medical wastes, and indicate the department and time of generation.

1 1, the nursing core system needs to be fully mastered.

12, practice nursing operation and study nursing business in a planned way.