Report on self-examination of nosocomial infection management in integrated traditional Chinese and Western Medicine In accordance with the requirements of "Notice of Guangdong Provincial Health Commission on Further Strengthening the Management of Hospital Infection", in order to effectively prevent and control nosocomial and iatrogenic infections caused by pathogens, drug-resistant bacteria, conditional pathogens and other pathogenic microorganisms of infectious diseases, strengthen the prevention and control ability of undergraduate departments, and ensure the health and life safety of the people.Comparing with the standard, our department has carefully searched for the problems in the management, reporting and disposal of nosocomial infections. Now we will report the situation of self-examination as follows: 1. Strengthen organizational leadership to ensure the smooth development of self-examination of nosocomial infection management.First, the leaders of the hospital attach great importance to it. The president organizes himself and carries out the work well. He has key points and parts, and has taken measures to carry out the work of self-examination and self-correction of nosocomial infection management.Second, a sense of hospital management team has been set up, with clear responsibilities and division of responsibilities.Third, the director of the undergraduate department also attaches great importance to personal supervision and implementation of the duties of monitoring doctors and nurses.Fourthly, the surveillance doctors and nurses should do a good job of surveillance strictly and report to the Department Director and the hospital management team on time.Because of the implementation of the work layer by layer, it ensures the smooth development of infection management in our hospital. 2. Implementation of nosocomial sensation monitoring: 1. The hospital monitors air, watches and watches quarterly, and has a hospital sense monitoring report. 2. Quarterly monitoring of disinfectants in use (alcohol, iodine, etc.). 3. The intensity of ultraviolet lamp is monitored quarterly. 4. Disposable items (syringes, infusion sets, etc.) are collected by destructive classification after use. 5. Facilities, working procedures, medical devices, appliances and personnel dress meet the requirements of "Hospital Sense Standard". 6. Fill in the cases of nosocomial infection and infectious diseases strictly and on time. 7. No outbreak of nosocomial infection occurred in the department. 8. Treatment and disposal of patients adhere to one person, one needle, one tube and one disinfection, beds using a set of beds, bedside cabinets, tables and one disinfection, patients discharged from hospital bed sheets according to the final disinfection treatment. 9. The sterile articles in the treatment room were placed separately from disposable items. After the sterile articles were opened, the opening time was recorded and the air was disinfected by ultraviolet light every day. III. Medical waste management: 1. Medical waste is collected in strict accordance with the requirements, and temporary storage sites and directions for waste transportation are regulated and registered. 2. Relevant staff have occupational health, safety and protection measures and knowledge training. 4. Hand hygiene management: 1. There is a hospital hand hygiene system and specific implementation measures. 2. The department strictly enforces the hand hygiene system. 3. Weekly spot checks of hand hygiene knowledge and operation proficiency of medical staff, are proficient in hand hygiene knowledge. V. Main problems: 1. The knowledge and control awareness of nosocomial infection of individual medical staff are shallow, and the implementation of aseptic operation is not strict enough. 2. The implementation of hand hygiene system for individual medical staff is not strict enough, and the concept of sterility needs to be strengthened. 3. The details of nosocomial infection control are not enough. 4. The filling-in of infectious disease cards is not serious, and there are individual cases of omission. 6. Improvement measures: 1. Strengthen organizational management, clear responsibilities, responsibilities to people, improve the system of constraints. 2. Check the on-shelf medical records regularly, and supervise the filling-in of nosocomial infections and infectious diseases, so as to ensure that there is no missing report. 3. Strict implementation of hospital infec

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