Between the heavens and the earth of life, if it flashes by, in a blink of an eye, our work will enter a new stage. In order to have a better growth in our work, let's make a plan for our future study together. How to write a plan so as not to become a mere formality? The following is my work plan carefully organized for the department's sense of hospital. Welcome to draw lessons from and refer to. I hope it helps you.

Department Hospital Sense Work Plan 1 In the new year, hospital infection management will adhere to the policy of putting prevention first and strengthen hospital infection management.

In order to improve the quality of medical care and ensure the safety of patients, we should do a good job in hospital infection management. The hospital infection work of 202 1 needs to be further developed on the basis of 2020. Under the guidance of the Hospital Sensibility Office, the Medical Department and the Nursing Department, under the supervision of * * * *, formulated the 202 1 hospital infection related work plan according to the actual situation of the department. Details are as follows:

First, hospital infection learning

1, according to the requirements and regulations of the hospital infection office, mainly study the 100 questions that should be known about hospital infection, learn theoretical knowledge once every quarter, and make records to strengthen employees' reserve ability of hospital infection knowledge.

2. Implement pre-job training on hospital infection for new employees.

3. Take various forms of infection knowledge training: organically combine centralized training with morning meeting department training to increase medical staff's knowledge of hospital infection and improve hospital awareness.

Two, to further standardize the hospital infection work content.

1. Strengthen the supervision and use of cleaning tools according to hospital regulations;

2. Strengthen doctors' compliance with the principles of clinical use of antibacterial drugs issued by the National Health and Family Planning Commission.

Clinical rational use;

3. Supervise and strengthen the compliance of employees with quick hand disinfection and running water hand washing after operation;

4. Strengthen the classified treatment and recycling of medical wastes; And save the stub for future reference.

5. Strengthen the use and monitoring of disinfectants; Change the alcohol in the immersion thermometer every day;

6. According to the requirements of the hospital, further standardize the use of one person and one belt;

7. Strengthen bacterial culture, hand culture, surface culture and ultraviolet lamp in hospital infection.

Monitoring and maintenance work;

8. Strengthen the management of consumables and use them in order of validity to avoid waste.

Phenomenon occurs;

9. Strengthen the disinfection of cotton balls on ECG surface, leads of ECG machine and cuff of sphygmomanometer;

10, strengthen the disinfection work in the prison area to avoid the occurrence of infectious diseases in the prison.

1 1. Do a good job in the inspection of the management and reporting of epidemic situation in the supervision places by the health administrative departments at higher levels.

Cooperate with disease prevention and control departments to do a good job in epidemic investigation.

Three, occupational exposure protection work

1, strengthen the propaganda of occupational exposure protection knowledge and reduce the risk of occupational exposure.

2. After the occupational exposure of medical staff occurs, it should be properly handled in strict accordance with relevant regulations.

Four, monthly group meeting and quality control

1. Every month, team members hold a meeting to discuss the focus of this month's work and the problems existing in the last month to deal with these problems.

2. According to the regulations of the hospital management office, quality control is carried out at the end of each month, and the existing problems are truthfully responded and recorded, and the corrective measures are written.

Verb (abbreviation of verb) analyzes and corrects the existing problems in 2020.

Analyze and judge the problems of last year in detail to avoid the recurrence of the same problems and reduce the incidence of hospital infection in by going up one flight of stairs in the new year.

Department Hospital Infection Work Plan 2 In the new year, hospital infection management will adhere to the policy of putting prevention first, so as to strengthen hospital infection management, improve medical quality and ensure patient safety. Therefore, the 20xx hospital infection work plan is formulated as follows:

First, strengthen education and training.

1, the department organizes hospital infection related knowledge training once a month, and makes records.

2. The hospital infection department organizes lectures on hospital infection knowledge twice a year, and carries out various forms of staff training and paper distribution to improve the awareness of hospital infection prevention of medical staff.

3. Implement pre-job training for new employees.

4. Conduct medical waste collection and occupational protection knowledge training for health workers.

5. Full-time staff of hospital infection participated in continuing education training courses on hospital infection held at provincial and municipal levels, and learned about the new trends and trends in the development of hospital infection management in the whole province and the whole country, so as to improve the level of hospital infection management.

Two, the implementation of disinfection and isolation system, strengthen the monitoring and evaluation of disinfection and sterilization effect.

1. Disinfectants used by various departments should be replaced on time according to performance, and instruments should be disinfected and sterilized in time according to regulations. The qualified rate is 100%. All kinds of catheters in use should be disinfected and replaced according to regulations.

2. Strengthen the management of hand hygiene of medical staff, and check the compliance of hand washing of medical staff from time to time.

Third, strengthen the monitoring of hospital infection and implement the early warning report of hospital epidemic situation.

1, strictly implement the "Hospital Operation Site Management Specification", and monitor the surgical incision infection every month.

2, give full play to the role of clinical monitoring management team, timely detection of hospital infection cases, a 24-hour reporting system.

3, clinical cluster hospital infection cases (3 cases of the same kind) the implementation of hospital infection outbreak warning report, analysis and investigation of the source of infection, take effective measures to control the route of transmission, put an end to the occurrence of malignant hospital infection cases.

4, to do a good job of occupational protection of medical personnel, each department will report each personnel's occupational exposure and injury to the hospital infection department, and the hospital infection department will register to protect susceptible people and effectively control hospital infection.

Four, strict medical waste classification, collection, transportation, storage and transportation management, to prevent leakage.

1. Medical wastes should be classified and placed according to requirements, sealed, labeled in packaging bags, registered out of the department, recycled by special personnel and signed, and sent to the temporary storage place of medical wastes for centralized storage.

2, medical waste transfer form by full-time personnel to fill in, and save the stub for future reference.

Under the unified leadership of the hospital, Department Hospital Sense Work Plan 3 strengthens the active cooperation with the clinical laboratory, conscientiously implements 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. With the participation of all staff in the department,

In this regard, I, Kurt, have made a work plan for 20xx years, as follows:

First, the main objectives:

1, the training rate of college sense knowledge in another university is over 90%, and the qualified rate of training is 100%.

2, air, medical staff hands, object surface qualified rate of 98% or higher; The qualified rate of disinfectant in use is100%; The qualified rate of disinfection items reached 100%.

3. Missed diagnosis rate of nosocomial infection

4. Epidemic report of patients with infectious diseases100%; The timely rate is 98%;

5. The recovery rate of medical waste is 100%.

Second, the guarantee measures

(1) Strengthen education and training: the training of infection management knowledge will be included in the focus of this year's work, and all staff will be trained and papers will be distributed through various channels in the form of in-hospital lectures to improve the awareness of hospital infection prevention among medical staff. Train general practitioners on hospital infection knowledge every month.

1, every month, the department organizes hospital infection related knowledge training according to the undergraduate business development and completes it.

Record.

2. Actively participate in the hospital awareness knowledge education and training organized by the hospital, and incorporate the learning situation into the department assessment.

3, pre-job training for new employees, the main training content is eliminated.

The knowledge of virus isolation, the prevention and control of hospital infection, and the classified collection and treatment of medical waste make them integrate hospital awareness into their work.

4. Strengthen the training of nurses' disinfection and isolation knowledge, such as job requirements of nurses, basic knowledge of disinfection and sterilization, cleaning procedures and personal protective measures.

5, the implementation of personnel responsibilities at all levels, do a good job of isolation and protection, to avoid cross infection.

(2) Strengthen the monitoring and management of hospital infection.

1, give full play to the role of hospital quality control management team, and find problems and correct them in time through monthly quality control inspection.

2. According to the requirements of Technical Specification for Disinfection and Management Measures for Hospital Infection, the disinfection effect of air, object surface, staff hands, disinfectants, disinfectants and sterilized items in key departments should be monitored every quarter.

3. General practitioners are required to do a good job in occupational protection of medical staff, and those who have occupational exposure and injuries should be reported and registered to protect susceptible people and effectively control hospital infection.

4. Clean the air disinfection machine filter in use once a month.

(3) Strictly manage the classification, collection, transportation, storage and transportation of medical wastes to prevent leakage.

1. Medical wastes shall be classified and placed as required, sealed and transported, and the packaging bags shall be marked and registered when leaving the department. Designate a special person to collect and sign it, and send it to the temporary storage point of medical waste for centralized storage.

2, medical waste transfer form by full-time personnel to fill in, and save the stub for future reference.

Department hospital infection work plan 4 In order to strengthen the prevention and control of hospital infection in our hospital, ensure the safety of patients, improve the quality of medical care, ensure the occupational safety of medical staff, and gradually make the hospital infection management more scientific, systematic and standardized, combined with the actual situation of our hospital, the 20xx hospital infection management work plan is formulated as follows:

First, according to the laws, regulations and normative documents on nosocomial infection promulgated by the state and the Ministry of Health, we will constantly revise and improve the relevant systems, measures and processes for preventing and controlling nosocomial infection in our hospital.

Two, to carry out hospital infection prevention and control knowledge training and education.

This year, the hospital sensory department organized at least four hospital-wide trainings (once every quarter). This year, the hospital focused on training related knowledge such as disinfection and isolation, hand hygiene, occupational protection of medical staff, and classified disposal of medical waste. Each department formulates its own training plan according to the actual situation to improve the knowledge and professional level of all staff in preventing and controlling hospital infection.

Third, carry out hospital infection monitoring.

1, carry out comprehensive monitoring of nosocomial infection.

Medical staff in clinical departments find hospital infection cases in time, and doctors in clinical departments fill out report cards in accordance with the prescribed time limit and methods and report them to the hospital infection department.

The Department of Hospital Infection confirms and verifies the reported cases of hospital infection, collects the monitoring data in time, feeds it back to relevant departments, and works with relevant departments to formulate control measures to reduce the incidence of hospital infection.

2. Investigate the prevalence rate of nosocomial infection during the year.

Four, strengthen the prevention and control of nosocomial infection in respiratory tract, catheter-related urinary tract, skin and soft tissue and other major parts.

All clinical departments should check the implementation of relevant systems and measures, find problems in time and make improvements.

The hospital sensory department regularly visits various clinical departments to supervise, give timely feedback on existing problems and put forward rectification suggestions.

Five, the implementation of hand hygiene standards, compliance supervision and improvement.

Equipped with convenient hand hygiene equipment and facilities to provide necessary protection for hand hygiene. Conduct hand hygiene training and evaluation for all hospital employees.

Hospital sensory departments and departments regularly supervise, check, summarize and improve the standard hand washing.

Six, strengthen the supervision and guidance of hospital cleaning, disinfection, sterilization, hospital isolation, aseptic technology operation.

Strict implementation of aseptic technical operation specifications and disinfection and isolation system, disinfection work conforms to the Technical Specification for Hospital Disinfection and Isolation, which effectively cuts off the transmission route of exogenous infection and minimizes hospital infection caused by the spread of exogenous pathogens.

Seven, to carry out hospital disinfection and sterilization effect monitoring.

1, concentration monitoring of chemical disinfectants and disinfectants in use

Chlorine-containing disinfectant: once a day, use G- 1 disinfectant concentration test paper for quick and simple detection.

Glutaraldehyde: once a week, use glutaraldehyde concentration test paper for rapid monitoring.

2. Monitoring of bacterial contamination of disinfectants in use

Once a month, monitor the bacterial contamination of disinfectants and skin mucosa disinfectants in use.

3, pressure steam sterilization effect monitoring

Chemical monitoring: each package should be monitored, with a chemical indicator tape attached outside the package and a chemical indicator card inside the package.

4, ultraviolet lamp disinfection effect monitoring

Daily monitoring: including lamp service time and cumulative exposure time.

Monitoring of lamp irradiation intensity: once every quarter, test with ultraviolet intensity irradiation indicator card.

Eight, regularly carry out hospital environmental health monitoring, medical staff hand, air, object surface monitoring.

Conduct routine monitoring on key departments such as operating room, laboratory, stomatology, endoscopy room and clinical department every month, analyze the causes of unqualified items and formulate improvement measures.

Nine, do a good job in the supervision and guidance of medical waste treatment.

Strictly implement the medical waste management system, collect and place medical waste according to the classification catalogue of medical waste, and it is strictly forbidden to mix medical waste with domestic garbage, and it is strictly forbidden to lose, leak, spread, transfer and trade medical waste.

The storage of medical waste shall be handed over to the centralized medical waste disposal unit for disposal in time, and the medical waste shall be registered.

Medical waste collection, transportation and storage personnel should be equipped with necessary protective equipment.

Ten, do a good job in the occupational safety protection of medical personnel, minimize the risk of occupational exposure, and ensure the safety of medical personnel.

To train and guide medical personnel on occupational safety protection knowledge; Provide necessary protective equipment for medical personnel; Medical personnel should register, report, evaluate and prevent occupational exposure in time.

Eleven, hospital infection prevention and control work quality evaluation and control.

The hospital infection department formulates the quality evaluation standard of hospital infection control in each department. According to this standard, the quality of hospital infection prevention and control in each department is evaluated, so as to control and manage the foundation, link and final quality, and continuously improve and improve the quality of hospital infection management.

Hospital infection department evaluates the quality of hospital infection in all departments and parts of the hospital every quarter, conducts special supervision from time to time, reports the problems found in the inspection to the relevant departments of the hospital in time, makes rectification within a time limit, and checks and supervises again until it is corrected.

5. Work plan of the hospital department. First, comprehensively promote the establishment of the "three top", strengthen organizational construction and strengthen the division of responsibilities management;

1. Give full play to the functions of the Hospital Infection Management Committee of Stomatological Hospital, hold regular working meetings and carry out regular inspections.

2, functional departments cooperate with each other, give full play to the functions of various functional departments, detailed tasks, carry out their duties.

3, hospital infection management into the overall hospital work planning and quality and safety management objectives. According to the requirements of higher authorities and hospital infection, formulate and implement the "Thirteenth Five-Year Plan" and work plan.

Second, improve the system and workflow, do a good job in training all kinds of personnel at all levels and improve the implementation rate.

1, according to the relevant laws and regulations, constantly revise and improve the hospital infection prevention and control system, revise the hospital infection management workflow of all medical activities in the hospital, guide and supervise specific measures, and make all the work implemented.

2, hospital infection management related personnel at all levels are familiar with the relevant system, workflow and the characteristics of the departments under the jurisdiction of the hospital, the floor staff are familiar with this department, this position and hospital infection management related systems and requirements, and correctly implemented.

3, for all kinds of personnel at all levels of hospital infection management training program, training programs and training content, preparation of training manuals and design related knowledge and skills test questions.

Third, strengthen the targeted monitoring of hospital sense and carry out targeted prevention and control of hospital sense.

1. Hospital infection monitoring is carried out in a planned way, including targeted monitoring and comprehensive monitoring in the whole hospital. The scope of monitoring catalogue/list conforms to the requirements of "Hospital Infection Monitoring Standard". Hospital infection monitoring covers all hospital infection monitoring items and different specimen types, and has a complete record.

2. Focus on the management and monitoring of key groups such as supply room, ward, operating room, outpatient operating room, surgery, planting surgery and other high-risk factors such as cleaning, disinfection and sterilization of medical devices, and formulate prevention and control measures and workflow.

3. Conduct risk assessment on the departments with high risk of infection and infection control, and formulate targeted control measures.

6. Department hospital infection work plan. Improve the department hospital infection management system, carry out the work according to the relevant national laws, regulations, rules, norms and routine requirements, and check the supervision and implementation.

Second, earnestly perform the duties of the hospital infection management team and fill in the hospital infection management records every month.

Three, strengthen ward management, strict implementation of disinfection and isolation system.

Fourth, hospital infection monitoring.

1, the incidence of nosocomial infection in departments < 10%, the rate of missing report < 10%, the infection rate of aseptic operation incision < 0.5%, the air, hands and surfaces of medical staff are qualified, the qualification rate of disinfectant in use 100%, and the qualification rate of sterilized articles/kloc-0.

2. In case of hospital infection, fill in the Hospital Infection Report Card in time, report it to the infection office 24 hours a day, and the department shall 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. In case of hospital infection outbreak in the department, the department director shall notify the infection office immediately after confirmation, and do a good job in investigation and registration.

Five, hospital infection knowledge training

1. According to the training plan, all kinds of personnel in the department are trained in hospital infection management knowledge and skills every month, and each training is recorded.

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.

Five, antibiotic application management

1, the utilization rate of antibiotics is less than 50%, and the bacterial detection rate of nosocomial infection cases before using antibiotics is more than 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.

Intransitive Verb 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.

3. After blood transfusion, the department should keep the blood transfusion bag for 24 hours, and treat it as infectious medical waste without abnormality.

Seven, 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.

Eight, hospital infection inspection and evaluation

1. Department infection monitoring Doctors and nurses supervise and inspect the above-mentioned related indicators every day, register problems in time and feed back to individuals 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.

7. Department hospital infection work plan. Improve the department infection management responsibility system, standardize and implement various rules and regulations. In accordance with the Measures for the Administration of Hospital Infection and relevant laws and regulations, the responsibilities of the department infection control management team are clearly defined, and the responsibilities are earnestly performed, so as to supervise the staff of the department to implement the system and norms in the diagnosis and treatment operation, effectively prevent and control the occurrence of hospital infection and ensure medical safety.

1. The department infection control team should improve the department infection management system under the leadership of the team leader, which is an important prerequisite for preventing hospital infection.

2. The department infection control team should establish a meeting system to coordinate infection management related issues once every quarter. Have a meeting at any time if you have any questions, and give full play to the role of the infection control team.

3. The department infection control team should monitor all susceptible links in time, take effective measures to reduce the incidence of nosocomial infection in our department, supervise and inspect the rational use of antibacterial drugs by our doctors, strictly implement aseptic technical operation, and take various disinfection and isolation measures to ensure medical safety.

Second, strict monitoring and supervision.

1, hospital infection monitoring

According to the standards of hospital infection, effective infection monitoring requires clinicians to master the diagnostic standards, improve the awareness of hospital infection monitoring of medical staff, summarize and analyze the monitoring data every month, report them to the hospital infection management department, and make serious improvements according to the feedback information from the infection management department.

2, disinfection and sterilization

Monitor the disinfection and sterilization every month, and regularly and irregularly monitor the disinfectant used by the department, the hands of medical staff, the surface of objects, the air in the treatment room and the air in the monitoring room.

Random sampling monitoring.

3, cooperate with the hospital to carry out hospital infection and drug resistance monitoring.

Third, strengthen the management of nosocomial infection in key departments.

1, operating room, ① All staff members should dress neatly, wear isolation gown, and wear masks to change shoes, so as to reduce the flow of people and limit the number of visitors. (2) All personnel shall strictly carry out aseptic operation. ③ Special infection operation can only be performed in the infection operating room, and isolation and terminal treatment should be carried out according to the principle after operation.

2, strengthen the management of emergency patients, patients with low immunity and children or patients with special infection should be placed in a single room or classified according to the principle of isolation.

Fourth, strengthen the management of patients with indwelling catheter in our department, such as patients with tracheal intubation and patients with indwelling catheter.

Five, strictly implement the "hand hygiene standard" assessment system and the "medical staff hand hygiene management" system, equipped with effective and convenient hand hygiene equipment and facilities. Strengthen the publicity, education and training of hand hygiene, enhance the awareness of preventing infection, master the knowledge of hand hygiene, and ensure the effect of hand washing and hand disinfection.

VI. Protection of medical personnel

1. According to the Law on the Prevention and Control of Occupational Diseases, combined with the characteristics of occupational exposure in our department, we require hospitals to provide targeted and necessary protective articles for our department to ensure the occupational safety of medical staff.

2. Strengthen the training of occupational exposure knowledge, focusing on the self-protection of medical staff, followed by the principles and processes of dealing with occupational exposure.

Seven, to carry out hospital infection knowledge training, monthly organization department personnel training, improve the awareness of hospital infection.

Eight, antimicrobial drug management

1, strictly control the indications.

2. Reasonable treatment.

Supplementary terms:

According to the characteristics of our department, the prevention and control measures of hospital infection are as follows:

1, abide by hospital management rules and regulations, and strictly implement standard preventive measures;

2. In case of public emergencies, the department infection management quality control team is responsible for taking disinfection and isolation measures of undergraduate course room as required, and organizing the implementation;

3, supervise the department medical staff and interns, advanced students strictly implement aseptic operation procedures and disinfection and isolation system;

4. Implement standard prevention for all patients and isolate patients with special infection;

5. Every shift should take care of it every morning and evening, and change the contaminated clothes and sheets in time to avoid the bed unit being dirty and stained with blood. Towels for sweeping the bed and cleaning the bedside table should be disinfected with one towel for each bed. Soak in 1000mg/L chlorine-containing disinfectant after use, and clean it for later use.

6. The treatment room is responsible for turning on the ultraviolet light at noon 10-5 every day 1 hour, and keeping records of disinfection diseases at any time for special infections. Wipe the ultraviolet lamp with 75% alcohol twice a week (Tuesday and Friday), monitor and record the irradiation intensity every six months, and monitor it again, totaling 1000 hours.

7. The emergency class should clean and disinfect all kinds of rescue instruments and monitors in the department every day. After use, the surface should be cleaned and disinfected in time, and all kinds of pipes and digestion bottles should be disinfected in a standardized way.

8.9-4 Responsible for cleaning the dressing room disposal room every day, including cleaning the surfaces and floors of articles and cleaning the soaking bucket of toilet bowl.

9, to monitor the hospital infection cases and infection links, and take effective measures to reduce the incidence of hospital infection, found the epidemic trend of infection management department, and assist in the investigation.

10, strictly implement the hand hygiene system before and after each operation (the first two and the last three), wear gloves before touching blood and body fluids, and wash your hands immediately after taking off gloves to improve the compliance and accuracy of your hands;

1 1, the staff of each class are responsible for the hygiene and medical treatment of each room according to the contents of the department.

Classification and management of garbage. Supervise cleaning staff and personnel on duty to find and rectify in time. Monitor the air culture, object surface, hands of medical staff and disinfectant in each room of the first aid area every quarter and make analysis records;

/Kloc-Class 0/2 and Class 8-4 are responsible for cleaning the treatment room, including the used thermometers and tourniquets, and sending them away in time to dry for later use, so that one person can use them and disinfect them;

13, strictly implement the medical waste management system and do a good job in the training and assessment of hospital infection management and self-protection knowledge of department nurses.

14, mop management in ward corridor, toilet, office, treatment room and disposal room, clearly marked, dedicated to the area, hung to dry and disinfected regularly.