2022年20xx年乡镇卫生院院感工作计划 .pdf

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1、20XX年乡镇卫生院院感工作计划20XX 年医院感染管理工作计划为了提高医院的医疗质量和医疗安全，减少疾病的传播，控制医院感染的爆发和流行，必要要加强医院感染的管理，现制订出 20XX 年医院感染管理工作计划。一、进一步完善医院感染控制的制度和措施，继续按照医院评审的要求检查其制度和措施的落实情况，对手术室、供应室、产房、小儿科、口腔科、检验科、等重点部门进行感染质量督查，并协助做好院感控制工作，预防和控制院内感染的爆发和流行，并定期对全院各科室的医院感染环节质量进行检查和考核。二、加强院内感染知识的培训，并通过各种形式对全院的工作人员进行院感知识的培训，要让工作人员了解和重视医院感染管理的重

2、要性和必要性，学习医院感染的有关标准及法律、法规，掌握消毒，灭菌、无菌技术的概念和操作及医院感染的预防控制等知识，并组织工作人员院感知识考试4 次。三、认真的做好医院感染的各项监测管理工作，包括环境、空气、无菌物品等的卫生监测和效果评价，每月抽查重点科室如手术室、供应室、产房等的卫生学监测，督促科室做好消毒灭菌隔离等工作，每半年对全院各科室的紫外线灯管的照射强度进行监测和效果评价，对不合格、达不到消毒的灯管和消毒剂督促及时更换，对新购入的灯管进行强度监测，合格的产品才可以投入科室使用。四、每月对全院各科的院内感染病例进行统计和汇总，督促临床科室对院内感染病例的报告和汇总，定期下科室了解情况，抽

3、查病历进行漏报调查，对全院的院内感染情况进行分析汇总，及时向院长及主管院长汇报，每季度向全院各科通报反馈，每月对门诊处方进行抽查，查看抗生素使用情况，并计算出使用率。五、继续加强对医疗废物的管理，经常下科室进行检查督促医疗废物的收集，分类和运送的规范性。按照医疗废物管理条例等法规中规定的要求进行医疗废物的规范处理。文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG

4、3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ

5、6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码

6、:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4

7、HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3

8、ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档

9、编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W

10、4 HG3R8E10T4Z3 ZZ6S7D2H8O620XX 年 1 月篇二：20XX 年医院感染管理工作计划20XX年医院感染管理工作计划20XX年院感办将按照医院工作目标，认真履行管理督导职能，努力做好医院感染管理工作。一、加强质量控制，杜绝医院感染暴发事件发生。1、充分发挥三级医院感染管理体系作用，特别是科室监控小组成员的作用，通过强化医院感染诊断标准培训，认真落实医院感染病例报告和监测制度，坚持“早发现、早报告、早控制”原则，杜绝医院感染暴发事件的发生。2、落实医院感染管理会议制度，每季度召开医院院感管理委员会会议一次，讨论解决我院院感管理中遇到的疑难问题，总结、布置工作。督导临床科室

11、定期召开科室院感管理小组会议，讨论分析本科室医院感染管理工作中存在的问题，制定整改措施，积极整改。二、持续开展各项医院感染监测工作文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3

12、ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档

13、编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W

14、4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z

15、3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6

16、文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M

17、5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O61、持续开展医院感染环境卫生学和消毒灭菌效果监测，对全院重点科室、部门，如产房、手术室、消毒供应室、重症医学科等的空气、物体表面、医务

18、人员手、灭菌物品、消毒物品、消毒剂以及压力蒸汽灭菌器等进行常规监测。2、持续开展目标性监测工作，包括重症医学科呼吸机相关性肺炎、导尿管相关尿路感染等监测及外科手术部位切口感染监测。1 3、加强医院感染监测，院感办专职人员每周深入临床科室收集资料，监测、统计医院感染发病率，每年开展医院感染现患率调查1 次，完成医院感染资料的统计、汇总、分析和报告，并及时反馈给临床科室。4、持续开展多重耐药菌监测通过加强督导，强化各科室病原学监测意识，提高送检率；及时记录微生物实验室阳性结果，及早发现多重耐药菌的流行趋势，进行全院病原菌的耐药分析，为临床合理用药提供依据。三、开展医院感染知识培训，提高医院感染防控

19、意识文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H

20、1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E1

21、0T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2

22、H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O

23、3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8

24、E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7

25、D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O61、医院感染管理专职人员积极参加医院感染控制与管理的培训班，努力提高业务水平和自身素质，提高院感管理水平。2、制订医院感染知识培训计划，全年举办医院感染管理知识培训 4 次。针对培训内容，对医院感染管理知识进行测试2 次。通过培训，使广大医务人员掌握医院感染管

26、理的基本知识和技能，促进医院感染的有效控制。四、强化医务人员手卫生落实医务人员手卫生管理制度，加强手卫生的宣传、教育、培训活动，增强预防医院感染的意识，每月定期或不定期抽查医务人员手卫生知识掌握情况、手卫生执行情况，保证洗手与手消毒效果。五、合理使用抗菌药物管理2 积极协助医务科、药剂科做好合理使用抗菌药物监督管理工作，做好临床、检验、药剂等科室之间的桥梁作用，协助检验科做好病原学监测工作，每季度统计临床科室前五位的医文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP

27、5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3

28、R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6

29、S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:

30、CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 H

31、G3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 Z

32、Z6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编

33、码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6院感染病原微生物名称及耐药率，并对耐药情况进行分析，从而为临床合理使用抗菌药物提供更可靠的安全保障。六、医疗废物管理制度化、规范化。院感办将充分发挥监督检查、业务指导、专业培训等职能，在完成日常督查的基础上，加强对医护人员、清洁工以及从事医疗废物收集、运送、贮存工作人员的法律法规、专业技术、安全防护以及紧急处理专业知识培训，防止发生医疗废物的泄漏和流失，使我院医疗废物管理规章制度得到有效落实。院感办20XX 年 10 月 20 日3 篇三

34、：20XX 年院感办工作计划20XX 年院感办工作计划20XX 年院感办将按照医院工作目标，认真履行管理督导职文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O

35、6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1

36、M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10

37、T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H

38、8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3

39、H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E

40、10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6能，推进医院感染预防与控制工作科学、规范、可持续发展。针对上年度存在问题，围绕“更好地做好医院感染控制工作、防止医院感染暴发流行、突出院感各项监测前瞻性及

41、时效性”等问题，制订20XX 年工作计划：一、加强医院感染管理三级监控网络体系能效发挥以加强医院感染预防与控制工作为主导，坚持“科学防控、规范管理、突出重点、强化落实”的原则，健全和巩固医院感染防控体系，完善相关技术标准，落实各项防控措施，提高专业技术能力，提升医院感染防控水平，最大限度降低医院感染发生率，提高医疗质量和保障医疗安全。根据国家相关法律法规，将我院各项院感管理制度进行及时修订，做到不断完善，力求与时俱进。明确管理职责，理顺管理环节，利用三级监控网络组织，充分发挥临床院感管理小组作用，实现医院感染防控措施的科学化、专业化、规范化、精细化。二、加强质量控制，杜绝医院感染暴发事件发生。

42、1、充分发挥三级医院感染管理体系作用，特别是科室监控小组成员的作用，通过强化医院感染诊断标准培训，认真落实医院感染病例报告和监测制度，坚持“早发现、早报告、文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4

43、HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3

44、ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档

45、编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W

46、4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z

47、3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6

48、文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6早控制”原则，杜绝医院感染暴发事件的发生。2、落实医院感染管理会议制度，定期召开医院院感管理委员会会议，讨论

49、解决我院院感管理中遇到的疑难问题，总结、布置工作。督导临床科室定期召开科室院感管理小组会议，讨论分析本科室医院感染管理工作中存在的问题，制定整改措施，积极整改。3、院感办制定每周督查的重点，每周随机下病房进行督查；根据医院感染管理考核标准的要求，每月采取量化考核方法，开展医院感染管理质量检查，对医院的清洁消毒灭菌与隔离、无菌技术、医疗废物管理等工作提供指导，将医院感染管理信息及时反馈到临床科室，督促整改，持续改进，保障医疗安全。每半年组织护士长进行医院感染管理质量大检查。二、持续开展各项医院感染监测工作1、持续开展医院感染环境卫生学和消毒灭菌效果监测，对全院重点科室、部门，如产房、手术室、消毒

50、供应室、重症文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP5O3H1M5W4 HG3R8E10T4Z3 ZZ6S7D2H8O6文档编码:CP