Author: Ying Chen Xiaomin Ni Yuan Yu

hua
[Key words] JCI accreditation operating room hospital infection prevention and c
ontrol standards
Sir Run Run Shaw Hospital, Zhejiang University School of Medicine to build homes
for more than 10 years, the reference to the United States advanced management
experience, according to China's specific conditions, to successfully explore a
set of conditions suitable for China's modernization of hospital management mode
l, and in December 2006 through the Accreditation of Healthcare Organizations Jo
int Commission International (Joint Commission Internatio-nal, JCI) accreditatio
n. When you create a new system for hospital quality management process, the ope
rating room of the hospital infection prevention and control has played a positi
ve role and achieved some results, infection rate was controlled at 5% or less,
a class of incision infection rate of less than 0.5% . Now JCI international sta
ndards of infection prevention and control (prevention and control of infec-tion
, PCI) standards implementation and experience in the operating room the followi
ng report.
An operating room hospital infection prevention and control standards fo
r the implementation of the
JCI standards to assess the quality of medical institutions and
management of international standard, its scope of services for medical institut
ions and characteristics, there is a clear and detailed requirements. One of the
PCI standard is divided into four parts of 21 [1]. In the implementation of the
standard, it will be divided into two levels to implement: First, around the su
rgical patient's medical care, and second, the health of hospital staff involved
in surgery. Sir Run Run Shaw Hospital, the PCI standard operating room hospital
infection prevention and control standards for the implementation of the terms
of the decomposition.
1.1 determine the hospital influenza prevention and control plan
1.1.1 Hospital sense the focus of prevention and control programs develo
ped for the hospital a sense of Section measures to prevent surgical site infect
ions by hospital operating room nurses and a sense of control subjects of common
indicators of wound infection in surgical patients and follow-up investigation,
and monthly statistical data, feedback-related sections. The operating room a s
ense of control by the hospital infection control nurses to harmonize the operat
ing room air, surface, surgical personnel hand, sterile, in-use disinfectants su
ch as bacterial culture samples once a month, so that the surface of bacteria su
rgical goods control = 5CFU/cm2, do a good job quarter, the annual statistical a
nalysis, for the operating room to provide a reliable basis for infection contro
l. Regularly collect information on occupational exposure to blood-borne pathoge
ns, statistical analysis summary of proposed rectification of views (such as pro
viding anti-stab shoes, goggles; Yi needle wound to improve operating procedures
; increase in large-capacity weapon boxes, medical garbage transfer boxes).
1.1.2 the operating room and supply room integrated management of the op
erating room and supply room and the sterile area of the contaminated area to se
t a channel (through the lift) will be linked to the operating room and supply r
oom. Integration in the operating room and supply room to run, the surgical dres
sings directly sent to the central supply room packed between the packaging, sur
gical instruments contaminated channel sent by the supply room cleaning, packagi
ng. In this way the retention is only part of the operating room aseptic package
back, both sharing resources, but also to avoid the sterile bag during transpor
t pollution.
1.1.3 to develop the various systems operating room items should be plac
ed neatly kept clean and no dust, no blood, to avoid unnecessary movement, to mi
nimize the movement of persons, is strictly prohibited in the operating room mak
e dressing or finishing packing cloth. Workers in the operating room filled with
red / yellow dirt bags and placed in a yellow sharps box and have warning signs
of medical special transit box, a fixed route shuttle by hand delivery to the d
esignated locations, uniform treatment. Delivery process need to be closed bag S
hengzha mouth, barrel cover and fasten buckle, do not let nobody take care of co
ntaminants in the case, in the elevator not with food, medicine or staff. All me
dical personnel should take protective measures to prevent the needles, blades a
nd other sharp instrument injury.
1.1.4 for the special operations medical personnel to participate in the
protection of the infectious, immune suppression or for other reasons at the ri
sk of infection in patients with a longer, to participate in its operation of me
dical staff should be prepared to isolate the work a sense of by the hospital Se
ction provides the type of personal protection equipment, proper use of the meth
od, removal, treatment, disinfection and disposal and other information.
1.1.5 the development of new wind machine room management system every t
wo years of professional cleaning company, right outside the operating room fres
h air pipe thorough cleansing; standard laminar flow clean management, use and o
peration of air between the monthly monitoring, annual external professional ins
tallation companies laminar flow purification equipment monitoring and updating,
by the systematic and comprehensive quality control professionals. Reposted els
ewhere in the Free Papers Download Center http://eng.hi138.com
1.1.6 ensure that the gloves, masks, hand sanitizer and disinfectants su
pply and proper use of the strict implementation of hand-washing system, the use
of liquid chemical disinfectant liquid and norms, isolation to prevent classifi
cation, application of disease and measures; the operating room to place a one-t
ime anti-bacterial liquid soap, disposable paper towels, fast hand disinfectant,
surgical hand brush fluid, a sense of Section by the hospital, occupational saf
ety and personal protection training courses. The implementation of a strict 'bo
dy substance isolation,' to reduce the risk of exogenous infection: when contact
with blood or other body fluids have been contaminated items, are required to w
ear gloves, wash hands immediately after glove removal; take the lead on the fac
e may be exposed to blood, other fluid and Gusui films, then wear a mask, eye go
ggles or face masks; surgery wearing a plastic apron or waterproof gown to preve
nt underwear from being contaminated; contact with methicillin-resistant Staphyl
ococcus aureus patients, roving nurses, anesthetists are Wear Gown, strengthen s
elf-protection.
1.2 The Fund is administered in order to implement the operating room in
fection control system in order to effectively identify and respond to the impac
t of infection control and health hazards for the operating room of the characte
ristics of specific guidelines developed at the same time to provide surgical in
fection control relevant information to carry out infection control communicatio
n.
1.2.1 The operating room is equipped with a sense of control nurses, one
hospital (nursing division title), and to ensure the completion of its annual f
lu-hospital continuing education hours. Through study, understand and strengthen
the qualifications and education of the importance of hospital infection manage
ment Operating Room [1]. Responsible to the operating room in spreading the conc
ept of nosocomial infections and the actual operation, how to cut off the transm
ission, strengthen self-protective measures.
1.2.2 hospitals to establish a sense of three hospital networks, hospita
l operating room nurses on a regular basis to participate in flu surveillance Ho
use flu surveillance committee meetings to identify the operating room of nosoco
mial infection prevention and control of the key projects. Quarterly study of no
socomial infection prevention and control of quarterly newsletter; and bacteria
room to cooperate in writing or by telephone in the form of all monitoring resul
ts and timely report to the House a sense of Section; any extraordinary outbreak
of infection or major report to the House a sense of Section.
1.2.3 When to suspect that any patient, surgical staff, temporary staff,
interns, or visitors may be infected with a communicable disease, after the app
roval of the Medical Department to meet the hospital feeling Division to take co
rresponding measures to make inter-sectoral coordination , efforts to identify a
nd correct any potential security problems.
1.3 Staff education, do a good job pre-job training new employees (annua
l), in-service training (twice a year) and hospital flu surveillance staff (twic
e a year) and training. Training, knowledge and updated annually, in the operati
ng room a number of conspicuous places that are affixed to the corresponding pro
motional picture. The hospital through the hospital intranet web site to learn a
sense of infection prevention and control of hospital-wide system of surveillan
ce of nosocomial infections, education and training, the latest national trends,
hot topics, etc.; and participated in the provincial hospital a sense of Qualit
y Control Center monitoring the network and through network information about ot
her hospitals, surgical infection rates and trends.
2 Experience
In carrying out international standards JCI certification, the h
ospital operating room set up JCI-functional teams, according to the contents of
each of the terms of PCI related standards, measurement and interpretation of e
lements of a comprehensive three levels to develop both to achieve JCI standards
, consistent with our country and the Local laws and regulations, technical spec
ifications of the work systems and work processes, standardize the work involved
in hospital operating room to establish the overall framework of assessment and
with the overall framework of the organic convergence of the hospital.
JCI is very concerned about the process management, embodied in
the risk prediction and prevention of surgical patient care safety precautions t
o the formulation and implementation, and continuous improvement to achieve cont
inuous improvement purposes. To this end, Sir Run Run Shaw Hospital in the imple
mentation of JCI standards to its deeply felt human-oriented management and the
patient first philosophy [3]. JCI standards to its unique charm, is gradually in
filtrated into our country to work in the hospital accreditation, patient safety
and quality of service of its continuous improvement philosophy, is precisely t
he quality of '21 century was the century of 'expression [4].
JCI international standards through the certification of quality
management of the hospital operating room has a new improvement to enhance all
aspects of the operating room of the scientific and reasonable control and manag
ement, can reduce surgical infection rates, effective control of nosocomial infe
ction. By monitoring, you can supervise staff at all levels to strictly implemen
t the rules and regulations, and truly effective in reducing the indirect route
of transmission, so that the hospital infection control and management of scient
ific management into the orbit.
[References]
1 Cheng, Min, Yan Xiaohong, Sun Hong. The use of JCI standards and norms nur
ses 'qualifications and education,' the management of [J]. Chinese Health Qualit
y Management, 2006, 13 (4) :32-34.
2 Sun Zhaoling. The operating room and hospital infection control measures [J].
Hebei Medicine, 2006, 12 (12): 1310.
3 Chenzheng Ying, Sheng Jie China. JCI quality system of contingency plans to in
troduce [J]. China Hospital Management Journal, 2005, 21 (1) :15-16.
4 weeks Qiong Lu, Dai Liping. JCI simulated inspection of the hospital informati
on management thinking [J]. Chinese Hospital Management Journal, 2006, 26 (1): 2
7-29.
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