Summary of supply room work 1 Disinfection supply room is the general logistics of hospital clinical work. Responsible for the disinfection and supply of various instruments, dressings and other sanitary materials in the clinical front line, and the summary of the work of the supply room for half a year. The quality of its work directly affects patients' life safety and medical quality, and even worse, it will affect the reputation of the hospital. Therefore, our hospital has taken effective management measures from both hardware and software to prevent hospital infection.
1 sound leadership and management system
The disinfection supply room in our hospital is directly led by the vice president in charge of nursing, and the nursing department and the nosocomial infection department provide professional guidance, supervision and inspection. The department has a quality supervisor and a member of the nosocomial infection team to assist the head nurse in quality inspection of various medical supplies. The division of labor within the department is clear, and the responsibility lies with people, forming a complete leadership and management system.
2. Construction of high standard hardware facilities
In strict accordance with the requirements of the Ministry of Health's Acceptance Standard for Hospital Disinfection Supply Room, the most reasonable structure has been achieved in the building. The room is far away from pollution sources and close to clinical departments, and is in a relatively independent and pollution-free area. The indoor three rooms are clearly divided into polluted area, clean area and sterile area. Take the way of compulsory traffic to form a "dirty-clean-sterile" running route, so that people and logistics do not cross retrograde. The floor, walls and roof are smooth. Tiles are used to stick to the wall, and terrazzo floor is convenient for washing and disinfection, and does not drop dust. The work summary is "the half-year work summary of the supply room". The room is also equipped with ventilation and purification equipment, hot and cold water devices, ultraviolet disinfection facilities, fly prevention, cooling and heating facilities, and an advanced pulsating vacuum pressure sterilizer is purchased to prevent nosocomial infection caused by outdated facilities.
3 Effective quality monitoring standards
3. 1 quality inspection standard and staffing of medical supplies The nursing department rationally allocates human resources and sends high-quality and responsible personnel to work in the supply room. Nursing department and hospital infection department regularly go to the department for business guidance, supervision and inspection. Departments conduct "three basics" knowledge tests on staff every month, regularly learn the knowledge of hospital infection, improve the staff's awareness of disinfection and isolation, and strictly implement various technical operating procedures to prevent the prevalence of hospital infection caused by human factors. There are strict quality control standards for the classification, cleaning, disinfection, packaging and sterilization of all kinds of medical supplies. The head nurse and quality inspector will randomly check at any time in their work to ensure the disinfection and sterilization effect of medical supplies.
3.2 Detection standards for bacteria and microorganisms
3.2. 1 Indoor sanitation for environmental microbial detection shall be cleaned by wet method every day, with ultraviolet radiation not less than 1h, and disinfectant shall be wiped 1 time every day, once a week and thoroughly every month. Use rags and mops for each area, and hang them dry after use. Regularly detect bacteria and microorganisms in the air and the surface of objects in each area, and the number of bacteria in the air and the surface of objects in each area is within the normal range and does not exceed the standard.
3.2.2 Microbiological detection of disinfectants The disinfectants used in our department have been strictly detected by our pharmaceutical laboratory. In order to ensure its disinfection effect in the use process, disinfectants, especially chlorine-containing disinfectants, are now prepared. Because of its volatility, chemical tests are carried out every day. The biological detection solution has a bacterial content of < 100 cfu/ml. The sterilizer shall be tested 1 time every month, and there shall be no microorganisms.
3.2.3 The Infectious Diseases Department of the Sterile Articles Inspection Office will send people to this department to sample sterile articles from time to time, and the sterile articles will not be subject to microbial inspection.
3.3 Inspection standard of disinfection and sterilization equipment
3.3. 1 detection of ultraviolet lamp In order to ensure the effective performance of ultraviolet lamp, daily detection, intensity detection and biological detection are adopted for ultraviolet lamp. Strict principles for the use and maintenance of lamps. The contents of daily inspection include the service time, cumulative irradiation time and user's signature of the lamp. Conduct 1 strength test every quarter to ensure that the strength of new lamps is not less than 100μW/cm2, and that of lamps in use is not less than 7μW/cm2. Biological experiments should be carried out when necessary.
3.3.2 Effect detection of pressure sterilizer Pulsating vacuum pressure steam sterilizer is adopted in our hospital. Carry out B-D test before sterilization every day to ensure that there is no residual cold air in the cabinet. Check the process of each pot and make records. Each package is subject to chemical testing, and monthly biological testing is carried out with thermophilic Bacillus slices.
Due to effective management and quality inspection measures, there has never been any hospital infection caused by unqualified disinfection items in our hospital.
Summary of supply room work 2 With the help and guidance of the dean and the hospital leaders, all the work in the supply room of our hospital has been completed, and the work is summarized as follows:
( 1)
I. Division of work area: It is divided into polluted area and clean area. The contaminated area is a decontamination area, which is mainly responsible for receiving reusable medical devices that are sent to the undergraduate after being contaminated by clinical departments. The clean area includes packaging area, sterilization room and sterile goods storage room. And lead the undergraduate staff to seriously study the functions of each area, clearly understand the architectural layout and various operation processes of the supply room, and meet the requirements of people flow, logistics from pollution to cleanliness, and air flow from cleanliness to pollution, without crossing or retrograde. So as to improve the disinfection and isolation technology and occupational protection concept of staff.
Second, the implementation of various rules and regulations, strict implementation of rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety. Reaffirm the responsibilities of nursing staff, clarify the nursing work system of each post, and perform their duties. (1. Supply room working system,
2. Disinfection and isolation system of supply room, 3. Supply room error accident registration and reporting system,
4. Supply room occupational safety protection system. Supply room cleaning and sanitation system, 6. Supply room equipment maintenance system, 7. Supply room purification area system, 8. Supply room inspection and packaging and sterilization area system, 9. Sterile goods storage area system in supply room, 10. Supply room transceiver system, 1 1.
12. Inspection system of disinfection supply room, 13. Specification for operation flow of supply room) (Responsibilities: Responsibilities of head nurse in supply room; Responsibilities of nurses in supply room: responsibilities of recycling personnel;
Responsibilities of cleaning personnel; Responsibilities of employees in inspection and packaging area; Disinfector job responsibilities)
Third, the department insists on daily ultraviolet disinfection of decontamination room, packaging room and disinfection room, and records it. Maintain the ultraviolet lamp with 95% alcohol every week and record it. Use disinfectant (1: 400 disinfectant) to mop the floor twice a day.
Four, the department established a notebook:
1: Delivery Letter of Disinfection Articles in Supply Room, which records the names and quantities of instruments sent by various departments in detail and is signed by both parties.
2. Use and maintenance record book of pressure steam sterilizer: records include switching time, instrument operation status (power supply, water pressure, pressure gauge) and user's signature.
5. Equipment: At present, this department has been equipped with pressure steam sterilizer, baler, ultrasonic cleaner and distilled water machine.
Six, new employees first familiar with undergraduate course room system and operation process specification, and then gradually get started.
The above work is to provide high-quality aseptic materials for clinical use, so I also hope that everyone should be cautious when using aseptic materials to treat patients and abide by the aseptic technical operation specifications in their behavior. Otherwise, the supply room will lose its ultimate meaning.
(2) The existing problems need to be improved:
1. Gradually improve the standardized operation of cleaning, inspection, packaging, sterilization and distribution of sterile articles, ensure quality control, and strictly implement physical monitoring of each can, chemical monitoring of each package and weekly biological monitoring of sterilization. Each sterilization package is stored separately according to the department, and the department of the sterilization personnel, the name of the article, the can number, the can number, the sterilization date, the effective date and the signature are indicated outside the package, which plays the role of quality traceability. Quality traceability system is a unique system of supply room, which is realized through various data and scientific information, which come from the operation of equipment and instruments and various monitoring. There are still some shortcomings, such as receiving and delivering goods. Due to the limitation of housing construction, there is no direct transportation channel, so it is impossible to receive and deliver according to the requirements of the hospital.
2. Personnel arrangement: there are many items to be disinfected for a period of time, but few personnel (suggestion: the department has enough personnel, and if it is not busy, you can arrange a person to help in the supply room).
The above summarizes the work progress of supply room in the first half of 20 15, and then briefly looks forward to the future of supply room in the second half of 20 15:
1. equipment and facilities: according to the situation of our hospital.
2. Management system and management requirements: In recent years, China has put forward the integrated management mode of hand supply, which should be the centralized management mode of CSSD. In other words, for
The emergency room is responsible for the cleaning, disinfection and sterilization of all reusable medical instruments, appliances and articles in various departments of the hospital. Is an independent medical technology department, with a wide range of services, strong scientific nature and heavy sense of responsibility. It is the key to control hospital infection and ensure medical quality. The development of supply center reflects the management level of the hospital. The management system of CSSD is working under the direct leadership of the dean, nursing department and hospital feeling office, which is more effective.
3. Personnel requirements: All staff of CSSD, including nurses, should receive relevant hospital awareness training.
4. Consult some relevant rules and regulations and job responsibilities, keep the contents that meet the requirements of the hospital, and then improve the rules and regulations, job responsibilities and workflow according to the three standards of CSSD, and convey them to undergraduate students in the business learning activities of the department.
5. Establish a monthly satisfaction survey with clinical departments, do a good job of communication with clinical departments, listen carefully and improve the work.
Front desk: Since the trial operation, the General Department has received guests 178, cooperated with guests 140, performed root canal therapy for 48 times, extracted 20 teeth, filled 2 teeth1tooth, washed 29 teeth, restored 17 teeth and others 27 teeth.
These are just my personal thoughts. The supply room needs the strong support of hospital leaders to achieve quality service.