Nurse: Play the part of the important role while controlling in institute's sense

Nurse: Play the part of the important role while controlling in institute's sense
Nurse: Play the part of the important role while controlling in institute's sense
The hospital infects management and medical treatment safely and closely bound up, and the work of reducing the disinfection, sterilization that the hospital infects one of the dangerous factors and isolating etc. is mainly undertaken by the nursing staff. Then, what weak links nursing staff has in this job, what experience and lessons should be drawn, how to fulfil one's own duty well conscientiously? This edition especially invites the hospital of Ministry of Public Health to manage the research institute and attend to Gong YuXiu, director of centre, and write articles to analyze, hope to attending to colleague's enlightenment to some extent. Last September such as YuXiu Gong, Xi'an Communications University medical college attach to first hospital take place neonatal hospital infect, break out incident, arouse the attention from various circles of society. We know, the hospital infects and medical treatment is safe and closely linked with nursing speciality, permeate through each link of the nursery work. I believe the units at various levels attend to administrator and nursing staff and hope to do a good job of one's own own job. Comprehends in the incident to some extent but how to break out from all previous one, inspired, what prevented from and controlled the hospital to infect got rich quick in the nursery work, it is the hospitals at all levels that attend to the question that the administrator and nursing staff need to ponder deeply. Going through it after attending to, attending to management and hospital and infecting practice for many years of management clinically in person, some realize willinging and attend to and go together and share. The hospital can prevent to infect while engaged in the hospital and infect management, we are learn from expert constantlying, know: The hospital infects and is adjacent to hospital to coexist, concern the hospital crowd's health. According to the source of the pathogen, the hospital infects and divides for other source infection and endogenous infection. It is relatively complicated because mechanism takes place in the endogenous infection, the basic disease related to patient, many kinds of factors such as the measure of making a diagnosis, difficult to prevent at present. The other source infection is also called cross infection, the pathogen comes from outside (such as other patient, medical worker, relative and hospital environment) patient's body . The infection can present, break out, can through the intersection of norm and aseptic technical operation, strengthen, sterilize, sterilize, separation measure, and propaganda and education work prevent and control. Follow developing of modern medical technology constantly and update of the relevant apparatus, the getting involved technology of making a diagnosis generally employ in clinic in a large amount, radiotherapy, chemotherapy, wide application of antibiotic, and the hospital infects the complexity, variety and new development trend of the pathogen, for the prevention which the hospital infected and controlled and proposed the challenge of Singapore. The management which the hospital infects involves organizational management, the system is managed, a series of work of monitoring etc., but reduce the key that the hospital infects the dangerous factor to lie in: First, to making a diagnosis, attending to the management of every link of the whole course of the patient, including strict medicine, medicine, protecting, the aseptic technical operation, antibiotic of skill personnel one are used rationally and given medicine rationally; Second, set up and implement the rules and regulations cleaned, sterilized, sterilized and isolated, the ones that guaranteed to enter apparatus, article of the human body directly are aseptic strictly. Mainly undertaken by the nursing staff in view of work such as the disinfection, sterilization and isolating of the hospital, we can say its hospital of a hospital infects and controls level and nursery work of competence there are close relations. Regard life as regulation that cost bring, make sure to keep in mind, observe since our country began to be infected with management the hospital in an organized way in 1986, go through and explore, set up the system and includes in and legalize and manage several stages progressively. In this course, on the basis of the hospital infects monitoring and managing the experience or lesson studied to summarize the regional hospital and launching, the norm, standard, policy, rule about infecting management in the hospital of Ministry of Public Health are being improved constantly, among them it is brought that some regulations even regard life as the cost. If carry out and implement, may cause the bad consequence half-heartedly. Everybody remember the South some the intersection of tortoise and the intersection of shape and branched the intersection of bacillus and hospital that united family hospital take place infect, break out incident 1998, in 292 operation patients in nearly two months, 166 are infected with, it is 56.85% to cut-out the infection rate. The main reason is that two aldehyde of fifth used for soaking blade and scissors formulate the mistake and has not reached and sterilized the result. It is reported, this institute is 1997 the second half years and 1998 first half of the years, successively bought two batches and strengthened two aldehyde of fifth, the operation instruction is the same, have not indicated the effective density. It was 20% that the medicine personnel taking charge of disposing found out the density from manufacturer while using for the first time in 1997, for using clinically after diluting 10 times. The second batch is while continuing using, have not checked the density again, has still diluted 10 times. Just measured and discovered while looking for the reason to infect breaking out, the second batch of density of buying the original liquid is only 1%, this Municipal Health Bureau investigates the density is 1.37%. Here, we do not discuss the responsibility and dereliction of duty of medicine personnel of the hospital administrator for the time being, then, what relations infected with and broken out this time to have with nursery work? First of all, " the hospital infected the standardard management " (hereafter referred to as " norm ") which Ministry of Public Health released in 1994 Namely has already required " the medical articles which enters tissue or aseptic organ must be sterilized" The steam of pressure of instrumentation of operation is sterilized, try hard not to need chemical disinfectant to soak and deal with " . And our counterpart, still according to old idea and method to blade and scissors needing adding in the operation temporarily, adopt chemical disinfectant to soak. In fact, according to sterilizing and supplying working progress, the apparatus can adopt the inner wrapping to sterilize the steam of pressure. Secondly, disinfectant disposition, is undertaken in a lot of hospitals by the clinical department's nurse, the lesson of this institute should be regarded as the lessons drawn from others' mistakes of us. " norm " is required " the medical worker should understand the performance, function and operation method of disinfectant ". While disposing, should pay attention to effective density, function time and influence factor " ," disinfectant in use must keep its effective density, and measure regularly " . Understand density mistake dispose, seem it is institute this that result in, infect primary reason that break out, but if our nursing counterpart pays attention to the monitoring of valid density of two aldehyde of fifth in the use which reaches BanNian, is not it the emergence avoiding being infected too? This should be our duty, need implementing in the regular system! Moreover, " norm " still stipulates, " should monitor the result after sterilizing and sterilizing " . This is a regulation made on the basis of summarizing the regional hospital and infecting and managing the valid experience, namely require to adopt physics, chemical method sterilize article sterilize, go on the result find, the steam of pressure is sterilized to need monitoring, use various chemical disinfectant (sterilize pharmaceuticals) While soaking and sterilizing or sterilizing, need it to soaking apparatus sterilized or sterilized and monitoring the result by it too. When should generally be changing the disinfectant and apparatus box each time, sample sending to train the apparatus soaked earlier stage. And our counterpart has never monitored in half a year, has failed to hold the pass in this link again. In addition, some traditional methods need changing: Remember that while working clinically, according to the management system of operating room, it must be fixed to soak disinfecting antiseptic Change ' The term of validity is according to operation instructions of disinfectant) ,The apparatus box must be sterilized. But use at the time of practical operation? ���� Bo � sodium Yan island school �� Handkerchief read aloud mediocre and more south than � bright grains of rake hearts slow �� of �� 1 lip closely question sodium Yan drip benzene pupa �� of �� 1 Bos pure last �ת� wild rice humiliation � island heart rime U shelf �� Wu Quan Yan of Shan 1 sodiums slow Wei's cricket distant �� is bad � bright bad shape wait upon Xun broken Lue � arrest �� of ���� tadpole the intersection of bone and the intersection of rake and slow the intersection of shape and the intersection of Zhyuan and the intersection of mirror and south the intersection of woman and � rush down Xing Chi ����� console Hou relatively Cure mast Wan shadow cast by the sun fear kind �� department the � s anxious and fearful defend Bi plan lies palm �� K �Ҭ� s abundants little weld to is the Yaos firms remorse to keep fit to lead enzyme �� of �� 1 Ping favore with after lasting �� to Ju core health after smelling of fish all after retreating The mat woven of fine bamboo strips of �� Gui's law of ��'s decayed tooth of Zhao Jian's milk is printed Admire �� keep fit moat bag all of a sudden Tong Qiao's silk ribbon Jie? Will it be the 1990s last century, and neonatal hospital that take place recently infect, break out, mostly nursing staff for the intersection of neonate and scattered bag have a bath, bale and use one, share articles ' Protect cushion, face powder, oil,etc.) Pollution, feeding bottle wash and sterilize owing completely, or the lying-in woman is a healthy carrier, pollute one's own baby through hands, pollute other baby and a great deal of articles, environments,etc. through the nursing staff's hands, cause the hospital to infect and break out the emergence of the incident. The hospital can't lack us while infecting management responsibilities to need to review, why is after each hospital infect and break out and happen, some administrators only resumed calmness of heart gradually some time later in fear and trepidation, is not the corresponding hidden danger dispelled completely yet? The hospital manages and discovers in the annual supervisor: In some hospitals, attend to a administrator to think more, it is a thing that the hospital infects the administrative department that the hospital infects, infect with to manage responsibility to keep the hospital in the nursery work outside the door. Reflect that infects scarce understanding to the hospital, infect progress and relevant knowledge of studying and lack of understanding to the hospital, to that the relevant policy is scarce are studied; Educate and disconnect clinically, display and infect studying and has not included in the hospital in compulsory course of the school yet, whether or the teaching material is written to personnel lacks of understanding to the research progress which the clinical hospital infects management, cause relevant knowledge to be outmoded, make our part's knowledge inadequate natural endowment. Knowledge and operational policy that some comrades of ours that add again are used to following study of school, ignore in-service training, it is more indifferent to infect a knowledge which concerns patient's safe new developing discipline to the hospital; The work pattern formed for many years, operation sequence, make us form the inertia thinking of carrying out passively, as to infecting the research results according to the hospital, need to break the requirement for the original working routine, not very positive. We can recall, for change, change the syringe needle without, change needle, in charge of, get, implement one the intersection of people and first the intersection of first stitch and first tube use a sterilization, how long have we spent? The above-mentioned reason influences the hospital and infects the implementation of the management policy in the nursery work directly. From the analysis of the above-mentioned cases, we can realize, the hospital infects and medical treatment is safe and closely linked with nursing speciality, permeate through each link of the nursery work. The certain hospital nursing staff is understaffed seriously, it is a practical problem that the management of nursing dept. is short of hands. However, I want to propose the counterparts, heighten management and nursing staff's operation abiding by laws abiding by laws' awareness, according to " management that the hospital infects ", define this department infects the responsibility in managing in the hospital; All kinds of hospitals that the Ministry of Health issues infect relevant standard, norm, usually direct against the whole hospital, yes study us conscientiously, involving a nursing staff and operating among them, in charge of responsibility in the nursing dept., include infecting and managing the department in coordination with the hospital, organize the training, technological guidance of the nursing staff in time, include in and attend to quality control and department to examine, supervise and implement, the mirror washes and sterilizes the technological operation regulation in further improve system,etc., as releasing in the past " ", " the oral cavity medical instruments of medical organization sterilizes the technical specification ",etc.. In a word, the management which the hospital infects needs every department each one does his duty, the control which the hospital infected, need participation of all medical workers. The nursery work is because of its particularity, the prevention which the nursing staff infects in the hospital and controlling China to have unsubstitutability even more.


|