Emergency plan for nosocomial infection in hemodialysis

Hospital-acquired emergency plan for hemodialysis

Introduction: Do you know the hospital-acquired emergency plan for hemodialysis? The following is the emergency plan for hemodialysis hospital feeling that I have carefully arranged for everyone. Welcome to read!

emergency plan for nosocomial infection in hemodialysis

In order to effectively control the outbreak and epidemic of nosocomial infection in blood purification center, quickly cut off the transmission route, protect susceptible people and prevent the secondary and spread of nosocomial infection, this case is formulated.

(1) Organization:

Hospital infection management team of blood purification center: department director, head nurse, monitoring doctor and monitoring nurse. Members: general medical staff.

(II) Epidemic reporting control procedure:

When there is an outbreak and epidemic trend of hospital infection emergencies, the department immediately reports to the hospital infection management office, which will immediately arrive at the scene for investigation and handling, and take effective measures to prevent the outbreak of hospital infection.

(3) Implementation measures:

1. Management of infection sources

Once the dialysis patients are diagnosed with the outbreak or epidemic of hepatitis B and C infection, they should be transferred to the positive dialysis area for dialysis treatment immediately. Patients with hepatitis B and hepatitis C must be isolated and dialyzed by extension. The machines in infected areas cannot be used for the treatment of non-infected patients, and should be equipped with special dialysis operation vehicles for infected patients. The positive dialysis area refused to accompany and visit during dialysis to avoid cross-infection. It is suggested that HIV-positive patients go to the designated hospital for dialysis

2. Protection of medical staff < P > Corresponding protective measures should be taken according to the route and mode of disease transmission, such as wearing masks, goggles and protective clothing. Hands must be disinfected and cleaned before and after operation. There is an independent nursing team in the positive area, and the nurses are relatively fixed. The nurses who care for patients with B and C cannot take care of patients with B and C negative at the same time, so as to reduce unnecessary cross-infection. The staff of blood purification center were monitored for markers of hepatitis B and hepatitis C every six months. For staff with negative hepatitis B, inject hepatitis B vaccine.

3. Disinfection and sterilization

After each dialysis, 15mg/L chlorine-containing disinfectant should be used to disinfect and wipe the outside of the dialyzer, and then disinfect the inside of the dialyzer. B, hepatitis C positive areas of all medical supplies (disposable), daily necessities must be used alone, contaminated items with disinfectant containing available chlorine 15mg/L soak, pre-disinfection before recycling, cleaning and sterilization. Medical waste and domestic waste should be sealed in double yellow plastic bags; A special person will transport the infectious waste storage area by car. B, hepatitis C positive area with dynamic air disinfection machine, air disinfection 3 times a day, 2 hours each time, if necessary, using chemical disinfectant spray or fumigation disinfection. Wipe the treatment table and floor twice a day with 15mg/L disinfectant containing available chlorine. Equipment and articles used in hepatitis C positive areas, such as medical records, sphygmomanometers, stethoscopes, therapeutic vehicles and devices, are marked.

4. Epidemiological investigation

Confirmed epidemic or outbreak: If the medical records suspected of having the same kind of infection are confirmed, the incidence rate is significantly higher than the general incidence rate of hospital infection in this department over the years, then the epidemic or outbreak is confirmed. Finding the source of infection: carry out pathogenic examination on patients infected with hepatitis B and C, contacts, suspected sources of infection, environment, articles, medical personnel, etc. Find out the factors that cause infection: conduct detailed epidemiological investigation on infected patients and surrounding people. Formulate, organize and implement effective measures, including proper treatment of patients, correct disinfection treatment, isolation of patients or even suspension of receiving new patients when necessary. Analyze the survey data and describe the distribution of infected patients. Analyze the causes of epidemic or outbreak, infer the possible infection source, infection route or infection factors, and make a comprehensive judgment based on the results of laboratory inspection and the effect of control measures. Write an investigation report, sum up experience and formulate preventive measures.

Related articles of hospital-acquired emergency plan for hemodialysis:

1. Hospital emergency plan for avian influenza

2. Emergency plan for human infection with h7n9 avian influenza

3. Emergency plan for H7N9 avian influenza

4. Safety emergency plan

5. Emergency plan for power failure

6. Emergency plan for flood season

7. Examination questions for various emergency plans for nursing

8. Emergency plan for spring and autumn outing

9. Emergency plan for school bus accident

1. Emergency plan for property service;