《衛(wèi)生與職業(yè)安全》ppt課件-文庫吧
2025-03-07 01:50 本頁面
【正文】 t Semmelweis’ Hand Hygiene Intervention ~ Hand antisepsis reduces the frequency of patient infections ~ Adapted from: Hosp Epidemiol Infect Control, 2nd Edition, 1999. 洗手 ? 控制感染最有效、最方便、最經(jīng)濟(jì)的方法 ? 但要能夠經(jīng)常和適時(shí)的洗手 ? 什么時(shí)間洗手 ? ? 直接接觸病人前后； ? 摘手套后（戴手套不能代替洗手）； ? 不論是否戴手套，進(jìn)行侵襲性操作前； ? 接觸體液或排泄物、粘膜、非完整皮膚或傷口敷料后； ? 護(hù)理病人從污染部位移到清潔部位時(shí)； ? 接觸緊鄰病人的物品后（包括醫(yī)療設(shè)備）； In 5 Years, the CDC39。s Division of Healthcare Quality Promotion (DHQP) plans on acplishing these seven challenges ? Reduce catheterassociated adverse events by 50% among patients in healthcare settings ? Reduce targeted surgical adverse events by 50% ? Reduce hospitalizations and mortality from respiratory tract infections among longterm care patients by 50% ? Reduce targeted antimicrobialresistant bacterial infections by 50% by: ? preventing infections ? diagnosing and treating infections appropriately ? optimizing antimicrobial use, and ? preventing transmission in healthcare settings ? Eliminate laboratory errors leading to adverse patient outes ? Eliminate occupational needlestick injuries among healthcare personnel ? Achieve 100% adherence to ACIP (Advisory Committee on Immunization Practices) guidelines for immunization of healthcare personnel Simple measures save lives The focus is on preventing infection associated with health care Hand Hygiene Clean Hands are Safer Hands Guidelines on Hand Hygiene in Health Care WHO GUIDELINES ON HAND HYGIENE IN HEALTH CARE (ADVANCED DRAFT): A SUMMARY Objective of the Guidelines: To provide healthcare workers, administrators and health authorities with: ? a thorough review of hand hygiene ? indepth information to help them overe obstacles to improvement WHO關(guān)于手衛(wèi)生（洗手或手消毒）的六個(gè)指征包括： 接觸病人前后 摘除手套后 進(jìn)行侵入性操作前 接觸病人體液、排泄物、粘膜、破損的皮膚或者傷口敷料后 從病人臟的身體部位到干凈的身體部位 直接接觸接近病人的無生物物體（包括醫(yī)療器械）后 Contamination of Hands and Environment First cleaning, then disinfection (if appropriate) 控制醫(yī)院感染 最簡單 , 最有效 , 最方便 , 最經(jīng)濟(jì)方法 洗 手 第一步 掌心相對(duì)，手指并攏相互摩擦 第二步 手心對(duì)手背沿指縫相互搓擦 第三步 掌心相對(duì)，雙手交叉沿指縫相互摩擦 第四步 雙手指交鎖，指背在對(duì)側(cè)掌心 第五步 一手握另一手大拇指旋轉(zhuǎn)搓擦，交換進(jìn)行 第六步 指尖在對(duì)側(cè)掌心前后擦洗 六部洗手法 洗手步驟 Hand Hygiene Technique酒精 9方面 16項(xiàng) ? 醫(yī)院感染管理委員會(huì)會(huì)議制度 ? 醫(yī)院感染管理專職人員配備 ? 醫(yī)院感染及防控知識(shí)培訓(xùn) ? 醫(yī)院感染和病原菌監(jiān)測(cè) ? 抗生素應(yīng)用管理 ? 醫(yī)院感染監(jiān)測(cè)管理和數(shù)據(jù)反饋 ? 病區(qū)洗手設(shè)備 ? 消毒監(jiān)測(cè)（紫外線燈管強(qiáng)度和消毒劑濃度） ? 醫(yī)院感染知識(shí)的考核 《 醫(yī)院感染管理規(guī)范 》 實(shí)施情況督查 63所受檢醫(yī)院肥皂污染情況 污染程度
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