新型冠状病毒疫情常态化下某医疗机构院感防控机制和措施

Prevention and control of hospital infection in the normalization of COVID-19 epidemic

目的介绍哈尔滨某医院为应对新型冠状病毒疫情常态化下院感防控而制定的多项应对机制及具体措施,不但可以优化医务人员岗位设置管理,减少院内所有人的暴露风险,也为其他医疗机构抓实抓严常态化长效化的院感防控工作提供借鉴。方法密切关注上级部门的规范性文件,结合医院实际情况,制定各科室相关制度、流程、措施、应急预案等。建立全院感控责任制度,按照分片区、分内容、分层次,分时段,分环节的原则,将责任落实到每个环节的每个人,并形成切实有效的督导机制,把"人人都是感控践行者"的理念落实到工作中。结果各科室各部门严格履行科室职责、人员职责,实现了医院在新型冠状病毒疫情期间合理有序的工作流程。不断提升全院应对疫情的防控能力,在疫情常态化的情况下,高效有序地完成正常的诊疗活动。结论科学有效的院感责任机制,不但可以使各科室各部门有条不紊地开展日常工作,也可以应对疫情突发状况,最重要的是把疫情常态化下的感控工作落实落细。

OBJECTIVE To introduce the measures to prevent and control the infection in a hospital in Qiqihaer.By formulating full-responsibility system and supervisor system of the hospital infection monitoring and management,it is not only optimize the management of the position of medical staff and reduce the exposure risk of all people in the hospital,but also provide references of prevention and control of Covid-19 for other medical institutions aiming to ensure the normalization and long-term effectiveness.METHODS The epidemic prevention and control relevant systems,processes,measures,emergency plans for each department were formulated by combining the normative documents of the higher-level departments and the actual situation of our own institution.The hospital-responsibility system was established and improved based on the principle of different areas,contents,time periods and links,implement responsibility to everyone in each part,to form an effective supervision mechanism.RESULTS All departments performed their duties and personnel responsibilities strictly,and established a reasonably and orderly work flows in the hospital during the COVID-19 epidemic.Besides,the ability of preventing and controlling the epidemic was improved continuously,which ensured normal medical activities that can be completed efficiently and orderly in the normalization of the epidemic.CONCLUSION The scientific and effective hospital infection monitoring and management can not only enable the various departments to carry out daily work in an orderly manner,but also respond to the emergency situation of the epidemic.The most important thing is to implement the control work under the normalization of the epidemic.