Hospital production safety self-inspection report1
In order to further implement the "Pathogenic Microorganisms Laboratory Biosafety Management Regulations", "Jiangxi Provincial Health Department Pathogenic Microorganisms Laboratory Biosafety Management Measures (Trial)", to further standardize the management of our laboratory biosafety, according to the county health bureau arrangements, our hospitals Laboratory biosafety management self-examination and rectification, self-examination and rectification are as follows:
First, laboratory biosafety management, the operation of the rules and regulations
The Laboratory according to the "Pathogenic Microorganism Laboratory Biosafety Regulations", "Jiangxi Provincial Department of Health Pathogenic Microorganism Laboratory Biosafety Management Approach (Trial)" of the relevant provisions of the study, and on the relevant Biosafety rules and regulations of the operation of the inspection, the existence of problems in a timely manner to rectify. The experimental activities carried out by the laboratory are in strict compliance with the relevant national standards and laboratory technical specifications and operating procedures, and special persons are appointed to supervise and check the implementation of laboratory technical specifications and operating procedures. At the same time, a detailed record of the inspection, regular meetings to discuss the work of the problems found in a timely manner to correct.
Second, the management of pathogenic microorganisms (virulent) species and transport
According to the notice requirements to actively organize the main study of the relevant personnel: the management of pathogenic microorganisms laboratory bacteria (virulent) species of a strict registration system, received bacteria (virulent) species immediately after the registration of the number of a detailed record of the bacteria (virulent) species of the name, source, characteristics, use, batch size, date of transmission, the number of. In the management of bacteria (poisonous) species, safety and security system, safety and security measures, storage process, transmission, distribution and use, should be registered in a timely manner, and regularly check the number of inventory. Bacteria (poisonous) species in the destruction, sterilization indicator signs, sterilization effect, while making a good destruction of the registration and other content.
Third, the laboratory biosafety emergencies
In this self-inspection, the laboratory of our hospital on the previous development of the disposal of unforeseen events of the emergency command and disposal system, and further revised to enable it to meet the needs of the actual work. For when natural disasters (such as earthquakes, floods, etc.) or facilities failures, we have formulated the emergency situations that may be encountered and their treatment principles. At the same time, we have standardized the principles for dealing with bacteria (viruses) spilled on the table, floor and other surfaces, skin punctures (breaks), and ruptured centrifuge tubes, and have established a system for reporting accidents. In the laboratory of the conspicuous place posted in the laboratory, the person in charge of the experiment, laboratory staff, fire, hospital, water, electrical maintenance department telephone.
Fourth, the work of medical waste waste disposal
In order to strengthen the safe management of medical waste, standardize the safe management of medical waste waste, our section against the "Medical Waste Management Regulations", "medical waste management in health care institutions" and other relevant provisions, self-examination of the rules and regulations on medical waste management, whether in accordance with the "Medical Waste Classification Catalogue" and "Medical Waste Special Packaging Whether medical waste is classified and collected in accordance with the "Classification Catalogue of Medical Waste" and the "Standards and Warning Signs for Packaging and Containers for Medical Waste", whether the packaging and containers meet the standards, whether the warning signs are conspicuous, whether there is any mixing of medical waste with domestic garbage, and whether the disposable medical devices are destroyed and disinfected in accordance with the management of infected waste; whether the temporary storage of medical waste in the medical and health care institutions is in accordance with the "Regulations on the Management of Medical Waste", and whether the transfer of medical waste is complete. Whether the transfer of medical waste is complete. Through the inspection of the implementation of the system is basically achieved, there are a few handover signature record is incomplete.
V. Raise awareness and enhance learning
Organization of the inspection staff of the "Pathogenic Microorganisms Laboratory Biosafety Regulations" for comprehensive and systematic study, while strengthening the management of the laboratory's access system, marked laboratory type, the person in charge of and their contact information. Strengthened personal safety protection, and require inspectors to strictly comply with the standard operating procedures for testing.
Through this microbiological laboratory biosafety management self-examination, to improve the microbiological laboratory biosafety management of all inspectors to enhance the understanding of the importance of management, strengthen management, take effective corrective measures to ensure that the laboratory work safety.
Hospital safety self-inspection report 2
The state according to the laboratory of pathogenic microorganisms on the level of biosafety protection, and in accordance with national standards for laboratory biosafety, laboratories are divided into a first-class, second-class, third-class, fourth-class. New construction, alteration, expansion of three, four laboratory or production, importation of mobile three, four laboratory should comply with the following provisions:
(a) in line with the national biosafety laboratory system planning and fulfillment of the relevant approval procedures in accordance with the law.
(b) The State Council's competent authorities in charge of science and technology review and consent.
(C) in line with the national technical specifications for the construction of biosafety laboratories.
(D) in accordance with the "Chinese People's *** and the State Environmental Impact Assessment Law" of the provisions of the environmental impact assessment and environmental protection department for review and approval.
(E) biosafety level of protection and its proposed experimental activities are appropriate.
The provisions of the preceding paragraph referred to in the national biosafety laboratory system planning, by the State Council investment department in conjunction with the relevant departments of the State Council to develop. The development of national biosafety laboratory system planning should follow the principle of total control, rational layout, resource *** enjoyment, and should be held hearings or seminars, listen to public *** health, environmental protection, investment management and laboratory management and other aspects of the views of experts. Tertiary and quaternary laboratories should be through the laboratory state accreditation.
Certification and Accreditation Administration of the State Council to determine the accreditation body should be in accordance with the national standards for laboratory biosafety and the relevant provisions of these regulations, the three-level, four-level laboratory accreditation; laboratory accreditation through the issuance of the corresponding level of biosafety laboratory certificates. The certificate is valid for five years. Level I and II laboratories shall not engage in highly pathogenic pathogenic microorganisms experimental activities. Level III, IV laboratory engaged in highly pathogenic pathogenic microorganisms experimental activities, should have the following conditions:
(a) the purpose of the experiment and the experimental activities to be engaged in line with the State Council competent department of health or veterinary authorities.
(B) through the national laboratory accreditation.
(C) with the proposed experimental activities and the appropriate staff.
(D) the quality of the project by the building authorities in accordance with the law testing and acceptance.
The competent health department of the State Council or the competent veterinary department in accordance with their respective responsibilities on the third and fourth level laboratories whether the above conditions for review; to meet the conditions, issued to engage in experimental activities of highly pathogenic pathogenic microorganisms qualification certificate.
To obtain a certificate of eligibility to engage in experimental activities with highly pathogenic pathogenic microorganisms, laboratories need to engage in a highly pathogenic pathogenic microorganisms or suspected highly pathogenic pathogenic microorganisms experimental activities, should be in accordance with the State Council competent department of health or veterinary authorities of the provisions of the people's government above the provincial level of the competent department of health or the competent department of veterinary medicine for approval. The results of the experimental activities and work should be reported to the original approval department.
Hospital safety self-examination report3
Hospital microbiology laboratory safety management self-examination report to strengthen the hospital pathogenic microorganisms laboratory biosafety management, to ensure that the realization of the goal of the hospital safety, our hospital laboratory according to the xxxx province, "Pathogenic Microorganisms Laboratory Bio-safety Management Regulations" related to the content, the hospital laboratory safety management self-examination. Hospital laboratory safety management work carried out self-examination, involving pathogenic microorganisms strains (viruses) and samples of personnel training to improve their awareness of biosafety, master the necessary knowledge of biosafety.
First, laboratory biosafety management, the operation of the rules and regulations
Hospital Laboratory according to the "Pathogenic Microorganisms Laboratory Biosafety Regulations" of the relevant provisions of the study, and regularly on the biosafety related to the operation of the various rules and regulations for the inspection of the problems in a timely manner to rectify the situation. The experimental activities carried out in the laboratory are in strict compliance with the relevant national standards and laboratory technical specifications and operating procedures, and special persons are appointed to supervise and check the implementation of laboratory technical specifications and operating procedures. At the same time, a detailed record of the inspection, regular meetings to discuss the work of the problems found in a timely manner to correct.
Second, the management of pathogenic microorganisms (virulent) species and transport
Because of the conditions in all aspects of the hospital can not carry out the inspection of pathogenic microorganisms laboratory organisms, according to the requirements of the notification to actively organize the relevant personnel to learn the main: pathogenic microorganisms laboratory organisms (virulent) species of the management of a strict registration system, the receipt of the organisms (virulent) species of the number of the registration immediately after receipt of a detailed record of the organisms (virulent) species of the name, source, characteristics, uses The name, source, characteristics, use, batch number, date of transmission and quantity of bacteria (toxin) species are recorded in detail. In the management of bacterial (virulent) species, safety and security system, safety and security measures, storage process, transmission, distribution and use, should be registered in a timely manner, and regularly check the number of stocks. Bacteria (poisonous) species in the destruction, sterilization indicator signs, sterilization effect, while making a good destruction of the registration and other content.
Third, the laboratory biosafety emergencies
In this self-inspection, the laboratory of our hospital on the previous development of the disposal of unforeseen events of the emergency command and disposal system, and further revised to enable it to meet the needs of the actual work. For when natural disasters (such as earthquakes, floods, etc.) or facilities failures, we have formulated the emergencies that may be encountered and their handling principles.
At the same time, we have standardized the principles of treatment of bacterial (viral) spillage on the countertop, floor and other surfaces, the principles of treatment of skin puncture (breakage), the principles of treatment of rupture of centrifugal tubes, and the establishment of an accident reporting system.
In the laboratory in a prominent position posted the person in charge of experiments, laboratory staff, fire, hospitals, public security, engineers and technicians, water, electrical maintenance department telephone.
Fourth, to raise awareness and enhance learning
Organization of the test staff of the "Pathogenic Microorganisms Laboratory Biosafety Regulations" for comprehensive and systematic study, while strengthening the management of the laboratory's access system, marked the type of laboratory, the person in charge of and their contact information. Strengthened the personal safety protection, and require inspectors to strictly comply with the standard ` operating procedures for testing.
Through this microbiological laboratory biosafety management self-examination, to improve the microbiological laboratory biosafety management of all test personnel to recognize the importance of strengthening management, to take effective measures to ensure the safety of laboratory work.
Hospital safety self-inspection report 4
1 microbiology room inoculation, culture, identification and other infectious risk operations must be carried out in the sterile room, non-room staff are strictly prohibited from entering.
2 Microbiology room staff, in all bacterial culture processing should wear latex gloves, isolation gowns, masks, and take the correct self-protection measures.
3 Reject non-compliant culture media, culture tubes, etc.
4 Bacteria-exposing operations must be carried out in a biological safety cabinet, and operations are strictly prevented from generating aerosols that may contain high concentrations of pathogenic bacteria or fungi.
5 strict implementation of the microbiology laboratory technical specifications, operating procedures, consciously participate in the training of relevant knowledge, timely update of knowledge. 6 Prevent contact with all objects that may contain high concentrations of pathogenic bacteria such as plugs and tapes used for culture.
7 timely treatment of pollutants generated in the culture process, to prevent the spread of pathogenic microorganisms, microbiology laboratory waste must be autoclaved.
8 found suspected highly pathogenic pathogenic microorganisms, must immediately report to the head of the room.
9 laboratory biosafety accidents occur immediately according to the implementation of biosafety accident handling plan.
Hospital safety self-inspection report 5
Chapter I General
1. In order to strengthen the biosafety management of the pathogenic microorganisms laboratory, to protect the health of the laboratory staff and the public, the development of this system.
2. The hospital and the department implement safety management and supervision of laboratory experimental activities.
3. Laboratory implementation of hierarchical management, laboratory microbiology room for the second level of biosafety standards.
4. The Laboratory Department is responsible for the management of the microbiology room daily activities, bear the responsibility for the establishment of a sound safety management system, inspection, maintenance of laboratory facilities, equipment, control of laboratory infections.
Chapter II biosafety level
Biosafety level can generally be divided into four levels:
a. Biosafety level ⅰ: for known usually do not cause infection in healthy adults, laboratory personnel and the environment is very little harm to pathogens, such as Escherichia coli.
b. Biosafety level ⅱ: for pathogens with moderate potential hazards of experimental operations, mainly to prevent infection through the skin and mucous membranes and the digestive tract, the laboratory should be in and out of the prescribed procedures, labeled with a biohazard warning signs.
c. Biosafety level III: used for pathogens that can be transmitted through aerosols and can cause serious and fatal diseases, such as Mycobacterium tuberculosis, etc.
d. Biosafety level E: used for experimental operations with moderate potential hazards.
d. Biosafety level ⅳ: can be used for the operation of high-risk highly toxic pathogens that can be transmitted through aerosols and can cause lethal infections. There should also be a device to carry out dialog between the interior and exterior, and there should be emergency gas supply, emergency power supply and emergency exit.
Chapter 3 Biosafety operational requirements
Laboratory operational requirements are divided into standard microbiology operations (see microbiology operating procedures) and special operations, the former refers to the ****ual requirements for laboratory safety, and the latter refers to special requirements based on the level of a particular biosafety.
Safety equipment: For biosafety purposes, safety equipment consists of two parts, namely, operating equipment, and biological safety cabinets. Level II laboratories must have biological safety cabinets that can provide a sterile operation.
Personal protective equipment: mainly coveralls, isolation gowns, protective clothing, work hoods, eye masks, face masks, gloves, respiratory protection and positive-pressure gas-supplied coveralls.
Chapter IV specimen collection, transfer and reception
Microbial specimens in the reception of the operator to wear overalls, gloves and masks, if necessary, eye masks, must be in the biosafety
Cabinet to perform strict operations. All containers for specimens must be leak-proof. They should be sealed during transit and no leakage of specimens should occur. In the event of leakage, the specimen should be autoclaved. Specimens with strong infectious specimens should be strictly packaged and strictly operated during transit. The collection of specimens should be transferred by a person, the laboratory should be accepted and signed by a person.
Chapter V. Safe handling of biological waste
1. Biological waste, including cultures, isolates, extremely pollutants, the remaining specimens, extremely pollutants, sharp broken objects, pipettes, needles and fee packaging.
2. Safe handling of biowaste requires that: a. Containers for waste should be leak-proof, sturdy and puncture-proof, sealed, and avoided overfilling. b. Sharp breakage should be placed in special rigid containers. c. Containers for biowaste should be placed in autoclave sterilization bags and sent to be sterilized. d. All laboratory-sterilizable items should be sterilized as much as possible before they are sent out of the laboratory. e. Containers for biowaste should be sterilized as much as possible. f. Containers should be sterilized as much as possible. g. Containers should be sterilized as much as possible. e. Containers holding biological waste should be made safe for transfer.
Chapter 6: Safety Emergencies
1. Handle operator exposure. a. Call the police and notify coworkers immediately. b. Immediately wash exposed surfaces with soap and water, wash eyes with eyewash, and gargle with saline. c. Initiates emergency treatment. d. Reports to supervisor as soon as possible.
2. Treatment of Contaminated Surfaces a. Immediately call the police and inform coworkers. b. Isolate the contaminated area. c. Wear appropriate protective clothing by the handler.
d. Use tweezers to move the contaminant into the waste bucket. e. Absorb with a dry towel and apply disinfectant to the towel for a period of time before returning to the waste bucket. f. Clean the contaminated surface with disinfectant and alcohol successively. g. Disinfect the bucket in an appropriate manner. h. Report to the supervisor as soon as possible. i. Report to the supervisor. j. Report to the police as soon as possible. k.
Hospital safety production self-inspection report6
I. Leadership attention, the implementation of responsibility.
In accordance with the requirements of the relevant fire law, the leadership of our hospital attaches great importance to the special convening of the relevant departments to study the deployment, the implementation of the system, the responsibility of the person, in line with the "who is in charge, who is responsible for" principle, to carry out the work of safety self-checks in all departments. At the same time, the dean in charge of the lead, the General Affairs Section of the organization of the relevant sections of the hospital's fire facilities, electrical equipment, lines, heavy storage, boilers, hyperbaric chambers and other high-pressure containers, precision instruments, the key departments and departments carried out a comprehensive and detailed safety inspection. Requirements for all sections to be vigilant, check at any time, and conscientiously fulfill the safety and fire prevention measures, timely reporting of possible fire hazards, so as to deal with timely and resolutely to prevent the occurrence of fire accidents.
Second, seriously self-check to eliminate hidden dangers.
From the results of the inspection, the overall fire safety of our hospital is in good condition, each fire channel is smooth and unblocked. The fire signs and evacuation signs are obvious, fire equipment is fully equipped, fire water supply facilities and fire hydrant system, automatic fire alarm system, automatic sprinkler system and other fire facilities and video monitoring equipment running well.
Third, to further increase the publicity, and effectively do to improve the vigilance of all staff.
(1) comprehensively strengthen the fire safety publicity work to improve the fire safety awareness of all hospital staff. Through the hospital newspaper, information electronic screen and other forms of publicity activities, so that fire safety knowledge known to everyone, and effectively create a good atmosphere for the whole hospital to participate in the fire.
(2) increase the fire training efforts to promote the hospital staff to master the fire notification process and the operation of fire-fighting equipment. First, will fight the initial fire, can timely and accurately report the location of the fire, place and contact information, know how to use fire extinguishers, know how to dispose of the incipient fire; Second, will save themselves to escape, can always grasp the environment of the evacuation routes and safety exits, know the evacuation channel, the safety of the dangers of poor exits, to safeguard their own rights and interests in the fire safety, in the case of fire, know how to self-rescue and evacuation of the masses.
(3) to strengthen the fire safety hidden danger rectification action to ensure unobstructed. That is, to ensure that fire safety evacuation channels and safety exits are unobstructed, evacuation indicator signs and emergency lighting lamps and lanterns are available and effective.
Through publicity, training, inspection so that all employees to improve the awareness of fire safety, improve the ability to deal with fire once it occurs, to ensure that the "eighteen" during the foolproof, solid fire foundation.