I. Purpose

In order to strengthen the safety management of disinfection supply room, improve the risk awareness of supply room staff and enhance their sense of responsibility. Effective prevention and control of infection plays an important role, and this system is formulated in combination with the actual situation of our company.

Second, the scope.

Safety management of disinfection supply room

Three. accountability

1, under the leadership of the nursing department and under the direct guidance of the head nurse, responsible for the supply of sterile items and disposable medical supplies in various clinical departments of the hospital.

2, responsible for the disinfection and sterilization of clinical departments, teaching and research supplies.

Fourth, the content

1. Strictly distinguish polluted areas, clean areas and sterile areas, and adopt compulsory traffic, and the route is not retrograde.

2. Contaminated, clean and sterile articles are sent and received by windows, stored and distributed by windows, and outsiders are strictly controlled to enter.

3. Strictly master the technical specifications for cleaning, packaging and disinfection of various medical devices.

4. Keep the cloth container clean, dry and complete, and wash it once.

5, all kinds of disinfection package should have obvious signs of sterilization, such as name, disinfection date, expiration date, person in charge, disinfectant, etc. Unclear identification and incomplete records shall not be issued.

6. Strictly master the operation skills of high-pressure steam sterilization, put chemical indicators into each package, do B-D testing every day, have physical monitoring records for each pot, and conduct biological testing once a month.

7. When entering the sterile room, you must change clothes, shoes and wash your hands. Sterile articles are cultivated once a month, and air, staff hands, object surfaces and disinfectants are cultivated once a month.

8, once a day ultraviolet irradiation, lamp once every two weeks 95% alcohol to wipe.

9, according to the needs of various subjects, to a certain base of items for sterilization; All kinds of temporary borrowed items should be handled properly and returned in time after use. If there is blood or purulent secretion, it should be washed in time and then transfused in time. Receive and deliver on time.

10, washing, packaging and disinfection of various instruments and cloth shall strictly implement the requirements and disinfection technical specifications issued by the Ministry of Health and abide by the operating procedures; All wrapping cloths, treatment towels and hole towels must be clean and free from damage, and should be replaced after each use.

1 1, the name, sterilization date and signature of all kinds of treatment packages should be marked. All sterilized articles that have been sterilized for more than 7- 14 days must be reprocessed according to procedures and then sterilized.

12, strictly implement the system of three checks and three pairs. Three checks: check whether the matching is accurate, check whether the parts are defective and check whether the packaging is complete. Third mate: the quantity book, name label, operation date and operator of the assembled parts.

13. separate sharp instruments such as knives and scissors from general instruments, pack them separately, and use protective sleeves for the tip part to carry out high-pressure steam sterilization.

14, all kinds of needles should be clean, smooth and sharp, and the bevel size and needle handle length meet the requirements.

15, manage and supply materials, various treatment kits, syringes, various infusion sets, etc. What is issued should be dedicated. If there is any damage, you should fill in the compensation report.

16. Check and maintain all goods and equipment regularly, and insist on repairing the old and using the waste.

17. Conduct quality monitoring regularly every month, and all items shall meet the standard requirements and be recorded.

18, manage disposable medical supplies according to the system, and do a good job in distribution and recycling.

19, Disposable Articles and Medical Waste Management

(1) syringes, blood transfusions, infusion sets, etc. Collected by the supply room and passed the quality acceptance, and cannot be disassembled.

In addition to packaging, it should be placed in a special room, and the removed outer packaging can be placed in a sterile goods storage room.

(2) After use, the supply room will replace the old ones one by one, destroy the models in a unified way, and soak them for disinfection (1000mg/L

Convida soaked 1 hour) and signed up.

(3) The medical wastes shall be classified and packaged by special personnel, and transported by the special vehicle of the waste disposal center every 1-2 days.

Recycling, do a good job of registration and signature.

(4) The recycling point shall be kept in a hygienic environment, neatly stacked, and the doors and windows shall be reinforced to prevent theft.

20. Do a good job in statistics.