我们的苦处谁知道？
<p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">转于一位热心的同道</span></p><p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">胡</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">教授：作为基层搞感染管理的人员，从内心说，是想将这作为一个专业，发挥自身的能力，充分发挥专业水平，在夹缝中求得一个生存空间，在院领导的心目中，这根本就不是一个好的事情。为啥这样说呢！在他们看来，你说的很多问题，仅仅停留在书本研究上，这么多年以来，根本就没有这么严重；况且，院感是拿钱买吆喝，费力不讨好。前不久，省上到我这检查，说到人员问题，领导大为光火，说你们懂啥？基层医院的安排有自己的理由。因此有什么理由必须设置医院感染管理科，为啥要那么多闲人，做那些事。另外，上面的检查，往往是你对那方面了解什么，就注重什么。很多必须依据一些过时的政策。而卫生部往往是一个没有多大名堂的部门。很多东西是束缚自己部门的手足的，有些问题及时性往往很差。前不久卫生部公布了《医院感染管理办法》，但一直没有发文。我为了去订《医院感染管理办法释义及使用指南》，院领导请我拿出文件来，我一查，的确没有。好在领导开恩，同意了我的请示。你让我怎么说卫生部呢？不说也罢！</span></p> <p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">转于“a fans”</span></p><p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">上面同道的话很有代表性，医院感染管理者确实是处于一种很微妙的地位。哪个院长都知道</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">“</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">深圳</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">”</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">、</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">“</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">宿州</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">”</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">事件，因此谁都说自己很重视医院感染，但是具体重视在什么地方了呢</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">——</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">以自己医院不被拿出来当典型为准。卫生部目标很宏大，要求比天高；基层山高皇帝远，实际状况比海深，当间儿上不着天下不着地的是我们干院感的人</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">——</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">挺难的！</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><br/></span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">不过现在我们的处境还是好多了，客观地说，领导的重视程度还是很有提高的。我觉得感染管理者真是得不断提高自己的综合实力，像<personname wst="on" productid="胡">胡</personname>教授这样的人才（绝对没有吹捧的意思），或者咱们虽然不是人才，但当你说话有证据、有水准时，相信领导也得掂量掂量。</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><br/></span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">咱努力吧！！！</span></p> <p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">转于“XW”</span></p><p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">那位热心的同道，你好！目前的状况就是这样！国外新的观念听到不少，但真正在实际工作中能加以应用的太少，因为我们的新的规范还没出来，尤其是检查部门很多还按老的东西在检查。但我想我们在实际工作中要改变重点，在规范没有下来，很多事情不明确的情况下，淡化那些不必要的做法而重视那些重要的问题（如手卫生）、重视过程监控是很重要的。</span></p> <p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">转于最上面那位热心的同道</span></p><p><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">“感<personname wst="on" productid="谢胡">谢胡</personname>教授、</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">XW</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">、</span><span lang="EN-US" style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: Arial; mso-fareast-font-family: 宋体; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">A FANS</span><span style="FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">和一切战斗在感染前线和支持关心感染管理的同道们，谢谢大家对我的关心、指教，我相信，通过我们以及象<personname wst="on" productid="胡">胡</personname>教授这样真心引导，热心帮助医院感染管理事业的好老师以及很多正在或者将要关心，支持医院感染管理事业的医院领导们，我相信，医院感染管理事业的明天会很美好的！我坚信。”</span></p> 感控人的苦处只有我们自己知道{:1_18:}
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