病房感染管制连结护士监测系统

icchina

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">壹、通报及监测疑似医疗相关感染个案：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">一、当病房单位遇有疑似医疗相关感染个案时，应填写「XX医院疑似医疗相关感染通报表」，窗体可由XX医院院内网络『感染管制』网页下载。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">二、参与人员：病房单位全体护理人员。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">三、参与时间：当白班护理人员发现疑似医疗相关感染个案时，即需填写通报表，并交由病房单位护理长、连结护士或小组长确认后签名。晚夜班护理人员若发现有疑似医疗相关感染个案时，可交班由白班人员填报。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">四、本通报表需由病房单位护理长、连结护士或小组长确认后签名，并记录于通报登录表后，尽快送至感染管制室。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">五、负责各病房单位之感染管制师于收到通报表后，需于五个工作日内完成该个案通报查核(例假日则顺延)，并于病房单位登录表注明通报结果。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;"></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">贰、疑似医疗相关感染通报表填写注意事项：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">一、通报时机正确性：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">(一)病患于住院期间(住院72小时后)发生疑似或证实相关感染</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">&nbsp; (外科手术部位感染不受限住院时间)。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">(二)住院期间菌种改变。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">(三)住院期间症状明显显示另一新发生之感染。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">二、同病患不同通报类别可于同一张通报表内复选。通报表需逐项填写完整，包括感染部位、相关导管、临床症状、检查/验结果。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;"></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">参、通报各项感染管制相关作业：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">一、协助通报法定及新兴传染病：依据「感染管制手册」之「法定报告传染病暨症候群通报」作业，督促医师执行通报作业。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">二、病房单位员工尖锐物品扎伤事件：依据「感染管制手册」之「员工暴露血液及潜在感染体液处置作业」执行。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">三、病房单位员工发生疑似感染事件：病房单位护理长或连结护士与负责该病房感管师，依据感染事件状况处理。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">四、病房单位发生疑似群突发(outbreak)事件：病房单位护理长或连结护士与负责该病房感管师，依据感染事件状况处理。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;"></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">肆、汇整月报表：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">一、制作病房单位感染率月报表：感染管制室定期提供各病房月报表数据并公布于院内网络，病房连结护士可将数据剪贴制作病房感染报表。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">二、汇整病房单位内感染通报案例，并依据感染管制室收案结果，制作感染通报案例确认率月报表。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;"></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">伍、教育与咨询：</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">一、接受感染管制在职教育训练：每年至少需参与感染管制相关教育课程。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">二、协助及安排病房单位工作人员接受感染管制相关之教育训练。</span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan;"><span lang="ZH-TW" style="FONT-FAMILY: PMingLiU; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-font-kerning: 0pt; mso-bidi-font-family: 宋体;">三、主动与感染管制师联系，并提供病房单位内感染管制相关咨询。<br/></span></p>

icchina

<font color="#000000">英文 “infection control liaison nurse”，相当于大陆“病房兼职感染控制护士”，台湾则称为“</font><strong>病房感染管制连结护士”</strong>，他们的工作任务、职责要求和培训内容比我们要多。这个角色大陆如何培养，对感染控制的意义，请大家讨论喔！

一枝梅

思考几天后在来回答吧!一时还不好说啊!!!应该思考!值得思考!!!![em01][em01]

楚楚

<div class="quote"><b>以下是引用<i>icchina</i>在2007-5-8 22:03:53的发言：</b><br/><font color="#000000">英文 “infection control liaison nurse”，相当于大陆“病房兼职感染控制护士”，台湾则称为“</font><strong>病房感染管制连结护士”</strong>，他们的工作任务、职责要求和培训内容比我们要多。这个角色大陆如何培养，对感染控制的意义，请大家讨论喔！</div><font face="楷体_GB2312" size="3">兼职感控护士就我们医院来说相比台湾有差别的地方主要体现在两个方面，一是提供医院感染病例信息不及时主动，二是没有要求她们对本病区的感染率进行统计。对她们提出如台湾一样的职责要求，我认为有一个阻碍，那就是“责、权、利”不相符，因为如果制定了职责，就必然要遵循，是否遵循了就要通过考核来验证，有考核就有奖惩，而我们一般只有惩的权利，没有奖的权利，这就不能调动员工的积极性，队伍也就不稳定。不知台湾是怎样管理的？当然她们在感控方面的作用是不可低估的，她们最了解病区的情况，如患者发生医院感染的情况，消毒隔离的薄弱环节呀，等等，因此如何体现她们的价值，从待遇上等稳定这支队伍很重要。当然，我这只是抛砖引玉，大家来发表各自的高见吧。</font>[em05][em05][em05][em05][em05][em05]