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<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;"> (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> |
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