| | Infection Control感染控制 | Yes/No/Other 是/否/其他 | Reason原因 |
| 4e.1 | Is there an Infection Control Committee which regularly reviews all infection control policies, and minutes their meetings? 是否设有感染控制委员会，并且定期审查所有感控制度并作相应的会议记要？ | | |
| 4e.1a | Does the hospital provide adequate resource (people, systems,and financially) to support the infection control programme? 医院是否提供足够的支持（包括人员，系统，以及财政）来进行感染控制工作？ | | |
| 4e.2 | Is there a named doctor who supervises infection control? 是否有一名指定的医生负责感染控制？ | | |
| 4e.3 |
Is there an ongoing education programme regarding infection control for all clinical staff? 是否有针对所有临床人员的关于感控方面的继续教育项目？ | | |
| 4e.4 | Are there written and dated policies on:是否有以下各项的书面的，标明日期的制度： | y | |
| | · General infection control一般感染控制 | | |
| | · Barrier and isolation nursing of infectious patients传染病患者的屏障和隔离护理 | | |
| | · Pandemics of infection传染病爆发 | | |
| | · Disposal of clinical and non-clinical waste医疗垃圾和生活垃圾的处置 | | |
| | · Hand-washing 洗手 | | |
| | · Methicillin resistant Staphylococcal aureus 耐甲氧西林金黄色葡萄球菌（MRSA） | | |
| | · Clostridium difficile infection艰难梭菌感染 | | |
| | · Tuberculosis 结核 | | |
| | · Dealing with high risk patients (infectious/immunocompromised) 处理高风险病人（传染病／免疫缺陷疾病） | | |
| | · Prescription of antibiotics (recommendations following local resistance patterns)
抗生素处方（按照当地的耐受类型） | | |
| | · Sharp instrument (including needle stick) injuries 锐器伤（包括针刺） | | |
| 4e.4a | Are infection control policies based on: 所有的感染控制制度基于以下考虑 | | |
| | · accepted local practice guidelines 被广泛接受的当地的实践指南或规范 | | |
| | · current scientific knowledge 目前的科学知识 | | |
| | · local laws and regulations
当地的法律法规 | | |
| | · international guidelines 国际通行的规范 | | |
| 4e.5 | Is there a mechanism to distribute and make available these policies for staff?
是否有向员工发布感控信息的机制？ | | |
| 4e.6 | Are protective equipment (e.g. masks, aprons) available to staff?
是否向员工提供防护用品（如口罩、防护服）？ | | |
| 4e.7 | Are there suitable hand washing facilities for patients and staff in all patient contact areas? (Sinks should have hot and cold running water, antiseptic hand wash, and paper towels for drying hands) 在每个临床区域是否都设有适当的洗手池供患者和员工使用？（洗手池有冷、热水，提供消毒洗手液和擦手纸） | | |
| 4e.8 | Does the nominated infection control team provide advice on infection control with regard to:
是否有指定的感控小组提供以下方面的建议： | y | |
| | · Catering 餐饮 | | |
| | · Waste management垃圾管理 | | |
| | · Laundry 洗衣 | | |
| | · Proposed building works 筹备的建筑工程 | | |
| | · Occupational health 职业健康 | | |
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发表于 2010-7-27 17:35
发表于 2010-7-27 18:10
发表于 2010-7-27 18:34
发表于 2010-7-27 18:42
