民营医院医疗废物管理.docVIP

民营医院医疗废物管理存在的问题及对策 彭吉军1、付元瑜1、蒋华1、万素芬1、姚玉洲2、陈昆3、刘显梅4、杨召竹5、黄细英6、 李俐辉7、向岳惠8 （1、怀化市第一医院院感科 2、怀化市第二医院院感科 3、怀化市第三医院院感科 4、怀化市中医院院感科5、怀化市妇幼保健院院感科6、怀化市第五医院院感科7、解放军535医院院感科8、怀化市第四医院院感科 湖南、怀化市、418000） 【摘要】目的：就民营医院医疗废物管理存在的问题总结，以探讨解决民营医院医疗废物管理问题的对策。方法：抽调我市医院感染管理质量控制中心委员组成3组进行检查，检查前制定统一检查项目及评分标准，并组织检查人员培训学习领会。由卫生局医政处派人陪同进行现场检查在我市卫生局注册的28家民营医院。结果：28家民营医院医院感染专项检查得分结果极为不满意，最高73分，最低30分，得分58.40±13.14 ，尤以在医院感染管理组织结构、感控培训、消毒隔离及医疗废物处置存在较多问题。结论：医疗废物管理存在的问题主要是1、无专人和部门监管。2、医疗废物慨念不清。3、废物分类不准确。4、医疗废物未按要求分类放置。5、废物容器随意放置。6、医疗废物放置点不规范。7、废弃物回收不规范。8、处置医疗废物时无自我防护。民营医院在医院感染管理特别是医疗废物管理存在的问题较多，与国内大部分民营医院及基层医院存在的问题类似，与民营基层医院领导不重视医院感染防控工作、防控意识淡漠、医务人员缺乏应有的培训及与上级主管部门缺乏有效的监管有关。分析民营医院在医疗废物管理存在的问题，探讨相应的对策，对保证广大人民群众医疗安全具有重要意义。 【关键词】民营医院、医疗废物、对策 The medical waste management problems in private hospitals and the countermeasures Pengjijun1,Fuyuanyu1,,Janghua1,wangsufen1,Yaoyuzhou2,Chenkuen3,Liuxianmei4,Yangshaozhu5,Huangxiying6,Lilinhuei7,xiangyuehuei8 （1、The first peoples hospital，2、The second peoples hospital，3、The third peoples hospital， 4、 The traditional Chinese medical hospital ，5、The maternal and child Health hospital,6、The fifth peoples hospital,7、The 535 Hospital of PLA,8、The fourth peoples hospital;Hunan,HuaiHua,418000) [Abstract] Objective: To inquire into the countermeasures for medical waste management problems in private hospital . Methods:: The 28 enrolled private hospitals in our city health bureau were inspected . Results: 28 private hospital infection special examination score results were not satisfied, the highest score 73 , the lowest score 30 , score 58.40 ± 13.14, The were more problems especially in the hospital infection management organization, training, disinfection and disposal of medical wastes . Conclusion: The presence of medical waste management problems in the most private hospitals were mainly 1, without special and supervision department. 2, medical waste concept was not clear. 3, medical waste classification was not accurate. 4, medical wastes were not in accord