手术室感染管理制度汇编1.doc

PAGE 目 录 1、手术室医院感染预防与控制制度····························1 2、手术室监测制度········································2 3、物业清卫人员医院感染知识培训制度························3 4、医院感染专职人员知识培训制度···························4 5、ICU医院感染管理制度·····································6 6、手术室医院感染管理制度··································8 7、麻醉科医院感染管理制度·································10 8、供应室医院感染管理制度·································11 9、检验科医院感染管理制度·································12 10、输血科的医院感染管理制度······························13 11、门诊、急诊的医院感染管理制度···························14 12、治疗室、处置室、换药室、注射室感染管理制度·············15 13、导管室医院感染管理制度································16 14、营养室医院感染管理制度································18 15、超声诊疗室医院感染管理制度····························19 16、医院消毒药械管理制度··································21 17、一次性使用医疗器械、器具的管理························23 18、复用诊疗器械（器具）和物品回收制度····················25 19、抗菌药物合理使用管理制度······························26 20、抗菌药物临床应用管理实施细则··························29 21、多重耐药菌医院感染控制制度····························41 22、医务人员职业安全防护制度······························44 23、手卫生管理制度········································48 24、医疗废物的医院感染管理制度···························50 25、医疗废物的应急处理措施及报告制度······················52 26、医疗废物暂储地点制度··································54 27、医疗废物转移联单管理制度······························55 28、医疗废物收集相关人员防护制度··························56 29、标准预防制度··········································57 30、医院消毒灭菌、隔离制度································59 31、ICU消毒隔离制度·······································62 32、手术室消毒隔离制度····································64 33、麻醉科消毒隔离制度····································66 34、门诊消毒隔离制度······································67 35、感染性疾病门诊消毒隔离制度····························68 36、选择消毒、灭菌方法的原则······························70 37、环境清洁、消毒隔离制度································72 38、医院环境、物品的消毒方法······························75 39、医疗废物处置流程图····································78 40、医疗废物的分装处理细则·······························86 手术室医院感染预防与控制制度 一、环境管理 1、手术室人员出入管理 （1）手术人员按“手术通知单”上名单、核对无误后