医院感染管理职责文件.docVIP

医院感染管理职责 榆次区人民医院 二 〇 一五年十二月 持有部门： 院感科 制订者： 芦淑仙、韩瑞萍、院感委员会成员 制订日期： 二 〇 一五年十一月 审核者： 张玉宏 审核日期： 二 〇 一五年十二月 执行日期 : 二 〇 一五年十二月 1 目 录 医 务 人 员 医 院 感 染 管 理 守 则 ···· ········ ········ ········································3 医 院 感 染 管 理 预 防 与 控 制 行 动 计 划 ···· ············································5 医院感染管理职责 医院感染委员会职 责 ···· ········ ········ ····················································10 医院感染管理专职人员职 责 ···· ········ ········ ········································11 感染管理科主任职 责 ···· ········ ········ ····················································12 感染管理科干事职 责 ···· ········ ········ ····················································13 医务科医院感染管理职 责 ···· ········ ········ ············································14 护理部医院感染管理职 责 ···· ········ ········ ············································14 2 医院感染管理职 责 ···········································································15 设备科、总务科医院感染管理职 责 ···············································15 检验科医院感染管理职 责 ···· ········ ········ ·············································16 药剂科医院感染管理职 责 ···· ········ ········ ·············································16 医务人员医院感染管理职 责 ···· ········ ········ ········································16 临床科室感染管理小组职 责 ···· ········ ········ ·········································17 临床、医技科室科主任医院感染管理职责 · ············ ························17 护士长医院感染管理职 责 ···· ········ ········ ············································18 监控医师医院感染管理职 责 ···· ········ ········ ········································18 监控护士医院感染管理职 责 ···· ········ ········ ········································18 医生医院感染管理职 责 ···· ········ ········ ················································19 护 理 人 员 医 院 感 染 管 理 职 3 责 ···· ········ ········ ········································19 医务人员医院感染管理守则 1、学习《医院感染管理办法》、《医院感染诊断标准》、《基层医疗机 构医院感染管理基本要求》、《多重耐药菌医院感染预防与控制技术指 南》、《传染病防治法》、 《医院感染暴发报告及处置管理规范》、 《医 疗机构消毒技术规范》等法律法规，提高法制观念。 2、自觉执行医院感染管理委员会制定的相关规章制度。 3、医务人员上班时着装整洁，剪短指甲，不穿工作服就餐。 4、各类人员应自觉遵守手术室管理制度，禁止随意