手术室感染管理规章制度汇编.doc

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1、目录1、手术室医院感染预防与操纵制度····························12、手术室监测制度········································23、物业清卫人员医院感染知识培训制度························34、医院感染专职人员知识培训制度···························45、ICU医院感染治理制度·····································66、手术室医院感染治理制度··································87、麻醉

2、科医院感染治理制度·································108、供应室医院感染治理制度·································1150/509、检验科医院感染治理制度·································1210、输血科的医院感染治理制度······························1311、门诊、急诊的医院感染治理制度···························1412、治疗室、处置室、换药室、注射室感染治理制度·············1513、导管室医院感染

3、治理制度································1614、营养室医院感染治理制度································1815、超声诊疗室医院感染治理制度····························1916、医院消毒药械治理制度··································2150/5017、一次性使用医疗器械、器具的治理························2318、复用诊疗器械（器具）和物品回收制度····················2519、抗菌药物合理使用治理制度

4、······························2620、抗菌药物临床应用治理实施细则··························2921、多重耐药菌医院感染操纵制度····························4122、医务人员职业安全防护制度······························4423、手卫生治理制度········································4824、医疗废物的医院感染治理制度···························5025、医疗废物的应急处理措施及报告制度·

5、·····················5250/5026、医疗废物暂储地点制度··································5427、医疗废物转移联单治理制度······························5528、医疗废物收集相关人员防护制度··························5629、标准预防制度··········································5730、医院消毒灭菌、隔离制度································5931、ICU消毒隔离制度·····

6、··································6232、手术室消毒隔离制度····································6433、麻醉科消毒隔离制度····································6650/5034、门诊消毒隔离制度······································6735、感染性疾病门诊消毒隔离制度····························6836、选择消毒、灭菌方法的原则······························7037

7、、环境清洁、消毒隔离制度································7238、医院环境、物品的消毒方法······························7539、医疗废物处置流程图····································7840、医疗废物的分装处理细则·······························8650/50手术室医院感染预防与操纵制度一、环境治理1、手术室人员出入治理（1）手术人员按“手术通知单”上名单、核对无误后进入手术室，本科大夫(含进修、实习生)要参观本科手术，须