医院感染管理核心制度培训总结医院感染管理核心制度目录一、医院感染管理责任制度···································1二、医院感染培训制度······································2三、重点部门医院感染管理制度1、手术室的医院感染管理制度····························32、消毒供应中心医院感染管理制度···············43、内窥镜室医院感染管理制度····························64、口腔科医院感染管理制度······························85、血透室医院感染管理制度······················96、重症医学科医院感染管理制度·························107、新生儿病房室医院感染管理制度·······················118、产房医院感染管理制度······························139、母婴同室医院感染管理制第1页共13页度··························1410、门诊、急诊医院感染管理制度······················1511、病房医院感染管理制度····························1612、治疗室、处理室、换药室、注射室医院感染管理制度····1713、感染性病房医院感染管理制度······················1814、感染性疾病门诊医院感染管理制度··················1915、检验科医院感染管理制度··························20四、重点部位医院感染管理制度1、控制呼吸机相关性肺炎制度·························212、控制手术部位感染规章制度·························223、控制泌尿道感染管理制度····························244、控制导管相关性血流感染管理制度····················25五、医院感染病例监测、报告与控制制度···················26六、医院感染暴发医院突发事件的监测、上报和控制制度········27七、抗菌药物合理应用管理制度······················28八、环境卫生学及消毒灭菌效果监测与质量持续改进制第2页共13页度········29九、消毒隔离制度·········································30十、消毒药械管理制度······································32十一、一次性使用无菌医疗用品管理制度······················33十二、手卫生管理制度······································34十三、生物安全管理制度·································35十四、医疗废物管理制度·································36十五、医务人员职业暴露防护制度······················37十六、医院感染质量控制与考评制度······················38十七、多重耐药菌医院感染预防与控制制度····················39医院感染管理责任制度1、责任追究制2、医院院长作为医疗安全和医疗质量的第一责任人，也是医院感染管理的第一责任人，应切实履行职责，严防医院感染暴发。3、分管院长是医院感染管理的直接责任人，负责组织、协调监督有关医院感染管理各项规章制度的落实，将其纳入医院质量管理的核心内容和科室综合目标考评之中，常抓不懈，持续改进本单位医院感染管理工作。第3页共13页医院感染管理培训制度1、感染管理科必须制定对本单位工作人员的培训计划和考核制度。2、对全体工作人员进行医院感染相关...
