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本文(新员工医院感染岗前培训医学幻灯片.ppt)为本站会员(微传9988)主动上传,道客多多仅提供信息存储空间,仅对用户上传内容的表现方式做保护处理,对上载内容本身不做任何修改或编辑。 若此文所含内容侵犯了您的版权或隐私,请立即通知道客多多(发送邮件至docduoduo@163.com或直接QQ联系客服),我们立即给予删除!

新员工医院感染岗前培训医学幻灯片.ppt

1、This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller

2、and DS18B20 temperature sensor.“ 医院感染控制 ”从你工作开始This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core compon

3、ents of the system are AT89C51 microcontroller and DS18B20 temperature sensor.* 医院感染关系到 病人、病人家属、医护人员的健康。 住院天数延长 医疗费用增加 加重感染死亡 医疗救治失败 多重耐药菌株的出现医院感染的危害This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control

4、 by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.主 要 内 容1、医院感染基础知识2、医院感染事件回顾3、 医院感染控制措施 4、医务人员职业防护This paper mainly introduces the design of an intelligent temperature c

5、ontrol system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.一、医院感染基础知识2018/9/24This paper mainly int

6、roduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperatu

7、re sensor.医院感染是指住院病人在医院获得的的感染,包括在 医院期间 发生的感染和在 医院内获得的在出院后 发生的感染, 医院工作人员在医院内 获得的感染也属医院感染。 医院 感染定义?2018/9/24This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature se

8、nsor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.医院感染诊断标准下列情况属于医院感染 1、无明确潜伏期的感染 ,规定入院 48小时后发生的感染为医院感染;有明确潜伏期的感染,自入院时起超过平均潜伏期后 发生的感染为医院感染。 2、本次感染直接与上次住院有关。 3、在原有感染基础上出现其他部位新的感染 (除外脓毒血症迁徙灶 ),或在原感染已知病原体基础上又分离出新的病原体

9、(排 除污染和原来的混合感染 )的感染 4、新生儿在分娩过程中和产后获得的感染。 5、由于诊疗措施激活的潜在性感染 ,如疱疹病毒、 TB杆菌等的感染。 6、医务人员在医院工作期间获得的感染。* This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18

10、B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.SSI表浅手术切口感染感染仅累及切口 皮肤或者皮下组织 , 并符合下列条件之一 : 切口浅部组织有 化脓性液体从切口浅部组织的液体或者组织中培养出病原体具有感染的症状或者体征,包括局部发 红、肿、胀、发热、疼痛和触痛 ,外科医师开放的切口浅层组织This paper mainly introduces the design of an int

11、elligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.SSI深部切口感染感染累及深部软组织

12、(如筋膜和肌层),并符合下列条件之一:从切口深部引流或穿刺出脓液,但脓液不是来自器官 /腔隙部分。切口深部组织自行裂开或者由外科医师开放的切口。同时,患者具有感染的症状或者体征,包括局部发热,肿胀及疼痛经直接检查、再次手术探查、病理学或者影像学检查,发现切口深部组织脓肿或者其他感染证据This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by us

13、ing single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.医院感染诊断标准 下列情况不属于医院感染1、皮肤粘膜开放性伤口只有细菌定植而无炎症表现。2、由于创伤或非生物性因子刺激而产生的炎症表现。3、新生儿经胎盘获得 (出生后 48小时内发病 )的感染 ,如单纯疱疹 ,弓形体病 ,水痘等。4、患者原有的慢性感染

14、在医院内急性发作。* This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 micro

15、controller and DS18B20 temperature sensor.传播途径 易感人群传染源医院感染的三要素 (感染链 )感染链2018/9/24This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single c

16、hip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.了解医院感染的传播途径有哪些?2018/9/24This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using sin

17、gle bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.传染源 :携带病原微生物的人或动物传染源2018/9/24This paper mainly introduces the design of an intelligent temperature control system which realizes the

18、function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.传播途径直接接触传播: 是指患者或带菌者直接传播给其接触者。间接接触传播: 如医务人员与患者之间的频繁接触,通过污染的手在患者之间传播感染。经血传

19、播: 是近年来较受重视的一种传播方式,乙型肝炎病毒、丙型肝炎病毒、艾滋病病毒、巨细胞病毒及弓形虫等均可通过输血或血制品传播。空气传播: 见于流感病毒、结核分枝杆菌、疱疹病毒和曲菌等。2018/9/24This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor D

20、S18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.哪些是医院感染的易感人群?2018/9/24This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and con

21、trol by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.断开感染链 控制传染源切断传播途径保护易感人群肠道感染、多重耐药菌感染、皮肤感染等百日咳、白喉、流行性感冒、病毒性腮腺炎、流行性脑脊髓膜炎肺结核、水痘、麻疹、流行性出血热、2018/9/24This paper mainly int

22、roduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperatu

23、re sensor.This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microc

24、ontroller and DS18B20 temperature sensor.怀疑医院感染时作些什么 ?询问病史:了解基础疾病、接触史、手术史、侵袭性操作的内容和持续时间、用药史等体格检查实验室检查 .不明原因的 发热, 体温 38.5 ,应送 血培养48小时内填写上报卡,上报院感 科2018/9/24 17This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and

25、 control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.二、医院感染重大事件回顾2018/9/24This paper mainly introduces the design of an intelligent temperature control system which

26、realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.国内医院感染事件回顾与反思 也许大多数人对医院感染的了解是从 98年深圳妇幼保健院那次医院感染暴发开始的。数年来,国内已

27、经发生多次此类重大医院感染事件: 2003年的 SARS、 2005年安徽省宿州眼球感染事件与吉林省德惠市人民医院经输血传播艾滋病事件还有许多我们未曾获知的医院感染暴发事件。 深圳妇儿事件通报:该院 1998年 4月 3日至 5月 27日,共计手术 292例,至 8月 20日止,发生感染 166例,切口感染率为 56.85%。事件发生后,深圳市妇儿医院未及时向上级卫生行政部门报告,在自行控制措施未果、感染人数多达 30余人的情况下,才于 5月 25日报告深圳市卫生局。 This paper mainly introduces the design of an intelligent tempe

28、rature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.深圳妇幼事件戊二醛用于手术器械灭菌浓度应为 2%,浸泡 10小时

29、,而该院制剂员将新购进未标明有效浓度的戊二醛(浓度为 1%)当作 20%的稀释 200倍供有关科室使用,致使浸泡手术器械的戊二醛浓度仅为 0.005%,且长达半年之久未能发现。由于有关人员对病人极端不负责任,直接导致这起医院感染暴发事件发生。部分医护人员违反消毒隔离技术的基本原则。现场调查发现,手术室浸泡手术刀片、剪刀的消毒液近两周尚未更换,明显违背有关规定。 深圳产妇感染事件开庭:46人索赔两千万 。This paper mainly introduces the design of an intelligent temperature control system which realiz

30、es the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.媒体报道: 2011年 6月 24日 “ 胆囊炎患者住院感染肺炎死亡-北京 平谷中医医院被判赔 20万 ”http:/ 2011年

31、06月 24日京华时报This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 micro

32、controller and DS18B20 temperature sensor.This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components

33、of the system are AT89C51 microcontroller and DS18B20 temperature sensor.事件经过一位姓王的 82岁患者, 2010年 8月 29日,为治疗 胆囊炎 ,到北京市平谷区中医医院住院,先住的神经内科病房,次日又转入普外科病房, 9月 5日前后,医院安排 李姓 老太太住在王氏左侧的病床上,李老太的病情较重,行 气管切开术 等 (有无 多重耐药菌感染? ),在 9月 11日,王老太就出现了 肺部感染 的一些表现,后来病情不断变化,最终在今年的 1月 23日在医院 死亡 。This paper mainly introduces t

34、he design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor

35、.家属的理由与述求1、他们指出医院的过错有两点:第一,是不同的科室混住,且没有进行消毒;第二,患者家属在提出异议后,医院也未给予进行病房调整,这些行为违反了诊疗规范和消毒规范。2、王家 5兄妹要求:第一、医院赔偿经济损失 20万余元、第二、精神损害赔偿金 50万元,第三、还要求医院为失德行为向他们公开道歉This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and con

36、trol by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.手卫生与纠纷山东某医院发生一例新生儿脐炎,家长与医院产生纠纷,医院举证治疗护理过程无过错,家长举证医护人员 没有洗手 处理脐带造成,医院败诉。病人一旦觉醒,感染方面的纠纷将此起彼伏,如“ 丙肝门 ” 就是典型。This paper

37、mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20

38、 temperature sensor.诸多的事件告诉我们n 医院感染与医院的 每个部门 都是相关的n 医疗器械的清洗、消毒等基础工作 不容忽视n 医院感染控制是 医疗安全 的重要组成部分n 医院感染控制工作看似不挣钱,但可以 省大钱n 一个环节、一个操作的疏忽,都可能威胁病人生命安全,损害医院的声誉, 在社会上引起不良后果 ! 医院感染问题无处不在,轻视感控,代价可能是巨大的! 院感无小事!This paper mainly introduces the design of an intelligent temperature control system which realizes th

39、e function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.三、 医院感染控制措施1、消毒灭菌技术2、标准预防3、手卫生 4、医疗废物管理 This paper mainly introduces th

40、e design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.

41、消毒与灭菌方法:根据物品的性能选用物理或化学方法进行消毒灭菌。物理灭菌法:耐热、耐湿物品如手术器具及物品、各种穿刺针等首选压力蒸汽灭菌;油、粉、膏等首选干热灭菌。化学灭菌法:如环氧乙烷灭菌 、低温等离子灭菌器、 2戊二醛浸泡灭菌 。消毒灭菌技术2018/9/24This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single b

42、us digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.各类用品表面消毒1.病房内桌子、椅子、床头柜用清洁的湿抹布檫拭。2.当用品表面受到病原菌的污染时,必须进行严格的消毒处理,用含有效氯 500mg/L消毒液擦拭室内各种物品表面。3.各诊室诊疗桌、诊疗椅等每天清洁,被血液、体液污染后应及时进行擦拭消毒处理。4.接触病人皮肤的布类

43、、诊疗巾应做到一人一用一消毒。2018/9/24This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.室内消毒的方法 一种是自然通风,即开窗换气,一般每日 2 3次,每次 20 30min。 通风换气是一种简单、经济的空气预防性消毒方法。 另一种为机械通风,也称为过滤除菌,主要是以物理阻留的方法去除介质中的微生物。其空气净化的程序为:污染空气进入 前置过滤 高效过滤 净化空间 气流排出。2018/9/24

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