Hospital Infection Management Quality Inspection Record Sheet Department Outside 1 Outside 2 There are problems in the quality inspection of hospital infection management

1 Intravenous indwelling needles are used for too long 29 beds are not marked with usage time. 2 The medical waste handover copy has not been signed. 3. Not skilled in hand washing steps. 4. The question about nosocomial infection is not familiar with the content. 1. The treatment tray is placed in a position where intravenous indwelling needles are not used. No date and time. 34 beds. 2 The medical waste transfer book is not signed, and the skin disinfectant does not indicate the opening time. 3 The NS and iodophor used in the dressing room have no opening date, and the electrocardiograph is not clean. 1. There is no opening date for iodophor in the dressing room, and the classification of medical waste and energy is unclear. 2 The sharp gas box was used irregularly, and the used equipment was sent back to the family for treatment. 3. Not proficient in hand washing and asked about nosocomial infection knowledge. Answers were incomplete. 4. Group activity records, meeting records are incomplete, and self-examination records are incomplete. 1 The concentration of disinfectant used to soak the tourniquet and rag is too high, and the infusion patch has no opening time. 2 There is no evaluation or self-examination record in the infection manual in May, incomplete records of department management team activities, and no statistics on hand hygiene compliance. 3. When asked about hospital infection knowledge, the answers were wrong and the handwashing steps were incomplete. 1 The concentration of disinfectant used to soak the tourniquet is unqualified. 2 The self-examination records in the infection manual are incomplete, hand hygiene compliance was not counted in May, and the activity records of the department management team are incomplete. 1 The concentration of disinfectant used to soak the rag is inappropriate. 2 The infusion patch has no opening date. 3 Infection manual team activity records and meeting minutes are incomplete. 4 The risk factors in the department are not fully understood. 1 There is no opening date for iodophors in use. 2. Infection risk assessment is not fully understood. 3 The self-examination records in the infection manual are incomplete, and there are no statistics on hand hygiene compliance in April and May. The lock of the medical waste cooker in Ward 1 is broken. 2 The infection manual training record was not signed by the participants, and there were no hand hygiene compliance statistics for April and May. 1 The lower floor of the treatment vehicle is not clean and the treatment room is poorly ventilated. 2 Medical Waste Handover Book 6.6 Not signed. 3. The opening time of skin disinfectant and infusion patch is not indicated. 4 The accuracy of hand hygiene compliance in the infection manual has not been calculated, and the self-examination and recording team activity records are incomplete. 5 Infection risk assessment and high-risk factors are not mastered. 1 There is no disinfectant in the soaked rags, and the medical waste handover records are incomplete. 2 The medical record cart is dirty. 3 The list of members of the department’s infection management team in the infection manual has not been filled in. Self-examination records and management team activity records are not standardized. No training in May, hand hygiene compliance not counted in April and May.

Deductions

Scores

Outer three

Inner five

Inner seven and eight obstetrics

Department of Otology, Department of Hemodialysis

ECG room, EEG room, Radiology Department, Emergency Department, Pathology Department

1. The cotton balls used are not used per person. 2. The operation is not carried out by one person at a time. 3 Hand sanitizer has no opening date.

1. Wash your hands promptly after completing the operation.

1 The lower floor of the treatment vehicle is not clean. 2 The infection management manual was incompletely filled in and there were no problems in the self-examination.

1 The infusion patch has no date of opening, and the nurses in the infusion room wear masks irregularly. 2 The medical waste bin has no lock, and the medical waste handover book does not record the time. 3 The infection risk assessment of the department is incomplete and inconsistent with the actual situation of the department. 4 The infection manual self-examination records and management team activity records are incomplete. 1 Medical waste and domestic waste are mixed, and the handover time of medical waste is recorded. 2 The configured disinfectant has not been tested. 3

Lack of knowledge related to hospital infections. 3 The operating surface is not clean.