The panic in obstetrics and gynecology has not yet had any impact on the number of surgical patients, but some inpatients are beginning to complain that they have to mop the floor every morning, noon and evening, and the ultraviolet lamp has to be disinfected twice, and it is uncomfortable to cover their faces.If you are uncomfortable, you can't do anything extraordinary, and you can do extraordinary things in extraordinary times.The provincial hospital can't afford to have a nosocomial infection in another department.This consensus is expressed in the morning meeting of trauma surgery.Without it, it is only because the patients and diseases of trauma surgery are too mixed, and there are too many people visiting them.Therefore, after Zhang Zhengjie learned the beginning and end of the obstetrics and gynecology department, he has been thinking carefully about how to avoid such a crisis in trauma surgery.After discussing with the head nurse, the two decided to take advantage of the morning meeting to solve the problem of too many visitors and easy to get infected."
There are a lot of postoperative patients in our department, and there are more people who come to visit, so I can't tell which one is the early stage of a cold.In the event of an infection after surgery, the likely result is that none of the four people in the small ward can escape.Then it spread to all major wards and even general departments.I'm not alarmist to scare anyone.That's how obstetrics and gynecology came about.Therefore, I suggest that you preach to the patient today, except for the escort, do not meet the visitor. ”It seems like a lot of work."
If the person visiting wants to ask about the postoperative patient?""
The nurse's office uses intercom to call the escort to come to the nurse's office to explain the situation."
Zhang Zhengjie continued, and the more he talked about it, the more he felt that this method was feasible.But the nurses felt like they had added extra work.In the face of the double pressure of the director and the head nurse, it is also necessary to oppose the increase in work content."
If we do, our office won't be full of visitors from morning to night.Just calling them requires a special person. ”"Besides, they're all talking in the nurse's office, what else are we going to do?""
Not to mention that the visitors of the entire ward come to this room, that is, five visitors, plus five escorts to chat.It's hard to turn around in this room.What if something is missing?
It is troublesome to miss a page in the doctor's order. ”Zhang Zhengjie patiently persuaded the nurses: "If you think about the obstetrics and gynecology department, if it weren't for so many family members in the waiting room all of a sudden, nosocomial infections might not have occurred in the obstetrics department, and it would not have reached this point today."
Now the obstetrics and gynecology department does not accept patients, and the medicine expenses of these people who are hospitalized have to be borne by the hospital, but the nurses who are still on duty do not need to think about the bonus, and they will get a basic salary and infection prevention subsidy.That's enough for you!
That Xiao Xie, how much can you drive?
”Xie Shanqian's smiling face disappeared immediately, she was a little nurse who had just gone to work, and if she didn't have a bonus, that little money would not be enough to eat in the canteen by herself."
So in order for all of us to continue to have bonuses in November, you must not only complete the daily treatment work and do a good job of disinfection every day, but also must keep the door of the ward and not a single visitor in each ward.""
Then director, should we send a hygienist to guard the fire escape and the ward door?"
The head nurse asked tentatively."
I'll see it, what do you think of Lao Li and Lao Liang?"
Zhang Zhengjie felt that the head nurse's proposal was very good.Director Liang saw that Director Li did not express his position, so he answered the phone to express his opinion: "The visitation card is also a problem.For those patients who were moved to the main ward, they did not need to be accompanied by their family members 24 hours a day, but these escorts came by bus outside every day. ”Needless to say, in the early winter season of the rapid cooling of the current season, the crowded closed bus compartment is definitely an important way of transmission of respiratory diseases.But Zhang Zhengjie can't cut off this transmission route, and all they can do is protect the susceptible population."
Director Liang is thoughtful.Then let's not allow the escorts in the eight-person room to enter the ward today, and let the nurses in our department hand them things.If you can't stand the strict management of our department, you will be discharged from the hospital or transferred to the district hospital. ”Zhang Zhengjie immediately and decisively set up new rules.The patients who are transferred to the major ward are basically in stable condition and need to be discharged from the hospital, and they need to be slowly recuperated, and the clinical care has been reduced to tertiary care accordingly.In the Affiliated Hospital of the Medical University, when there is a shortage of beds, such patients are directly transferred to the corresponding district hospital.Patients from other places may go to a small hotel next to the attached hospital to stay for a few more days.A single room in a small hotel is much more expensive than an eight-person room in a hospital.But there are also advantages, the single room can rest well, the small hotel is close to the hospital, in case of sudden changes in the condition, you can also directly use the flat car to push to the hospital ward for first aid.The most important thing is that there are nurses on duty in the small hotel.There was no way, there were not enough beds, and the patients were still unwilling to return to their hometowns before they recovered, so in desperation, such a deformed "small hotel" was born.The beds in the provincial hospital are not as tight as those in the Affiliated Hospital of the Medical University, but Zhang Zhengjie's proposal to revise the visitation system at this time is indeed very much in line with the actual situation.So after the morning meeting was over, the patient's family was supposed to be allowed to come in to visit at nine o'clock, but the door of the ward was locked, and the temporary cancellation of the visit immediately made the patient's family angry.However, some family members who had been hospitalized for a long time had an idea and left silently, trying to sneak into the ward through the fire escape, only to find that the fire escape door of the trauma surgery department was still guarded.So the family members who were noisy at the door of the trauma surgery ward and failed to do so went to the hospital leaders to complain.* On top of the overwhelmed with obstetrics and gynaecology matters, the Medical Office had to assign Officer Lu to handle the complaints of trauma surgery.Officer Lu has been running errands and not showing his face these days, and he is tired and has no corresponding respect, so he is naturally quite annoyed.Now there is such a matter, after listening to the complaints of the patient's family, he immediately dealt with it in real time, dialed the phone in person, and used hands-free."
Trauma surgery?
Is Director Zhang of your section here?
I am the little Lulu officer of the Medical Service. ”"Director Zhang went to surgery.""
Where's Dean Chen?""
Yesterday I was on the night shift in the obstetrics and gynecology department, and I didn't come back today.""
The head nurse is not there?
I went to the head nurse to listen to the phone. ”"Head nurse, Officer Lu is looking for you.I found that the director and the dean were not there. ”The voice on the phone was clear."
What's the matter with Leader Lu?""
How dare I be your leader?
Isn't it that your department suddenly refused to allow visits, and the patient's family members have reported to the medical department?
You see I'm already busy enough, why is your department doing this again......"
"Our department can't help it."
If you go to the outpatient clinic and see how much colds and fevers have increased in the past few days since the day of snowfall?
There is no place to sit in the emergency department for infusions.If you think about it, in our department, except for patients who are ready for surgery after major surgery, they are the most unbearable to bear a little cold and fever.Many of those who visited came by bus, and they had to come from the front hall, they were healthy people, but they couldn't keep them from carrying pathogenic bacteria, in case we were infected with a cold, and we couldn't open the windows for ventilation on this day, if one got sick, the next day it might be eight in a whole house.Leader Lu, if there is a fever in one of the wards, will our department have to be closed?
”"Then you can't suddenly stop visiting."
A family member shouted over the phone.Twenty or so people shouted together."
Why don't you let us meet people today?"
The head nurse could hear such a clear noise on the phone, and immediately understood that Officer Lu was using hands-free.She was silent for a while, and waited for the voice on the phone to calm down before she continued: "Leader Lu, do you want them to come in and visit?"
Then you promise that if there is a nosocomial infection, you will be fully responsible, you write a promise, a statement, or something, and you will bring these patients' families over, and I will immediately open the door of the ward.I still have something to do, you can come over with a statement or something. ”The head nurse put down the phone and kicked the ball back to Officer Lu.Small, dare to use hands-free yin me?!
All the family members began to urge Officer Lu: "You just write one for her, we people go to trauma surgery every day, and we don't see that patient and we have a cold and fever." ”Officer Lu is not good at clinical work, but he is not deficient in intelligence.These people in front of him excitedly urged him to write promises and promises, and he was crazy to write this thing to satisfy these people.He coughed a few times, and when everyone quieted down, he slowly said: "People eat whole grains, let me ensure that the patients of trauma surgery will not catch a cold and fever, this season I don't dare to guarantee that I will not be able to catch a cold tomorrow."
If any of you dare to guarantee that you are not carrying pathogenic bacteria, I will take you to the laboratory to check it. ”Officer Lu shook his head and disagreed, and his attitude of refusing to write was very clear, and the reasons were also very good.There was someone in the room who was unwilling, and shouted at Officer Lu: "I'll just go in and take a look, why did they get infected with the disease, and I didn't get sick." ”"This respiratory infection is not something that can only be transmitted when you are sick, for example, if you come by bus or by bicycle, you have to come into contact with other people along the way.In case someone who catches a cold gasps for breath in your hair or clothes, you are forced to carry pathogenic bacteria.It's okay if you're strong, but if you've just had surgery, you'll have a fever. ”Officer Lu gave full play to his expertise in sitting in the organ, and talked endlessly about the characteristics of respiratory infectious diseases, and the cold diplococcus itself is stored in the human nasal cavity, and when conditions are suitable, it will multiply in large numbers.Even if the visitor does not carry other pathogens, it may be possible for these pathogens to have a chance if they open the door when they come out and go in and let the temperature of the room drop.Of course, the harm of fever and cold before and after the operation is indispensable, and the family members who came to complain are dizzy, and he still drank tea and wanted to continue.…… The families of the patients who packed the medical office left in a huff, but Officer Lu felt that he saw something different.He immediately took a pen and recorded these words just now, and then carefully edited them and transcribed them and sent them to the obstetrics and gynecology department."
Dean Shu, Director Qin is out.I just received the family members who asked for a visit from the trauma surgeon, and then summarized this text, can you take the time to help see if it is helpful to prevent nosocomial infections at present?
”The length is not too long, and Dean Shu immediately took it and read it.Slightly changed a part and said: "You take it to Director Tan, this month's hospital mission column, immediately replace it with your article."
Just tell him what I said and let him do it immediately. ”Officer Lu looked at all the clinical departments issued by Dean Shu's instructions below, and the corners of his mouth overflowed with a smile.
*The practice of trauma surgery was immediately copied by other departments.Director Zhang realized it later, but immediately grasped the key to making the ward more orderly.He vigorously instructed the security department and assigned additional staff to guard the elevator in the inpatient department.Those who have a visitation card can go up, but when they go, they can meet with the inpatients through the glass door of the ward.If you don't have a visitation card, you can't even get up the elevator.At the fire escape leading to the inpatient department, there are also comrades from the security department who are on duty 24 hours a day.These people are basically demobilized soldiers, and they carry out the instructions of the leaders very thoroughly.The outpatient and inpatient departments are strictly separated.The effect was evident after lunch, and the elevator halls on all floors of the ward were immediately deprived of many people who could not visit, lingered and gossiped, seized the opportunity to sneak into the ward, and quarreled with the hygienist.The order of the wards has been completely renewed.This was followed by an increase in the number of professional nursing staff in each department.Someone kept sighing: "Our provincial hospital is now the same as the infectious disease hospital." ”But in order to be able to work normally, pay salaries, and get bonuses, there is nothing that medical staff do not want.※※※※※※※※※※※※※※※※※※※※ * 7 consecutive days a day 3 watch day 5 * methods to control infectious diseases: 1 Eliminate the source of infection - this is too difficult, the plague can eliminate rats, but it has already infected people, after people become the source of infection, they can only be saved, but cannot be eliminated 2 Cut off the transmission route - isolate the infected patients from normal people.3.
Protect susceptible populations.
**Respiratory infections can be avoided by wearing a mask, and medical masks are effective.It is better to have a gas mask.Just kidding.() The distance is a bit far