人民医院突发公共卫生应急预案.doc

In order to ensure normal teaching order, protecting students healthy growth, ensuring that national (property) is not lost, to prevent or minimize the occurrence of safety accidents, follow the prevent, rescue each other, ensure safety and reduce losses principle, according to the local conditions, make the management system. 1, the principal is the responsibility of school safety, school security under the leadership of President security work leading group. The head teacher to the leadership team is responsible for, implementation of the accountability system. 2, school monthly student knowledge about safety education, education should be diversified in the form every safety education for students of classes per week should be targeted. To carry on emergency issues dealing with education in General, self-help and mutual rescue knowledge. Emergency calls (such as 110, 119, 122, 120, and so on) use common sense in education. 3, the establishment of major accident reporting system. School students report major accident within an hour of education; student run and disappearances to report; report of the accident to a written report in triplicate, a correctional centre, a police station, a township peoples Government shall not conceal the accident. 4 week, teachers are on duty system, establish and improve the leadership values; strengthen the education, management of teaching activities in schools to ensure normal teaching order; responsible for school safety leadership always maintained close contact and district police stations, canvassing support from the police station on school safety and help. 5, strengthening teachers moral education, establish a dedicated love, improving education quality, observe the students psychological changes at any time and take preventive measures, no corporal punishment and covert corporal punishment on students, student out of the classroom, schools may not be. 6, units or departments use student Street propaganda or participate in the celebrations, as well as participating in other social work, without approval of the Correctional Centre, school principals consent, without organization. Without the approval of relevant departments, may organize students to participate in fire fighting, disaster relief and so on. 7, schools should educate students to obey the school rules and regulations, on time, on time home to prevent accidents. 8, school to school inspections on a regular basis, found hidden in time, and in severe cases, it is hard to eliminate immediately closed, and reported to the local peoples Government, education, and rule of law section. 9, the school should always check the internal walls, retaining walls, ponds, railings, handrails, doors, Windows, staircases and a variety of sports, extracurricular activities, facilities such as fire safety, infrastructure security, unsafe facility to immediately repair and demolition to ensure that teachers and students work, learn, live venues and facilities are safe and reliable. Song Lin Xiang Liu Jia ping elementary school March 2016 song Lin Xiang Liu Jia ping primary school fire safety systems to enhance fire safety, protection of public property and the life and property safety of teachers and students, school fire safety into day-to-day management, is developing the following fire safety system. 1, strengthen fire safety education of the whole school. According to the requirements of the Fire Services Act, so that everyone has of keeping fire control safety, protecting fire control facilities, fire prevention, reports of fire人民医院突发公共卫生事件和传染病疫情处理应急预案为确保在发生突发公共卫生事件和传染病疫情时，能够及时、迅速、高效、有序地处理疫情，保障人民身体健康，维护社会稳定，根据传染病防治法、突发公共卫生事件应急条例、突发公共卫生事件与传染病疫情监测信息报告管理办法等有关法律法规，结合我院的实际，以构建预防为主、防治结合的突发公共卫生事件和传染病长效管理与应急处理机制为根本，提高快速反应和应急处理能力，将防治工作纳入法制化、科学化和规范化的轨道，做到“早发现、早报告、早隔离、早治疗”，有效地控制疫情蔓延扩散，保障人民群众的身体健康和生命安全，特制定本应急预案。 一、成立防治组织 1、领导小组：负责突发公共卫生事件和传染病防治工作的组织实施、突发公共卫生事件和传染病防治工作执行情况的监控和各部门间协调配合，保证各项工作的落实和实施。2、医疗救护专家小组：负责全院防治突发公共事件和传染病知识培训、业务指导和对疑似传染病病人的排查工作。 3、救治医疗小组 4、行政组：负责经费保障、药品、设备、疫报及信息报送工作。二、设施备置：1、在医院设立感染科，配备专职医护人员。感染性疾病门诊设立独立的工作流程。设立发热病人诊室和发热病人观察区，均配备隔离衣、口罩、防护眼镜、帽、长筒胶鞋、鞋套、消毒液等消毒隔离用物。观察区内设清洁区、半污染区、污染区和观察室，配有呼吸机、吸痰机、心电监护仪、床头X光机、治疗急救药物和其他设备设施。并设医护人员办公、治疗室，诊区内实行封闭管理，且有专人负责。 2、配备一辆专职接送发热病人救护车。专人负责做好车内消毒隔离工作。3、指定接触传染病相关工作人员生活隔离区。三、疑似病人诊治流程1、门诊实行预检分诊和首诊医师负责制，发热病人由导医指引到感染性疾病门诊中的发热诊室就诊，强化医务人员疫情意识，对可疑发热病例要注意询问病人有无病死禽接触史、野生动物接触史及职业暴露史等，做到“早发现、早报告、早隔离、早治疗”，对不明原因肺炎病人立即报告科主任，科主任立即查看病人后立即报告医务科或院领导，由医务科或院领导立即组织专家组成员会诊，对需观察的病人收至观察区观察治疗。 2、对疑似病人治疗观察时，立即启动防控应急预案，同时立即向主管局及疾控部门报告，并立即严格按传染病人的消毒隔离原则处理和自我防护，严防院内感染，严防疾病向外传播。 3、发热病人出院后，观察室要进行全面消毒处理，以迎接下一个发热病人。 4、接诊发热病人后，救护车及时按传染病消毒方法进行消毒，放射科给可疑病人照片后立即进行全面消毒处理。 四、报告制度 1、对高暴露人群，急性呼吸道感染病例，特别是住院的呼吸道感染病例，开展监测工作，做到早发现、早报告、早隔离、早治疗。 2、医务人员发现传染病疑似或确诊病例时，须按照突发公共卫生事件应急条例和突发公共卫生事件与传染病疫情监测信息报告管理办法的有关规定，结合我院疑似病人诊治流程经专家组会诊，对需观察的病人收至观察区观察治疗。 3、对疑似病人治疗观察时，立即启动防控应急预案，同时立即向主管局及疾控部门报告，并立即严格按传染病人的消毒隔离原则处理和自我防护，严防院内感染，严防疾病向外传播。 五、治疗方案 一旦发现传染病疫情，要严格控制传染源，切断传播途径，防止疫情扩散，减少发病人数的原则。1、 成立一、二线医疗和救护小组，随时待命，一旦发生疫情，作出快速反应。 2、我院为传染病病人留观治疗医院。按规定成立医疗专家救治小组，负责医疗救治工作，一旦发生疫情，要服从本地区紧急疫情应急处理技术指导小组指挥，作出快速反应，携带必须的医疗器械、药品及防护用具等及时赶赴现场，有效开展医疗救治，并做好医护人员的防护工作。 3、诊治传染病病人时医院每日要及时向当地卫生行政部门报告病人病情和治疗情况。 4、诊治病人时医院要加强医院内感染控制工作和医护人员的个人防护，防止发生医院内感染。 5、严格按上级现有收治各种传染病病人工作的有关规定和措施，由专家组鉴别诊断相关病人与其他普通感冒病人，对高疑病人立即转专科医院。 六、消毒隔离 1、发热诊室和观察室的消毒隔离工作有专人负责，有专人管理登记备案，医院感染管理科、护理部负责监督指导。 2、总务科负责组织做好医院公共场所、候诊室、检查室、X光室、检验室、治疗室、医护办公室、病区、走廊、电梯等消毒，保证消毒效果，有登记备案，保健科负责消毒监测和指导工作。 3、如经专家组会诊确定为高疑或确诊为相关传染病病人时，所有接触的工作人员到指定的工作人员生活隔离区严格隔离观察，并对发热诊室和观察区按消毒隔离预案程序进行严格的消毒。 七、工作人员防护措施 1、全院定期组织防治相关传染病知识学习培训，使全院工作人员高度重视防范和认识意义，并全面掌握防范意识。 2、制订传染病（含突发公共卫生事件、结核病）管理制度、传染病（含突发公共卫生事件、结核病）报告制度、传染病消毒隔离制度、发热病人分诊补充要求、关于做好进一步加强不明原因和不明原因死亡病例筛查和报告的通知以及相关人员如司机、导医、放射、急诊、门诊工作人员的有关管理规定，健全工作制度，确保工作有序进行。 3、对一、二线医务人员及相关人员进行防护隔离模拟训练，以保证一旦出现病例可以马上配套有序地开展工作。 4、解决好相关工作人员隔离观察期间的职工生活安排，安排好隔离人员、工作人员的住宿、伙食、膳食由营养伙房统一免费专送，提供床铺被帐，保证隔离工作人员营养充足，休息好。并对接触人员按标准进行补助。 八、信息、设备、后勤保障 根据预防为主、常备不懈的原则，各有关科室人员做好应急预防和控制疫情所必需的药品、抗病毒治疗和对症治疗药品、消毒器械、检测试剂等物资的储备和供应，把好进货质量关，严防院内交叉感染。信息科时刻注意各地疫情，提供准确信息。 附件： 附件一、接诊发热病人及疑似人禽流感病人工作程序 附件二、医务人员及其他工作人员防护方案附件一：接诊发热病人及疑似人禽流感病人工作程序一、救护车出车1、使用经改装的驾驶室与车厢密封隔离的专用救护车，专用接送车2、工作人员（医生、护士、司机等）全部穿隔离衣，带合格口罩、帽、手套。3、第一时间给病人带上口罩。4、在车上，如病情允许，工作人员尽量坐在驾驶室。5、病人到院后，暂留救护车上，对不明原因肺炎病人立即报告科主任，科主任立即查看病人后立即报告医务科或院领导，由医务科或院领导立即组织专家组成员会诊，再决定病人去向。6、接诊回来后，如确诊为普通发热病人，则车辆及人员按接诊普通人处理，如为疑似或确诊为人禽流感病人，则严格进行消毒，有关人员进行隔离观察。 二、门、急诊接诊 1、病人由诊室医生初诊，怀疑对象立即上报院部，由专家会诊后再决定去留，需用平车的，由专用平车接送。 2、初诊医生、检验人员、放射人员及会诊专家均按防护要求，做好防护措施。 3、检验人员接通知后前往诊室取样化验；放射科在接通知后，用专用X线机检查。 4、对高疑或确诊为人禽流感病人时，除立即转送病人到专科医院外，所有接触人员均按规定进行隔离，场所器械按规定全面严格消毒。 5、以上所有接触病人的医院工作人员均应相对固定，采取首次接诊负责制，以免不必要的扩大传播。 2014年11月附件二： 医务人员及其他工作人员防护方案 为了使奋战在防治传染病第一线的医务人员和其他工作人员得到更好的防护，避免或尽可能减少工作人员被感染，特制定如下防护方案。一、提高防护意识，严格实施防护措施。全院动员学习培训，各科加强学习培训，实施防护操作训练，达到人人提高防护意识，个个熟练防护措施。二、一旦发现疑似或确诊人禽流感病人时，与病人接触过的所有工作人员均统一食宿在医院安排的地方，由营养室送膳食，不得离开住所。三、对隔离观察的工作人员，医院给予高营养饮食，并制定作息时间，确保营养好、休息好、健康好。四、医院感染管理科、预防保健科、护理部负责落实医务人员及其他工作人员防护工作；总务科负责隔离人员的膳食工作。 2014年11月课堂是师生活动的主要场所，课堂教学是促进学生成长和实现教师自身发展的主要途径。追求课堂教学的有效性，已成为各级学校现阶段深化课程改革和推进素质教育的首要问题。初中数学课堂的有效教学Electricity lines, equipment inspections, found hidden in time for rectification, maintenance, and security. 9, do not use an open flame in the classroom, prohibit burning stove, lit candles, mosquito repellent, no smoking, and banning messy wiring. Without using any household appliances is not allowed. 10, live on campus faculty members, must lead by example, and educate families and children ready to fire. 11, household use of gas in schools, to master proper usage, pay attention to the leak-proof, explosion-proof, fireproof, closing valve after use to ensure security. 12, dining room must be qualified, and annual testing of pressure vessels, to regularly check, the canteen workers must be certified, strictly by operation operation, gas tank and stove safety distance of 1.5 meters, to prevent accidents. 13, the adverse consequences caused by ignoring fire safety regulations, will be punished, until investigated for legal responsibility. Song Lin Xiang Liu Jia ping elementary school March 2016 Xiang Liu Jia ping elementary school, pine slopes surrounding safety management system 1 teachers and students, the surrounding area of the school governance covers personal and food hygiene, cultural events and other aspects, integrated governance shall obtain wide support and full cooperation of the community. On the surrounding environment in schools should be closely monitored. 2, school work at the same time, should pay attention to the safety management of school environment, should take the initiative to contact the district police station, the village Committee, Correctional Centre, Township government, business management and other departments to do a good job management. 3, teacher on duty with the exception of inspections in schools, should also pay attention to environmental inspections near the campus, found that the jobless migrants from rural areas, for example, harassment of students and a variety of accidents, according to different situations reported school officials or the police station in a timely manner, to protect the safety of students. 4, every day before school, teachers remind students, pay attention to traffic safety. 5, should educate students to respect social ethics, and various regulations, maintaining public order, and fight the bad guys, and grasp the correct ways and means of maintaining and improving students self-care ability. 6, the establishment of emergency rescue teams of teachers in schools, on high alert and deployed. Song Lin Xiang Liu Jia ping elementary school March 2016 song Lin Xiang Liu Jia ping primary school teachers and students organizations out of safety management