传染病应急预案

balanced and run the satisfaction of the people education. Room XX City Bureau of educational supervision of XX municipality May 6, 2016 County economic information and Business Council System Committee two learn a do learning arrangements specific programme for advance full strictly rule party, according to County Organization Department on County two learn a do learning arrangements of specific programme and I Board learning education implementation programme spirit, according to distinguish level, and has targeted solution problem of requirements, ensure learning education made effectiveness, promote all members consciously respected Constitution, and comply with party rules, with XI General Secretary series important speech spirit armed mind, and guide practice, and Promote the work and be qualified party members and learning arrangements are hereby makes the following specific programmes. Learning requirements, on all party members to study the party Constitution and party rules and unify the XI series of important speech, General Secretary, speech learning series to deepen understanding of the Constitution Party rules, Constitution Party rules in the deep insight series address the basic spirit and practical requirements. 1. Constitution Party rules. Learning of the party Constitution, a deep understanding of the partys nature, purpose, guiding principles, goals, organization, good style, grasp conditions, rights and obligations of party members, bearing in mind that oath, clear qualified party member criteria and conditions. Learning the code of self-discipline of the CPC, the CPCs disciplinary regulations, the Chinese Communist Party Member Rights Ordinance and so on, mastering self-discipline standards of four must, the four upholdings, mastering various types of disciplinary offence and punishment provisions. 2. series spoke. To XI General Secretary series important speech reading (2016 version) and out poverty for basic textbook, learning understand XI General Secretary series important speech of basic spirit, learning understand Central ruling acting political new concept new thought new strategy of basic content, learning understand XI General Secretary in Fujian work during advocate of four grassroots immediately on do drop weak bird first fly and the in Nanping research study proposed of gravity Xia moved, and innovation mechanism, important thought, Master and strengthen the party spirit, fulfills the purpose ideas, moral character, conservation related to the basic requirements. Main understand master following aspects content: (1) ideal faith is Communists spirit Shang of calcium, set right of worldview, and Outlook on life, and values; (2) China dream is national of dream, and national of dream, and people of dream, is Chinese modern yilai most great of dream, core Essentials is national prosperity, and national revitalization, and people happiness; (3) China features Socialist is achieved Chinese great revival of way, enhanced road confidence, and theory confidence, and system confidence; (4) four a full Strategy layout is new of history conditions Xia party ruling acting political total strategy, consciously with four a full led the work; (5) insisted innovation, and coordination, and green, and open, and shared development is relationship China development global of one deep change, according to new development concept do job; (6) practice line Socialist core values, promote Socialist thought moral and Chinese traditional virtue传染病救治的应急预案及流程应急预案1、 就诊病人一旦确诊为传染病，应根据传染病的类型和传染防治法的规定立即送相应医疗机构进行救治，同时对诊疗用品进行消毒、填写传染病报告卡，按规定时限报预防保健科。传染病暴发和流行时，立即报告当地卫生防疫机构，并积极采取相应的隔离和救治措施。2、 病房办公室护士热情接待病人，根据病种安排床位（同一病种住同一房间），立即通知责任护士，向病人及家属介绍有关制度（如消毒隔离制度、限制人员探视制度、活动范围规定等），并通知医生。3、 病房应布局简单，便于消毒，保持空气新鲜、阳光充足。4、 根据不同的病种执行不同的隔离措施，立即测量体温、脉搏、呼、血压、体重，病情危重时积极参加抢救，必要时由专人进行监护。5、 遵医嘱执行各种治疗和护理，对用过的物品严格进行消毒、清洗、灭菌，必要时进行焚烧。6、 急性期病人卧床休息，谵妄及有精神症状者，加床档以防坠床。7、 密切观察病情变化，发现病情变化时，立即通知医生，并协助处理。8、 观察药物疗效和副作用，遵医嘱进行相应的处理。9、 对家属送来的食物经检查后方可食用。10、 做好心理护理，消除病人顾虑与急噪情绪，积极配合治疗。11、 做好卫生宣教，按不同病种，向病人讲解预防传染病的卫生知识。12、 认真及时的做好各种记录，做好个人防护，预防交叉感染，防止病菌扩散。13、 传染病人治愈时，应对其衣物及生活用品进行消毒后方可带出病房。病人出院后对床单元进行终末处理。14、 病人死亡后，应将尸体消毒后火化。甲类或乙类中的炭疽病人死亡后，必须将尸体立即消毒，就近火化。程序：确诊为传染病人-报告-送相应机构救治-严格执行消毒隔离制度-密切观察病情-积极参加救治-做好个人防护传染病疾病护理常规1、 严格执行消毒隔离制度。2、 保持病室安静、整洁、空气新鲜。3、 尽早的填写传染病卡片。4、 向新病人详细介绍有关制度。5、 病人入院后按不同病种安置病室，并执行不同的隔离方法，立即测体温、脉搏、呼吸、血压。6、 急性期卧床休息，恢复期及轻症者可适当活动。谵妄及有精神症状者，加放床档以防坠床。7、 密切观察意识、瞳孔、体温、脉搏、呼吸、血压变化，每日记录大便次数，如有异常改变，立即通知医师。8、 按医嘱给饮食，呕吐、腹泻者鼓励多饮水。9、 高热、昏迷病人，执行高热昏迷护理常规，出疹期的病人，一般不用冷敷或冷水擦浴。10、 做好心理护理，消除病人顾虑与急噪情绪，使其积极配合治疗。11、 做好卫生宣教，按不同病种，向病人讲解预防传染病的卫生知识。消毒灭菌工作中的自我防护因为大多数消毒因子是对人有害的。因此在进行消毒是，医务人员要采取自我保护的措施，防止在消毒过程中发生消毒事故和消毒操作方法不当造成的人员伤害。 1 进行压力蒸汽灭菌是要防止爆炸事故，使用干热灭菌是防止操作人员的烧伤。 2 利用紫外线和微波进行消毒是，应避免对人的直接照射。 3 进行化学气体消毒和灭菌是，要防止有毒化学气体的泄漏，环氧乙烷灭菌是，还应防止燃烧和爆炸事故。 4 注意防止化学消毒剂对皮肤的伤害。 5 处理锐利器械是应避免对皮肤的损伤。隔离预防的护理技术隔离技术又称为屏障护理。隔离的技术比较复杂，随着对感染理解的深化，在不断发展和充实。要做好疫员感染预防工作的关键是医务人员，尤其是护士，必须熟练掌握并善于应用有关的各项隔离技术。隔离预防常用的措施如下。 一、洗手 洗手是防止病原体播散的最重要的隔离技术之一，是做好任何一类隔离的前提条件，洗手简单易行，且省时省力，此项技术在医院感染的预防中占据着相当重要的位置，医务人员都必须认真坚持洗手制度，熟练掌握正确的的洗手方法。A手心对手心；B左手心对右手背，右手对左手背C手心对手心，手指张口交错；D手背、手指与另一手背、手指交错；E左手拇指在紧握的左手心内转动，并交换手进行；F左手指并拢在左手指内来回擦动，并交换进行。二、口罩及护目镜 口罩用于防止传染因子通过空气或气溶胶的传播。戴口罩可以防止大颗粒气溶胶（飞沫）和小颗粒气溶胶（飞沫粒）的吸入，前者经密切接触，播散距离在1米以内，所以医务人员密切接触这类病人时才戴口罩；后着可在空气中悬浮较长时间播散距离较远，所以当进入这类隔离室时即应戴口罩：此外，戴口罩及护目镜可以减少病人的体液，血液等传染性物质溅到医务人员的眼睛，口腔和鼻黏膜。三，戴手套 戴手套的目的是保护医务人员不受病原体的感染，防止医务人员把自身手上的菌群传给病人；更重要的是减轻医务人员对病人传播的机会。带手套还可以预防医务人员的手成为传染微生物的媒介。操作时，一旦触及病人的分泌物，渗出物等，虽然工作尚未结束，也要更换手套。四， 隔离衣 隔离衣通常用于护理病人时防止污染衣服，其应用取决于隔离类型。穿隔离衣的指征：1 当护理病人可能接触到病人分泌物排泄物时：2进入易引起院内播散的感染性疾病患者的病室时。大多数情况下，用洗净的隔离衣即可，但护理大面积烧伤或大疮面换药时应穿无菌隔离衣。3 隔离衣要求每天更换，潮湿无效，接触不同病种者要每次更换。提倡使用一次性隔离衣或塑胶围裙。穿脱隔离衣要求操作正确，衣服的前身，背后腰下和袖中部均属污染区。穿隔离衣时应污染面向里，然后放在污物袋里，做好隔离标记，送去洗消处理。五，设置隔离室 设置隔离室的目的是将病人和易感染者分开，减少病原体的传播机会，也提醒医护人员注意执行隔离措施。隔离室可分为单人隔离室和同室隔离室，单人隔离室主要用于具有高度传染性和毒力强的菌株所致的感染病人的隔离。同种病原体感染者以及婴幼儿具有同样的呼吸道临床综合征者，可同室隔离，在暴发流行时，同室隔离尤为适用。 隔离室的设施力求简单适用，以利减少污染和便于清洁消毒。除一般病房应有的设施外，还应有下述特殊设施； 1 入口处必须设有小房间（通过间）或放有隔离车，车上放置口罩，帽子手套和隔离衣等必须物品。 2 专用的洗手设备和卫生间淋浴设备。 3 空气消毒设备。六 敷料的处理 污染的敷料应尽少接触，也不要搅动，以防污染空气与环境。用后的敷料装如污物袋内，做好标记，送出病房，并在送去消毒前不要清点。对特殊病人用过的敷料，应装袋，标记或用规定的特殊颜色的专用袋送去焚烧。七 污物袋 用过的物品要从隔离病房运出是，要装在污物袋内，一防止与其他病人接触或污染环境，污物袋应有防水渗出功能。袋子如果不易破损或袋外未被污染，单层即可，但若袋壁被破坏、漏水或袋外被污染，则必须再加一个袋。 具有传染性的物品，可按不同的种及是否回收分别装入污物袋中封口或扎紧袋口，袋上应注明内容物或用颜色的标记，以便于识别袋中的内容物的危险性，并按规定消毒处理或焚烧。八 医院感染性废弃物的处理 感染性废弃物包括的内容物及处理方法如下。 1 外科有关废弃物：包括手术截除肢体，脏器，胎盘，脐带，死产、病理标本、实验动物尸体及脏器等，应用黄色或特定颜色并印有“感染性废弃物”标记的塑胶袋盛装。袋内只能装80%，留有封紧袋口的余地。封好后的袋子送去焚烧。 2 消耗性医疗废弃物：包括纱布、棉花、绷带等，也可用上法装袋焚烧处理。微生物室、生化室、病毒检验室等所产生的标本、培养基、吸管等先经压力蒸汽灭菌处理后在弃掉。 3 塑胶类有关医疗期望：包括一次性注射器、输液器和各种导管等，浸泡在含氯消毒剂内充分消毒后，再经毁形机处理；或经由卫生行政部门指定的厂家 （必须有行政部门加盖公章的许可证）统一回收处理。 4 尖锐物品：包括手术刀片、缝针和针头等，使用后应投入防水耐刺的容器内，封闭后送去焚烧处理。 5传染性病人的废弃物：包括排泄物，分泌物、血液、体液、输注后废血、废水手术失血、引流物及其接触过的一次性器物、剩余的饭菜，固体部分装袋 、密闭并标记送去焚烧；液体部分以含氯消毒剂充分消毒后排入下水道。九 随时和终末消毒 隔离室除每日常规清洁整理外，要随时对污染物进行清洗消毒，及时送走污物袋中的污物品。隔离室的清洁工具应专用。 病人接触隔离或已不在排出感染物，或病人出院（转出或死亡）以后的环境消毒称终末消毒。消毒的对象是那些与病人接触过的设施器物及病人的分泌物、血液、体液等。所有非一次性用品，如体温计、热水平等多要进行洗消处理。被污染的特殊感染的敷料装袋标记后送去焚烧。所有一次性物品无害化处理后再弃去或焚烧。各种家具、物体表面用清洗消毒剂清洗。病室进行空气消毒。 做好预防性，经常性 ，终末处理。 1）预防性消毒，对院内环境四周及怀疑被污染的物品都要进行消毒 ，门诊诊查室，候诊室 ，发药室，手术室 ，观察室，注射室 ，治疗室 ，功能检查室供应室 ，办公室等一切可能成为传播感染的场所，每日工作结束或，必须做清洁消毒处理，清洁区 ，半污染区 ，污染区的清洁用具应有醒目的标识 ，并分开使用，检验单应消毒后在流通，凡传染病人接触过的物品应遵循先浸泡后消毒的原则进行处理 。 2）经常性消毒，病人的排泄物，呕吐物，分泌物，割脱的组织几污染的垃圾等应尽快送离到固定的地点进行消毒处理 ，污水须符合国家的卫生标准后排放 。便器痰盂，被单，脸盆，医疗器械使用物品等均应定期消毒或随时消毒 。3）终末消毒，传染病人隔离期终了 ，病人转院，出院， 死亡后病人的尸体及病人用过的衣物 ，床铺房间均应按病种进行终末性消毒 。本实验的教学目的是使学生在了解与掌握物联网基本架构、物联网关键技术以及物联网发展现状的基础上，通过对物联网在诸多典型领域应用的深度学习与分析总结，使学生对物联网的应用有真实全面的认识full strictly rule party is all members common responsibility, must implementation to each branch and each name members. 3 . Play a vanguard and exemplary role in life. Keep to the correct political orientation, political sensitivity and political judgment, dare to fight against all kinds of wrong thought, wrong words and deeds. (2) firmly establish consciousness of the party, the party members consciousness. Focus on some party members sense of organization and discipline, they do not participate in the Organization, is not required to pay membership dues for a long time, do not play a vanguard and exemplary role, some dont even mention membership, fail to make a distinction between right and wrong, failing to observe political discipline and rules, and so on. Always keep in mind that he is a Communist, strengthen party spirit, listening party, party, party, party, party party guarding party, at the party, the party for the party. (3) strengthening the consciousness of the partys purpose. Focus on peoples conception of some party members, lack of sense of service, do not care for the masses did not take the initiative, and some even hurt public interests, job, excellent thick friends, eating, and so on. Bearing in mind the fundamental purpose of serving, top people at heart, close ties with the masses, be kind to people, dedicated to public service and play a part in poverty relief, with practical actions to win the trust and support of the masses. (4) actively practicing the Socialist core values. Focus on do not observe stringent members, knowledge out of devotion, talk about ethics, good faith is not enough, and some even value distortions, moral misconduct, sexy vulgar, materialistic, and so on. Strengthening moral cultivation, Zonta for good, pay attention to self-discipline, spiritual pursuit, to internalize the core values into conscious action, with exemplary behavior influence and lead people. (5) set up in the practice of promoting reform, development and stability. Focus on some party members with the status quo, a less aggressive mood, depressed, saying sluggish again, just to get by not seeking guodeying, some even perfunctory address, evading responsibility and other issues. Actively adapt to the economic development of the new normal, seriously implement the new development philosophy, hard work hard work hard, based on their own dedication. Second, on the Council of the section-level cadres above requiremen