DB37/T 4675-2023 综合医院重大呼吸道传染病疫情常态化防控体系建设导则

ICS11.080

CCSD09

37

山东省地方标准

DB37/T4675—2023

综合医院重大呼吸道传染病疫情常态化防

控体系建设导则

Directivesfortheestablishmentofanormalizedpreventionandcontrolsystemfor

majorrespiratoryinfectiousdiseasesingeneralhospitals

2023-11-14发布2023-12-14实施

山东省市场监督管理局发布

DB37/T4675—2023

目次

前言................................................................................III

1范围...............................................................................1

2规范性引用文件.....................................................................1

3术语和定义.........................................................................1

4总则...............................................................................2

5组织管理体系.......................................................................2

5.1指挥机构.......................................................................2

5.2全口径人员管理.................................................................2

5.3培训与演练.....................................................................3

6感染防控体系.......................................................................3

6.1感染防控人员配置及职责.........................................................3

6.2医疗机构工作人员防护...........................................................3

6.3职业暴露处置...................................................................3

6.4手卫生.........................................................................4

6.5清洁消毒.......................................................................4

6.6医用织物、医疗废物管理.........................................................4

6.7污水处理管理...................................................................4

6.8物资配送管理...................................................................4

7医疗管理体系.......................................................................4

7.1“三口”管理...................................................................4

7.2预检分诊.......................................................................5

7.3发热门诊.......................................................................5

7.4隔离病区(房)管理...............................................................5

7.5院前急救管理...................................................................5

7.6急诊管理.......................................................................6

7.7普通门诊管理...................................................................6

7.8手术室（部）管理...............................................................6

7.9病原学检测管理.................................................................6

7.10影像检查管理..................................................................7

8护理管理体系.......................................................................7

8.1普通病区管理...................................................................7

8.2住院患者和陪护人员管理.........................................................7

9服务保障体系.......................................................................7

9.1防疫物资.......................................................................7

9.2药品管理.......................................................................8

9.3设备保障.......................................................................8

I

DB37/T4675—2023

9.4后勤运维.......................................................................8

9.5安保维稳.......................................................................8

9.6数据信息.......................................................................8

10应急管理体系......................................................................9

10.1应急准备......................................................................9

10.2疫情处置......................................................................9

参考文献.............................................................................10

II

DB37/T4675—2023

前言

本文件按照GB/T1.1—2020《标准化工作导则第1部分：标准化文件的结构和起草规则》的规定

起草。

请注意本文件的某些内容可能涉及专利。本文件的发布机构不承担识别专利的责任。

本文件由山东省卫生健康委员会提出并组织实施。

本文件由山东省卫生健康标准化技术委员会归口。

III

DB37/T4675—2023