"Call someone from the Infection Department of the hospital to come and summarize the recent infection situation in the hospital." Director Wu Zhisheng drove back to the hospital by himself.
The secretary who was familiar with him was sitting in the back seat, nervous as if surrounded by monkeys from Mount Emei. When he got out of the car, the secretary ran to find someone as if fleeing.
The dean's air pressure was too low, he was afraid that he would be hurt by Chi Yu.
After a while, the bosses who had just had a celebration banquet together with the directors of various departments who stayed behind in the hospital gathered together.
In Yunyi's luxuriously decorated conference room, the directors of each department occupy a corner, like jungle gorillas.
"Have you reported to the hospital yet?"
"Twice a week? Why hasn't anyone said anything?"
"Two people died in the neurosurgery department, and neither said a word."
"Isn't it normal for neurosurgery to die?"
Chatting in the hospital is always cruel.
The directors of the departments exchanged news with each other, and thought about how to push the blame to the Infection Department of the hospital, or just any department.
In every department, there will be some large and small nosocomial infection incidents every year. The incidence rate of the most common nosocomial lung infection in China is between 5% and 5%.
The same common gastroenteritis is also a typical example that is brought out by the hospital's Infectious Diseases Department for lectures after a while.
However, when the nosocomial infection in the department spreads to the whole hospital, this problem cannot but be paid attention to.
"Have you come to a conclusion?" When the dean opened the door again and came in, he neither greeted nor smiled, and first looked for the director who left the hospital...
Needless to say, the directors of each department found their seats and sat down obediently, so as not to be the first bird to be shot.
"Analyzing the hospital's infection situation in the recent period, it should be ma." The director of the hospital's infection department answered with one head and two big ones.
ma is methicillin-resistant Staphylococcus aureus, the most common multidrug-resistant bacteria.
If there is no prefix, it is just ordinary Staphylococcus aureus, then it is a small bacteria that is easily killed by penicillin.
However, after adding the words methicillin-resistant, the lethality of this bacteria has greatly increased, and only a few antibiotics can still work against it. Annoyingly, every antibiotic regimen is not lossless.
Worst of all, even with newer antibiotics, ma infection still has at least one fifth of the mortality rate.
In other words, an outbreak that infects 10 people and kills two people is considered to be under control. In practice, three to five people are the norm.
This kind of death rate makes the appearance of ma become terrifying.
"Recently?" The dean stared at his face and asked, "What measures have you taken to deal with the problems that have arisen recently? Why did you cause such a result?"
The director of the Infection Department of the hospital was speechless.
Although it is a drug-resistant strain, in the current hospital environment, the detection rate of ma is too high. Any high-end tertiary hospital can pull out a detection rate of 40%. However, the detected proportion does not mean the proportion of the disease, let alone an outbreak.
If it is justifiable for ma to appear in other departments, the outbreak in the whole hospital must be the fault of the hospital's infection department.
It is the life of the Infection Department of the hospital to watch people fight and take the blame when things happen.
It is not the first time that the director of the Infection Department of the hospital has been blamed. After sorting out his thoughts a little bit, he said: "There is indeed a loophole in the management of the Infection Department of our hospital. First of all, we stipulate that infection incidents in each department should be summarized on a weekly basis. It was reported on Monday. There were infection cases in various departments, and we did not urge them to report immediately, nor did we make a comprehensive analysis. Secondly, the confirmation time of ma is relatively long, generally taking more than 4 hours. From the discovery of the previous case to the subsequent The confirmation took a lot of time, so that many cases of infection appeared, and it was only later. Third, the current number of ma carriers is increasing... "
The dean waved his hands impatiently and said: "If you shirk responsibility, I will talk about it later, let me talk about the current situation first."
As a perennial blame man, the skill level of Yuanganke in throwing blame is also quite high. This is determined by the nature of the department, just like an obstetrician will gradually gain experience in staying up late, a cardiac surgery doctor will gradually gain experience in holding back urine, and an orthopedic doctor will gradually gain experience in spending money...
Once the director of the Infection Department of the hospital uses all kinds of martial arts to shirk responsibility, today's meeting will be spent in arguing.
The dean resolutely suspended the pursuit of responsibility and suppressed his emotions. The director of the hospital's infection department also quietly breathed a sigh of relief.
Before the dean changed his mind, the director of the Infection Department of the hospital quickly said: "From our current summary, in the past week, the Respiratory Department has reported three cases of ma-caused disease, and the Oncology Department has two cases... Department of Obstetrics and Gynecology and Pediatrics have two cases…”
Following his words, the expressions of the directors of each department became serious.
The director of the hospital's Department of Infection first reported to the Department of Internal Medicine and Gynecology and Pediatrics, and then to the Department of Surgery: "There were three cases of ma in neurosurgery, three cases in thoracic surgery, and one case in hand surgery..."
The more the dean listened, the more serious his expression became.
The germs in internal medicine are generally more complicated than those in surgery. For example, in the respiratory department, ma patients often appear, and sometimes there are patients who are paid outside the hospital. For internal medicine, multidrug-resistant bacterial infections are not uncommon, and two or three cases are not considered outbreaks.
However, surgery also frequently has ma, which proves that the problem is indeed serious.
"Print a copy for me to see." The dean ignored it, and said to the secretary next to him who was taking notes, and the latter quickly clicked to print, and rattled out all the minutes of the meeting just now.
The dean looked over from top to bottom, silently remembering the number.
After looking around, he suddenly frowned: "Director Huo, your emergency center still hasn't reported the hospital feeling?"
"We've confirmed that it's not there. I've checked it several times." Huo Congjun replied affirmatively.
The dean didn't believe it at all, and even without him talking, the other directors frowned: "Old Huo, it's meaningless for you to get rid of it at this time, who doesn't know that the emergency department is a big black hole of hospital feeling, you will be promoted if you are promoted to the center." , there is no need to stand out at this time."
"What should I do without me? Shall I give you an injection?" Huo Congjun's voice was extremely penetrating, like a rifle.
The dean was unmoved, and said: "Director Huo, ma can often find carriers in healthy people. It is not shameful to appear in your emergency center. We are going to report it now, and there is no need to hide it."
"We really don't have a case of Ma infection." Huo Congjun insisted.
"Suspected?"
"There are no suspected cases." Huo Congjun paused, his tone became more solemn, and he said, "I've already had people screen them all. Now it's because I can't come up with a case to report, it's not that I don't want to report it."
If there is no case, there is no case. Now the report is to package and upload the specific information, even if it is a suspected case, it cannot be edited.
The dean looked at the director of the hospital's infection department with a sinking face: "What's going on? There is no case of ma reported in the emergency center, so it is a complete nosocomial infection?"
The director of the nosocomial infection department secretly complained, which time the nosocomial infection was not a complete nosocomial infection? Does it count as coming in from outside
However, he could also understand what the dean meant. The emergency center is the department with the most complicated staff and difficult to manage, and there are a large number of foreign patients. If such a department has no infection, it is worth considering.
The director of the Hospital Infection Department considered his tone, and said: "The emergency center is the best in terms of hospital infection regulations, and it is also the best in implementing..."
Huo Congjun smiled and said nothing.
People who have sprayed for so many years, he has never been afraid of other people's nonsense.
"So, it's because the regulations of the emergency center were well done and implemented, so the outbreak of nosocomial infection in the department was prevented?" the dean said in a solemn tone.
"No outbreak of nosocomial infection was caused by a single factor. Correspondingly, if we can do a good job in the prevention of nosocomial infection, it is indeed possible to prevent the outbreak of nosocomial infection... Our current prevention and control measures are multiple. Protective, so, as long as each department can strictly abide by part of the hospital infection regulations, or abide by most of the hospital infection regulations, the probability of outbreaks will not be too high... "The director of the hospital infection department took the opportunity to blame.
The dean was unmoved, and said: "It is the business of the Department of Infectious Diseases to urge the implementation of the hospital's regulations. Let's not talk about this now, Director Huo, what are you doing here?"
"We are mainly Ling Ran doing the inspection. I remember that some time ago, he also updated the new inspection regulations, and organized his own staff to carry out the implementation of the inspection. Looking at it now, it should be said that it is doing well." Huo Congjun grinned. With a smile, he just backed up what the director of the Infection Department of the hospital said just now.
"Doctor Ling..." The dean, who was still at the celebration banquet just now, pondered in his heart, nodded and said, "Then, Doctor Ling, let me tell you that the outbreak of nosocomial infection is a catastrophic event. We must also look at the bright side.”
The dean asked the secretary to call Ling Ran, and then turned around and asked: "Let's go through the scale and scope of MA first, discuss a response plan, and then I will report to the superior. What choice is there now, we can do it immediately of?"
The director of the hospital was overwhelmed by the questioning, Huo Congjun quietly took out his mobile phone to send a message, feeling a little secretly proud.
Although he wasn't very supportive of Ling Ran's tossing about the sense of school at the beginning, he didn't firmly oppose it either. This should be regarded as a leadership level.