ICS 11.080 CCS D 09 37 山东省 地方标准 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 Directives for the establishment of a normalized prevention and control system for major respiratory infectious diseases in general hospitals 2023 - 11 - 14发布 2023 - 12 - 14实施 山东省市场监督管理局 发布 DB37/T 4675 —2023 I 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 指挥机构 ................................ ................................ ....... 2 5.1 全口径人员管理 ................................ ................................ . 2 5.2 培训与演练 ................................ ................................ ..... 3 5.3 6 感染防控体系 ................................ ................................ ....... 3 感染防控人员配置及职责 ................................ ......................... 3 6.1 医疗机构工作人员防护 ................................ ........................... 3 6.2 职业暴露处置 ................................ ................................ ... 3 6.3 手卫生 ................................ ................................ ......... 4 6.4 清洁消毒 ................................ ................................ ....... 4 6.5 医用织物、医疗废物管理 ................................ ......................... 4 6.6 污水处理管理 ................................ ................................ ... 4 6.7 物资配送管理 ................................ ................................ ... 4 6.8 7 医疗管理体系 ................................ ................................ ....... 4 “三口”管理 ................................ ................................ ... 4 7.1 预检分诊 ................................ ................................ ....... 5 7.2 发热门诊 ................................ ................................ ....... 5 7.3 隔离病区 (房)管理 ................................ ............................... 5 7.4 院前急救管理 ................................ ................................ ... 5 7.5 急诊管理 ................................ ................................ ....... 6 7.6 普通门诊管理 ................................ ................................ ... 6 7.7 手术室（部）管理 ................................ ............................... 6 7.8 病原学检测管理 ................................ ................................ . 6 7.9 影像检查管理 ................................ ................................ .. 7 7.10 8 护理管理体系 ................................ ................................ ....... 7 普通病区管理 ................................ ................................ ... 7 8.1 住院患者和陪护人员管理 ................................ ......................... 7 8.2 9 服务保障体系 ................................ ................................ ....... 7 防疫物资 ................................ ................................ ....... 7 9.1 药品管理 ................................ ................................ ....... 8 9.2 设备保障 ................................ ................................ ....... 8 9.3 DB37/T 4675 —2023 II 后勤运维 ................................ ................................ ....... 8 9.4 安保维稳 ................................ ................................ ....... 8 9.5 数据信息 ................................ ................................ ....... 8 9.6 10 应急管理体系 ................................ ................................ ...... 9 应急准备 ................................ ................................ ...... 9 10.1 疫情处置 ................................ ...............................