Article 1 In order to further strengthen the pre-hospital first aid work in our county, establish a relatively perfect pre-hospital first aid service system to meet social needs, and ensure people's health and life safety, this implementation plan is formulated according to the Regulations on the Administration of Medical Institutions in the State Council and the Notice of the Ministry of Health and the Ministry of Information Industry on Strengthening the Construction of Pre-hospital First Aid Network and the Management of "120" Special Service Number.
Article 2 This scheme is applicable to hospitals, health centers, outpatient departments, clinics and other medical institutions engaged in pre-hospital first aid and other medical activities in the county.
Article 3 Pre-hospital first aid refers to the on-site first aid, handling, monitoring and transportation of emergency patients (injured) outside the hospital by medical institutions and their medical personnel.
Article 4 Pre-hospital first aid should follow the principles of proximity, emergency, safety, rapidity and high efficiency, first saving the dead and then treating the injured, first treating the serious illness (injury) and then treating the minor illness (injury), so as to achieve strict organization, timely response and standardized operation, and minimize the occurrence of death or disability.
Article 5 Pre-hospital first aid must abide by the relevant national laws, administrative regulations, departmental rules, diagnosis and treatment norms and operating procedures, and adhere to the purpose of saving lives, preventing diseases and serving citizens' health.
Article 6 The County Health Bureau shall set up a leading group for pre-hospital first aid, and the office of the leading group shall be located in the Department of Medical Prevention, which shall be specifically responsible for the organization, coordination, supervision and management of pre-hospital first aid in the county.
Chapter II Network Construction and Responsibilities
Article 7 The county should establish a "120" emergency information platform and a "120" emergency dispatching station in the county people's hospital, which is responsible for the daily dispatching and command of the county's pre-hospital emergency medical network. Its job responsibilities are:
(a) entrusted by the health administrative department at the county level, responsible for the dispatch and command of pre-hospital first aid work for those injured (sick) in public health emergencies and disasters with less than five people;
(two) responsible for receiving medical assistance in the county. When receiving a disaster report or a rescue call for help or a rescue instruction, it shall, in accordance with the principle of pre-hospital first aid, immediately notify the first-class or second-class pre-hospital emergency medical institution nearest to the accident (incident) and organize on-site rescue;
(three) received a public health emergency or disaster, more than five people injured (sick) and medical aid for help, should be reported to the health administrative department at the county level within 5 minutes. The health administrative department at the county level is responsible for organizing, dispatching and directing the pre-hospital first aid work.
Eighth counties should establish a pre-hospital emergency network system and set up first-,second-and third-class pre-hospital emergency network medical institutions. The specific settings are as follows:
First-class pre-hospital emergency network medical institutions: Datong, AXA, Fu Huan, Dingshan, Yongcheng, Hengshan, Xinsheng, Zhongfeng, Puhe, Tonghui, He Qiao, Sanhui and other health centers, Feng Chun Coal Mine, Shi Hao Coal Mine, Datong No.2 Coal Mine, Songzao Coal Mine, Chongqing Smelter, Chongqing No.4 Heavy Steel Factory, Chongqing Aluminum Factory and other staff hospitals;
Secondary pre-hospital first aid network medical institutions: hospitals (centers) in Dongxi, Ganshui, Shi Hao, Guo Fu, Zhuantang, Sanjiang, Shijiao, Longsheng, Sanjiao, Yongxin and Gunan, county traditional Chinese medicine hospitals, county maternal and child health hospitals and workers' hospitals such as Songdian Corporation, Qijiang Iron Mine and Qijiang Gear Factory;
Tertiary pre-hospital emergency network medical institution: Qijiang County People's Hospital (Chongqing Emergency Center Qijiang Branch).
Article 9 Responsibilities of pre-hospital emergency network medical institutions at all levels:
(1) Responsibilities of the first-class pre-hospital emergency network medical institutions
1, responsible for reporting public health emergencies or disasters to the county pre-hospital emergency leading group office and the "120" emergency network medical institution at the next higher level;
2, public health emergencies or disasters, quickly organize medical rescue team, take the initiative to rush to the scene in time to carry out medical rescue work;
3, responsible for general minor injuries (diseases) medical treatment;
4. Responsible for the construction of the emergency department of this medical institution, reserve medical rescue drugs, equipment and materials, establish medical rescue teams, and carry out rescue-related business knowledge and skills training;
5. Accept the instructions of the county pre-hospital emergency leading group office and the county "120" emergency dispatching station, and obey the dispatching.
(2) Responsibilities of two-level pre-hospital emergency network medical institutions
1, responsible for emergency medical treatment (film) and critical (sick) personnel in the area of public health emergencies or disasters;
2, responsible for the development of the medical institutions of pre-hospital medical emergency work plan, and seriously organize the implementation;
3. Responsible for reporting public health emergencies or disasters (films) within the jurisdiction to the county pre-hospital emergency leading group office and the county "120" emergency dispatching station, and assisting relevant departments and units to investigate the incidents (accidents);
4; Be responsible for establishing and perfecting the emergency department of this medical institution, and reserve and allocate medical rescue drugs, equipment and materials;
5, responsible for the formation of the area (film) pre-hospital emergency team, to carry out the level and the next level of pre-hospital emergency network medical institutions related professionals rescue knowledge and skills training;
6, equipped with emergency vehicles that can operate normally and related pre-hospital emergency equipment, drugs and materials;
7. Undertake other mandatory tasks assigned by the county pre-hospital emergency leading group office and the county "120" emergency dispatching station, and obey the dispatching.
(3) The responsibilities of tertiary pre-hospital emergency network medical institutions.
1, responsible for the construction of the county "120" pre-hospital emergency information platform to ensure the smooth flow of distress and rescue information;
2, undertake the county public health emergencies or disasters, as well as emergency (sick) patients with medical emergency tasks;
3. Entrusted by the county-level health administrative department, be responsible for the dispatch and command of the county-level pre-hospital emergency medical and health resources, and make rational use of the county-level pre-hospital emergency medical and health resources;
4. To undertake the training, advanced study and academic tasks of pre-hospital first aid in this county;
5, responsible for the county-level pre-hospital emergency plan, and seriously organize the implementation;
6, responsible for the county pre-hospital emergency related drugs, equipment and materials reserve and deployment;
7, undertake other related emergency tasks assigned by the health administrative department at the county level.
Tenth the implementation of public health emergencies or disasters and accidents pre-hospital emergency reporting system. In case of public health emergencies or disasters and accidents with 6 or more people, the nearest medical institution and its related personnel should report to the county pre-hospital emergency leading group office and the county "120" emergency dispatching station in the shortest time. Its report content is:
1. Time, place, number of casualties and nature of the incident (accident);
2. The main injuries (diseases) of the injured (sick), the medical treatment measures taken and the medical resources invested. ;
3, the basic situation of the injured (sick) treatment (outcome), medical care and other urgent problems to be solved;
4. Damage assessment of the incident or accident;
5. Relevant departments, units and personnel participate in the investigation and handling of incidents (accidents).
Chapter III Pre-hospital Medical Rescue
Article 11 After a public health emergency or disaster accident occurs, the pre-hospital first-and second-level network medical institutions at the place where the accident occurred should assemble medical staff, vehicles, rescue equipment and medicines in our hospital within 5 minutes after receiving a distress report or instructions from their superiors, and be led by the dean or the dean in charge to rush to the scene of the accident in time to actively carry out medical rescue work.
Article 12 When a public health emergency or disaster accident causes six people to be injured (sick) or more than 1 person to die, medical institutions at all levels and their medical staff involved in medical rescue must obey the unified command and dispatch of the county-level pre-hospital emergency leading group and the 120 emergency dispatching station and unconditionally undertake the assigned rescue tasks.
Thirteenth public health emergencies or major disasters and accidents, should set up an incident (accident) on-site medical rescue headquarters, fully responsible for directing the on-site medical rescue work. The setting of its command system is:
(a) after the incident or accident, the hospital director (or the doctor with the highest position) who first arrived at the scene served as the leader of the rescue team, and before the relevant personnel of the county pre-hospital first aid leading group arrived, unified command of medical rescue work, and reported the on-site medical rescue situation to the leaders who rushed to the scene at any time;
(2) The on-site medical rescue headquarters is commanded by the highest administrative head sent by the county pre-hospital emergency leading group, and the heads of pre-hospital emergency network medical institutions at all levels who arrive at the scene are members. Their tasks are as follows:
1, set up triage according to injury (disease);
2. Make a quick and accurate assessment of on-site injuries and incidents;
3. Command and dispatch the medical and health resources at the scene and the place where the incident occurred;
4, report the situation to the county pre-hospital emergency leading group and accept instructions.
Fourteenth strictly implement the triage and transfer system for the wounded and sick. Under normal circumstances, the emergency triage and transfer of the wounded and sick are carried out nearby; If 6 people or more are injured (sick) (or killed 1 person) in public health emergencies or disasters, the on-site medical rescue headquarters will decide whether to refer them, and make reasonable diversion according to the specific situation.
Fifteenth on-site inspection, classification and disposal of the injured (sick), according to the injury (sick) situation to the nearest medical emergency institutions. Its principle is:
1. The relevant pre-hospital emergency medical institutions designated by the on-site medical rescue headquarters or the county pre-hospital emergency leading group are transferred (there must be medical supervision on the way) to nearby medical institutions with the ability to treat;
2. The on-site attending physician of the injured (sick) member shall fill in the medical documents in duplicate, submit them to the on-site headquarters for summary in time, and send a copy to the medical institution that accepts the transfer of the injured (sick) member;
3. Respect the right of the injured (sick) and their families to choose medical institutions;
4. The guardianship personnel on the way to the transfer shall be escorted by the medical personnel designated by the pre-hospital emergency medical institution that arrived at the scene for treatment;
5, it is strictly prohibited for medical institutions to pre-hospital first aid, prevarication, refused to diagnose the injured (sick).
Chapter IV "120" Establishment and Construction of Emergency Department
Article 16 Pre-hospital emergency medical institutions at all levels shall earnestly strengthen the construction of emergency departments of their own units, and improve and equip corresponding emergency facilities, rescue equipment and medicines in strict accordance with the Code for the Construction of Emergency Departments and the requirements of standing by.
Article 17 Pre-hospital emergency medical institutions at all levels shall establish and improve the pre-hospital emergency leading group, set up pre-hospital emergency teams, earnestly strengthen the training of first-aid health knowledge and basic skills, continuously improve the professional quality of medical personnel, and enhance the level and ability of first aid.
Eighteenth pre-hospital emergency medical institutions at all levels must establish a 24-hour duty system, set up a pre-hospital emergency duty telephone, and announce it to the administrative region, with a special person on duty and a special person responsible for pre-hospital emergency work;
Nineteenth to strengthen the pre-hospital emergency "120" secret service number management, the county only set up emergency centers in the county people's hospital, accept the "120" medical rescue call for help. Without the approval of the administrative department of health, it is strictly forbidden to set up "120" or other forms of emergency telephones similar to "120" (such as 96 120, 999 or 995, etc.). ) in other pre-hospital emergency network medical institutions.