Physical examination place: local disease prevention and control center or medical and health institution approved by health administrative department to undertake preventive health examination. If this work is carried out without approval, the health supervision institution will not accept the issuance of health certificates.
First, the object:
Personnel engaged in the production and operation of food and drinking water, cosmetics producers, and personnel who directly serve customers in public places. Anyone who suffers from dysentery, typhoid fever, viral hepatitis and other digestive tract infectious diseases (except pathogen carriers), active tuberculosis, suppurative or exudative skin diseases and other diseases that hinder food hygiene and public health shall not engage in direct contact with people's food or directly serve customers before being cured;
Personnel engaged in food production and marketing, personnel who supply and manage drinking water, and production personnel of cosmetics production enterprises; People who directly serve customers in hotels, cafes, bars, teahouses, public bathrooms, barbershops, beauty salons and swimming pools have a physical examination once a year. Personnel who directly serve foreign customers have a physical examination every two years.
Second, the main inspection items:
Viral hepatitis, dysentery, typhoid fever, active tuberculosis, dermatosis, routine medical and surgical procedures, chest X-ray, fecal bacteriology culture (not available in some areas), etc.
Third, the physical examination and registration process:
Unified use of the Ministry of health to develop the "People's Republic of China (PRC) preventive health examination form", according to the health supervision institutions to determine the personnel to the health inspection unit for preventive health examination.
First, have a health check-up before applying for a health certificate.
1, ID card and two one-inch color photos of individuals bareheaded, get the medical examination form, pay the medical examination fee at the toll booth, paste the photos (the other one is for health certificate), and fill in the basic information such as name and gender.
2. Laboratory blood collection and stool anal swab test.
3. Routine physical examination of internal and external surgery.
4, X-ray chest X-ray.
5. Complete all physical examination items.
Two, physical examination results meet the conditions for issuing health certificates, physical examination results do not meet the conditions for issuing health certificates, health certificates shall not be issued. After passing the training of health laws and regulations organized by health supervision institutions, I will go to the health supervision office of the health bureau under my jurisdiction to apply for a health certificate with my bareheaded color photo.
Fourth, matters needing attention
1, take blood on an empty stomach before 9 am every day;
2. Avoid strenuous exercise before physical examination, avoid drinking and meat food, so as not to affect the results of liver function test.
Extended data
Five taboos of physical examination
Physical examination is one of the effective means to prevent diseases. Through physical examination, we can understand our own health status and find some early diseases that are not easy to detect, so as to intervene and prevent the occurrence and development of diseases in time and get twice the result with half the effort. However, due to insufficient attention to some key links of physical examination, or misunderstanding, there are various omissions in many subjects, which makes it difficult to achieve the purpose of physical examination.
First, avoid drawing blood too late. Physical examination and laboratory tests require fasting blood to be taken at 7:30-8:30 in the morning, no later than 9: 00. It's too late, because of the influence of physiological endocrine hormones in the body, the blood sugar value will be distorted (although it is still fasting). Therefore, candidates should draw blood as soon as possible and don't miss the time easily.
Two, it is forbidden to stop taking blood before physical examination, but patients with chronic diseases should be treated differently. For example, it is necessary for hypertensive patients to take antihypertensive drugs every morning to keep their blood pressure stable. Hastily stopping taking medicine or delaying taking medicine will lead to a sharp rise in blood pressure and become dangerous. Blood pressure is measured after routine medication, and the physical examination doctor can also evaluate the antihypertensive scheme.
Taking a small amount of antihypertensive drugs has a slight effect on the test and can be ignored. Therefore, patients with hypertension should come back for physical examination after taking antihypertensive drugs. Patients with diabetes or other chronic diseases should also take medicine in time after blood collection, and routine treatment should not be interfered by physical examination.
Third, avoid giving up the examination items set in the physical examination form at will, including not only the basic items reflecting physical health, but also some special examination items for malignant diseases and common diseases. Some tests are of special significance for the early detection of diseases.
Such as anal digital examination, is particularly important for the discovery of rectal tumors in patients over 40 years old. Some subjects give up exams automatically because they are afraid of trouble or shyness. If the subject really has a lesion, it will naturally lose the best opportunity for treatment, and the consequences are self-evident.
4. Never ignore the important medical history, especially the medical history of important diseases, which is an important reference for the medical examiner to judge the health status of the examinee, and accordingly formulate intervention measures, which has an extremely important impact on the prognosis of the disease. Some disciplines hold the psychology of "assessing" the level of physical examination doctors, and think that diseases can only be found out and cannot be said.
Not knowing the result of doing so is often counterproductive. For example, before giving treatment guidance to patients with hypertension, we must understand the onset time, treatment process, medication situation and other key issues of hypertension, so as to put forward further treatment suggestions, including adding and subtracting dosage and adjusting medication varieties, so as to achieve the best treatment effect.
If the examinee can't remember the name of the medicine he took, he can bring a medicine box to identify it. The medical history statement should be objective and accurate, and important diseases should not be omitted.
Verb (abbreviation of verb) Don't underestimate the conclusion of physical examination. The conclusion of physical examination is a summary of the health status of the subjects. It is a health prescription made by doctors based on the comprehensive analysis of the physical examination results of various subjects, which has important guiding significance for correcting bad living habits and preventing diseases. Some subjects pay more attention to the process of physical examination, but ignore the conclusion of physical examination, and do not read and implement it carefully, which makes physical examination meaningless.
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