Health management service standard for children aged 0 ~ 6. Children are mothers' hearts, and the state has health management service standards for children aged 0-6. Next, I'll take you to understand the related contents of "Health Management Service Standard for Children Aged 0 ~ 6".
Health management service standard for children aged 0-6 1 clients
Children aged 0-6 living in their jurisdiction.
service content
Newborn family visits
After the newborn is discharged from the hospital 1 week, the medical staff will visit the newborn's home after delivery. To understand the situation of neonatal disease screening at birth, vaccination and neonatal disease screening in areas where neonatal disease screening is carried out. Observe the family environment, focusing on asking and observing feeding, sleep, defecation, jaundice, umbilical region and oral development. Take the temperature of the newborn, record the birth weight and length, and have a physical examination. At the same time, establish a health care manual for children aged 0 ~ 6. Parents should be given breastfeeding, nursing and prevention guidance of common diseases according to the specific situation of newborns. If it is found that newborns have not been vaccinated with BCG and hepatitis B vaccine 1 dose, parents should be reminded to replant as soon as possible. If it is found that the newborn has not been screened for neonatal diseases, notify the parents to go to the medical and health institutions with screening conditions for supplementary screening. For newborns with low birth weight, premature delivery, multiple births or birth defects, the number of visits should be increased according to the actual situation.
(2) Full Moon Health Management of Newborns
After 28 days, the newborns were followed up in township hospitals and community health service centers with the second dose of hepatitis B vaccine. Focus on inquiring and observing the feeding, sleep, defecation and jaundice of newborns, and carry out weight and length measurement, physical examination and development evaluation.
(3) Infant health management
Follow-up service after the full moon should be carried out in township hospitals and community health service centers, and in remote areas, it can be carried out 8 times in village clinics and community health service stations at the age of 3, 6, 8, 12, 18, 24, 30 and 36 months respectively. In areas where conditions permit, it is suggested to increase the number of follow-up visits in combination with the vaccination time of children. The service content includes inquiring about the feeding and illness, physical examination, growth and psychological and behavioral development evaluation of infants from the last follow-up to this follow-up, as well as health guidance on breastfeeding, complementary food addition, psychological and behavioral development, accident prevention, oral health care, traditional Chinese medicine health care, and prevention and treatment of common diseases. At the age of 6-8 months, 65,438 08 months and 30 months, 65,438 0 routine blood tests were performed respectively. At 6, 12, 24 and 36 months, 1 hearing screening was conducted by auditory behavior observation. Check whether there are any contraindications before each vaccination. If there are no contraindications, vaccinate after physical examination.
(D) preschool children's health management
Provide health management services for children aged 4 ~ 6 every year. The health management service of scattered children should be carried out in township hospitals and community health service centers, and collective children can be carried out in kindergartens. The service contents include inquiring about diet and illness, physical examination, growth and psychological and behavioral development evaluation, blood routine examination and vision screening between the last follow-up and this follow-up, as well as health guidance on reasonable diet, psychological and behavioral development, accident prevention, oral health care, traditional Chinese medicine health care, and prevention and treatment of common diseases. Check whether there are any contraindications before each vaccination. If there are no contraindications, vaccinate after physical examination.
(5) Handling of health problems
Children with malnutrition, anemia and simple obesity found in health management should analyze their causes and give guidance or referral suggestions. Children with abnormal oral development (cleft lip and palate, high arch, teething), dental caries, low vision or abnormal hearing should be referred in time.
Service requirements
(1) Township hospitals, village clinics and community health service centers (stations) that carry out children's health management shall have the necessary basic equipment and conditions.
(2) Personnel engaged in children's health management (including rural doctors) shall obtain corresponding professional qualifications, have received professional and technical training in children's health care, and carry out children's health management according to the requirements of relevant national standards for children's health care.
(III) Township hospitals, village clinics and community health service centers (stations) should master the number of school-age children in their respective areas through various channels such as maternal and child health care network, vaccination system and daily medical and health services, strengthen contact with kindergartens, obtain cooperation, and do a good job in children's health management.
(four) to strengthen publicity, to inform the guardians of children about the service content, so that more parents of children are willing to accept the service.
(five) children's health management services should be combined with vaccination time in a timely manner. Encourage children to measure their weight and length (height) every time they are vaccinated within the scope of immunization program, and provide health guidance services.
(6) Record relevant information in time after each service and incorporate it into children's health records.
(seven) actively apply the methods of traditional Chinese medicine to provide children with health guidance such as growth and disease prevention.
Performance check index
(1) neonatal consultation rate = number of newborns who received 1 visit in the annual jurisdiction/number of live births in the annual jurisdiction × 100%.
(2) Children's health management rate = number of children aged 0-6 years who have been followed up 1 time and above in the jurisdiction/number of children aged 0-6 years who should be managed in the jurisdiction × 100% in the year.
(3) The systematic management rate of children = the number of children aged 0-6 who are managed according to the corresponding frequency requirements in the annual jurisdiction/the number of children aged 0-6 who should be managed in the annual jurisdiction × 100%.
attachment
Attachment 1
Record Form of Newborn Family Visit
Name:No. XXX-XXXXXX
Instructions for filling in the form
1, name: fill in the name of the newborn. If there is no name, fill in the mother's name+male or female.
2. Date of birth: fill in the order of year (4 digits), month (2 digits) and date (2 digits), such as194901kloc-0/.
3. ID number: Fill in the newborn ID number. If not, you can leave it empty for the time being, and then make it up when the account is down.
4. Father and mother information: fill in the name, occupation, contact number and date of birth of the newborn's parents respectively.
5. gestational weeks at birth: refers to the number of pregnant weeks of the mother when the newborn is born.
6. Newborn hearing screening: Ask if newborn hearing screening has been done, and tick "√" for "passed", "failed" and "not screened" accordingly. If you are not clear, please tick √ on "Unknown".
7. Screening of neonatal diseases: ask if you have screened for hereditary metabolic diseases such as neonatal hypothyroidism and neonatal phenylketonuria, and tick "√" on the corresponding diseases after screening; Other genetic and metabolic diseases, fill in the name of the screening disease.
8. Feeding methods:
Breastfeeding means that babies only eat breast milk without adding any other food, but drugs, vitamins and minerals are allowed to be added when there are medical indications.
Mixed feeding refers to feeding other milk and dairy products to the baby while breastfeeding.
Artificial feeding means that other milk and milk substitutes are not breastfed at all. The query result is marked with "√" in the corresponding way.
9. "*" is a question for low birth weight, twins or premature babies.
10, physical examination
Eye appearance: when the baby has eye contact, the eyeball can move with the moving object, and there is no congestion, tears or pus in the conjunctiva, so it is judged to be normal, otherwise it is abnormal.
Ear appearance: when there is no abnormality in the external ear, there is no abnormal secretion in the external auditory canal, and there is no eczema in the external ear, it is judged as abnormal, otherwise it is abnormal.
Nose: the appearance is normal. When the nostrils are well ventilated, it is judged that there is no abnormality, otherwise it is abnormal.
Oral cavity: when there are no oral cavity abnormalities such as cleft lip and palate, high palatal arch, teething, oral inflammation (stomatitis or thrush), it is judged as normal, otherwise it is abnormal.
Heart and lung: when no heart murmur is heard and there is no abnormality in heart rate and lung breathing sound, it is judged as normal, otherwise it is abnormal.
Abdomen: when there is no abnormality in liver and spleen palpation, it is judged that there is no abnormality, otherwise it is abnormal.
Range of motion of limbs: the upper and lower limbs are good and symmetrical, and it is judged that there is no abnormality, otherwise it is abnormal.
Neck lump: Touch the neck to see if there is a lump, and tick √ Yes "or" No "according to the touch result.
Skin: When there is no abnormal pigment, jaundice, cyanosis, pallor, rash, lump, scleredema and redness appear. And there is no flushing or erosion in the skin folds such as armpit, neck, groin and buttocks, it is judged that there is no abnormality, otherwise it is other corresponding abnormalities.
Anal: When the anus is complete and free from deformity, it is judged that there is no abnormality, otherwise it is abnormal.
External genitalia: When boys have no scrotal edema, hydrocele and cryptorchidism, girls have no adhesion of external labia, and the color of vulva is normal, it is judged that there is nothing abnormal, otherwise it is abnormal.
1 1. Guidance: Please tick "√" on the corresponding options, multiple choices are allowed. Please fill in other guides that are not listed.
12, next follow-up date: determine the next follow-up date according to the child's situation and inform the parents.
Annex 2
/kloc-health examination records of children under 0/year old
Name:No. XXX-XXXXXX
Instructions for filling in the form
1. When filling in the form, you will tick "√" on the corresponding options according to the text in the item column. If there are other anomalies, please describe them in detail. "———————" means that the project does not need to be examined in this follow-up.
2. Weight and length: refer to the actual values measured during inspection. According to the reference standard of children's growth and development selected by the Ministry of Health, the physical development of children is judged, and the corresponding "upper", "middle" and "lower" are marked with "√".
Step 3 have a physical examination
(1) Full Moon: The criteria for judging whether the skin, neck mass, eye surface, ear surface, heart and lung, abdomen, navel, limbs and anus/external genitalia are normal are the same as those for home visits of newborns. At the full moon and 3 months old, when there is no oral abnormality such as oral inflammation (stomatitis or thrush), it is judged that there is no abnormality, otherwise it is abnormal.
(2)3, 6 and 8 months old:
Skin: When there is no rash, eczema and swollen lymph nodes on the body surface, it is judged to be normal, otherwise it is abnormal.
Eye appearance: conjunctival congestion, tears and pus are not abnormal, otherwise they are abnormal.
Ear appearance: when there is no eczema, deformity or abnormal secretion in the external ear, it is judged that there is no abnormality, otherwise it is abnormal.
Hearing: At the age of 6 months, hearing screening was conducted by behavioral audiometry. Avoid the baby's line of sight during the examination, emit different intensity sounds from different directions, observe the child's reaction, and roughly estimate whether the hearing is normal.
4. Outdoor activities: Parents and children are required to fill in after the average time of outdoor activities.
5. Taking vitamin D: fill in the specific name and daily dosage of vitamin D, and fill in according to the actual supplementary amount. If not, fill in "0".
6. Development evaluation: According to the sports development indicators in the Monitoring Table of Children's Growth and Development, if each development indicator passes to the right of the arrow, it is passed. Otherwise, it will not pass.
7. Diseases between two follow-ups: fill in the diseases of children between the last follow-up (visit) and this follow-up, if any, fill in the specific names of diseases.
8. Guides: Please tick "√" on the corresponding options for any guide, multiple choices are allowed, and please fill in other guides if not listed.
9. Next follow-up date: Determine the next follow-up date according to the children's situation and inform the parents.
Name:No. XXX-XXXXXX
Instructions for filling in the form
1. When filling in the form, tick "√" before the corresponding option according to the text in the item column. If there are other anomalies, please describe them in detail. "———————" means that this follow-up does not need to be checked.
2. Weight and length: refer to the specific values measured during inspection. According to the reference standard of children's growth and development selected by the Ministry of Health, the physical development of children is judged, and the corresponding "upper", "middle" and "lower" are marked with "√" to evaluate the physical development.
Step 3 have a physical examination
(1) Vision examination: Fill in the specific data and use the international visual acuity chart or logarithmic visual acuity chart.
(2) Hearing examination: At the age of 3, hearing screening was conducted by behavioral audiometry, and the results were marked with "√".
(3) Number of teeth and dental caries: truthfully fill in the number of teeth and dental caries. The appearance of brown or dark brown spots or patches, rough surface and even obvious tooth structure damage are dental caries.
(4) Heart and lung: When the heart murmur is not heard and the lung breathing sound is normal, it is judged that there is no abnormality, otherwise it is abnormal.
(5) Abdomen: Liver and spleen palpation is normal, otherwise it is abnormal.
(6) Hemoglobin value: Fill in the actual survey data.
(7) Others: record the contents that need to be recorded in the physical examination but are not within the scope of the object.
4. Illness between two follow-ups: fill in the number of hospitalizations after illness.
5. Others: If there are any items that are not listed in the table but need to be recorded, fill them in the "Others" column.
6. Guidance: If you need guidance, please tick "√" on the corresponding options. You can choose more than one. Please fill in other guides that are not listed.
7. Date of next follow-up: The date of next follow-up should be determined according to the situation of children, and parents should be informed.
Health management service standards for children aged 0-6; Good practice of health management for children aged 2 0-6.
vaccination
From the birth of the baby, it is necessary to vaccinate according to the relevant epidemic prevention regulations (consult a doctor if you don't know).
immune
1, the baby should go to bed early at night, and must take a nap at noon, and rest for about one day 10 hour.
2. Exercise: Always take your baby to climb mountains or take a walk. If he is 0-3 years old, children in Doby will let him or her learn to climb and walk in his or her spare time.
nutrition
1, it is best to give the baby minced meat, eggs and vegetables. Don't give your baby too many snacks and drinks to prevent skipping meals or being picky about food.
2, let the baby drink a glass of milk every day, it is best to add some calcium, iron, zinc and children's amino acids.
Environment x personal hygiene
1, the baby often sweeps the floor in the daily environment to ensure cleanliness. Don't put anything easy for children to eat to prevent accidental swallowing.
2, take home to a crowded place, be sure to remember to wash your hands and face (preferably taking a bath), which can effectively prevent diseases.
Dress and keep warm
Dress your baby in time when it's cold, otherwise it's easy to catch a cold and have a fever. If you exercise and sweat in summer or winter, change your baby's underwear in time to prevent catching cold or putting a sweat-absorbing towel on it.
Timely treatment
1. If your baby has a cold and fever, you should take medicine or see a doctor in time, otherwise it will get worse easily.
2, the baby is born with something to buy some children's ointment or cool oil, don't wait for a large area to be difficult to handle.
0 ~ 6 years old children's health management service standard 3 What is a children's health record?
Children's health records mainly include growth and development, recording various diseases, allergies, adolescence, vaccination and so on. After the establishment of children's health records, it can provide accurate information for doctors and is beneficial to the treatment of children's diseases.
Establish a health record for the baby.
If parents bring their baby to see a doctor, but don't know what diseases the baby had before, it will be time-consuming and laborious for doctors to diagnose. If parents not only can't remember clearly, but also remember wrong, it will be more troublesome and even affect the correctness of diagnosis. Therefore, the doctor suggested that it is best to establish a special health record for the baby.
Health records include:
Baby's name
date of birth
gender
Birth indicators (length, weight, head circumference, chest circumference, hair, skin, birthmark)
Physical development records (length, sitting height, weight, head circumference, chest circumference, teeth, vision, hearing)
Vaccination record
Trace element detection record, white blood cell detection record
allergic history
Major medical history
Surgical history
In addition to establishing a health file, a health information package should be prepared for the baby, which can provide accurate information for future disease diagnosis and help doctors diagnose and choose drugs reasonably. The health information package includes: the baby's vaccination card, complete medical records, X-ray photos or reports, electrocardiogram, B-ultrasound, laboratory sheets, physical examination forms and other original medical records, in chronological order. All kinds of allergies, such as food allergies, contact allergies, drug allergies, etc. , should also be included in the information package.
In fact, except children, we all need to suggest health records, so that we can better understand everyone's physical condition or allergies, and it is also convenient for hospital treatment. Health records are indispensable medical information for everyone, and doctors will make the next treatment plan for patients through these health records.