1, the basic situation of the community (including the number of households, the age composition ratio of the service population, the incidence rate, etc.). ).
2. Investigation and analysis of community residents' health (population development, changes of death and disease spectrum, per capita annual medical expenses).
3. Establish community and personal health records.
Second, medical care.
Diagnosis and treatment of common and frequently-occurring diseases, on-site treatment and referral of critically ill patients, family sickbeds and related services.
Three. prevent
Prevention and treatment of infectious diseases, planned immunization for children, prevention and treatment of chronic diseases, etc.
Fourth, medical care.
Health care for children, women, the elderly and the disabled.
Verb (abbreviation of verb) repair
Accept the convalescent patients transferred from higher hospitals, and focus on the rehabilitation guidance and management of patients with chronic diseases, postoperative patients and disabled patients.
Six, health education
Make a health education plan and cooperate with community health service centers to carry out health education.
Seven. family planning
1, contraceptive measures guidance and services;
2. Guidance and services for eugenics, excellent education and excellent education;
3, infertility consultation, diagnosis and treatment, referral. A, the staff dressed neatly on time, according to the provisions, strict aseptic operation.
Second, actively, enthusiastically, patiently and meticulously receive every consultant, collect information, strengthen the management of residents' health records, and exchange information with community health centers regularly.
Third, for patients who need home visits due to mobility difficulties, it is necessary to promptly notify relevant personnel to arrange on-site services and contact community critically ill patients for transfer and hospitalization procedures.
Four, conscientiously do their job, and actively participate in the political and business study organized by the community health service center.
Five, keep the room quiet and tidy, and do a good job of disinfection and isolation.
Six, do a good job of safety before going to work every day.
Seven, in case of emergency, should promptly report to the leadership of the community service center. First, conscientiously implement the principles and policies of the party and the state on health work, and strictly enforce laws and regulations.
The second is to hold regular office meetings, study and arrange work, actively carry out business, complete tasks assigned by superiors, strengthen contact with community health service centers and village committees, and report work regularly.
Three, organize employees to participate in political, business and social activities, arrange a certain time to study politics and business, and record.
Four, the establishment of post responsibility system, improve the technical operation procedures.
Five, strictly implement the financial system, establish and improve the registration and statistics system, so that the information is complete and accurate, timely reporting, regular inventory of materials, accounts should be properly kept.
Six, the establishment of outpatient service, home visits, referral and medical error reporting system.
Seven, in case of serious poisoning, legal infectious diseases, patients involved in legal issues, medical disputes, accidents, etc., in accordance with the laws and relevant regulations, and timely report to the higher authorities.
Eight, consciously accept the supervision of the masses, solicit opinions and suggestions from all walks of life, and constantly improve the work.
Nine, self-study to accept the supervision and management of the administrative department of health, and pay a certain management fee in accordance with the provisions.
Ten, timely participate in meetings organized by the community health service center. 1, adhere to civilized medical practice, be polite to others, make careful diagnosis and treatment, check carefully, and implement a 24-hour consultation system.
2, master the medical principles, strictly implement the medical routine, so as to treat diseases, use drugs scientifically and rationally, and not increase the unreasonable economic burden of patients.
3, acute, severe and dangerous patients receive priority, after the initial rescue diagnosis and treatment, timely escort referral, all kinds of first-aid drugs and equipment should be prepared, placed in a fixed position, to maintain a state of emergency. 4, medical documents, do see a doctor with registration, take medicine with a prescription, charges with credentials, referral records, complete items, legible, reasonable fees, correct pricing.
5. Strict inspection system and aseptic operation specifications to prevent all kinds of errors and accidents. 1, strictly implement the principle of aseptic technology operation, enter the treatment room, treatment room must wear work clothes, work caps and masks, instruments should be disinfected and replaced regularly. Ensure the effective concentration of disinfectant.
2, often keep the room clean, every time to complete a disposal, clean up at any time, indoor disinfection once a day, in addition to the staff and treatment of patients, are not allowed to stay indoors.
3, all kinds of injections must be carried out according to the prescription and doctor's advice, allergic drugs, must be in accordance with the provisions, do a good job of allergy test before injection. One person, one needle and one tube should be injected.
4. Do a good job in the work of "three investigations and seven demands". Three checks: check after dispensing, check before taking medicine, injection and disposal, and check after taking medicine, injection and disposal; Seven pairs: bed number, name, drug name, concentration, dosage, time and usage; One note: pay attention to the reaction after taking the medicine.
5, strict implementation of disinfection and isolation system, sterile items must be marked with sterilization date, more than a week to sterilization. Sterile areas and clean areas should be relatively separated, and instruments and medicines should be placed separately.
6, all kinds of drugs, disinfectants classified, labels, clear handwriting. First, according to the needs of the masses, the stationmaster will arrange for doctors to make home visits at any time.
Second, consult the patient's health records before seeing a doctor, and bring the necessary medicines and instruments.
Third, when making home visits for intravenous infusion or intramuscular injection, you must publicize the injection instructions to patients and their families. When bringing drugs into foreign hospitals, you must hold the doctor's orders and treatment orders issued by the hospital. Except for allergic drugs such as penicillin to avoid accidents.
Four, for patients with serious illness timely contact referral and hospitalization.
Five, keep in touch with patients at any time after the visit, to understand the changes in the condition, supplement the patient's health records.
Six, outpatient drugs should be settled with the pharmacy on the same day, and the income should be paid into the community health service station.
Two-way referral system in community health service stations
First, urgent, dangerous, serious and difficult patients or patients who cannot be diagnosed and treated due to limited medical conditions should be referred in time.
Two, community health service stations, community health service centers to establish a two-way referral relationship, patients who need to do auxiliary examination can be introduced to the community health service center for examination. Community health service institutions shall promptly refer critically ill patients to higher-level hospitals. The convalescent patients, postoperative patients and consulting health care patients admitted to the community health service center should be transferred to the community for treatment according to the situation.
Three, for acute, dangerous and severe patients, should be life-sustaining rescue treatment.
Four, when referring patients, should be required to write a medical record summary, record the handling situation, and fill in the two-way referral card (out). For patients with life-threatening, they should be accompanied by medical staff during the referral process, monitor vital signs, and promptly issue a notice of critical illness to inform the patients' families.
Five, for patients with stable condition referred from other hospitals, should fill in the two-way referral card (transfer card), read the medical records carefully, understand the situation, and make a diagnosis and give treatment according to the doctor's advice. If the patient's condition is repeated, he should ask for consultation or transfer to another hospital for treatment in time. L, drugs used in community health service stations must be allocated from their subordinate community health service centers, and drugs in community service centers must be purchased from county drug procurement centers, and drugs shall not be purchased by themselves.
2, drugs should be item by item acceptance of appearance quality, approval number, trademark, batch number, expiration date and quantity, and register.
3, the implementation of drug maintenance system in the library, regularly check the quality of drugs, and register.
4. Pay attention to the management of drug expiration date, establish an expiration date register, mark the expiration date of drugs that have expired in the past two years, deal with drugs with shorter expiration date in time, and follow the principle of "production first, use first in the near future" in drug use.
5. Drugs must be classified and placed according to their pharmacological effects, dosage forms, types and physical and chemical properties.
6. The formula should be "three checks and seven pairs", and the drug bag should indicate the name of the drug, the name of the patient, the usage and dosage, and specify the special usage or precautions. Prescription dispensing should implement the system of double signature.
7, establish a daily system of drugs, (expensive drugs and drugs with small safety scope) make accounts in time, so that the accounts are consistent with the contents.
8, the establishment of drug inventory system, drug inventory must be carried out at the end of each month, so that drug consumption is consistent with funding income.
9, community health service station drug account books, by the full-time (part-time) staff responsible for.
10, establish the error accident registration system and drug quality files. First, seriously implement the financial policy, strict financial discipline.
Two, designate a person in charge, establish and improve the financial account books, including the original documents of fixed assets are well preserved.
Three, strictly implement the national price policy, public drug prices, diagnosis and treatment standards and other community health service charges, so that the charges can be based on evidence. Four, income Nissin monthly statement, cash every day in accordance with the provisions, unified financial management, service stations and responsible hospitals must be consistent between the account and the account. Open source and reduce expenditure, open source and reduce expenditure.
Five, strictly control the expenditure, expenditure must be signed by the person in charge of the station, and approved by the leadership before implementation, shall not be handed over to the financial.
Six, take good care of collective property, damage, loss of goods according to the price compensation. First, firmly establish safety awareness, strictly abide by various rules and regulations, perform duties, standardize operations, and prevent service failures and accidents.
Second, all staff should be on duty when they go to work, and they should stick to their posts when they are on duty and have to be on duty.
Three, the drugs and materials used in the service station must be allocated from the community service center, and shall not be allocated from other illegal channels.
Four, strictly implement the requirements of the "prescription management measures" prescription.
Five, strictly implement the responsibility system for the first diagnosis, not shuffle or conflict with patients. Medical staff should be serious when rescuing patients, and don't say or do anything unrelated to the rescue treatment, let alone talk and laugh.
Six, medical staff to receive patients, explain the condition to be patient and meticulous. When talking with patients, we should pay attention to the art of language, explain the condition and prognosis clearly, don't cover everything, and refer difficult and critical cases in time.
Seven, conscientiously implement the medical dispute registration, reporting and handling system. It is necessary to establish a register of medical errors and accidents. After the wrong accident, the stationmaster should first investigate and analyze it and patiently explain it to the patient. At the same time, it should report to the community health service center in time. If there is a major error accident, it should be reported to the county health bureau in time. Organize discussion on mistakes and disputes, and sum up experiences and lessons. 1, conscientiously implement the relevant provisions of the Law on the Prevention and Control of Infectious Diseases in People's Republic of China (PRC) and the Measures for the Administration of Disinfection.
2. Treatment room, treatment room, observation room, consultation room, etc. The ultraviolet lamp tube shall be equipped according to the ratio of 1.5W per cubic meter, and the space shall be disinfected 1-2 times a day, each time for not less than 30 minutes, and records shall be made.
3, all kinds of puncture to achieve "one person, one needle, one tube", must use qualified disposable medical consumables, disposable medical consumables must be disinfected and destroyed in time after use and recorded.
4. Prepare disinfection and sterilization equipment and instruments.
5, the use of disinfectants, disinfection equipment and disposable medical and health supplies, must be made by the health administrative department at or above the provincial level "hygiene license" products.
6, skin disinfection using iodophor or take 2% tincture of iodine 75% alcohol two-step method, soaking equipment must use efficient disinfectant such as glutaraldehyde, change once a week, there is a change record. 7, take the initiative to accept the supervision and monitoring of the health authorities. 1. Strictly implement the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases and report the epidemic situation in time. For legal infectious diseases, register separately according to disease types, report regularly, and complete vaccination tasks in time and accurately as required.
2, strengthen the systematic management of children aged 0-7 and pregnant women, and actively carry out the diagnosis and treatment of gynecological diseases, maternal and child health education and family planning technical services. 3, to carry out health care for the elderly, the disabled, disability rehabilitation and eight kinds of disease monitoring.
4, to carry out patriotic health campaign, do a good job of health guidance and health education for community residents and families. First, vigorously promote the construction of urban communities, improve the health conditions of community residents, improve people's living standards and quality of life, promote the coordinated development of urban economy and society, and build a new pattern of urban health service system based on community health services. We must focus on urban health work, actively develop community health services, and constantly enrich the connotation of urban community construction.
Two, community health service is an important part of community construction. The construction of community health service institutions must be incorporated into community development planning and regional health planning, closely combined with the reform of urban medical and health system and the reform of urban workers' basic medical insurance system, and make full use of the health resources of Chinese and Western medicine.
Three, community health service institutions are non-profit medical institutions, is to provide community residents with prevention, health care, health education, family planning and medical care, rehabilitation and other services of comprehensive primary health service institutions.
Four, the establishment of community health service institutions shall be examined and approved by the health administrative department of the municipal government.
Five, community health service institutions to community health service centers as the main body. Community health service centers are generally located within the jurisdiction of street offices, serving about 30,000-50,000 people. For areas that are difficult to be conveniently covered by community health service centers, community health service stations should be supplemented. The establishment of community health service institutions should make full use of community resources, avoid redundant construction, and encourage existing primary medical institutions to transform into community health service institutions through structure and function.
Six, the business premises, beds, basic equipment, commonly used drugs and first-aid drugs of community health service institutions should be determined according to the functions of community health services and the needs of residents; Health manpower should be allocated in an appropriate proportion.
Seven, the construction of community health service institutions should adhere to the principle of community participation.
Eight, the establishment and operation of community health service institutions should introduce competition mechanism.
Nine, the naming principle of community health service center is: district name+street name+logo name (optional)+community health service center; The naming principle of community health service station is: street name+residential area name+community health service station.