1. Establishment of Chinese medicine outpatient clinics, the opening of Chinese medicine wards or integrated Chinese and Western medicine wards, to strengthen the construction of Chinese medicine departments, Chinese medicine should be inherited, explore, organize, improve the heritage of the motherland medicine for the purpose of actively improving the work of outpatient clinics and wards.
2. The wards of the Department of Traditional Chinese Medicine of the hospital shall be managed by traditional Chinese medicine practitioners. The admission, discharge, diet and nursing care of the patients in the Department of Traditional Chinese Medicine are decided by the traditional Chinese medicine practitioners, and the diagnosis and treatment are based on the traditional Chinese medicine methods, with the assistance of western medicine practitioners if necessary.
3. The Chinese medicine practitioners can sign medical certificates related to diagnosis, sick leave and death according to the patient's condition. According to the principles of rationale, method, prescription, medicine, carefully and timely writing of Chinese medicine or Chinese and Western medical records (including outpatient medical records). The medical record should be complete, accurate and neat, and the full name should be signed.
4. For the old and experienced Chinese medicine practitioners, young and strong Chinese medicine practitioners or western medicine practitioners of higher level should be equipped as assistants to inherit and organize their academic experience. Actively carry out scientific research on Chinese medicine.
5. Undertake the teaching of Chinese medicine and western medicine to learn Chinese medicine, seriously take the advanced training and internship personnel, and regularly carry out academic activities in Chinese medicine.
6. Actively collect folk soil, single, tested prescription, collation, screening, verification, and to promote the application of proven efficacy.
7. Actively promote the specialties of traditional Chinese medicine, such as acupuncture, massage, bone-setting, men's medicine, gynecology, dermatology, etc., and set up specialty clinics to facilitate access to the public.
8. Out-of-hospital prescriptions, in principle, do not copy, only for reference. Physicians do not see the patient, no prescription and copy the prescription.
9. For special decoctions and medication time, the physician should explain to the patient, and indicate on the prescription.
10. Whether the hospitalized patients treated with traditional Chinese medicine need to be followed up is to be determined by the consulting physician, and the records are to be made carefully and the patients are to be followed up regularly. All departments of Chinese medicine follow-up patients, three days before discharge the treating physician notify the follow-up physician to stop prescribing traditional Chinese medicine, so as not to cause waste.
11. While promoting the specialties of Chinese medicine, selectively absorbing and applying the successful experience of Western medicine, and constantly exploring new ways of combining Chinese and Western medicine to treat diseases.
12. The patients must register first, in order of priority, and the elderly patients are given priority.
13. Warmly receive patients, patiently answer questions, ask for a detailed medical history, a comprehensive and careful examination, and strive to correctly diagnose, treatment measures, if necessary, transfer to a higher hospital for treatment.
14. According to the principles of rationale, method, prescription and medicine, write Chinese medicine outpatient medical records in a serious and timely manner, which should be complete, accurate, neat and tidy, and sign the full name, and explain to the patient in detail about his/her condition and the precautions to be taken.
15.Implementing the system of responsibility for the first consultation, sticking to their posts, not leaving their posts without authorization, adhering to the principle of medical treatment, and issuing medical certificates according to the regulations.
16.The medical ethics, the instrument is decent, neatly dressed, indoor neat and clean, do a good job in the department of safety, fire and theft prevention work.
17. Do a good job in the department of air, object surface, ground and medical waste disinfection and treatment, to prevent and control cross-infection in the hospital, once the discovery of infectious diseases, immediately take isolation and other related measures.
Difficult cases discussion system
I. Consultation and discussion should be organized for any difficult cases, no clear diagnosis within three days of admission, poor treatment effect, and seriousness of the condition.
Second, the consultation is presided over by the head of the department or the chief physician (deputy chief physician), convene the relevant personnel to participate in serious discussions, as soon as possible to clarify the diagnosis and put forward a treatment plan.
Three, the physician in charge must be prepared in advance, the material will be organized and perfect, write a summary of the medical record, ready to speak.
Four, the physician in charge should make a written record, and the results of the discussion will be recorded in the record book of difficult cases. Records include: the date of discussion, the host and the participants of the professional and technical positions, condition report and the purpose of the discussion, the participants of the speech, the discussion of opinions, etc., certainty or concluding observations recorded in the course of the record.
Medical incident core reporting system
According to the "Regulations on the Handling of Medical Accidents" and the requirements of hospital management, after the occurrence of a medical incident, in order to facilitate the person in charge of the medical institution and the competent administrative department of health to grasp the situation in a timely manner, to start the medical incident handling plan; is conducive to the timely adoption of positive and effective therapeutic measures, to prevent the expansion of the consequences of the damage to the patient, to reduce the loss caused to the patient At the same time, it is also conducive to the timely and proper handling of medical errors, the development of the core reporting system of medical errors:
I. Internal Reporting System:
When a medical incident occurs or is discovered, medical negligence that may cause a medical incident or a dispute over a medical incident occurs, the medical staff, including directly related medical personnel and not directly related to each informed medical personnel shall immediately Report to the head of the department in which they work. Upon receipt of the report, the head of the department immediately reports to the Medical Section. The medical section immediately reported to the vice president in charge of business, until the report to the president.
Second, after the occurrence of medical errors, the dean or the vice president in charge of business to the Health Bureau report. The contents of the report include: the reporting unit, the time of the report; the time, location, the accident, the consequences (death, disability, organ damage, dysfunction, and other consequences of personal injury, etc.); doctors and patients of the parties involved in the situation; the death of the patient, whether the autopsy, the results of the autopsy; the preliminary treatment opinion, etc..
Critical and difficult cases discussion system
I. Critical or difficult cases in hospitalized patients must be given special attention, and timely convening of all physicians in the department to participate in the case of the seminar, *** with the study of the problem, and strive for early rescue. Each clinical department will arrange at least once a month. Departmental organization of critical and difficult medical records discussion is one of the hospital's medical quality monitoring content, the work of the relevant assessment content will be gradually incorporated into the hospital accountability assessment standards.
Two, all hospitalized patients in the diagnosis and treatment of difficult problems or critical condition, the physician in charge of the proposed, the attending physician approved by the department head agreed to arrange for discussion. If the condition involves multi-disciplinary, can apply for hospital-wide case discussion, reported to the Ministry of Medical Affairs, by the Ministry of Medical Affairs to organize the implementation.
Three, the case discussion should be hosted by the ward attending physician, the director of the department and all physicians to participate in the nursing staff to participate freely, the head nurse must participate.
Four, three days before the date of discussion, you can put the medical records, in the ward morning meeting, announced the patient's bed number, name, so that we can refer to the medical records in advance, check the patient, review the literature, and be prepared to speak or raise questions.
V. The physician in charge should organize the relevant materials in advance and make adequate preparation.
Sixth, the physician in charge of the meeting reported in detail medical records, and put forward their own views and opinions. Then the attending physician to analyze and summarize the case, put forward the preliminary diagnosis and problems and examination and treatment plan.
Seven, physicians can express their views or ask questions based on the case, to know everything.
VIII, the physician in charge and the attending physician to make additional statements, or to make appropriate explanations, we further discussion, exchange of views.
9. Finally, the head of the department will summarize and make comments.
Ten, the physician in charge of a good record of the speech, a special book to save, and choose to be recorded in the record of the day's course
Medical Consultation System
According to the requirements of the hospital management, in order to reflect the humane service, so that the patient's right to be fully respected, to get high-quality medical care, the development of the system:
1, all medical practitioners have the responsibility of patients to provide The responsibility of medical counseling.
2, in the whole process of consultation and treatment, whether outpatients or hospitalized patients, medical staff should be patient and detailed for patients to answer questions.
3. The content of medical consultation does not only refer to medical expertise or health promotion, but also includes other details related to the whole process of consultation in our hospital, such as drug prices, service content, medical procedures, etc.
4. Whether or not the medical staff provides patients with patient, timely and detailed medical consultation is one of the elements of medical quality assessment. Protective medical system
1, medical staff should have good medical ethics, in line with the humanitarian spirit of saving lives and a high sense of responsibility, respect, care, love and care for patients, the implementation of protective medical system.
Second, the medical staff in the implementation of the diagnosis and treatment process in any case involving the patient's language, should be clear and concise, well-proportioned, to avoid misunderstandings, misgivings, pessimism and other negative emotions or cause other unnecessary harm. The patient may cause adverse effects or harm to the condition analysis, case discussion shall not be carried out in the patient checkup.
Third, for the patient can cause mental harm to the disease, physiological defects, damage to personal reputation of the disease, medical personnel in the performance of the obligation to inform, without violating the protective medical system, shall not discriminate against patients, in the patient and family members to inform the disease, should use the standardized language, in particular, to pay attention to the art and effect of language.
Fourth, the medical staff in carrying out various diagnostic and treatment operations should be neatly dressed and dignified, warm and gentle attitude, patience and meticulous, skillful and accurate movements, high success rate, as far as possible to reduce the patient's tension, anxiety and pain.
Fifth, for teaching the need for on-site demonstration, or in the patient's conscious state, surgery, medical staff shall not disclose the patient should not know, not conducive to the recovery of their condition.
Sixth, due to the characteristics of medical activities, medical personnel in the disease diagnosis and treatment activities in a special position, active or passive understanding of the patient's medical history, symptoms, signs, family history and personal habits, hobbies and other privacy, privacy. Patients have the right to privacy, the right to privacy must be protected. Protection of patient privacy is the responsibility and obligation of medical personnel.
Seven, the patient's privacy only in the process of diagnosis and treatment to the medical staff, is unwilling to let others know the private sphere of the individual, the medical staff must be strictly confidential, without the consent of the patient shall not be divulged in any way to anyone.
Eight, the staff shall not use the convenience of work to privately access or copy medical records, test reports and other medical information. If necessary, they must consult with the specific physician in charge in accordance with the relevant rules and regulations of the hospital.
Nine, without the consent of the patient or his/her client, has no right to provide medical history information to other units in addition to the judiciary, the Center for Disease Control, the provincial and municipal health insurance centers.
Ten, in the case of the implementation of protective medical measures and it is not appropriate to let the patient informed of the situation, the patient's authorization to entrust their close relatives to exercise the right to information on behalf of the patient. If the patient is unable to exercise the right to information for some reason, the legal heir shall exercise the right to information on behalf of the patient.
Doctor-patient communication, doctor-patient talk and discharge follow-up system
According to the requirements of the hospital management, in order to better reflect the humanized service, so that the patient enjoys the right to know, the right to consent, to strengthen the communication between the doctor and the patient, to avoid unnecessary misunderstandings and contradictions between the doctor and the patient, and to create a harmonious environment for the medical treatment, the development of the hospital doctor-patient communication, doctor-patient talk and discharge follow-up system:
1, doctor-patient communication, patient talk and discharge follow-up system. /p>
1, each newly admitted patients, the doctor in charge of the patient and his family should personally on the patient's condition, diagnosis and treatment program for a detailed interview, patiently answer the questions of patients or their families. Throughout the hospitalization process, due to the condition of the need for special tests or the use of more expensive drugs, or the use of drugs that are not expensive but have greater side effects and may produce adverse reactions after use, the doctor should make a detailed description and explanation to the patient and his family in order to obtain the patient's understanding and consent, and, if necessary, to sign an informed consent form.
2, according to the requirements of the ministry of health and the actual needs of the hospital management, the medical side of the medical services provided to the patient, involving anesthesia, surgery, special tests, expensive drugs, disposable consumables, critical conditions, the diagnosis of the death of the time, automatic discharge, etc. To the patient or legally effective delegate to the patient or the signing of the relevant medical instruments, which include the patient on the hospital informed of the content of the The contents include the patient's opinion on the content of the hospital's notification, the date and the name. The above content is one of the important contents of the hospital's case examination team in the case examination. For problems in the specific operation process, the hospital case inspection team to put forward corrective comments, and urge doctors to make corrections in a timely manner.
3, the patient's condition is improved or cured or the patient automatically requested discharge, before discharge, the doctor in charge to consult a higher attending physician's opinion, and detailed explanation of the discharged precautions and take medication and so on. For patients with chronic diseases, the doctor in charge of the patient to be discharged within one to six months from time to time for at least one telephone follow-up, living in urban areas of patients with limited mobility to family follow-up.
Management system of public **** health emergencies
In order to strengthen the management of public **** health emergencies, to provide timely, scientific prevention and treatment of decision-making information, effective prevention, timely control and elimination of the hazards of public **** health emergencies, to protect the public's physical health and safety of life, is now in accordance with the "Emergency Regulations for Public **** Health Emergencies" and other laws and regulations. Develop this system.
1, emergency response to emergencies should follow the policy of prevention and constant preparedness. Implement the principle of hierarchical responsibility, timely response, decisive measures of emergency work, the establishment of emergency management network, and exercise the corresponding powers and duties, the relevant sections and related personnel should cooperate to ensure the smooth implementation of the emergency work. Strengthen the concept of legal system and respond to emergencies according to law. Once an emergency occurs, the emergency response system is immediately activated.
2, should first ensure that the emergency response to emergencies required, qualified communications equipment, medical rescue equipment, rescue medicines, medical equipment, protective items and other materials deployment and reserves, and do a good job of logistical support. Obedience to the health department emergency response to emergencies under the unified command of the command.
3, the Medical Department in charge of business under the leadership of the Vice President of the organization of the relevant departments, is responsible for carrying out on-site epidemiological investigation and treatment, search for close contacts, tracking the source of infection, if necessary, isolation observation; disinfection of outbreaks and its technical guidance.
4, in accordance with the legal requirements to implement the first doctor responsibility system, found a suspected public **** health outbreak outbreak, should immediately notify the Information Section by phone, while immediately reporting to the chief of the Medical Section and the Vice President of Operations. The Information Section shall report to the county disease prevention and control organization. No unit or individual shall conceal, delay or falsely report or authorize others to conceal, delay or falsely report.
5, to provide medical care and on-site rescue of persons who have become ill due to emergencies, receiving and treating patients, and writing detailed and complete medical records; patients who need to be transferred, the patient and his/her copy of the medical record should be transferred to the receiving or designated medical institution in accordance with the regulations. Have the right to require patients, suspected patients and close contacts of patients with infectious diseases who need to be isolated for treatment and medical observation in emergencies to cooperate in the adoption of medical measures. Refusal to cooperate, reported to the public security organs in accordance with the law to assist in enforcing and cooperate with the competent administrative department of health to enter the scene of the emergency for investigation, sampling, technical analysis and testing, shall not be refused for any reason.
6, on infectious diseases should be in accordance with the "Prevention and Control of Infectious Diseases Act" and other relevant legal requirements, early detection, early reporting, early isolation, early treatment, cut off the transmission pathway to prevent the spread. Strict implementation of disinfection and isolation, hospital infection control and other systems and measures to protect personnel to prevent cross-infection and nosocomial infections, and do a good job in the harmless disposal of dirt and sewage.
7, the hospital assumed responsibility for public **** health emergencies and infectious disease outbreaks monitoring information reporting tasks, the establishment of public **** health emergencies outbreaks information monitoring and reporting system and regular training for doctors and interns on public **** health emergencies and infectious disease outbreaks monitoring information reporting work.
8, found that concealment, delayed reporting, false reporting or authorize others not to report sudden public **** health incidents or infectious disease outbreaks, refused to receive patients, refused to comply with the emergency response command scheduling of their direct responsibility for administrative sanctions, causing the spread of the epidemic or deterioration of the situation and other serious consequences, by the judicial organs to pursue their criminal responsibility.
Emergency response plan for public **** health emergencies
I. General
(A) purpose
In order to control and dispose of the hazards of emergencies in a timely manner, to protect the public's physical health and safety of life, and to maintain social order.
(2) Working Principles
The emergency response to public **** health emergencies to implement the prevention-oriented, constant and unremitting policy, adhere to the unified command, hierarchical responsibility, rapid response, relying on science, the principle of management in accordance with the law.
(C) the preparation of the basis
This plan is based on the "People's Republic of China *** and the State Law on Prevention and Control of Infectious Diseases", "Emergency Regulations on Public **** Health Emergencies", "National Emergency Response Plan for Public **** Health Emergencies", and "Public **** Health Emergencies and Infectious Diseases Epidemiological Surveillance and Information Reporting Management Measures" as the basis for the preparation of the plan.
(D) Definitions
The public **** health emergencies (hereinafter referred to as emergencies) referred to in this plan refers to the sudden occurrence of major infectious disease outbreaks, mass unexplained diseases, major food and occupational poisoning, and other events seriously affecting the public health (such as: drinking water contamination incidents, medical infections). outbreaks, biochemical terrorist attacks, mass incidents caused by immunization, major medical accidents, hospital utilities and medical equipment accidents, natural disaster accidents, etc.).
(E) Scope of application
This plan applies to the emergency response to public **** health emergencies.
(F) emergency organization and responsibilities
Establishment of the emergency command group for public **** health emergencies, emergency command office, medical rescue expert guidance team, emergency disposal team.
Emergency command group for emergencies: responsible for coordinating with the higher departments and other relevant institutions, to ensure that under the leadership of the higher administrative departments, the unified leadership of the hospital's medical treatment work, the unified deployment of the hospital's personnel, materials, technology, so that the medical treatment work carried out in a timely and effective manner. The president of the hospital is the leader of the group, the vice president in charge is the deputy leader of the group, and the heads of the functional departments are the members of the group.
Emergency Command Office: under the leadership of the command group to coordinate the relationship between the various departments within the hospital, the specific organization and coordination of the relevant departments within the hospital, to ensure that the emergency public **** event treatment work in our hospital for smooth implementation. Mainly by the medical department, hospital office, nursing department, general affairs department, equipment section, information section responsible person. The office depends on the medical department. In order to ensure the normal medical order of the hospital and the smooth implementation of medical treatment, the emergency command office to coordinate the work of all departments within the hospital, found that the problem is resolved in a timely manner:
1, the Medical Department is responsible for arranging the admission of patients inside and outside the hospital, consultation, referral, organization of rescue and deployment of medical personnel;
2, the Nursing Department is responsible for nursing staff deployment and preparation of the medical supplies in the hospital area
3. The General Affairs Section is responsible for organizing the supply of all kinds of logistic materials, the maintenance of logistic equipments and the cleaning and disinfecting of the hospital's environment and uniforms;
4. The Equipment Section is responsible for the purchasing, stockpiling and supplying of related medical materials;
5. The Pharmacy Section is responsible for the purchasing, stockpiling and distributing of all kinds of medicines to ensure the supply;
6. The Information Section is responsible for the reporting of infectious disease outbreaks;
7. The Hospital Sensory Center is responsible for organizing the prevention and treatment of nosocomial infections and training.
Medical rescue expert steering group: under the leadership of the Emergency Command Office, for different categories of public **** health emergencies, to guide the emergency response team to carry out specific medical work and organize related scientific research work, timely recommendations and corrective measures. Composed of heads of clinical departments, epidemiologists, hospital infection experts and so on.
Emergency response team: under the command of the Emergency Command Office, participate in out-of-hospital and in-hospital medical treatment work. By the emergency department director or related medical professionals as a team leader, the relevant departments of physicians as team members.
Two, reporting and response
(A) monitoring
l, systematic monitoring of statutory infectious diseases, the implementation of key management of infectious diseases that are highly contagious or seriously hazardous, poisoning monitoring network and food monitoring network to strengthen the monitoring of biotoxins and chemical toxins.
2, to strengthen the work of key sections, when there is an unexplained infectious diseases, commonly used methods or treatments are ineffective or ineffective, the disease morbidity or mortality should be reported abnormally increased.
3, strictly in accordance with the relevant requirements of the higher health administrative departments to carry out their work, in order to facilitate the early detection and identification of biological and chemical terrorist attacks, and to strengthen the monitoring and analysis of epidemics and information exchange. Must do a good job of monitoring information related to the analysis, timely detection of anomalies, in order to rule out and confirm the biological, terrorist attacks and timely detection of infectious diseases epidemic characteristics.
4. Hygienic evaluation of hospitals where there are chemical drugs, radioactive drug storage and use, as well as places that cause environmental pollution and human hazards and social panic, to predict possible situations and make appropriate emergency preparations.
(ii) report
1, the responsibility of the reporter: the first physician found outbreaks, emergency command office staff, found that biological drinking water contamination events, outbreaks of infections of medical origin, biochemical terrorist attacks, immunization-induced mass incidents, major medical accidents, hospital water and electricity and medical facilities, natural disaster accidents, and other events of any person as the responsibility of the reporter.
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2, reporting procedures: the responsible reporter in addition to routine outbreak reporting, disease surveillance and other routine monitoring system requirements for reporting, the discovery of a variety of public **** health anomalies should be reported as soon as possible to the Information Section, the Information Section should be the fastest way to the County Health Bureau or disease control agencies report.
(C) start conditions:
Clinical encounter with sudden public **** health events, or when receiving instructions from higher health administrative authorities.
(4) Working Procedures:
l. Upon receiving the report, the medical section or the staff on duty will immediately report to the emergency response team of the emergency incident in order to decide whether to set up a steering group of medical rescue experts, and if it should be set up, the relevant experts will be notified to be in place by the medical section or the staff on duty.
2, the medical rescue expert guidance team, after receiving the instruction, immediately to the first department of consultation on the patient, to determine the severity of the incident, to guide the first physician to carry out the initial diagnosis and treatment, and to recommend the emergency command office whether to activate the emergency disposal team to treat the patient.
3, the emergency response team was notified, according to the situation immediately arrived at the hospital or outside the hospital to carry out medical treatment.
4, the emergency response team in a public **** health emergency command team and emergency command office under the command of the timely treatment of the injured and patients, the opening of special wards to isolate the patient and close contacts of the medical observation work.
(E) personal protection: outbreak emergency staff should pay attention to personal protection when carrying out treatment work. Admission of patients in the department should take appropriate health protection measures to prevent cross-infection and contamination.
Three, guarantee
(a) material security
Pharmacy and equipment section should be required to do a good job of emergency treatment of public **** health emergency drugs and materials reserves. Emergency stockpile materials should be properly stored, timely replenishment and updating. Clinical departments should do a good job in the ward all kinds of emergency medicine reserves.
(ii) technical security
Medical personnel at all levels must improve the ability of medical and health institutions to deal with all types of emergencies through various forms of learning. The clinical laboratory departments should actively carry out relevant experimental examination programs to improve the level of detection, to provide laboratory protection for faster identification and control of public **** health emergencies. Each department should collect, organize and analyze all kinds of information to develop response measures for carrying out relevant scientific research.
The Medical Section and Nursing Department should carry out training for medical staff on knowledge and skills related to emergency response to emergencies, and promote the latest knowledge and advanced technology.
Four, after the end of the treatment
(a) assessment
A public **** health emergency response command team in the public **** health emergencies after the treatment of the process and results of the assessment, summarize the lessons learned and put forward the improvement of the views and recommendations through scientific assessment.
(B) rewards and penalties
The public **** health incident handling process has made outstanding contributions to the department and individuals to give recognition and rewards, the failure of the department and the relevant responsible personnel according to the severity of the case to be investigated for the corresponding responsibility, in accordance with the relevant provisions of the seriousness of the treatment.
Chinese medicine consultation room system
In order to improve the diversified effects of inpatient treatment and reduce the economic burden of patients, according to the "Guidelines for Chinese Medicine Work in General Hospitals (Trial)" organized by the Ministry of Health, the State Administration of Traditional Chinese Medicine, and the Ministry of Health of the General Logistics Department and the "Implementing Opinions of the People's Government of Gansu Province on Supporting and Promoting the Development of the Cause of Traditional Chinese Medicine" (GANZHENGFA [2010] No. 32) and other relevant spirits, the Chinese medicine department of Gansu Province will continue to promote the development of the cause of traditional Chinese medicine. The spirit of the relevant spirit, our hospital to implement the system of Chinese medicine consultation room of each type of disease.
1. Establishment and implementation of the system of mutual consultation between Chinese and Western medicine, referral, room visits, Chinese medicine participation in the development of diagnosis and treatment programs, Chinese and Western medicine **** with the participation of case discussion, Chinese and Western medicine **** with the health emergency response, Chinese and Western medicine mutual learning exchanges, Chinese and Western medicine scientific research and collaboration;
2. Establishment of an effective collaboration mechanism to strengthen the cooperation between Chinese and Western medicine, Chinese medicine services to the hospital's various clinical departments, so that patients can receive Western medicine in our hospital, and to ensure that patients can receive Western medicine in the hospital. To enable patients to receive Western medicine services in our hospital at the same time can also enjoy safe, effective, timely and convenient Chinese medicine services;
3. The consumption of traditional Chinese medicine in Western medicine departments, traditional Chinese medicine, acupuncture, rehabilitation number of people with Chinese medicine treatment rate or participation in the treatment of the rate into the assessment indicators.
4. All departments should immediately apply for Chinese medicine consultation and checkup in case of difficult and critical illnesses such as complicated cases, or patients who are not well treated by western medicine for 3 days. Chinese medicine personnel receive consultation must be on call, on time and efficiently complete the consultation room task.
5. Before the consultation room of each department, the treating doctor and the attending doctor should prepare the medical history, summary of the four consultations and related materials. Consultation room should be fully discussed, to develop a reasonable Chinese medicine treatment plan in line with the patient's condition, make a good record and summary, and seriously do a good job of recording and analyzing the course of the disease, and continue to sum up the experience, and promote the overall development of Chinese medicine in our hospital.
Gansu Provincial People's Hospital, Chinese medicine personnel training system
I. Content and arrangement of training
1, organized four times a month business learning.
2, organize a monthly hospital infection knowledge learning.
3, to participate in the hospital organization of business learning, three basic theory examination and technical operation assessment.
4, regularly / irregularly organized learning, assessment of the core system, relevant legal knowledge, medical care emergency plan.
Second, according to the seniority of the different training requirements
1, 1 year after graduation is not yet qualified to practice training: the requirements of the basic clinical skills-based, and learning specialty knowledge and technology. Can skillfully master the daily operation skills. Monthly technical operation assessment, theoretical knowledge assessment and hospital security knowledge assessment.
2, 1-5 years after graduation rotation personnel training:
The training objectives:
1) have skilled basic operating skills
2 can master the use of various departments of the instrument.
(3) To be able to master the dosage and toxic reaction of drugs commonly used in various departments and related departments
(4) To master the writing of medical documents.
(5) Be able to master the first aid technique of cardiopulmonary and cerebral resuscitation.
(6) Be able to master the medical care of common and frequent diseases in each departmental section.
Training programs and methods:
(1) Encouragement of self-study
(2) Passing on, helping, and bringing by senior personnel
(3) Training in practice: use of medical and nursing care business check-ups, organizing thematic lectures, as well as through practical business guidance to strengthen the basic skills of training and systematic theoretical learning.
(4) monthly technical operation examination, theory examination, hospital infection knowledge examination.
3, 5-8 years after graduation personnel training
Training objectives:
1) have proficient basic theoretical knowledge and basic operational skills, able to perform systematic medical care.
(2) Proficiency in knowledge and skills to cooperate with resuscitation in various departments
(3) Ability to participate in the design of medical and nursing research projects.
(4) To achieve the conditions and level of the post of Junior One (Division).
(5) Be able to skillfully master cardiopulmonary brain resuscitation techniques.
Training programs and methods:
(1) Encourage self-study.
(2) Participate in undergraduate and post-secondary advanced study: self-study, correspondence or off-the-job advanced study
(3) Participate in short-term thematic study when available.
(4) monthly technical operation examination, theory examination, nosocomial infection knowledge examination.
4, training for physicians, nurse practitioners, Chinese medicine technicians
Training objectives:
1) Proficiency in basic medical care and specialized medical care technology, mastery of medical care for critically ill patients and first aid technology.
(2) To master the new technology and knowledge of the specialty, to be able to apply medical and nursing theory, technology and medical and nursing procedures, to carry out physical and mental holistic medical treatment and nursing care for patients
(3) To be able to take part in internships to teach interns, to participate in scientific research and to summarize experience or write papers
(4) To be able to participate in the resuscitation of the critically ill patients alone to cooperate with the work.
(5) Be able to organize business study, nursing checkups, etc..
Training programs and methods:
(1) Self-study, further training, and participation in specialized refresher courses when available.
(2) Quarterly assessment of business knowledge.
(3) Monthly technical operation assessment.
5. Training for attending physicians, nurse practitioners in charge and technologists in charge
Training objectives:
1) To have classroom teaching and clinical teaching ability, and to be able to organize the undergraduate wards of medical treatment, nursing consultation, medical and nursing checkups, and to participate in the hospital-wide medical and nursing consultation.
(2) Progressively meets the qualifications for the position of associate professor.
(3) have rich experience in clinical medical care for difficult and critical patients, with strong management, teaching and research ability
Training programs and methods:
(1) the same as the primary (division) training methods
(2) planned to be sent to the hospital outside the counterparts of the short-term study
(3) quarterly combined with the hospital and the Department of the content of the study exam.
V. Organization and management
(a) The standardized training of Chinese medicine residents is highly policy-oriented and extensive, and it is necessary to strengthen macro management and guidance. The hospital's Chinese medicine management department is responsible for planning, organizing, guiding and implementing the standardized training of Chinese medicine residents, and formulating the management methods of standardized training of Chinese medicine residents, training and assessment syllabus, and the implementation rules for the training of each secondary discipline.
(2) Chinese medicine management section is responsible for the organization, guidance and implementation of the standardized training of Chinese medicine residents, and to develop a specific implementation plan; to implement the continuing education registration system, the establishment of standardized training assessment files of Chinese medicine residents, and to do a good job in the daily records and annual registration.
(3) The funds required for the training shall be expended within the hospital's continuing education funds, and the hospital shall actively create conditions to ensure the smooth progress of the training work.
(e) hospitals to hire higher schools of traditional Chinese medicine, the Chinese medicine academic groups experts as instructors, to give full play to the advantages of experts and academic and technical expertise, and actively provide teaching and technical services for the standardized training of Chinese medicine residents.