Article 1 In order to further strengthen the pre-hospital emergency work in our county, establish a pre-hospital emergency service system that meets the needs of the society and is relatively perfect, and safeguard the people's health and safety of their lives, we have formulated this implementation plan in accordance with the State Council's "Regulations for the Administration of Medical Institutions" and the relevant provisions of the Ministry of Health and the Ministry of Information Industry's "Circular on the Strengthening of the Construction of the Pre-hospital Emergency Network and the Management of the "120 "special service number code management notice" of the relevant provisions, specially formulated the implementation of the program.
Second Article This program applies to the county territory engaged in pre-hospital emergency and other diagnostic and therapeutic activities such as hospitals, health centers, outpatient clinics and clinics and other medical institutions.
Article 3 pre-hospital emergency care refers to medical institutions and their medical staff outside the hospital, emergency patients (injuries) on-site first aid, handling and supervision of transport and other diagnostic and therapeutic activities.
Article 4 pre-hospital first aid should follow the proximity, emergency, safety, rapid, efficient, first save life after treatment of disease (injury), first treatment of serious disease (injury) after treatment of light disease (injury) of first aid principles, to achieve well-organized, timely response, standardized operation, to minimize the occurrence of death or disability.
Article V pre-hospital first aid must comply with relevant state laws, administrative regulations, departmental rules and regulations and diagnosis and care norms, routines, and adhere to the purpose of saving lives, preventing and treating diseases, and serving the health of citizens.
Article VI of the county health bureau set up a pre-hospital emergency leading group, leading group office in the medical policy prevention and protection section, specifically responsible for the county's pre-hospital emergency emergency organization, coordination and supervision and management work.
Chapter II network construction and responsibilities
Article 7 The county to establish a "120" emergency medical information platform, set up in the county people's hospital "120" emergency dispatch station, responsible for the county pre-hospital emergency medical network of daily scheduling, Command work. Its duties are:
(a) entrusted by the county health administrative department, responsible for five people and the following public **** health emergencies and disasters and accidents in the pre-hospital emergency medical dispatch, command;
(b) responsible for accepting the county's medical rescue. When receiving a disaster report or rescue call for help or rescue instructions, should be based on the principle of pre-hospital emergency, immediately notify the nearest pre-hospital emergency first or second level medical institutions from the place of occurrence of the accident (incident), and organize on-site rescue;
(c) when receiving a public **** health emergencies or disaster accidents at a time injured (sick) five people and more medical rescue call for help, should be reported within five minutes to the county health Administrative department. The county health administrative department is responsible for organizing, scheduling, directing pre-hospital emergency work.
Article 8 The county to establish a pre-hospital emergency network system, set up one, two, three pre-hospital emergency network medical institutions. Specifically set up as follows:
The first level of pre-hospital emergency network medical institutions: beat pass, an stable, fu huan, dingshan, yongcheng, hengshan, xinsheng, zhongfeng, puhe, tonghui, qiaohui, sanhui and other health centers and fengchun coal mine, shitian coal mine, beat two mines, songzao coal mine, chongqing smelting plant, chongqing iron and steel plant, chongqing aluminum plant and other employee hospitals;
The second level of pre-hospital emergency network medical institutions: dongxi, Cushui, Shitou, Guofu, Zhantang, Sanjiang, Shijiao, Longsheng, Triangle, Yongxin, Guonan and other (central) health centers and the county hospital of traditional Chinese medicine, the county maternity and child health care hospitals and the Songdian General Corporation, Qijiang Iron Mine, Qijiang Gear Factory and other staff hospitals;
Tertiary pre-hospital emergency network medical institutions: the Qijiang County People's Hospital (Chongqing Emergency Center Qijiang sub-center).
Article IX pre-hospital emergency network medical institutions at all levels of responsibility:
(A) the first pre-hospital emergency network medical institutions work
1, responsible for the county pre-hospital emergency leading group office and the county "120" emergency dispatch station on the first level of the pre-hospital emergency network medical institutions to report emergencies Public **** health incident or disaster accident situation;
2, after the sudden public **** health incident or disaster accident, rapid organization of medical rescue team, active and timely to the scene to carry out medical rescue work;
3, is responsible for undertaking the general minor injuries (illness) of the medical treatment work;
4, is responsible for the construction of the emergency room of this medical institution, the reserve of medical rescue medicines, equipment and materials, the establishment of medical rescue
4. It is responsible for the construction of the emergency department of the medical institution, stocking medical rescue medicines, equipments and materials, establishing the medical rescue team, and carrying out the training of rescue-related business knowledge and skills;
5. It accepts the instructions of the county pre-hospital emergency leading group office and the county "120" emergency dispatching station, and obeys the dispatching.
(B) the second pre-hospital emergency network medical institutions
1, responsible for the jurisdiction (piece) area of the sudden public **** health incidents or disasters and critical injuries (illnesses) of the medical emergency mission;
2, is responsible for the development of the pre-hospital medical emergency medical care in the medical institutions of the emergency work plan, and seriously organize the implementation of the work;
3, responsible for the county pre-hospital emergency leading group office and the county "120" emergency dispatching station. County pre-hospital emergency leading group office and the county "120" emergency dispatch station to report the jurisdiction (piece) area of the public **** health emergencies or disasters and accidents, and to assist the relevant departments and units of the incident (accident) investigation;
4; responsible for the establishment and improvement of the medical institutions of the emergency medical emergency departments, reserves, Deployment of medical rescue medicines, equipment and materials;
5; responsible for the formation of the jurisdiction (area) of the pre-hospital first aid team, to carry out this level and the next level of pre-hospital first aid network of medical institutions related to the professional staff of the rescue knowledge, skills of the training work;
6; equipped with normal operation of the first aid vehicles and related pre-hospital first aid equipment, medicines and materials;
7; bear the County Pre-hospital emergency leading group office and the county "120" emergency dispatch station assigned other directive tasks, to obey the transfer.
(C) three-level pre-hospital emergency network medical institutions
1, responsible for the county "120" pre-hospital emergency information platform construction, to ensure that the call for help and rescue information unimpeded;
2, to undertake the county's public **** health emergencies or disasters and the medical care of the critically injured (ill) people Emergency mission;
3, commissioned by the county health administrative department, is responsible for the county's pre-hospital emergency medical and health resources scheduling, command, rational use of the county's pre-hospital emergency medical and health resources;
4, to undertake the county's pre-hospital emergency medical and health care training, further training, academic and other tasks;
5, is responsible for the development of the county's pre-hospital emergency emergency emergency response plan, and conscientiously organize the implementation of the plan; < /p>
6, is responsible for the county pre-hospital emergency medicine, equipment and supplies related to the reserve and deployment of the use;
7, undertake the county health administrative department assigned to other emergency emergency tasks.
Article X of the implementation of public **** health emergencies or disasters pre-hospital emergency first aid reporting system. Where an injury (disease) in six or more people and public **** health emergencies or disaster, the occurrence of the nearest medical institutions and their personnel should be in the shortest possible time to the county pre-hospital emergency leading group office and the county "120" first aid dispatching station report. The content of the report is:
1, the incident (accident) occurred at the time, location, number of casualties and the nature of the incident (accident);
2, the main injuries (illness), has been taken to medical treatment measures, as well as invested in medical resources and other situations;
3, rescue of the injured (sick) the basic situation (return), the urgent need to solve the problem of medical rescue and so on.
4, assessment of damage to the incident or accident;
5, the relevant departments, units and personnel involved in the incident (accident) investigation and handling.
Chapter III pre-hospital medical care
Article 11 After the occurrence of an emergency public **** health incident or disaster accident, the incident site of the pre-hospital first and second level network of medical institutions received a call for help report or superior instructions, should be mobilized within five minutes of the completion of the hospital's medical and nursing staff, vehicles, resuscitation equipment and medicines, led by the president or the sub-principal of the hospital, quickly and promptly rushed to the scene of the incident, and Actively carry out medical rescue work.
Article XII sudden public **** health incident or disaster accident once injured (sick) 6 people or died more than 1 person, to participate in the medical rescue of all levels and types of medical institutions and their health care personnel must obey the county pre-hospital emergency leading group and "120" emergency dispatch station of the unified command and dispatch, and unconditionally undertake to assign the rescue tasks. All rescue tasks.
Article XIII of public health emergencies or major disasters and accidents, should be set up in the event (accident) on-site medical rescue headquarters, fully responsible for directing the scene of the medical rescue work. Its chain of command is set up as follows:
(1) after the occurrence of the incident or accident, the hospital director (or the doctor with the highest position) who arrived at the scene first shall be the head of the rescue team, and shall unify the command of the medical rescue work before the arrival of the relevant personnel of the county pre-hospital emergency care leading group and report the situation of the on-site medical rescue at any time to the leaders who rushed to the scene of the incident;
(2) the on-site medical rescue Command by the county pre-hospital emergency leading group dispatched by the highest administrative head as a leader, arrived at the scene of the pre-hospital emergency network of medical institutions at all levels of the person in charge of the members of the work of the task as follows:
1, depending on the injuries (illness) set up the sick and wounded triage office;
2, the scene of injuries and illnesses and the state of affairs make a rapid and accurate assessment;
3, the command and mobilization of the scene and the The incident of medical and health care resources;
4, to the county pre-hospital emergency leading group to report the situation and receive instructions.
Article 14 Strictly implement the triage and transportation system for the sick and wounded. General disaster accidents in the implementation of the nearest emergency triage and transfer of the sick and wounded; where a sudden public **** health incidents or disaster accidents at a time injury (illness) 6 (or death of a person) and above, by the on-site medical rescue command to decide whether to refer, and according to the specific circumstances, a reasonable triage.
Article 15 After the on-site examination and classification of the injured (sick), disposal, according to the injury (illness) to the nearest medical emergency organization triage. The principles are:
1, by the scene of the medical rescue command or county pre-hospital emergency leading group designated pre-hospital emergency medical institutions transfer (must have medical supervision on the way) to the nearest medical institutions capable of treatment;
2, the injured (sick) on-site treatment of the doctor should fill out medical paperwork in duplicate, and timely delivery of on-scene command summarized, and to the medical institutions to accept the transfer of the injured (sick)
3, respect for the injured (sick) and their families on the right to choose the treatment of medical institutions;
4, the transfer of guardianship on the way, by the arrival at the scene to accept the task of rescue pre-hospital emergency medical institutions assigned medical personnel escort;
5, pre-hospital emergency medical institutions are strictly prohibited from scrambling, shirking responsibility, and refusing to diagnose the injured (sick).
Chapter IV "120" set up and emergency room construction
Article XVI of the pre-hospital emergency medical institutions at all levels should effectively strengthen the unit's emergency room construction, in strict accordance with the "Emergency Room Construction Code" requirements, improve and equip the appropriate emergency and first-aid facilities and resuscitation equipment, medicines, at any time. Standby.
Article XVII of the pre-hospital emergency medical institutions at all levels shall establish and improve the pre-hospital emergency leadership group, the formation of pre-hospital emergency emergency response team, and effectively strengthen the emergency first aid health knowledge, basic skills training, and constantly improve the quality of medical personnel, enhance the level and ability of first aid.
Article 18 The pre-hospital emergency medical institutions at all levels must establish a 24-hour duty system, the establishment of pre-hospital call duty telephone, and to the administrative region announced that there is a person on duty, a person in charge of pre-hospital emergency work;
Article 19 Strengthening of the pre-hospital emergency "120" special service code management, the county in the County The county in the county people's hospital to establish only one emergency center, accepting "120" medical rescue call for help. Other pre-hospital emergency network of medical institutions set up pre-hospital call duty phone, without the approval of the health administrative department, is strictly prohibited to set up "120" or "120" similar (such as: 96120, 999 or 995, etc.) other forms of emergency telephone.