II. Personnel
(A) physician.
1. At least one oral category of licensed physicians qualification, registered in the medical, health care institutions engaged in oral health care work for five years, healthy practitioners.
2. For every additional 2 comprehensive oral treatment table, at least 1 additional oral surgeon.
3. Set up more than 4 oral comprehensive treatment table, at least 1 with dental attending physician or higher professional and technical qualifications.
(ii) Nurses.
1. At least one registered nurse.
2. At least 1 additional registered nurse for every 3 additional comprehensive dental treatment tables.
Three, housing
(a) 1 oral comprehensive treatment table, the floor area of not less than 30 square meters; more than 2 oral comprehensive treatment table, each floor area of not less than 25 square meters.
(b) the clinic in the net area of not less than 9 square meters per oral comprehensive treatment table.
(c) The housing setup should be in line with the hygienic layout and flow.
Four, equipment
(I) basic equipment.
Light curing lamp, ultrasonic cleaner, air purification equipment, autoclave sterilization equipment.
(ii) First aid equipment.
Oxygen cylinders (bags), cotters, dental pads, oral airways, artificial respirators.
(iii) Per oral comprehensive treatment table unit equipment.
Dental treatment chair (with a surgical light 1, 1 spittoon, 1 instrument tray) 1, 1 set of high-speed and low-speed dental cutting device, 1 set of saliva suction device, 1 set of triple spray gun, 1 physician's chair, 1 medical record writing table, 1 set of oral examination instruments. Diagnostic and therapeutic equipment in line with the one person, one use, one sterilization configuration.
Which, clinical testing, disinfection and supply of other legitimate institutions to sign a relevant service contract, by other institutions to provide services, may not be equipped with laboratory and disinfection supply room equipment.
V. With the national unified regulations and technical specifications, the development of clinic staff duties.
Sixth, the registered capital in place, the amount determined by the provinces, autonomous regions and municipalities directly under the Central Health Administration.
The approval of the dental clinic 1, medical institutions regulations
Article 10 application for the establishment of medical institutions, the following documents should be submitted:
(a) set up an application;
(b) set up a feasibility study report;
(c) site selection report and architectural design plan.
2, the Regulations for the Implementation of Medical Institutions:
Individuals who set up clinics in the city must also have the following conditions:
(a) qualified by the technical examination of the practice of medicine, to obtain the "Physician License";
(b) to obtain the "Physician License" or physician title, engaged in the clinical work of the same profession for more than five years;
(c) to set up a clinic in the city. p>
(C) provinces, autonomous regions and municipalities directly under the Central Government health administrative department of other conditions.
The technical standards for physician practice are developed separately.
In the townships and villages to set up clinics in the conditions of individuals, by the provinces, autonomous regions and municipalities directly under the central health administrative departments.
Specific detailed steps:
1, individual clinics are generally located in the for-profit medical institutions
2, enrolled in the health administrative department of the organization of the individual physician practice exam (registration conditions are generally healthy, practicing physicians, local permanent residence, etc., specifically with the Health Bureau of Medical Affairs, including registration time, etc.), the examination was successful in obtaining a certificate of conformity.
3, to the Health Bureau to submit an application for application, including: set up an application; set up a feasibility study report; site selection report and architectural design plan; qualifications and certificates of passing the examination.
4, the health department agreed to issue the approval letter for the establishment of medical institutions, with the approval letter to the industrial and commercial sector for name approval and registration.
5, to the Health Bureau to fill out the "application for registration of medical institutions to practice registration," and: medical institutions with proof of property rights or proof of use of the building; medical institutions, architectural design plans; proof of capital verification, asset evaluation reports; medical institutions, rules and regulations Medical institutions, legal representatives or the main person in charge of the relevant qualification certificates, certificates of practice;
6, after the examination of the qualifying Receive the license to practice in medical institutions.
7. Register with the tax department and receive invoices. Printing medical records and prescriptions.
8, open
Registered clinics (dental clinics) the new standard requirements for registered capital must be not less than 50,000 yuan (the amount of registered capital of the clinic by the provinces, autonomous regions, municipalities directly under the Central Health Administration to determine), the clinic in addition to the basic medical equipment, but also need to have artificial respiratory and other first aid equipment. At least 1 oral comprehensive treatment table; at least 1 oral category of licensed physician qualification, after registration in the medical, health care institutions engaged in oral diagnosis and treatment work for 5 years, the health of the licensed physician; each additional 2 oral comprehensive treatment table, at least 1 additional oral surgeon; set up more than 4 oral comprehensive treatment table, at least 1 with oral attending physician or more qualifications of professional and technical positions. The staff.
At the same time, set up a comprehensive oral treatment table clinic, the floor area of not less than 30 square meters; set up more than 2 comprehensive oral treatment table, each floor area of not less than 25 square meters; clinic in the net area of not less than 9 square meters of each comprehensive oral treatment table; housing set up in line with the layout of the hygiene and flow. Basic equipment including light curing lamp, ultrasonic scaler, air purification equipment, autoclave sterilization equipment; first aid equipment including oxygen cylinders (bags), openers, dental pads, oral airway, artificial respirator.
In addition, each oral comprehensive treatment table unit equipment: dental treatment chair (with a surgical lamp, spittoon 1, 1 instrument tray) 1, high-speed and low-speed dental cutting device 1 set, suction salivary device 1 set, a three-purpose spray gun 1, physician's chair 1, 1 table for writing medical records, 1 set of oral examination instruments. Diagnostic and therapeutic instruments are in line with the one-person-one-use-one-sterilization configuration. Among them, clinical testing, disinfection supply and other legitimate institutions to sign a relevant service contract by other institutions to provide services, may not be equipped with laboratory and disinfection supply room equipment.
Note: Dental clinics need to declare the subject code for:
12. Stomatology 12.01 Oral Medicine 12.02 Oral and Maxillofacial Surgery 12.03 Orthodontics 12.04 Oral Restorative 12.05 Oral Preventive Health Care 12.06 Other
The Ministry of Health issued a medical institution oral diagnostic and therapeutic instruments disinfection technology operation
In order to further strengthen the disinfection of oral diagnostic and therapeutic instruments in medical institutions, and to ensure medical quality and safety, the Ministry of Health has organized relevant experts to formulate the "Code of Practice for the Disinfection of Oral Diagnostic and Therapeutic Instruments in Medical Institutions" (hereinafter referred to as "the Code") on the basis of investigation and research, which is hereby issued to you for your compliance with the implementation of the following requirements:
One, medical institutions at all levels and types of Medical institutions at all levels must attach great importance to oral diagnostic and therapeutic instrument disinfection work, oral diagnostic and therapeutic instrument disinfection quality into the quality of medical care and medical safety management. Before the implementation of the "norms", to carry out dental diagnostic and treatment services of medical institutions must be in accordance with the requirements of the "norms" of self-examination and rectification work, the establishment of sound and implementation of various rules and regulations relating to the disinfection of oral diagnostic and treatment instruments, and effectively ensure the quality of disinfection, to meet the requirements of the "norms", prevention and control of hospital infections due to the problem of disinfection of oral diagnostic and treatment instruments and health-care-originated infections.
II. Strengthen the study and training of the Code. To carry out dental diagnosis and treatment services of medical institutions, must seriously organize the study and comprehensive implementation of the "norms", the relevant hospital infection management personnel, engaged in oral diagnostic and treatment services and oral diagnostic and treatment equipment disinfection of medical personnel should receive appropriate training, correct mastery of disinfection and sterilization techniques.
Third, health administrative departments at all levels to strengthen the supervision and management of medical institutions oral diagnostic and treatment equipment disinfection work, does not meet the requirements of the "norms" of the medical institutions, shall not carry out the corresponding dental diagnosis and treatment subject services.
March 3, 2005
Attachment:
Sterilization of oral diagnostic and therapeutic instruments in medical institutions, technical specifications
Chapter I General
Article 1 In order to regulate the disinfection of oral diagnostic and therapeutic instruments, to protect the quality of health care and medical safety, the development of this specification.
Second, this specification applies to general hospital stomatology, stomatology hospitals, stomatology clinics and other medical institutions to carry out dental diagnostic and therapeutic services.
Article 3 The medical institutions to carry out dental diagnostic and therapeutic services, must be included in the disinfection of oral diagnostic and therapeutic instruments in medical quality management, to ensure that the disinfection effect.
Article IV of the local health administrative departments at all levels are responsible for the supervision and management of the sterilization of oral diagnostic and therapeutic instruments within the jurisdiction of the medical institutions.
Chapter II Basic Requirements
Article 5 of the dental diagnosis and treatment services in medical institutions should develop and implement the oral diagnostic and therapeutic instruments disinfection of the rules and regulations, the establishment of a sound system of responsibility for the management of disinfection, and effectively carry out their duties to ensure that the quality of disinfection work.
Article VI engaged in oral diagnosis and treatment services and oral diagnostic and therapeutic instrument disinfection of medical personnel, should master the oral diagnostic and therapeutic instrument disinfection and personal protection and other hospital infection prevention and control knowledge, follow the principle of standardized prevention, strict compliance with the relevant rules and regulations.
Article VII of the medical institutions should be based on the oral diagnostic instruments and material characteristics of the degree of risk, choose the appropriate method of disinfection or sterilization, and follow the following principles:
One, into the patient's oral cavity of all the diagnostic and therapeutic instruments, must meet the "one person, one with a disinfection or sterilization" requirements.
Second, all contact with the patient's wounds, blood, broken mucous membranes or enter the human body sterile tissues of various types of oral diagnostic and therapeutic instruments, including dental handpieces, car needles, endodontic instruments, extraction instruments, surgical instruments, periodontal therapy instruments, dressings, etc., must be sterilized before use.
Third, contact with the patient's intact mucous membranes, skin oral diagnostic and therapeutic instruments, including mouth mirrors, probes, dental tweezers and other oral examination instruments, various types of physical measurement instruments used to assist in the treatment of impression trays, mouthwash cups, etc., must be sterilized before use.
four, all contact with the patient's body fluids, blood restoration, orthodontic models and other items, must be sterilized before sending the technician room operation.
V. Dental integrated treatment table and its supporting facilities should be cleaned and disinfected daily, in case of contamination should be cleaned and disinfected in a timely manner.
Sixth, dental instruments for cleaning, disinfection or sterilization of staff, in the process of operation should be good personal protection.
Article VIII of the medical staff for oral diagnosis and treatment operations, should wear masks, hats, there may be a patient's blood, body fluids splash, should wear goggles. Before and after each operation should be strictly hand washing or hand disinfection.
Medical personnel wearing gloves when operating, each treatment of a patient should be replaced with a pair of gloves and hand washing or hand disinfection.
Article IX of the oral cavity diagnosis and treatment process of medical waste shall be in accordance with the "Medical Waste Management Ordinance" and the relevant rules and regulations for disposal.
Article 10 of the oral diagnosis and treatment area and oral diagnostic and treatment equipment cleaning, disinfection area should be separate, reasonable layout, to meet the diagnosis and treatment work and oral diagnostic and treatment equipment cleaning, disinfection work of the basic needs.
Chapter III disinfection procedures and points
Article XI of the oral diagnostic instruments disinfection work, including cleaning, instrument maintenance and maintenance, disinfection or sterilization, storage and other work procedures.
Article XII of the oral cavity diagnostic and therapeutic instrument cleaning work is:
I, oral cavity diagnostic and therapeutic instruments should be used in a timely manner with flowing water thoroughly cleaned, and the way it should be used to manually scrub or use mechanical cleaning equipment for cleaning.
Second, the conditions of the hospital should use enzyme cleaning solution, and then rinse with running water; complex structure, crevice instruments, should be used ultrasonic cleaning.
Third, after cleaning the instruments should be dry or mechanical equipment drying.
Article XIII of the oral cavity diagnostic and treatment instruments should be cleaned after the maintenance and maintenance of oral instruments, dental handpieces and special oral instruments injected into the appropriate amount of special lubricants, and check the performance of the instruments.
Article XIV according to the use of different ways of disinfection and sterilization of oral diagnostic and therapeutic instruments for packaging, and indicate the date of disinfection, expiration date on the outside of the package.
The use of rapid card-type pressure steam sterilizer sterilized instruments, unsealed bags, naked sterilization stored in sterile containers for spare; once opened for use, the expiration date shall not exceed 4 hours.
Article XV of the dental handpiece and moisture and heat resistance, the need for sterilization of oral diagnostic instruments, preferred method of pressure steam sterilization for sterilization, or ethylene oxide, plasma and other sterilization methods for sterilization.
The instruments that are not resistant to moisture and heat and can be fully exposed to disinfectant can be sterilized by chemical methods of immersion or sterilization. Residual disinfectant should be rinsed off with sterile water before the instruments are used.
Article XVI before the start of each treatment and after the end of the timely pedal gate rinse lumen for 30 seconds to reduce the suction back contamination; conditions can be equipped with lumen anti-suction device or the use of anti-suction dental handpiece.
Article XVII of the oral cavity treatment area should ensure environmental cleanliness, daily cleaning and disinfection of the oral cavity treatment, cleaning and disinfection area; daily regular ventilation or air purification; may cause contamination of the treatment environment surfaces in a timely manner to clean, disinfected