Article 1 These rules are formulated according to the needs of spiritual civilization construction in hospitals and the basic requirements of "Medical Ethics Standards and Implementation Measures for Medical Staff in People's Republic of China (PRC)".
Article 2 Medical ethics is the basic ideological and moral quality that medical staff must possess, and it is the sum total of the relationship between medical staff and patients, society and medical staff. Medical ethics is a guideline to guide the thinking and behavior of medical staff in medical activities.
Article 3 The detailed rules for the implementation of medical ethics norms are to promote medical ethics education, medical ethics training, medical ethics evaluation and the specific implementation of medical ethics norms. Only by establishing and practicing socialist medical ethics can hospital staff truly carry forward the purpose of saving lives, practicing socialist humanitarianism and serving people's health wholeheartedly.
Article 4 These Rules are applicable to hospitals at all levels and their personnel, and the dean is responsible for organizing the implementation.
Chapter II Medical Ethics Requirements of Various Personnel in Hospitals
Article 5 According to the working characteristics of all kinds of hospital staff, the following medical ethics requirements are put forward:
1. Hospital staff should take saving lives, preventing and treating diseases as their own responsibility, implement socialist humanitarianism, love their jobs, work with peace of mind, stick to their posts, fulfill their duties, conscientiously implement various rules and regulations, be meticulous, be not afraid of being dirty or tired, do everything possible to alleviate patients' pain and devote themselves to health undertakings.
2. Respect the personality and rights of patients, treat patients equally regardless of nationality, gender, occupation, status and property status, and achieve "four similarities" (like strangers, like acquaintances; Like mass cadres; Outside the hospital, as in the hospital; The same is true in rural cities. )
3. Treat patients with civilized language, sincere attitude, steady behavior and dignified appearance, sympathize with, care for and be considerate of patients, and achieve "five hearts" (check carefully; Careful treatment; Explain patience; Listen to opinions with an open mind; Let patients and their families rest assured. ) no cold, hard, top, push phenomenon.
4. Abide by the law, be honest and upright, do not seek personal gain by taking advantage of work, do not accept meals and gifts from patients, and are not allowed to extort property from patients. Always cherish your personality and national dignity.
5. Keep medical secrets for patients, implement protective medical care, and do not disclose patients' privacy and secrets.
6. We should unite and cooperate, consciously safeguard the collective honor, respect the old and love the young, respect each other, learn from each other's strong points and accomplish various tasks together. There should be no difference between friends and relatives, jealousy of talents, endangering unity and affecting work.
7. Keep improving in business technology, learn with an open mind, study hard, have a scientific style of seeking truth from facts and enterprising spirit, absorb advanced experience at home and abroad, update knowledge and carry out new technologies and projects. Actively participate in reform and innovation, use new medical models, develop medical science, and improve professional technology and hospital management.
Sixth doctors (scholars) medical ethics requirements:
1. Timely and accurate diagnosis and treatment of patients, careful observation of the condition, courage to be responsible for rescuing patients, and race against time.
2. Seriously implement the three-level physician responsibility system. Superior doctors should not only guide their business and impart technology, but also pay attention to medical ethics, thinking and style; Doctors at the same level should respect, learn from and support each other; Junior doctors should respect their superiors, learn with an open mind and obey guidance.
3. Actively absorb and introduce new medical experience at home and abroad, develop new technologies and projects, carry out scientific research and develop medical science. Take the lead in learning and applying new medical models, attach importance to the influence of psychological and social factors on diseases, and mobilize patients' confidence in overcoming diseases.
4. Adhere to the principle of medical treatment, consciously resist and correct unhealthy tendencies, be unkind, do not forge diagnosis certificates, lie about data, plagiarize others' achievements, do not resort to deceit, report mistakes and accidents to superiors in time, and actively take remedial measures.
5. For patients who need surgery, we should carefully choose the surgical method, adopt the best surgical method, make careful preparations before operation, carefully operate during operation and carefully observe after operation.
For gynecological patients, the examination settings should be isolated from the outside world. When male doctors do gynecological examination, they must have a third party present, treat sexual organ diseases cautiously, and give full consideration to the sexual and reproductive functions of patients.
Pediatric patients should observe carefully, care carefully, pay attention to the influence on children's body and mind, understand parents' mood, and obtain parents' cooperation.
Infectious patients should be found, diagnosed and treated as soon as possible. Strictly implement the disinfection and isolation system to prevent cross-infection, and contact patients cordially and sincerely to reduce their ideological burden and fear.
We should respect the personality of mental patients, do not discriminate, insult or abuse them, show deep sympathy for them and actively treat them. Contact with patients of the opposite sex, be kind and gentle, and maintain a high degree of self-love. Do not retaliate and punish patients for hurting people and destroying things, pay attention to mental health, open treatment, protect patients' safety, and keep the illness secret.
Article 7 The medical ethics requirements of nursing staff are as follows:
1. Love nursing major, self-esteem, self-love, self-respect and self-improvement. Carry forward the careful, accurate, diligent and considerate excellent windproof, and do a good job in basic nursing, psychological nursing and responsibility nursing.
2. Study hard, study hard, use new medical model, update nursing knowledge, develop nursing science, develop new technology and improve nursing professional level.
3. Close cooperation between doctors and nurses, conscientiously implement the doctor's advice, patrol the patients, carefully observe the condition, hand over the shift on time and accurately, and strictly "check three times and seven pairs" (make rounds after dispensing medicine; Check before taking medicine, injection and disposal; Inspection after injection and treatment. Corrected patient: bed number, name, drug name, dosage, concentration, usage and time). Prevent mistakes and accidents.
4. Be diligent in management and keep the ward in good order and a clean and quiet rest environment.
Article 8 The Code of Medical Ethics for Medical Technicians requires:
1. We should be clinical-oriented, actively cooperate with patients, ensure the needs and development of clinical departments, and serve patients.
2. In line with the principle of accuracy, timeliness and safety, strictly abide by the operating procedures, and provide scientific data and treatment inspection methods for clinic. Learn technology, carry out scientific research, increase new medical technology projects, and provide new methods of diagnosis, treatment and examination.
3. Seek truth from facts, don't lie about data, don't lie about data, correct mistakes in time and take remedial measures.
4. Pharmacists should conscientiously implement the provisions of the Drug Administration Law and Pharmacopoeia, standardize operations, accurately weigh prescriptions, carefully check prescriptions, prevent errors, and ensure the safety and effectiveness of drugs. Carry out clinical pharmacy and strengthen the guidance of clinical medication.
Inspectors should unify standards, strengthen inspection quality control, ensure the quality of inspection work, strictly disinfect and isolate, and seriously deal with contaminated items.
Radiologists should improve the accuracy of diagnosis and treatment to prevent misdiagnosis and missed diagnosis. Strengthen the protection of yourself and patients. When examining patients of the opposite sex, be serious and behave solemnly.
Dietitians should meet the needs of patients with nutritional treatment, carry out nutritional rounds and nutritional treatment, and play the role of the second pharmacy.
Article 9 Administrative personnel's medical ethics requirements:
1. Firmly establish the idea of serving patients, serving the first line of medical care and serving the grassroots, conscientiously implement the principles and policies of health work formulated by the party and the government, and take the lead in obeying the law.
2. Be familiar with your own business, often go deep into reality, investigate and study, analyze and study various situations and problems, so as to accurately reflect problems, make scientific decisions, solve problems in time, rationally adjust relations, and pay attention to actual results.
3. Act fairly, have a decent style, consciously resist and correct unhealthy trends, and do not use their powers for personal gain or take any form of retaliation.
4. Set an example everywhere, do everything yourself, and set an example for subordinates; The organs set an example for the grassroots, insist on suffering before pleasure, do more practical things and improve efficiency. Care about people's lives, pay attention to working methods, be brave in reform and innovation, and constantly create a new situation in work.
Article 10 Medical ethics requirements for logistics personnel:
1. Understand the significance of logistics work, love logistics work, establish the idea of serving the life of patients and employees, and do your duty.
2. Be familiar with your own business skills, strictly implement the technical routine of each work, behave in a civilized manner, produce in a civilized way, operate in a civilized way, be careful, accurate and timely, often go deep into the medical front line, insist on sending, repairing and collecting things, and send them to your door in time to meet the needs of the medical front line.
3. Diligence and thrift, strict implementation of financial, material management, food hygiene and other rules and regulations, earnestly implement the post responsibility system, enhance the legal concept, and abide by labor discipline.
4. Take good care of public property, be honest and be honest, and do not occupy or misappropriate public property under any pretext, and do not take public property as a gift. Strict implementation of isolation and disinfection, sewage treatment and other regulations, to keep the hospital environment clean and beautiful.
Chapter III Medical Ethics Education
Socialist medical ethics education is a systematic socialist medical ethics education for hospital staff (including medical college students and medical researchers). Widely use Marxist world outlook, morality and medical ethics principles, combined with the professional characteristics of medical and health work. Its purpose is to enable hospital staff to cultivate socialist medical ethics emotion, exercise medical ethics will, establish medical ethics belief, develop medical ethics behaviors and habits, promote the formation of revolutionary outlook on life, ideals, discipline and noble medical ethics sentiment, improve ideological and moral quality, enable hospital staff to better fulfill their socialist medical ethics obligations, and aspire to devote themselves to socialist medical and health undertakings and medical sciences and serve people's health wholeheartedly.
Article 11 Requirements and methods of medical ethics education.
1. We should raise awareness and strengthen leadership. Dean should bring medical ethics education into the goal of hospital management, establish an organizational system for medical ethics education, have long-term, annual and quarterly plans and implementation plans for medical ethics education, have goals, progress and focus, implement them in specific departments, supervise and inspect the implementation process and results at different levels, and give timely feedback to ensure that medical ethics education is organized.
2. Principles and methods of medical ethics education. Should be based on positive education, theory with practice, step by step principle, long-term and repeated. It is necessary to train teachers and backbones, select teaching materials, train all staff, systematically carry out medical ethics and medical psychology education at different levels, and conduct pre-job education for new members of the hospital. Should be combined with the actual situation of the unit, according to the different characteristics of different groups, such as age, position and ideological and cultural level, take a variety of educational forms (such as systematic lectures, lectures, symposiums, reports, seminars, etc.). ), and combine with health reform, political theory, ideal discipline education, daily political and ideological work and medical work, adhere to the typical and general, pay attention to practical results, and achieve "moving with emotion, understanding with reason"
3. Medical ethics education should be effective. Each hospital should have the specific implementation plan of the Detailed Rules for the Implementation of Medical Ethics and the standards and methods of medical ethics evaluation for all kinds of personnel. There is a summary of the completion of medical ethics education and an analysis of the effect of medical ethics education. There are test scores and personal medical ethics assessment results that should be understood by medical ethics related knowledge, and medical ethics assessment files are established. There should be a comparison between the appearance of the hospital, the mental outlook of the staff, the ideological style, the medical ethics, the service attitude and the changes in the work and the hospital environment.
Chapter IV Evaluation of Medical Ethics
Article 12 The evaluation method of hospital medical ethics education takes the requirements of hospital medical ethics education as the evaluation standard, and carries out graded evaluation on hospitals at all levels. Mainly take: listen to the opinions of the masses and employees, make unannounced visits, collect public opinions, self-check and self-evaluation of hospitals and assessment by higher authorities. The advanced units of medical ethics education should be rewarded, and the backward units should be criticized, warned and corrected within a time limit.
Article 13 Methods of Medical Ethics Evaluation The medical ethics evaluation of hospital staff is to evaluate the professional ethics behavior of hospital staff with the hospital behavior as the object and the requirements of medical ethics norms and rules as the evaluation standard.
The evaluation standard of medical ethics can be divided into five grades: noble medical ethics, good medical ethics, average medical ethics, lack of medical ethics and bad medical ethics.
1. self-evaluation: the employee conducts self-evaluation according to the requirements of the seven standards and detailed rules of medical ethics and combined with his own medical (work) practice.
2. Evaluation of departments: On the basis of self-evaluation, take departments as units and evaluate according to everyone's daily medical ethics.
3. Social evaluation: Hospitals and departments solicit the opinions of patients and public opinion on the medical ethics of hospital staff by establishing patient evaluation cards and suggestion books, holding doctor-patient symposiums, conducting unannounced visits, and collecting opinions from radio stations and newspapers.
4. Superior evaluation: organized by medical ethics evaluation organizations at all levels, individuals are comprehensively evaluated through self-evaluation, department evaluation, social evaluation and daily medical ethics behavior documentary. Fill in the evaluation results step by step (from dean, secretary to nursing staff) and record them as the first condition for job hunting, salary increase, promotion and selection of advanced workers.
Chapter V Provisions on Rewards and Punishment
Fourteenth hospitals at all levels can formulate specific implementation plans, reward and punishment rules or reward and punishment systems according to these rules.
Fifteenth individuals and collectives with noble medical ethics should be rewarded.
Awards are divided into: general recognition, meritorious service, meritorious service, promotion and promotion, and bonuses and prizes can be given.
Article 16 If an individual violates the medical ethics norms, involving administrative rules and regulations, harming the health and interests of patients and damaging the reputation of the hospital, the hospital or the competent department shall give administrative sanctions according to its own situation. Administrative sanctions are divided into: warning, demerit recording, demerit recording, demotion, demotion, dismissal, dismissal from public office and dismissal.
Seventeenth individual clinics practicing medicine, serious medical ethics, in addition to the sixteenth treatment, approved by the health administrative department at or above the county (District), can be given the punishment of suspension or revocation of business license.
Eighteenth in violation of the "medical ethics" and the criminal law, which constitutes a crime, shall be dealt with by judicial organs according to law.