The national, provincial and municipal regulations for village health rooms are organized as follows:
Building layout
Village health rooms are strictly separated from the living area, with a total area of not less than 60m, four independent rooms and listed, the room is spacious and bright, with three polished surfaces, and there is a disposal room for the classification of dirt.
Diagnostic room
Diagnostic room is spacious, reasonable layout, should have diagnostic tables, diagnostic beds, diagnostic stools, waiting chairs, sphygmomanometers, stethoscopes, pulse diagnostic pillows, flashlights, clean mouth table, anal table, disposable tongue depressor, height and weight meter, acupuncture, fire pots, moxa, human body acupoints, wall charts, diagnostic materials standardized placement, diagnostic records are written in a timely manner, clear, detailed and set up a cabinet of classified information. Placement.
Treatment room
The treatment room is a relatively aseptic area, spacious, well-lit, colorless and transparent, with four surfaces clean (floor, wall, ceiling, desktop), easy to clean and disinfect, with a table of contraindications for drugs, drug sensitivity preparation table. The treatment table is spacious and convenient for aseptic operation. UV lamps without reflectors are installed at 1m~1.5m above the treatment table according to an average of 1.5W/m, and they are sterilized, monitored and registered at regular intervals. Sterile holding forceps, cylinders, treatment trays, curved trays and sterilization tanks are placed on the treatment table. There is a sterile goods cabinet, and the sterile goods are stored in a clean, dry and airtight place 25cm from the ground, 50cm from the ceiling and 5cm from the wall. Sterile articles should be categorized and placed in a strict separation from clean articles. Intravenous infusion and ampoules, oral medicines are categorized and placed. Emergency medicines are set up in a special cabinet, and all medicines are inspected regularly and used according to the expiration date. If the surgical diagnosis and treatment is carried out, it is necessary to prepare surgical dressing change instruments, dressing cylinder, covered square plate, etc., various types of infusion tubes, syringes, oxygen tubes, needles, disinfectant swabs are fully equipped, and equipped with pulse-pressure belt, infusion net bag, bottle opener, scissors, adhesive tape, splints, infusion cards, signing pens, sterilized soaking water or disinfectant towels, etc..
Disposal room
Indoor three sides of the clean, for the classification of dirt, disposal place. Generally in the treatment room near. As a contaminated thermometer, recycling infusion tubes, syringes, infusion bottles, glass bottles, pressure pulse belt, infusion bags, surgical dressing change instruments and other medical items of the disposal of the place, has been used by the four categories of medical items classified and disinfected, held in covered containers and marking, disinfection of medical waste in a timely manner after the destruction of the shape of disinfection, registration and standardized disposal. A disposal cabinet is set up in the room, containing disinfectant, measuring cups, gloves and other items for external use.
The observation room
The observation room is well lit, with more than two observation beds, which are standard hospital beds (60~65cm high and 85~90cm wide). Each bed occupies an area of 5~7m, bedside tables, bedside chairs, mattress pads, quilts, blankets, pillows, sheets, covers, uniform and neat, and equipped with infusion racks, oxygen cylinders (bags), observation chairs, spittoons, with the conditions of the installation of television, overhead infusion racks, set up toilets in the room, sinks, etc..
Pharmacy
Pharmacy cabinet neat and clean, proprietary Chinese medicines, western medicines are categorized and placed separately, the price is clearly marked, and the name is correct. The dispensing table is spacious and transparent, and the equipment for dispensing Chinese medicine is complete, clean, and placed in a suitable position. The refrigerator is clean and free of stains, and the temperature is appropriate. No expired drugs. There are not less than 50 types of Chinese medicine tablets or 30 types of proprietary Chinese medicines, and there are no expired medicines, deteriorated medicines or fake medicines.
Diagnosis and treatment standards
Medical record standards
Outpatient registration book, detailed and accurate records of the patient's name, gender, age, address, cooperative medical card number, symptoms, signs, to be diagnosed and treated, etc., with Chinese medicine diagnosis and treatment of Chinese medicine, outpatient (emergency) clinics, patients on probation, have a medical record, the critically ill patients should be informed and have a signature. There is a record of the outpatient visit, which states the time of being called (answering the phone), the time of the visit and the arrival time, the treatment and the result.
Prescription standardization
Medication using the new format prescription. Prescription columns are filled out completely, prescription content writing standardization, the use of generic names. Prescriptions for Chinese and Western medicines are bound and kept on a daily and monthly basis. The total proportion of Chinese medicine prescriptions (proprietary Chinese medicines) in the total number of prescriptions is not less than 30%.
Infectious Disease Report
When there is an infectious patient, the appropriate disposition and registration should be done in time and reported in time. The contents and items of the report are complete.
Folding invoice list
The charges have computerized invoices with stamps and printed computerized lists.
Practice Standards
Medical institutions practice license hanging, medical staff to have a license and registration, practice location in line with the requirements. Institutions have a system and on the wall, work uniforms, masks, hats and other attire neat and clean, hanging on the post.
Information management
Village health clinics open broadband or fiber optic, uniformly equipped with computers, printers, photocopiers, installation of agricultural software and outpatient coordination software.
Folding the construction of traditional Chinese medicine work
Actively carry out the appropriate technology of traditional Chinese medicine with CD-ROMs, cases not less than 50 cases per year, and have the corresponding registration. Chinese medicine workbench account registration is complete, the deeds are clear.
Publicity and publicity
Actively carrying out health education and publicity of agricultural cooperation, with a draft for examination. Monthly outpatient compensation is publicized, and agricultural cooperation policies, drug catalogs, and fee schedules are made public in a timely manner.
Basic conditions
(a) obtaining the "Medical Institution Practice License" and the relevant professional diagnosis and treatment technology service access permit, professional and technical personnel with the appropriate licensing qualifications, the village health office doctor must have the qualification of village doctor or practicing assistant doctor or above.
(2) The village health center must implement integrated management.
(c) with the appropriate level of size, function, technical staff, medical equipment and technical level, technical staff village health office must be equipped with one to three people, health center medical point must be more than three people, medical service behavior management standardized, sound system.
(d) strict implementation of the national price policy for basic medical services, fees and charges, and the unified bidding and distribution of medicines and the maximum price limit, commitment to 80% of the charges according to the standard charges of the first-class hospitals.
(v) Become a designated medical institution for new rural cooperative medical care and undertake to strictly implement the relevant policies, systems and regulations of new rural cooperative medical care.
(vi) Meet the evaluation and acceptance criteria for new rural cooperative medical care outpatient designated medical points and village health offices (see Part I, I and II).
Folding Shoulder Responsibilities
(a) establish and improve the rules and regulations, strictly implement the technical specifications for disease diagnosis and treatment, to ensure that participating farmers receive high-quality, inexpensive, convenient and safe medical services.
(2) conscientiously implement the provisions of the central, provincial, local and municipal documents and policies on the new rural cooperative medical care, and do a good job of publicizing the relevant policies of the cooperative medical care, the drug list and the provisions of the non-compensatory items, the compensation procedures, and the monthly compensation announcements, etc., and actively participate in the training of knowledge of the rural cooperative medical care, and strictly implement the relevant provisions of the basic drug list and the basic diagnostic and therapeutic items of the new rural cooperative medical care, and insist on The principle of treating patients according to their illnesses, rational use of medicines and reasonable fees; no self-financed medicines; and strict control of the unreasonable increase in medical costs.
(3) warm reception of participating farmers, accurate verification of the identity of the participants, timely registration of outpatient clinics for participating patients, writing outpatient medical records, accurate and complete records of the diagnostic and treatment process, in accordance with the management of medical records (medical records) and the management of the relevant provisions of the cooperative medical care, and properly preserved medical records (medical records), prescriptions and other information; in accordance with the provisions of the regular computerized medical bills to the participating farmers, computerized daily lists, diagnostic Proof; timely compensation for payment, and in accordance with the prescribed time to the Municipal Cooperative Medical Bureau to submit information, build a good new rural cooperative medical care patients compensation account.
(d) Publicly hang the signs of the new rural cooperative medical treatment centers and village health clinics, set up the "new rural cooperative medical treatment complaint box", guide the participating farmers to prepare the compensation-related information, and publicize the basic policies of the new rural cooperative medical treatment and the basic drug lists, the basic diagnostic and therapeutic items, and the hospitalization compensation standards and other related procedures at the appropriate locations.
(v) Statistics and reporting of information related to cooperative medical care.
Approval Procedures
(i) Medical points and village health centers submit written applications at the prescribed time and provide the appropriate declaration materials.
(2) by the townships qualified before reporting, by the competent health administrative department to organize acceptance assessment qualified, reported to the municipal co-management committee for review and approval, the announcement of the line.
(c) the audit, approval and confirmation of the new rural cooperative medical outpatient clinic medical point, the village health office, to the county level of the new rural cooperative medical management bureau to sign and submit the "new rural cooperative medical village health office service agreement".
Folding editorial management system
Outpatient registration
1, adhere to the civilized practice of medicine, adhere to the workstation, patients on call, timely diagnosis and treatment, and patiently answer questions. Do outpatient, rash, referrals and morbidity registration, summary, accumulation, analysis, storage and reporting.
2, do a good job of outpatient medical history writing, the requirements of clear handwriting, smooth text, complete, concise and correct. Application of pen writing, medical history records to achieve "six full", namely: complaints, current medical history, examination, diagnosis, medication, sign full name.
3, where there is drug allergy, allergy should be noted in the medical record in a prominent position the name of the drug, not using the history card should be established disease register.
4, in the case of difficult cases or diagnostic difficulties in the disease, should fill out a brief history, put forward the request for referral.
5, seriously do a good job of basic information on the preservation, organization, accumulation. Do cover neat, complete and clear. The use of the city's unified printing of the "eight books and accounts" registration.
6, strict cooperative medical care, health insurance system of the relevant provisions of the drug.
Communicable Disease Management
1, according to the Shanghai Municipal Health Bureau of the city's "disease prevention" requirements, proactive cooperation with the higher level of the health department to do a good job of major infectious diseases outbreaks and disinfection and isolation work.
2, in-depth village clinic rounds, infectious diseases should be early detection, early reporting, early isolation, early treatment, control of disease occurrence and prevalence.
3, strengthen the management of infectious diseases, according to the season to complete the vaccination work, and do the whole process, timely, adequate.
4, to do a good job of pest control and prevention, health creation, health education and management of water and feces as the focus of patriotic hygiene, food hygiene, school health, child care health and occupational hazards, such as health technology guidance work.
5, conscientiously do a good job of epidemic reporting, major infectious diseases, chronic diseases (refers to mental illness, tuberculosis, malignant tumors) and eye disease, dental disease, venereal disease, geriatric health care of the registers, and systematic management, regular follow-ups, and make records.
6, publicize the knowledge of hygiene and disease prevention to prevent pesticide poisoning, food poisoning, electrocution, drowning, trauma accidents.
Folding sterilization and isolation
1, medical staff need to wear white overalls when working, and should wear work caps and masks when injecting and changing medicines.
2, strengthen the concept of asepsis, adhere to the aseptic operation, to prevent infection of medical origin, a variety of injections must use disposable syringes, and to do a person, a needle, a cylinder, disposable medical supplies must be disfigured, disinfected, and unified treatment after use.
3, diagnostic room, treatment room, etc., every day with 0.2% peroxyacetic acid spray or wipe, such as contaminated by infectious diseases, should be immediately sterilized with 0.5% peroxyacetic acid.
4, the thermometer with 1% peroxyacetic acid solution or containing 1000mg / L chlorine disinfectant soaked for 5 minutes, and then put into another 1% peroxyacetic acid solution or containing 1000mg / L chlorine disinfectant soaked for 30 minutes, and then rinsed with cold boiled water or 75% alcohol scrubbing, and then wipe with sterilized gauze dry and ready to use.
5, tongue depressor after use immersed in 0.5% peroxyacetic acid soak for 30 minutes after cleaning and baking dry, paper wrapped after autoclaving.
6, disinfection forceps should be dedicated, with 2% neutral glutaraldehyde immersion. Container to be covered, bloom weekly boiling or autoclaving after disinfection to update the disinfectant solution.
7, dressings, swabs, ointment gauze are sterilized with autoclave.
Family planning
1, there is a person responsible for family planning, maternal and child health care, grasp the village's new marriage, pregnant women, maternity, the number of children aged 0-6 years old and the implementation of family planning measures in the village records, registration and reporting work.
2, mobilizing the village marriage age young people for pre-marital health checks, do a good job of newlywed monthly visits, grasp the number of early pregnancies in the village, and urge pregnant women to build a card in the 12 weeks of the first check.
3, do a good job of prenatal checkups, postpartum visits and family planning technical guidance, care for family planning surgery objects.
4, grasp the village maternal high-risk situation, supervise the timely reception of treatment, to help do a good job of pregnancy family self-monitoring.
5, responsible for doing a good job of health care guidance for child care institutions, newborns, premature babies, frail children's visits and simple treatment.
6, publicize the implementation of measures to protect women's labor during the four periods (menstruation, pregnancy, puerperium, breastfeeding).
Folding prescription management
1, prescriptions should be written in pen according to the prescribed format, with clear handwriting and complete content.
2, the prescription must be written to achieve "ten full", namely: name, gender, age, date, home address, drug name, dose, quantity, usage, sign full name.
3, to achieve the prescription of medication is reasonable, the price of medicine settlement is correct.
4, the number of drugs on the prescription written in Arabic numerical code. Drug dosage unit in grams, milligrams, milliliters of international units, Chinese medicine tablets, pills, capsules to pay, tablets, pills, capsules as the unit of writing. Injections are written in units of sticks and bottles.
5, prescription dosage of one day is appropriate, three days for the limit, chronic diseases or special circumstances not more than a week.
6, shall not use poisonous, limited, highly toxic drugs.
Financial management
1, the village health office should be equipped with a part-time accountant and cashier, strengthen financial management, the establishment of sub-consumption and cash cashier and other necessary books, accounts should be daily, monthly, quarterly announcements, regular reports, annual announcements. The villagers' medical expenses are earmarked for special purposes and are strictly prohibited from being diverted for other purposes.
2, the strict implementation of the reimbursement, fee system, service charges have standards, clearly marked prices, charges have vouchers (invoices).
3, should establish financial books, drug books, material books, etc., and a clear division of labor, accounts and money management, management accounts and management of goods separately.
4, the village health center of various medical equipment and other equipment, should be registered, accountable, properly stored, to prevent loss.
5, the establishment of drug purchase, sale, inventory ledger and economic accounts, and to do a quarterly inventory, the accounts match.
6, due to dereliction of duty, irresponsibility, violation of operating procedures and cause medical accidents or collective property damage, should be based on the severity of the circumstances and my consistent performance, to be criticized and educated, disciplinary action or discretionary compensation.
Effective period
The effective period of the designated village health center is two years. If the health administrative department cancels the license and practice certificate of the medical institution within the validity period, or if the person violates the law to seize the funds for cooperative medical treatment, the qualification of the fixed-point will be canceled at the same time. The designated medical center, village health office should be three months before the expiration of the validity period to apply for continuation, the late application for continuation or review, the assessment fails to meet the basic conditions of the designated medical institutions or assessment of the unqualified, by the Municipal Health Bureau and the Municipal Bureau of Cooperative Medicine to cancel its designated medical center, village health office qualification and be announced.
Other regulations
Village health centers may not be leased, transferred or contracted to others. The village health office must be set up within the jurisdiction of the village, and only one fixed-point medical institution will be set up in each administrative village.
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