Responsibilities of village clinics
First, consciously abide by national laws, regulations and rules and regulations, and practice within the approved scope of practice.
Two, publicity of national health laws and regulations, to carry out mass health education, the establishment of family health records.
Three, under the guidance of township hospitals to carry out planned immunization, maternal and child health care management and other preventive health care work.
Four, to provide primary diagnosis and treatment of common and frequently-occurring diseases and referral guidance.
Five, actively carry out technical guidance for rural pest control and comprehensive improvement of environmental sanitation.
Six, assist the villagers' committee to actively promote the new rural cooperative medical system, strictly implement the policies and regulations of the new rural cooperative medical system, and serve the farmers enthusiastically.
Seven, responsible for village health supervision.
Eight, complete the epidemic situation, birth and death and other health information statistics report.
Nine, complete other tasks assigned by the superior health department.
Attachment 2:
Code of conduct for rural doctors
First, heal the wounded and rescue the dying and promote humanitarianism. Always think of the patient and do everything possible to relieve the suffering of the people.
Second, serve in a civilized way and be polite to others. When receiving patients, the language is civilized, the behavior is dignified, the attitude is kind, and the patients are warmed with love.
Three, obey the management, legal practice. Consciously abide by national laws and regulations, practice medicine in strict accordance with medical routine, and humbly accept technical guidance and business management from township hospitals and superior medical and health institutions.
Fourth, ensure safety and reasonable fees. Be highly responsible for patients, pay attention to medical safety, and do not charge fees indiscriminately or illegally.
5. Respect personality and keep medical secrets. Treat patients equally and don't reveal patients' privacy and secrets.
Sixth, do a good job in publicity and strengthen prevention and control. Often take advantage of various opportunities to publicize health care knowledge to villagers, carry out health education in a timely manner, report the epidemic situation of infectious diseases and poisoning incidents in a timely manner, and assist relevant departments in disease prevention and control, health supervision, new rural cooperative medical care, patriotic health and other aspects.
Seven, continuous learning, improve the level. Good at summing up experience and lessons in work practice, studying medical skills, striving for perfection, constantly updating knowledge and improving medical technology.
Eight, help each other, learn from each other, unite and cooperate. Correctly handle the relationship with neighboring village clinics, unite and cooperate, and learn from each other's strengths.
Attachment 3:
Vaccination system in village clinics
First, medical staff in village clinics must have vaccination qualifications before they can carry out vaccination activities. It is strictly forbidden for unqualified units and personnel to engage in vaccination work.
Two, must accept the technical guidance and supervision and management of higher medical and health institutions, and attend regular meetings, training and assessment on time.
Three, a complete collection of the total population and population composition of 0- 14 years old, timely grasp the inflow, outflow and birth of children under planned immunization. Establish vaccination certificate and card in time within 1 month after the child is born.
Four, make a plan for the use of vaccines on time, do a good job in vaccine management, and ensure the cold storage of vaccines.
Five, the establishment of vaccination sites in line with national technical specifications, in a prominent position publicity vaccine varieties, immunization procedures, vaccination methods, effects, contraindications, adverse reactions and precautions.
Intransitive verbs earnestly fulfill the obligation of informing before inoculation and inquiring about health status, carry out inoculation every month, and observe on the spot 15-30 minutes after inoculation to ensure the safety of inoculation and injection. During the whole process of immunization planning, the qualified rate of vaccination for permanent children and floating children reached over 95%. When entering school every autumn, guide kindergartens and schools in the jurisdiction to carry out the audit of children's nursery and vaccination certificate, and make up the certificate (species) for children under the age of 14 who have no vaccination certificate and have not completed routine immunization.
Seven, to carry out the work of reporting the abnormal reaction of suspected vaccination, and to deal with the general reaction after vaccination in time.
Eight, to carry out the national immunization program infectious disease vaccine monitoring work, to participate in the disposal of the epidemic.
Nine, carry out health education, timely post vaccination posters, set up vaccination consultation telephone, and accept related consultation activities.
Ten, standardize vaccination information management, year-end data archiving.
Eleven, the implementation of centralized vaccination in rural areas, the village clinic is responsible for the collection and reporting of population data in the area, the issuance of vaccination notices, the monitoring and handling of infectious diseases and suspected abnormal reactions to vaccination, health education and consultation on vaccination, and guiding schools and kindergartens in the area to check vaccination certificates.
Attachment 4:
Work system of maternal and child health care in village clinics
First, seriously study and implement the "maternal and child health care law" and other maternal and child health care laws and regulations.
Second, there is a special person responsible for maternal and child health care, master the basic situation of maternal and child health care in the village, and carry out health care business under the guidance of township hospitals.
Third, systematic management of pregnant women. Do a good job in early pregnancy diagnosis and card registration, and hand over suspected high-risk pregnant women to township management in time. Mobilize hospital delivery and be responsible for postpartum visit.
Fourth, systematic management of children. Do a good job in building children's health care cards, and register, screen and refer high-risk children.
Five, do a good job in the prevention and treatment of women and children's diseases. Cooperate with villages and towns to carry out general survey and treatment of gynecological diseases and physical examination of children to ensure accurate information and complete registration.
Six, do a good job in maternal and child health information management. Collect, summarize and report all kinds of information in time.
Seven, attend the township women and children work conference on time, report the work, receive training and business guidance, and complete the tasks assigned by superiors on time.
Eight, do a good job in health education. Publicize the knowledge of maternal and child health science to pregnant women and parents of children, and guide the masses to carry out family self-care.
Nine, do a good job in maternal and child health care projects to improve the health level of women and children.
Ten, complete other maternal and child health care work assigned by the superior on time.
Annex 5:
Health education system in village clinics
First, under the guidance of higher health departments and health education institutions, health education and health promotion activities are widely carried out. Through publicity and education, improve people's health awareness and self-care awareness, and strengthen farmers' good health behavior.
Second, set up and manage the health education bulletin board in the village, publicize all kinds of popular science knowledge about disease prevention in combination with seasonal disease prevention, post and brush corresponding health education materials on the bulletin board in time, and change 1 time at least once a month. Receive health education materials issued by superiors, and the publicity and education materials should be filed in time.
Three, to change bad behavior and lifestyle as the content, to carry out rural health knowledge propaganda. Combined with the needs of public health education or local public health emergencies, focusing on high-risk groups, door-to-door publicity of relevant health knowledge, including prevention and treatment knowledge of common diseases, chronic diseases and key management diseases; Guide villagers to develop correct healthy behaviors and lifestyles, and constantly improve the awareness rate of residents' health education knowledge.
Four, regularly according to the provisions of the distribution of health education materials, focusing on the management of chronic diseases, in the follow-up of patients to carry out oral education for the condition, and the distribution of health education prescriptions.
Five, strengthen tobacco control education, and guide the villagers to strive for smoke-free families, smoke-free offices, conference rooms, consulting rooms and other activities.
Six, actively guide and organize villagers to carry out activities to kill flies, mosquitoes, rats, cockroaches and other "four pests".
Attachment 6:
Medical document writing system in village clinic
1. Improve medical documents according to regulations, mainly including outpatient medical records, outpatient registration books, prescriptions, disposal (injection, debridement, dressing change, etc. ) register, infusion card, etc. , and according to the county unified format, content and requirements.
Two, medical documents must be filled in by qualified health technical personnel in accordance with the scope of duties and requirements, and signed by the writer himself.
Three, medical documents should be written in blue and black ink, carbon ink, records must be objective, true, timely, complete and legible, and shall not be altered at will. Under special circumstances, if it is necessary to modify, it should be signed at the modification place and indicate the date of modification.
Four, strictly implement the "prescription management measures". When making prescriptions, standardized Chinese and medical terms should be used, and the name, dosage, specifications, usage and dosage of drugs should be accurate, and names or codes should not be compiled by themselves. Each prescription shall not exceed 5 drugs.
Five, the village clinic in the treatment process of all drugs, but also must have a prescription and dispensing records.
Six, the village clinic medical documents shall be kept for not less than 5 years, of which the prescription shall be kept for not less than 3 years.
Attachment 7:
Medical safety system in village clinics
First, medical personnel should have good professional ethics and appropriate medical technical level.
Second, strictly abide by laws and regulations, conscientiously implement technical operation norms, and regularly carry out medical safety self-examination.
Three, conscientiously implement the "Drug Administration Law", strengthen drug management, in strict accordance with the provisions of the use of drugs.
Four, strictly implement the nursing work "three check seven pairs" system, prescription dispensing "four check ten pairs" system and the relevant provisions of the hospital.
Five, take timely first aid measures, emergency treatment of critically ill patients, and make timely referral.
Six, regular inspection and maintenance of medical equipment, power supply, etc. , strictly implement the operating procedures.
Seven, non health technical personnel are strictly prohibited from engaging in medical and health work.
Eight, the village clinic shall practice medicine within the scope of examination and approval of the health permit, and shall not carry out any operation except general simple body surface debridement and suture.
Nine, strengthen communication between doctors and patients, properly handle medical disputes and prevent medical accidents.
Annex 8:
Safe injection system in village clinic
First, stick to their posts, strengthen business study, and master the adverse reactions, compatibility contraindications and emergency treatment measures of various injections.
Second, the injection should be carried out according to the prescription and doctor's advice. For allergic drugs, allergy tests must be done according to regulations before injection. Contraindications for compatibility of commonly used drugs should be posted in the injection room.
Third, strictly implement the check system, be careful and accurate when injecting, and be warm and considerate to patients.
Four, the preparation of drugs for injection, should carefully check the appearance quality, where there is expired, deterioration, pollution, mildew, no label or unclear label, ampoule rupture, the contents of clots or foreign bodies and other phenomena, shall not be used.
Five, strict aseptic operation procedures, the use of qualified disposable sterile plastic syringes, a needle and a tube, immediately after use to destroy the shape, it is strictly prohibited to use again. .
Six, closely observe the patient's reaction during and after the injection, allergic reaction or other abnormal phenomena, should immediately stop the injection, and take first aid measures, when the disposal effect is not obvious, should be decisive and rapid transfer.
Seven, rescue drugs, equipment positioning placed in a position conducive to the implementation of rescue, and regular inspection, timely adjustment and supplement.
Eight, strict implementation of isolation and disinfection system, to prevent cross infection, injection room daily disinfection, regular monitoring.
Annex 9:
Disinfection and isolation system in village clinics
First, strictly abide by the disinfection and sterilization system, and seriously implement the aseptic technical operation procedures.
Second, it is strictly prohibited to set up living quarters in the bathroom.
Three, medical personnel in the work area, to dress neatly, it is forbidden to wear work clothes to the workplace. Wash your hands in time before and after diagnosis and treatment, and soak them with disinfectant if necessary.
Four, dressing tube, tweezers and other medical equipment and supplies should be disinfected regularly. The thermometer, pulse pressure band and tongue depressor should be disinfected by one person.
Five, treatment room doors and windows should be well sealed, regular ventilation, daily use of ultraviolet disinfection, regular monitoring, and a complete record. When ultraviolet disinfection is carried out in the treatment room, it should be protected from light to avoid harm to people outside the treatment room.
Six, all kinds of medical devices must be disinfected in time after use. Bedding and mattresses should be cleaned, disinfected and replaced regularly.
Seven, should try to use disposable medical devices, reduce the infection rate. Disposable medical devices and sanitary materials used shall be disposed of in accordance with regulations. It is forbidden to reuse disposable medical devices and sanitary materials.
Attachment 10:
Medical waste treatment system in village clinic
First, the village clinic must strictly implement the Regulations on the Management of Medical Wastes and correctly handle medical wastes.
Two, in the medical process to minimize the number of harmful, toxic waste and infectious waste.
Three. Medical wastes are collected by classification, and black, yellow and red dirt bags: black bags contain domestic garbage; Yellow bag containing medical waste (infectious waste); Red bags can be directly burned, radioactive and other special wastes. Dirt bags should be tough and durable, and degradable plastic bags are preferred. After disinfection, all wastes should be put into dirt bags marked with corresponding colors, and treated and emptied in time every day.
Four, used disposable goods shall not be reused, it is strictly prohibited to sell or arbitrarily mixed with domestic garbage discarded. Sharp tools such as needles and infusion sets should not be mixed with other wastes. It should be destroyed first, then disinfected, and finally burned centrally or buried in time.
Five, infectious disease patients or suspected infectious disease patients excreta and infectious patients discharged body fluids, concentrated solution, etc. , should first add 1/5 of bleaching powder, stir well, put it under the cover for 4 hours, and then pour it into the toilet.
Six, the complete preservation of medical waste disposal registration records, and regularly report to the township hospitals in the area of disposal.
Seven, prohibit anyone from selling medical waste in any way.
Attachment 1 1:
Drug management system in village clinic
First, seriously implement the Drug Administration Law and related rules and regulations. Strengthen drug management and provide effective, safe and reassuring drugs for farmers.
Two, the village clinic must be in accordance with the basic drug list formulated by the provincial health administrative department, standardize drug procurement, use and management. Village clinics shall not be used as drug retail outlets for enterprises.
Three, the pharmacy is set up independently, and the layout is scientific and reasonable, which meets the health requirements and is convenient for patients to take medicine.
Four, pharmacy management norms, a clear division of labor, display, put in order, the drug specialist is responsible for the custody.
Five, the village clinic drugs in the county as a unit centralized and unified distribution, the establishment of drug storage acceptance register. The retention period of drug purchase documents shall not be less than 5 years.
Six, adhere to the rational use of drugs, treatment due to illness, pay attention to the incompatibility, to ensure the safe and effective use of drugs.
Seven, pharmacies must rely on prescription dispensing, carefully verify and check, to prevent accidents.
Eight, regular inventory of pharmacies, so that the drug accounts are consistent. Timely remove deteriorated, expired and invalid drugs.
Nine, according to the provisions of the use of qualified disposable sterile instruments, after use, destruction, disinfection, unified destruction, and recorded.
Ten, actively cooperate with the inspection and technical guidance of the drug supervision department, strictly implement the relevant provisions.
Attachment 12:
Infectious disease reporting system in village clinic
First, conscientiously implement the Law on the Prevention and Control of Infectious Diseases, the Measures for the Administration of Information Reports on Public Health Emergencies and Infectious Diseases, the Regulations on the Administration of Legal Infectious Diseases Reports in Medical Institutions and other relevant national laws, regulations and technical specifications, and comprehensively do a good job in reporting infectious diseases in village clinics.
Two, the village clinic for the infectious disease epidemic responsibility reporting unit, the village clinic medical staff for the epidemic responsibility reporting.
Three, the establishment of outpatient log, infectious disease registration and other related registration and fill in according to the specification.
Four, found in class A infectious diseases and class B infectious diseases of pulmonary anthrax, infectious atypical pneumonia, polio, human infection with highly pathogenic avian influenza patients or suspected patients, or found other infectious diseases and unexplained disease outbreaks, should be within 2 hours to the fastest communication (telephone, fax) to the local county-level disease prevention and control institutions to report, and within 2 hours issued an infectious disease report card. Other patients with Class B and C infectious diseases, suspected patients and carriers of infectious diseases that need to be reported should issue infectious disease report cards within 24 hours after diagnosis.
Five, medical personnel should regularly participate in the study and training of infectious disease prevention and control knowledge and related laws and regulations.
Six, cooperate with the disease prevention and control institutions to do a good job of infectious disease epidemic, follow-up, epidemic treatment and close contact isolation.
Attachment 13:
Health supervision system of village clinics
First, the village health supervision is an integral part of the health supervision and law enforcement work, and the village clinic doctors are village health supervision information officers, who undertake the task of health supervision.
Two, conscientiously do a good job in the village within the scope of food hygiene, drinking water hygiene, school hygiene and other health laws and regulations of publicity and education. Establish and improve supervision files and report relevant information on time.
Third, actively prevent the occurrence of food poisoning, establish health records for catering service personnel in the village, conduct food hygiene laws and regulations training, organize weddings and funerals for villagers to report to township health supervision institutions in advance, and assist in supervising and guiding food hygiene sites.
Four, in the area of food poisoning and other public health emergencies, timely report to the superior, do your best to protect the scene, and assist in the disposal work.
Five, grasp the relevant situation of the medical market within the jurisdiction, such as the emergence of mobile doctors and unlicensed medical practice should promptly report to the superior, to assist in the investigation.
Six, attend relevant meetings and training on time, and complete other health supervision tasks assigned by the superior temporarily.
Attachment 14:
Assessment management system of village clinic
First, implement comprehensive rural management. Achieve unified business guidance, unified personnel training, unified drug distribution, unified implementation of the new rural cooperative medical system policy, and unified public health assessment.
Second, take the county as the unit, implement six unified management for village clinics, that is, implement six unified identification signs, medical documents, anti-insurance card books, work systems, charging bills and drug lists.
Third, strictly implement the regulations on the practice management of rural doctors. Rural doctors receive professional training at least once every two years, take the initiative to study by themselves, update their medical knowledge, improve their professional level, and actively participate in learning and training activities organized by county and township health departments and medical and health institutions.
Fourth, actively cooperate with the public health assessment organized by the health department, and organize public health assessment of village clinics at least twice a year.
Five, the village clinic public health assessment results and the village clinic public health service subsidy funds linked.
Six, rural doctors to participate in the training and assessment results, the annual public health assessment results as an important basis for rural doctors to re-register and clinic renewal of a new "practice license for medical institutions".