I. Beds
Inpatient beds between 80 and 299.
Second, departmental settings
(a) clinical departments: at least the emergency department, internal medicine, surgery, preventive health care, Chinese medicine, Chinese medicine, Chinese medicine, Chinese medicine, gynecology, Chinese medicine, pediatrics, Chinese medicine, orthopedics and traumatology, Chinese medicine, Chinese medicine, dermatology, Chinese medicine, acupuncture, Chinese medicine, massage. Among them, Chinese medicine, surgery, each with more than three secondary departments; set up more than two key specialties in traditional Chinese medicine or combined Chinese and Western medicine; with integrated intensive care wards, operating rooms to have resuscitation room.
(2) medical and technical departments: at least a pharmacy (including western pharmacy, Chinese medicine, pharmacy, decoction room, etc.), laboratory, medical imaging, blood bank (can be combined with the laboratory), nutrition room, disinfection and supply room, operating room, functional department (including cardiac and pulmonary electrophysiology).
(3) other sections: Medical Department, Information Department (including the case room, statistics room), quality control section (including hospital infection control).
Three, personnel
(a) the main person in charge of the hospital should have a "practicing physician's qualification certificate" and registered to practice, engaged in clinical work in secondary hospitals for more than five years, good health and able to personally preside over the medical work.
(ii) Each bed shall be equipped with at least 0.88 health technicians on average. All doctors should have the Physician's Qualification Certificate and be registered for practice.
(iii) Each bed is equipped with at least 0.4 nurses on average, of which at least one is an associate chief nurse and five are chief nurses. All nurses should have a Nurse Practitioner Certificate and be registered to practice.
(4) The directors of the first-level clinical departments and key specialties must be chief physicians of the corresponding specialties; at least 50% of the directors of the second-level departments are associate chief physicians or above. Pharmacy, Laboratory, Medical Imaging, Pathology and other medical and technical departments have more than 25% of health and technical personnel with positive senior titles.
(v) The proportion of personnel with undergraduate education or above and the proportion of Chinese medicine personnel in the medical personnel shall not be less than 60%. The proportion of senior title personnel in the whole hospital staff is not less than 8%.
(6) There is no less than one clinical dietitian.
(vii) Engineering technicians (technicians, assistant engineers and above) accounted for no less than 2% of the total number of health technicians.
Four, site selection
(a) The community in which the secondary general hospital is located serves a population of 300,000-500,000 people.
(ii) The shortest distance between the new hospital and the clinic is not less than 500 meters, the shortest distance between the clinic or community health service center is not less than 1,000 meters, and the shortest distance between the hospital and the hospital is not less than 2,000 meters.
(3) The site should be physically separated from the surrounding child care institutions, primary and secondary schools, food production and operation units, and meat and vegetable markets, in compliance with the requirements of hygiene and disease prevention.
Hospital sites should be planned for medical land or can be converted to medical use of the house (the nature of its use in principle to commercial, office, factory class-based, existing homes, dormitories, residential community clubs, culture, sports, community services and other public **** supporting facilities, as well as food and beverage, production plant immediately adjacent to the house, should not be used for medical housing. (The nature of use of the existing housing is subject to the documents certifying the property rights of the premises).
(d) siting adjacent rights holders (owners/occupants and existing medical institutions in the community) without obvious objections (based on the public notice organized by the administrative department of health and the opinions collected by the special committee). Before selecting the site, the applicant for the establishment shall consult the opinions of the neighboring rights holders.
V. Architecture, Facilities and Environment
The hospital shall have good lighting and ventilation, and the architectural design and facilities shall meet the requirements of diagnosis, treatment and management work, reflecting the principle of patient-centeredness, and conforming to hygiene and aesthetics to create a harmonious medical and humanistic environment.
(1) The hospital rooms shall be independent buildings.
(2) The average floor area per bed shall be not less than 130 square meters, the average floor area of the business room per bed shall be not less than 110 square meters, the floor area per bed of the ward shall be not less than 8 square meters, the green area shall be at least 35% of the total floor area, and every 100 beds shall be equipped with at least 30 parking spaces.
(3) Each clinic is relatively independent, with a use area of not less than 10 square meters.
(4) The infrastructure of the hospital, including fire protection, environmental protection, radiation hygiene, pressure vessels (such as sterilizers, hyperbaric oxygen, etc.), elevators, etc., should be tested and accepted by the appropriate departments of fire protection, environmental protection, disease control, quality and technical supervision.
(E) building layout must be strictly in accordance with the medical function for systematic and scientific planning, people, flows to a reasonable direction, the same level of the plane without barriers to set up, the medical area paved with non-slip, anti-noise flooring, wards and corridors wall using materials that facilitate the cleaning and disinfection of the corners of the wall dust-proof design.
(6) The emergency department has independent entrances and exits and return lanes, an open resuscitation environment, and complete first aid equipment.
(vii) The location of the ICU should be rationally laid out, with good natural lighting and purified artificial environmental control.
(viii) The location of the operating room should be in a quiet environment, fresh air, sufficient light, away from departments with bacterial infections, the use of the operating room area of at least 25 square meters, in line with the requirements of hospital infection control.
(ix) central suction, central oxygen.
(j) Sterilization supply room meets the requirements of the Ministry of Health's Acceptance Standards for Hospital Sterilization Supply Room.
(xi) Pharmacy, pharmacy, decoction room in accordance with the State Administration of Traditional Chinese Medicine "Chinese medical institutions" assured that the construction of the pharmacy specification. Chinese and Western pharmacy set up separately, outpatient and inpatient pharmacy area of not less than 150 square meters each, the area of the drugstore of not less than 200 square meters each. If other businesses such as TPM and clinical pharmacy are carried out, they should be set up separately according to the corresponding requirements.
(xii) inpatient laboratory area of not less than 250 square meters, outpatient laboratory area of not less than 100 square meters.
(xiii) the hospital should have a complete information management system, information network building wiring rate of 100%, the hospital per capita computer ownership rate of not less than 50%, to achieve information **** enjoy.
(xiv) hospitals should be convenient for the disabled barrier-free access and facilities.
VI. Equipment
(A) Basic equipment:
Clinical diagnostic and treatment equipment: central oxygen delivery device, ventilator, electric suction, automatic gastric lavage, electrocardiograph, cardiac defibrillator, cardiac monitor, multi-functional resuscitation beds, universal surgical beds, shadowless lamps, anesthesia machine, anesthesia monitor, high-frequency electrosurgical knife, lung function instrument 24-hour blood pressure meter, fiber esophagoscope, gastroscope, fiber proctoscope, and so on. Gastroscope, Gastroscope, Fiber Proctoscope, Gynecological Examination Bed, Douche Machine, Mobile X-ray Machine, 800MAX X-ray Machine, Color Ultrasound, Orthopedic Traction Bed, Ultraviolet Lamp, Frozen Slicer, Paraffin Slicer. Chinese medicine fumigation therapy instrument, electro-acupuncture instrument and other Chinese medicine diagnostic and therapeutic equipment.
Clinical testing equipment: blood gas analyzer, automatic coagulation analyzer, bone marrow classification computer processing system, automatic biochemical analyzer, automatic blood cell counter, automatic bacterial identifier, blood bacterial incubator, microscope, CO2 incubator, anaerobic incubator, low-temperature refrigerator, cryogenic high-speed centrifuge, osmolality meter, ultra-clean workbench, emergency biochemical analyzer, enzyme labeling plate washer, Automatic electrophoresis analyzer, 1/10000 analytical balance, enzyme analyzer, urine analyzer, chemiluminescence or electroluminescence analyzer, cellular automatic screener.
Supply room equipment: configured in accordance with the requirements of the Ministry of Health "hospital sterilization supply room acceptance standards".
Decoction room equipment: decoction machine, packaging machine, medicine storage, medicine storage cabinet, refrigerator, cleaning equipment, etc..
(ii) The ward is equipped with oxygen supply, phlegm suction, call system and multi-functional beds. Wards are equipped with bed sterilizers.
(3) The average unit equipment of hospital beds: 1 bed, 1.2 mattresses, 1.2 quilts, 1.2 mattresses, 2 quilt covers, 2 sheets, 2 pillowcases, 4 pillowcases, 1 headboard, 1 warm water bottle, 2 basins, 1 spittoon (spittoon), and 3 sets of patients' clothes.
(4) The pharmacy department is equipped with and provided with instruments and equipment appropriate to the tasks undertaken by the pharmacy department.
(e) There are other equipment corresponding to the diagnostic and therapeutic subjects carried out and Chinese medicine diagnostic and therapeutic equipment.
VII, to carry out obstetrics, maternal and child health services, family planning surgery, medical cosmetology, sexually transmitted diseases, infectious diseases, mental illness, cranio-cerebral surgery, cardiac surgery, medical interventional surgery and other medical projects, shall apply for approval in accordance with relevant regulations.
Eight, the hospital should have a sound management system, medical, nursing and other technical procedures, and available in book form.
Nine, the registered capital in place, an average of not less than 500,000 yuan per bed.