I. Equipment section responsible person's duties
1. Under the leadership of the dean in charge of the leadership of the department responsible for leading the work of the department.
2. Responsible for organizing the procurement, supply, management and maintenance of medical instruments, equipment and apparatus to ensure the smooth progress of medical treatment, teaching, scientific research and prevention.
3. Review the requisition plan of medical instruments and apparatus proposed by each department, organize relevant personnel to compile and formulate the procurement plan, and report to the president for approval before implementation.
4. Understand and check the needs of each department and the use of medical equipment, management, to achieve a reasonable supply and deployment, found that the problem is dealt with in a timely manner.
5. Organize the relevant personnel on the purchase, transfer of domestic and foreign valuable instruments and equipment acceptance, identification work, organization and establishment of valuable instrument management and use of the system, supervise the use of personnel to strictly implement the operating procedures, to play the instrument's due performance.
Second, the equipment section of the work system
1. All medical, teaching, scientific research equipment required by the equipment section is responsible for procurement, deployment, supply management and maintenance; at the same time, responsible for the measurement of the hospital.
2. According to the requisition plan approved by each section combined with the hospital's equipment reserves to prepare the procurement plan.
3. General medical equipment, according to the plan of the name, specifications, model, quantity of procurement. Valuable instruments should be ordered in conjunction with the relevant departmental staff to carry out suitability and feasibility demonstration.
4. All purchased equipment, must fulfill the strict entry and exit procedures.
5. Purchase or transfer of domestic and foreign valuable instruments, by the hospital and the relevant personnel to participate in the acceptance; and then into the warehouse on the account card, the establishment of the technical file of the instrument, and the relevant departments to develop the collection, use and management system. If any problem is found, it should be contacted to the relevant departments in time and dealt with according to the regulations (including return and replacement, claim, etc.).
6. The instrument storehouse should be classified and stored according to the nature of the instruments, and the accounts should be consistent. To pay attention to ventilation and moisture, keep clean. Prevent damage and loss.
7. All kinds of medical equipment and custody, must be responsible for the person, the valuable instruments should be designated for use, regular maintenance.
8. Loss of effectiveness of various instruments, in accordance with the provisions of the end-of-life procedures. Valuable instruments of the scrapping, loss, change in value, transfer or transfer without value, fill in the application form by the department, after review by this section sent to the hospital leadership or the higher authorities for approval.
9. Instruments that need to be repaired in each section should fill in the repair application form and send it to the equipment section for repair. Maintenance personnel usually should often go into the section for overhaul.
Three, medical equipment (instruments) management system
1. The hospital's medical, teaching, scientific research instruments and equipment, as well as medical pressure vessels and medical refrigeration facilities, are uniformly responsible for the Equipment Section, according to the plan of procurement, management, deployment, storage, maintenance and other work.
2. Each year, each department needs to add instruments, fill out the application form for the purchase of medical equipment and the reasons for the requisition, personnel, housing settings, medical and economic benefits, etc., and sent to the hospital leadership for approval. Large-scale medical equipment (more than 500,000 yuan), the requisitioning department should provide a research report, approved by the dean of the meeting; more than 10,000 yuan of equipment by the dean in charge of (if necessary, ask the dean) for approval; 1,000 yuan of equipment by the equipment section (if necessary, ask the dean in charge of) for approval, the hospital's medical equipment by the equipment section of the unified purchasing, the departments may not buy their own. Medical equipment, the financial section must see the equipment section signed opinion before payment and reimbursement.
3. After the arrival of large-scale precision domestic equipment, the Equipment Section should be used in conjunction with the department **** with the acceptance, for the receipt of formalities. After the arrival of imported equipment, equipment section timely contact with the import and export companies and commodity inspection bureau, to determine the date of acceptance of the open box, equipment section, the use of the section responsible person in conjunction with the representative of the Commodity Inspection Bureau *** with the acceptance, write a good record of acceptance, the three sides signed.
4. Equipment Section must be established to build a complete instrument property account card system, and regularly check.
5. Equipment Section must establish more than 10,000 yuan of equipment files, files should include the purchase application, research reports, contracts, acceptance records, instrument technical data, maintenance and repair records.
6. All equipment technical information, filed by the Equipment Section to save. Equipment Section can provide copies to the use of the department and maintenance personnel.
7. Each section of the instrumentation and equipment to develop operating procedures to determine the person responsible for the custody of the use. Interns and trainees are not allowed to operate alone. Equipment Division regularly under the department to check the use of maintenance.
8. Each department of medical equipment failure, the use of custodian timely notify the maintenance team. Where the first aid instrument, immediately send technicians down to the department overhaul; for the general can be moved to the maintenance of small instruments sent to the maintenance group overhaul, and fill in the maintenance application form, after repair, with a receipt; large precision instruments damaged, limited to the hospital's current maintenance of the technical force, the lack of equipment, equipment, by the equipment section to assist in foreign contact to solve.
9. Should give full play to the role of medical instruments in various departments to improve economic efficiency. Where due to poor storage or unauthorized operation, resulting in damage to the instrument, the department should be truthfully reported to the equipment section, forwarded to the hospital department to deal with the concealment of those who are responsible for not reporting.
10. The utilization rate of the instruments and equipment is not high, the equipment section (if necessary, please refer to the dean in charge) has the right to carry out intra-hospital deployment, the departments should be supported.
11. Manufacturers to the clinical trial of new products, all must be arranged by the Equipment Division, each department shall not receive private.
12. Precision medical instruments should determine the service life and depreciation of the renewal period. Electronic diagnostic and therapeutic instruments generally need to recover the cost of the instrument within five years, according to a single 20% of the annual income as equipment renewal fund, and accounting by department, the accumulation of updated for the purchase of instruments. Use more than ten years, no repair value, has been shelved, after inspection can apply for scrapping.
13. Where the higher-ups deployed to the hospital's instruments and equipment by the equipment section in accordance with the provisions of the allocation and use.
Four, medical equipment procurement system
Medical equipment should be based on the actual needs of the scientific preparation of the procurement plan, rationalize the arrangement of funds, and timely organization of sources of supply to ensure that the clinical needs.
1 ⒈ large equipment should be purchased according to the hospital's annual planning, financial arrangements, develop a budget, item by item for approval, phased purchase.
2. Participate in various ordering meetings of the required products according to program requirements, to be familiar with the performance and quality of the ordered products before signing the ordering contract. After ordering, notify the Treasury, the Finance Section and the use of the section, make funds, installation and other preparations.
3. To have more than two people to participate in the signing of the contract or go out to purchase. Purchase of large equipment needs to be prepared in advance of the hospital bidding documents, led by the equipment section, the disciplinary department and the relevant use of the department in charge of the hospital procurement team (if necessary, invite the dean in charge to participate), open bidding for the purchase of the most cost-effective medical equipment. Local procurement and field procurement, local procurement is the main, minimize the outing. Field procurement to communication, e-mail-based, as far as possible for the National Hospital to save human, material and financial resources.
4. Must conscientiously implement national policies and decrees and market regulations, no backdoor, no bartering, no arbitrage purchase of materials, do not eat the invitation to accept gifts and bribes, all kinds of business commission kickbacks, etc., are handed over to the public.
5. To fully grasp the procurement business, constantly broaden the knowledge base, extensive collection of market information, and actively open up legal procurement channels. To be conscientious and responsible, hard-working, to ensure that all types of equipment quality and inexpensive.
6. For the more specialized, really need to use, the department to purchase their own varieties, should be agreed by the equipment section chief and reported to the dean in charge of the approval before the department to purchase (more than two people), the procurement staff should be strictly quality and price.
Five, equipment technology file management system
1. Large precision instruments (more than 10,000 yuan) should be set up technical files, there should be a person in charge of management (or part-time).
2. The content of the technical file includes equipment purchase application form, approval documents, pre-purchase demonstration, cost-benefit analysis report, ordering contract, inquiry form, notice of arrival, copy of the invoice, transport documents, warranty, acceptance records, manuals, drawings, commercial inspection certificates, licenses or tax-exempt certificates and a variety of technical information, installation and commissioning records, use of operating procedures, inspection records.
3. Equipment acceptance should be immediately after the file. Fill out to achieve neatly written, clear handwriting, of which more than 100,000 yuan of equipment files to be transferred to the comprehensive archives.
4. The establishment of technical file lending register, and carefully recorded, and timely reminder.
5. Strengthen the custody of equipment files, strict implementation of the file storage system.
Sixth, the use of medical equipment, maintenance system
1. more than 10,000 yuan of valuable instruments and equipment should be used for safekeeping, strict compliance with operating procedures and management system, the use of personnel should be carefully fill out the record of the use of the machine.
2. The daily maintenance of the equipment by the equipment custodian is responsible for the content of the surface cleaning, fastening easy to loosen the screws and parts, check the instrument in the use of the process of work is normal, whether the parts are complete.
3. The first level of maintenance, carried out by the maintenance of the instrument, mainly for the external cleaning of the instrument, check for abnormalities, such as sound, temperature, lights and other anomalies, local inspection and adjustment.
4. secondary maintenance, is a preventive repair, by the instrument maintainer together with the maintenance staff *** with the main part of the equipment or the main components to check, adjust the accuracy, if necessary, should be replaced with wearing parts.
5. Equipment Section of the regular maintenance of the equipment to check the situation, the work of the equipment for the operation of the functional check or precision checks. Is a national measurement law provides for the compulsory inspection of measuring instruments regularly by the measurement department for identification. In view of the problems found in the inspection, and timely put forward suggestions for improvement.
6. Regular maintenance of the hospital's various types of medical equipment is to improve the rate of utilization of the instrument and the integrity of the important guarantee. Various types of medical equipment repair, maintenance by the equipment maintenance group is responsible for (in addition to some departments have been equipped with full-time engineers and technicians).
VII, medical equipment, regular safety inspection system
1. Medical equipment, regular safety inspection system is to ensure the normal operation of the hospital's medical work and protection of national property from loss of an important means.
2. After the acceptance of medical equipment out of the box, installation and operation personnel should familiarize themselves with the instructions, according to the requirements of the installation test.
3. Precision instruments need to be equipped with a regulated power supply, computers need to be equipped with an uninterruptible power supply.
4. Medical high-voltage electrical equipment must be installed with absolutely reliable safety grounding, commissioning in line with safety requirements.
5. Medical equipment operators must be carefully in accordance with the operating procedures to start using, shall not violate the operating procedures.
6. Quarterly by the hospital safety committee organized by the relevant departments of medical high-voltage electrical equipment for a safety inspection, and records for the record.
VIII, medical equipment maintenance system
1. Responsible for medical electronic instruments, medical pressure vessels, medical refrigeration equipment, routine maintenance of medical equipment.
2. The equipment maintenance team regularly takes the initiative to overhaul the door, and should fill in the overhaul record after the incident, and the person in charge of the unit to be overhauled will sign the acceptance. Each section of the temporary maintenance work, you need to fill out a repair notice, sent to the maintenance team, the maintenance staff to handle. If the emergency repair, rescue urgently, you can immediately notify the maintenance staff to the scene overhaul.
3. Portable and easy to move instruments need to be repaired, in addition to filling out the repair notice, and with the object sent to the repair department, can not be repaired immediately, the repair department must get back to the receipt. After repair, the use of the department with the receipt, and should be accepted visa.
4. Each department, such as new installation, new, modified, altered equipment, need to fill out the application form, reported to the dean in charge of the approval of arrangements for processing.
5. Instruments and equipment failure, should be used by the equipment or maintenance of a detailed description of the failure phenomenon and the reason, in order to timely troubleshooting, shorten the downtime.
6. Equipment maintenance should be registered, large equipment maintenance records should be written in the file, including the date of repair, the user complains of failure phenomenon, repair people check the phenomenon, the cause of failure, troubleshooting, replacement parts and repair of the inspection.
7. For equipment that can not be repaired, maintenance personnel should explain the reasons and put forward proposals for external repair, approved by the section chief and then implemented.
8. The implementation of the division of responsibility and assignment of a combination of systems, according to the piece of work, the implementation of the person.
9. Maintenance is completed immediately fill out the maintenance charge sheet, a truthful record of the contents, and signed by the maintenance staff and the person in charge of the use of the section, and submitted to the statistics on a monthly basis.
10. In the maintenance process, pay attention to the safety of people and machines, care of instruments and equipment, proper storage of spare parts, to prevent loss.
Nine, large instruments dedicated **** with the system
1. For a wide range of functions, a department to use the higher frequency, while other departments use less valuable equipment, the implementation of dedicated **** with.
2. Equipment to have a special custodian, responsible for the daily maintenance of equipment.
3. Each use of equipment, the custodian must teach the user to operate the machine in accordance with the operating procedures, the user to make use of the record.
4. After the use of equipment, the custodian should check whether the performance of the equipment is good, the emergence of safeguards, and equipment in a timely manner to contact the maintenance section.
5. Damage to equipment due to improper use should be compensated at the discretion of the user.
Ten, the use of large-scale medical equipment maintenance training system
1. The use of large-scale medical equipment and hazardous medical equipment must be technically trained before the operation.
2. After signing the contract for the purchase of large-scale medical equipment and hazard-prone medical equipment, the use of the department must be identified operators and maintenance personnel.
3. Sending operators and maintenance personnel to the unit with the same type of equipment for further study and learning, learning should be completed before the arrival of the ordered equipment.
4. Learning personnel must be in the learning period to master the operating techniques and troubleshooting methods.
5. Learning personnel must establish and strengthen the safety awareness, firmly establish the idea of safe operation, to eliminate the occurrence of dangerous situations.
6. Learning personnel after the end of the study, the training unit must be issued by the examination, assessment certificate.
Eleven, equipment users assessment system
1. Equipment users should do a good job of daily maintenance of equipment, equipment surface cleaning, check whether the instrument is working properly in the use of the process, whether the parts are complete.
2. Each use should be completed in a timely manner to fill out the record of equipment use, the use of a number of times a day, you can do the diary.
3. Equipment failure should be stopped immediately, timely report to the maintenance department, and make detailed records.
4. Because of the lack of responsibility, negligence, improper use of equipment damage or loss of the person to be held accountable for the use of the person and the leader of the responsibility, depending on the severity of the case to be punished.
5. Management of the use of instruments and equipment should be serious and responsible, high equipment utilization, outstanding efficiency, good maintenance of the section or individual should be given recognition and reward.
XII, instrument performance, accuracy identification system
1. Newly purchased instruments or maintenance of the instrument, to carry out a functional check to check whether the function of the equipment meets the requirements of the instrument manual and technical documents.
2. In addition to the function check, but also to carry out precision checks to check whether the accuracy of the equipment to meet the standards for measuring instruments, the need for regular inspection and identification by the national measurement department.
3. The safety of the instrument itself, the safety of electricity and the safety of the surrounding environment should be checked regularly.
Thirteen, medical equipment renewal system
1. The implementation of effective and feasible medical equipment renewal system is to ensure the normal operation of the hospital and improve the quality of medical care key measures.
2. Medical equipment renewal years, according to its performance, durability, quality, frequency of use to determine.
3. The tentative renewal life of medical equipment: 8 years for electronic and optical instruments, 10 years for medical appliances and machinery, 15 years for radiological equipment and other durable equipment, and 5,000 times for fiber endoscopes.
4. The equipment section is responsible for the hospital's valuable medical instruments and equipment, file management, record the purchase of the machine, installation time, use of time, failure and repair and maintenance of the situation, for the update of the equipment to accumulate information based on.
5. Each department should fill in the machine use and maintenance records in a timely manner, equipment maintenance personnel should regularly check the use of machine operation, fill in the maintenance records.
6. The following equipment can apply for renewal:
1) Instruments and equipment that have reached or exceeded the specified age and have no repair value.
(2) the structure of the old, outdated performance, serious loss of precision, can not meet the requirements of use and can not be repaired instruments and equipment.
(3) serious impact on safety, continue to use will cause accidents, and is not easy to repair the modification.
(4) serious waste of energy, causing serious harm, due to accidents or disasters caused serious damage to the instruments and equipment.
5 (5) due to the emergence of new technologies, new equipment, updated equipment can bring greater economic benefits to the hospital, social benefits and technical benefits.
7. Instruments and equipment elimination, scrapping need to be identified by the maintenance staff, the director of the application and fill out the equipment elimination, scrapping the application form, reported to the Technical Committee for identification, approval and signature of the dean sent to the equipment section.
XIV, medical equipment scrapping system
1. The principle of equipment scrapping.
1) has reached or exceeded the useful life, can not be repaired or no value.
(2) the main structure is old, backward performance, serious loss of precision, can not meet the requirements of use, no value.
(3) serious impact on safety, continue to use will cause accidents, and is not suitable for repair and modification.
(4) a serious waste of energy, causing serious public nuisance, due to accidents or disasters caused by serious damage and repair costs are too high, there is no repair value.
2. The implementation of scrapping.
(1) fixed assets should be scrapped first by the instrument unit in accordance with the provisions of the "equipment scrapping application form".
(2) on the application for scrapping equipment, maintenance department technicians need to confirm that can not be repaired before being allowed to scrap.
(3) the end of the scrapping procedures, by the equipment section of the list reported to the financial sector to write off the accounts.
3. Disposal of end-of-life equipment.
The end-of-life medical equipment has retained the value of the person, retained for teaching, scientific research or disassembled for repair.
Dispensing management system
1, pharmacy professionals and technicians must strictly implement the operating procedures and medical advice, prescription management system, to ensure the accuracy of the drugs issued, the price is correct.
2, the content of the prescription, the patient's name, age, drug formulations, dosage, serving methods, contraindications and other detailed review before dispensing.
3, where the prescription does not meet the prescription management regulations and improper dosage, contraindications, overdose and other factors, the pharmacy staff should promptly contact the prescribing physician, the physician corrected before the deployment.
4, the prescription must be checked by others before sending out, send out the drugs should indicate the patient's name, usage, dosage, and explain the precautions.
5, the dispensing of poison, anesthesia, restricted drugs prescription in accordance with the poison, anesthesia, restricted drugs management and use of the provisions of the implementation. The expiration date of the storage of drugs need to have a clear mark, grasp the principle of first use the near future and then use the far future, prescription preservation in accordance with the prescription management regulations.
6, internal, external, injections and other drugs should be separated from the fixed point of storage, labeled with a clear mark, so that the arrangement of orderly and clean.
7, non-staff shall not enter the dispensing room.
The above is for reference only!