Preventive health care work system
1, rural prevention and protection personnel should consciously study business techniques, and strive to improve the service ability to carry out the village-level preventive health care work seriously.
2, in accordance with the law to carry out immunization, intensive vaccination, improve the "four seedlings" and newborn hepatitis B vaccination, strict management of all kinds of thin, table, card, certificate.
3, according to the law to carry out village-level infectious disease prevention and treatment, strict implementation of the reporting system, do a good job of infectious disease statistics, disinfection and isolation, home visits, etc., the implementation of various prevention and control measures, and improve the ability to emergency outbreaks and emergencies.
4, to carry out village-level maternal and child health care, the implementation of maternal and child health care system management tasks to improve the health of women and children.
5, vigorously carry out health education on disease prevention focusing on infectious atypical pneumonia, chronic non-communicable diseases, sexually transmitted diseases and AIDS, etc., to improve villagers' awareness of disease prevention and health care, and promote the formation of healthy behavior.
6, coordinate and guide the village-level patriotic health campaign, do a good job of disease eradication.
Outpatient clinic work system
1. Medical personnel must have practicing qualifications, medical ethics, and have a certain amount of work experience.
2. Difficult and serious illnesses or the second review of the patient can not be diagnosed, should be promptly requested to the next level of physician consultation or escort referral level by level.
3. The patient should be carefully physical examination, and detailed, accurate writing outpatient medical records.
4. Outpatient auxiliary examination results must be accurate and timely; outpatient can only carry out appropriate surgery, strict aseptic operation.
5. Strictly implement the sterilization and isolation system to prevent cross-infection.
6. Strengthen the monitoring of infectious diseases, diagnosis and treatment, and conscientiously do a good job of epidemic reporting.
7. The staff should be caring, careful, patient, responsible, simplify procedures, and plan to arrange for high fever, serious illness, old age, disability, military dependents and distant patients in advance.
8. The clinic should be kept clean and tidy, and the environment is elegant, creating a good medical environment.
9. We will not lose time to publicize and popularize the knowledge of prevention and control of infectious atypical pneumonia, sexually transmitted diseases and AIDS, etc., so as to enhance the public's awareness of disease prevention and health care.
10. Receiving doctors should try to use the efficacy of accurate, economical and convenient treatment, scientific and rational use of drugs to reduce the burden of patients.
Village health center management system
1, serious study, enthusiastic publicity, and actively implement the party's health policy and policy, with the times, to "three represents" the important idea as a guideline.
2, efforts to study business technology, improve the quality of health care, improve service attitude, correct medical ethics, wholeheartedly for the patient service.
3, undertake the health care tasks assigned by the health department, provide primary diagnosis and treatment of common injuries and diseases, basic medical services, as well as health education, rehabilitation guidance, family planning guidance and other integrated functions.
4, the village health center to establish and improve all kinds of thin table card evidence, strict management, filing and storage.
5, according to the law to strengthen the management, do not have to do the "four no", that is, no dangerous room, no fake drugs, no moth, no mold, no expired drugs.
6, seriously improve health and cleaning, open charges, accept public supervision.
7, to strengthen the monitoring of infectious disease outbreaks, once found, timely reporting, and take isolation measures.
8, actively participate in the business training organized by the higher levels, on time to complete the other tasks assigned by the higher levels.
Outpatient medical record writing system
1, outpatient medical records should be written in pen, and strive to be smooth, complete, concise, accurate, clear and neat handwriting, no deletion, inverted fill, cut and paste; physicians are required to sign the full name.
2, outpatient medical records are written in Chinese, no official translation of the name of the disease, as well as the name of the drug can be an exception to the diagnosis, surgery should be in accordance with the name of the disease or surgical classification.
3, outpatient medical records should be concise, the patient's name, sex, age, occupation, place of origin, work unit or residence by the registered office to fill out. The main complaint, current medical history, past history, a variety of positive signs and necessary negative signs, diagnosis or impression of the diagnosis and treatment, treatment, etc. need to be contained in the medical record, signed by the receiving physician.
4, the interval is too long or with the previous different kinds of patients, generally should be the same with the first patient to write the examination and diagnosis, and should be written in the "first diagnosis".
5, each consultation, should fill in the date, emergency medical records should fill in the exact time.
6, the request for consultation, should be requested to consult the purpose and the Institute's preliminary views in the medical record to fill in clearly; invited to consult the physician should be in the request to consult the medical record to fill in the examination, diagnosis and treatment of the views and sign.
7, outpatient patients need to go out of the hospital for examination and treatment, outpatient doctors should be responsible for filling out a summary of the referral medical record, and write down the reason for hospitalization and preliminary impression of the diagnosis in the medical record.
Prescription system
1, with the qualification of assistant medical practitioner, rural medical doctor title or above, has the right to prescribe, and will be my signature or impression left in the pharmacy.
2. The pharmacy shall not modify the prescription without authorization, such as prescription errors should be notified to the physician to change the dispensing, where the prescription does not comply with the provisions of the pharmacy has the right to refuse to dispense.
3. In accordance with national regulations on the management of narcotic drugs, village health centers are generally not allowed to use poisonous, dramatic, anesthetic drugs.
4. The general prescription is limited to three days, for some chronic diseases or special circumstances may be appropriate to extend; the prescription is valid on the same day, more than the period of time to be changed by the physician.
5. The content of the prescription should include the following items: the full name of the health clinic, outpatient or inpatient number, prescription number, year, month, day, patient's name, gender, age, name of the drug, dosage form, specifications, quantity and method of medication, the doctor's signature, check the signature of the person who issued the medicine, the drug price.
6, the prescription is generally written with a pen or ballpoint pen, the handwriting should be clear, not altered; if altered, the doctor must sign the alteration; generally written in Latin or Chinese; emergency prescription in the upper-left corner of the addition of the word "emergency".
7, the name of drugs and preparations, the use of dosage, should be the Chinese Pharmacopoeia and the Ministry of Health issued by the pharmaceutical standards shall prevail; such as medical needs, must be more than the dosage, the doctor in the dosage next to the re-signature can be deployed.
8, the number of drugs on the prescription are written in Arabic code; drug dosage in generic units (such as grams & lt; g & gt;, milligrams & lt; mg & gt;, milliliters & lt; ml & gt; or tablets, pills, granules, branches, bottles, etc.), and indicate the content.
9, general prescriptions are kept for at least two years, special patient prescriptions should be kept for a long time, the expiration of the registration of the prescription can be approved by the person in charge of the health center to destroy.
10, the violation of the provisions of indiscriminate prescribing, abuse of drugs, the pharmacy has the right to refuse to deploy, the serious cases should be reported to the head of the health center or the village committee to check and deal with.
11, the dispenser has the right to supervise the doctor's scientific and rational use of drugs.
Medication, injection, infusion checking system
1. Before taking medication, injection, infusion must be strictly enforced "three check seven" system.
2. To check the quality of drugs before preparation, water, tablets, note that there is no deterioration, ampoules, needles, cracks, expiration dates and batch numbers, such as non-compliance with the requirements or unclear labeling, it shall not be used.
3. The medicine must be reviewed or checked by a second person before implementation.
4. Easy to allergic drugs, before giving the drug should be asked whether there is a history of allergy; to a variety of drugs, pay attention to any contraindications.
5. When issuing drugs, injections, patients such as questions, should be clarified in a timely manner, before implementation.
Disposable medical supplies procurement and use of the system
1, disposable medical devices must adhere to the main channels of state procurement, to prevent counterfeiting.
2, disposable medical supplies before use must carefully check the packaging for damage, the strict implementation of a person, a use, prohibit re-use and return to the market.
3, after the use of disposable syringes with the disfigurement and placed into a closed container containing disinfectant (glutaraldehyde, 84 liquid) for soaking, and then spot incineration (with conditions should be contracted for recycling of special waste).
4, the product should be sterile, non-toxic, non-pyrogenic, in the batch number validity period.
5, the use of disposable supplies to be registered in a register, the amount of money, prohibit the arbitrary sale, discarded or mixed into the living garbage.
Pharmacy, diagnostic room, treatment room work system
I. Pharmacy work system
1. Dispensers should have a conscientious and responsible attitude, after receiving the prescription should be a detailed review of the patient's name, age, name of the drug, dosage, dosage form, method of taking, contraindications, and other prescription content, no contraindications, anti-drugs can be dispensed. In the event of drug dosage, improper usage or contraindication prescription errors, formulators should contact the physician to rectify before deployment.
2. The formula should be careful and prudent, comply with the technical regulations of the dispensing and the operating procedures prescribed by the Pharmacy Department; the dispensing of traditional Chinese medicine should be weighed accurately, and should not be estimated to take the drug; the dispensing of Western medicine, the dose should be strictly prohibited by direct contact with the drug with the hands.
3. Formulation, in the event of deterioration or labeling fuzzy drugs, do not feel free to mix.
4. Traditional Chinese medicine formulas need to be first decoction, after the next punch and other special decoction of drugs, must be a single package indicated; the need for temporary shelling of Chinese herbal medicine, should be processed according to the requirements to ensure the quality of the important soup.
5. Prescription blending should be strictly checked before sending, should be double-checked signature before sending.
6. Check the drug specifications, dosage, usage and prescription content is consistent, check whether the drugs have deteriorated, expired; will be taken in detail written on the bottle or bag, where the emulsion, suspension, and produce precipitation of liquid prescriptions should be indicated "shake well before use", external use of medicines should be indicated "shake well before use", "shaking well before use". "Shake well before use" and "can not be taken internally" and other words; check the name, age, to the patient to explain the method of taking and precautions.
7. Emergency prescriptions must be dispensed as they arrive, and the rest are dispensed according to the order of priority.
8. Medicine bottles should be kept clean and placed in a fixed location; the use of medication utensils immediately after the use of scrubbing, put back to the original place.
9, adhere to the state's main channels to purchase drugs, strictly control the quality of drugs, to prevent poor quality drugs into the pharmacy, pharmacy, pharmacy drugs should be categorized and stored, pay attention to the temperature, humidity, ventilation, light and other conditions, to prevent expiration of the drug expiration date, insect corrosion, mold and deterioration; the establishment of the in and out of the warehouse registration to ensure that the day clear and month, the account in line with the goods.
Diagnostic room work system
1, the village health center staff should be caring, considerate of patients, kind attitude, courteous, patient answers, careful and meticulous diagnosis.
2, the layout of the clinic should be reasonable, often keep clean and tidy.
3, the doctor should use high efficacy, economic and cheap treatment programs, scientific and rational use of drugs, to reduce the burden of patients.
4, on the difficult cases of two follow-up still can not be diagnosed, should be timely to ask the superior physician diagnosis or escort referral.
5, the diagnosis and treatment of physicians to adhere to the post, shall not be late and leave early, work time is not allowed to do private work, private guests, and are not allowed to leave their posts without authorization.
6, civilized medical practice, courteous treatment of patients, urgent patients, with the arrival of the clinic, to achieve timely diagnosis and treatment, so that patients are satisfied.
Treatment room work system
1, often to keep the room clean, every finish a disposal to clean up in a timely manner, disinfected once a day, in addition to the staff and the treatment of patients, other people are not allowed to enter the treatment room.
2, instrumentation items placed in a fixed position, categorized labels.
3, the strict implementation of aseptic operation, into the treatment room must wear work clothes, wear a work cap and mask.
4, aseptic holding forceps soaking solution is replaced once a day, the instrument soaking solution is changed twice a week.
5, has been used by the apparatus to clean up, inventory, disinfection; sterile items must indicate the date of sterilization, more than one week to re-sterilize.
6, when changing the medicine, first deal with clean wounds, and then deal with infected wounds.
Resuscitation work system
Resuscitation work is rapid, timely and effective, is the key to win time to save the patient's life, but also a measure of the business level of a health care organization and the management level of the fundamental signs, but also a very important medical care tasks.
1, to improve the quality of rescue, first of all, require medical personnel to establish a people-oriented service ideas, with solid and excellent business skills, but also must strictly implement the rescue operation procedures.
2, in order to quickly and timely into the rescue, there must be a complete organizational division of labor and strict system to ensure that
3, rescue medicines and equipment must ensure that the supply of equipment, and strive to complete and complete, and to do the custodian of the person, positioning placed, quantitative storage, use at any time to replenish; rescue items shall not be borrowed to ensure that the emergency use.
Strict implementation of the rescue system
(1) rescue personnel must do their best, close collaboration, strict implementation of the rules and regulations
(2) before the physician did not give medical advice, nursing staff should be scrambled according to the condition of the timely delivery of oxygen, measurement of blood pressure, the establishment of a venous pathway, artificial respiration and chest compressions, hemostasis, etc.
(2) the doctor did not give medical advice, nursing staff should be scrambled according to the condition of the timely delivery of oxygen, measurement of blood pressure, establishment of intravenous channels, artificial respiration and chest compressions, hemostasis.
(3) Close observation of the condition, detailed and timely records, the use of medication should be accurately disposed of, the critically ill patients should be rescued on the spot, to be stabilized before moving.
(4) The empty ampoule of the drug used must be checked by two people before being discarded.
5, no accompanying patients, to get in touch with the patient's family or unit.
6, the rescue is completed, in addition to good rescue records, registration and disinfection, but also need to do a good job of rescue summary, in order to summarize the experience and improve the work.
Disinfection management isolation system
1. Medical personnel should be neatly dressed and wear masks during working hours, and take off their work clothes when they are off work, at meals and meetings.
2. Diagnosis and treatment, disposal should wash their hands after, if necessary, with disinfectant soak, aseptic operation should strictly comply with the relevant procedures.
3. Sterile instrument containers, instrument dressing cylinders, holding forceps, etc. should be disinfected and sterilized on a regular basis, disinfectant solution is regularly replaced; thermometers should be soaked in disinfectant solution after use, and the medical supplies that extend into the tissues and organs must be sterilized; all disposable medical and health supplies must be recycled in a timely manner after use for harmless treatment or destruction.
4. Consultation rooms should be kept clean and ventilated regularly, air, utensils, etc. to be sterilized daily, bedding should be washed and replaced regularly.
5. During the epidemic of infectious diseases, medical staff to strengthen protection, found that the suspected patients must be isolated on the spot, and quickly reported to the district health epidemic prevention department, the patient should be transferred in time to carry out the final disinfection.
6. Where anaerobic bacteria, Pseudomonas aeruginosa and other special infections patients, should be strictly isolated, used instruments, quilts, rooms should be strictly dealt with, used dressings should be burned.
7. Every day, check whether the sterile goods are expired, syringe box and saline ball and gauze cylinder replaced every day, sterile goods and contaminated goods are strictly separated, and there is a clear sign.
8. Treatment room rags, mops and other utensils should be dedicated.
Code of Integrity for Medical Personnel
1. Conscientiously implement the Party's health policies, firmly establish the idea of wholeheartedly serving the people, consciously abide by the norms of medical ethics, put an end to unethical practices in the industry, accept the general public supervision, and set up a good image of the white warrior.
2. Respect for the personality and rights of patients, to care, sympathy, love and care for patients, equal treatment, due diligence.
3. Strictly implement the price policy, abide by the price discipline, to achieve the "four reasonable" (reasonable inspection, reasonable treatment, reasonable medication, reasonable fees).
4. The doctor for personal gain, in the masses caused by the adverse impact of the investigation, once found, seriously dealt with.
Drug injection system
1, in order to prevent cross-infection occurs, the village health center in principle requires the use of disposable medical and health supplies.
2, a variety of injections should be in accordance with the prescription and doctor's orders; allergy to drugs (such as penicillin, gentamicin, streptomycin, etc.), must first make a skin test, the results of the negative before injection; such as the need for desensitization injections, which must be carried out under the guidance of the doctor, to do a good job of rescue work.
3, the strict implementation of the checking system, the patient should be sympathetic, speech should be civilized and polite.
4, closely observe the situation after the injection, the occurrence of injection reactions or accidents, should be immediately and promptly on-site rescue, and report to the doctor on duty to assist in processing.
5, strict implementation of aseptic operating procedures, the operation should first wash their hands, wear masks, hats, instrumentation fluids are replaced twice a week, suspected contamination should be replaced in a timely manner, disinfection of alcohol, iodine should be covered to ensure that the effective concentration of disinfectant.
6, injection should be done per person a needle a tube, and strive to achieve two fast and one slow (into the needle fast, pull the needle fast, push the drug slow).
7, the preparation of rescue equipment, placed in a fixed position, regular inspection, timely replenishment of more.
8, the room should be disinfected every day with ultraviolet radiation, peroxyacetic acid, chlorine dioxide and so on.
9, disposable hygiene products after injection, should be strictly in accordance with the "disposable medical supplies procurement and use system" for processing.
Statutory infectious disease management system
According to the "People's Republic of China **** and the State Law on Prevention and Control of Infectious Diseases", the following system is developed for the village health center.
1, prevention: village health clinics should carry out knowledge of infectious disease prevention and control measures of health and health education; to help guide the village patriotic health campaigns; the implementation of planned immunization of rural children of school age, preventive vaccination and to strengthen the management of the thin table card card.
2, epidemic reporting: village-level health care personnel are responsible for epidemic reporters, rural areas found in Category A infectious diseases and Category B infectious diseases in AIDS, pulmonary anthrax within 12 hours to the fastest way to report to the District Epidemic Prevention Station (towns reported within 6 hours); found Category B infectious diseases in rural areas in the 24-hour report to the District Epidemic Prevention Station (towns reported within 12 hours).
3, epidemic control: when an epidemic of infectious diseases, the village health center should be taken in a timely manner to the infectious disease mandatory isolation, and the patient contaminated places, objects and close contacts to implement the necessary health treatment and preventive measures to cut off the transmission channels.
4, legal responsibility: village health care personnel in violation of this system, resulting in the spread of infectious diseases or epidemics, according to the severity of the case will be investigated according to law, administrative and even criminal responsibility.
Maternal and child health management system
1, conscientiously implement the "one law, two programs and two regulations", according to the law to carry out the systematic management of maternity, children, do a good job of maternal card, regular examination, visits and pediatric screening of common diseases, common diseases and case management.
2, the implementation of the rural "peak" project, increase the rural marriage examination rate, promote the universal service Silien, reduce the birth defects rate.
3, to do a good job of village-level maternal and child health information to organize and improve, and strive for accurate data, timely reporting.
4, consciously study the business, actively participate in training, and strive to improve maternal and child health special technical service capacity.
5, actively implement breastfeeding, promote village-level baby-friendly action.
6, to eliminate non-remote poor mountainous families to deliver babies, improve hospital delivery rate to reduce maternal and neonatal mortality.
Accountability system for medical disputes
1, the village health centers should conscientiously implement the "Regulations on the Treatment of Medical Accidents", strictly implement the error registration system, and establish and improve the accountability system.
2, medical disputes will be used as an important part of the village health center agency inspection, year-end evaluation and rural doctor assessment and appointment.
3, the occurrence of medical disputes must be reported in a timely manner, and quickly take positive and effective measures to deal with and preventive measures, shall not be hidden, not to report, and can not be compensated for, and to actively resolve disputes through the medical appraisal.
4, the village health clinic medical malpractice, according to the level and circumstances, can be given a warning, ordered to suspend rectification, revocation of the "medical institutions license" and other treatment.
5, village doctors are responsible for medical negligence or unauthorized alteration, forgery, concealment, destruction of medical records, the health department will be ordered to suspend its practice, revocation of practicing certificate or administrative sanctions, the circumstances are serious, the relevant departments will be held criminally responsible.
6, the village health center so that the doctor and the patient to resolve the medical disputes, the dispute should be carefully organized and the results of the dispute, responsibility, and a written summary of the timely report.
Financial management system
1, conscientiously implement the country's financial policies, strengthen financial supervision, maintenance of financial discipline.
2, the village health center financial management must be clear accounts, accurate figures, day and month, perfect procedures.
3, the village health center business income and higher subsidies for special funds, must be fully used for rural doctors and village health center construction, not to be diverted for other purposes.
4, to regular housing, equipment, drugs, instruments and other state-owned assets for regular supervision, timely inventory, to prevent waste and backlog.
5, the strict implementation of the financial and accounting work system, do a good job of income, expenditure, savings plan.
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