It is recommended to establish. (Documentation requirements: the number of guardianship beds in the EICU ward of the Emergency Department: the second level of general hospitals ≥ 2; open beds per bed using an area of ≥ 15 square meters, bed spacing & gt; 1 meter.)
2, the emergency department EICU ward must be configured with invasive ventilator, infusion pumps 3, micro-injection pumps (required ≥ 4 / bed or more), portable monitors, anti-decubitus mattresses (required 1 set / bed), it is recommended to configure.
Second, the emergency department staffing and treatment
1, according to the first aid station and emergency department medical staffing requirements, to ensure that the emergency department fixed emergency physicians and nurses not less than 70% of the number of physicians and nurses on duty, EICU physicians and nurses configuration is relatively fixed, the number of physicians: the number of beds ≥ 0.8:1, the number of nurses: the number of beds ≥ 3:1, to ensure that the group of outpatient, in-hospital The number of physicians: number of beds ≥ 0.8:1, number of nurses: number of beds ≥ 3:1. At present, the staffing of the emergency department of our hospital is obviously insufficient, which is a one-vote veto in the inspection and assessment, and
The small shift time has the insecurity factor of empty post of medical and nursing personnel in the department during the emergency consultation, which is unable to guarantee the continuity and effectiveness of the diagnosis and treatment of the patients in the department, and also unable to satisfy the requirements of the consultation if there is an emergency patient in the department, so it is recommended to increase the staffing. Nurses increased by 3, doctors increased by 4.
2, according to the requirements of the first aid station staff licensed to work, the current emergency department of our hospital still has a number of unlicensed personnel, for insecurity, and is prone to medical disputes, it is recommended to replace the licensed personnel, to ensure that our hospital first aid station (emergency department) licensed to work rate of 100%, to reduce the risk of medical care.
3, according to the "Henan Provincial Health Department on further strengthening the province's comprehensive hospitals above the second level of emergency department emergency service capacity building notice" in the "in view of the special nature of emergency emergency work, in order to protect the sustainability of emergency emergency work, is strictly prohibited to the emergency department of the income-generating indicators to properly solve the problem of the emergency department of the treatment of bonuses! "The requirements and the actual situation of our hospital, for improving the treatment of emergency medical personnel suggested that the hospital to give consideration.
Third, continue to improve the service capacity of emergency practitioners
In view of the current Henan Provincial Emergency Medical Quality Control Center will be held regularly in Henan Province, Henan Province Emergency Critical Care Medicine Specialist Post Training Course, the province's EICU staff to rotate the training, and to obtain a certificate of competency to the requirements of the post, I hope that the hospital to support the sending out of the training, so that our emergency department emergency medical service capacity to a new level.
The hospital will support the training, so that the emergency service capacity of our hospital emergency department to cross a new stage.
Emergency Department
June 9, 2017
Emergency Department first aid station report [Article 2]
Dawu County pre-hospital emergency work in the care and guidance of leaders at all levels, set up and implementation of the "people-oriented" concept of scientific development, and further deepen the "patient-centered, patient-centered, patient-centered, patient-centered, patient-centered, patient-centered, patient-centered, patient-centered, patient-centered, patient-centered, patient-centered, and patient-centered. "Patient-centered, to improve the quality of medical services for the purpose of", adhere to the pursuit of social benefits, safeguard the interests of the masses, and build a harmonious doctor-patient relationship in the first place, the pre-hospital emergency work has been a significant development, to maintain a smooth green channel of life, and effectively safeguard the lives of the people in the county.
First, Dawu County, the basic situation of pre-hospital emergency work
At present, the county officially carry out pre-hospital emergency work units are: Dawu County People's Hospital 120 emergency center, the county Chinese medicine hospital emergency department, the county of the second hospital pre-hospital emergency station. Now the relevant information is reported as follows.
(a) County People's Hospital emergency work construction
County People's Hospital pre-hospital emergency work started in May 2002, by the Dawu County People's Hospital Emergency Department co-management of the "120", bear the county more than 600,000 people's first aid tasks, emergency services more than 50 kilometers in diameter. On average, more than 2,000 times a year, of which more than 300 times to higher hospitals. The department's medical staff is on duty 24 hours a day, and 2 ambulances are on standby at the hospital 24 hours a day, with 1 physician and 1 nurse accompanying them to ensure that they are ready to go out at any time. From April 2017, 120 officially independent from the Emergency Department of the People's Hospital, the establishment of the 120 emergency center, 2 new vehicles, the targeted recruitment of 5 doctors, 7 nurses, 5 drivers, 1 stretcher bearer, directly managed by the hospital medical education department, is responsible for the smooth flow of pre-hospital to in-hospital emergency care and the organization of the rescue treatment of critically ill patients, the existing vehicle 4, the actual operation of the 3 vehicles per day, 1 vehicle standby. Three drivers and medical staff are on standby 24 hours a day to ensure that the clinic at any time, and has been the implementation of free reception of critically ill patients.
1, staffing
120 Emergency Center by the direct management of the Department of Medicine, the whole department **** 19 people, with a head nurse, 13 health care personnel: including 5 doctors, nurses, 8 people, "120 drivers 5 people, stretcher 1 person.
2, first aid equipment
The existing guardianship ambulance 2 (with first aid kit, shovel stretcher, oxygen, ECG monitor, ECG machine, defibrillator, sputum extractor, glucose meter, simple breathing airbags, etc.), transfer ambulance 2 (with first aid kit, stretcher, oxygen, ECG machine, simple breathing airbags, etc.), cardiac monitors, ECG machine, 3, sputum extractor 2, defibrillator 2 2 sets of cardiac monitor, 3 sets of electrocardiograph, 2 sets of defibrillator, 4 sets of trolley, 4 sets of stretcher, 2 sets of oxygen cylinder, 4 sets of simple respiratory airbag.
(B) County Hospital of Traditional Chinese Medicine pre-hospital emergency work
Dawu County Hospital of Traditional Chinese Medicine pre-hospital emergency work began in July 2017, pre-hospital emergency by the Emergency Department, the Emergency Department area of 100 square meters, the opening of the emergency telephone 7238120, with the 110 linkage of the force, is now equipped with four ambulances, opened three beds, the implementation of 24-hour response duty.