Nursing centers are professional medical institutions independently set up to provide disabled, mentally retarded or long-term bed-ridden people with daily nursing care as the main focus, supplemented by simple medical measures to improve the quality of patients' survival as the basic function.
Nursing centers do not include nursing units within hospitals, nor do they include nursing institutions set up according to the standards of nursing homes and nursing stations.
I. Bed Setup
The total number of nursing beds is 20 or more.
Two, professional settings
(a) at least for the elderly and frail, disabled and mentally retarded and long-term bedridden people to provide general internal medicine diagnosis and treatment, daily medical care, basic rehabilitation and medical services, and with the conditions of the provision of hospice care services.
(2) It can at least provide medical imaging, medical testing, pharmacy, nutrition and dietary and sterilization supply services to meet the needs of medical care services. Among them, medical imaging, medical testing and sterilization supply service items can be provided by third-party professional organizations.
Three, staffing
(a) There should be at least two practicing physicians with more than five years of experience, of which, at least one has the qualification of deputy senior and above professional and technical qualifications in internal medicine.
The nursing center shall take the basic principle of safeguarding patient safety, and shall be equipped with physicians of relevant specialties or employ multi-agency practicing physicians according to the health status and actual work needs of the nursing staff receiving care. There should be neurology, cardiovascular medicine, respiratory medicine, oncology, geriatrics and traditional Chinese medicine and other related specialties of the physician regular rounds checkups, guidance or assistance in dealing with related medical issues.
(ii) At least 0.6 full-time nursing staff per bed, of which the ratio of nurses to caregivers is 1:3-4.
(iii) At least one nurse with the qualification of supervising nurse and above professional and technical positions. If the number of nursing beds set up reaches or exceeds 30, at least 2 nurses with professional and technical post qualifications of charge nurse or above shall be provided.
If rehabilitation medical services are provided at the same time, corresponding rehabilitation physicians and rehabilitation therapists shall be equipped according to the needs of the rehabilitation medical services provided.
(4) Where there are departments of pharmacy, inspection, auxiliary examination, nutrition and dietary and sterilization supply, they shall be equipped with health professionals and technicians with appropriate qualifications.
(v) Caregivers shall have received systematic training from medical institutions or professional organizations and obtained training certificates.
(vi) All health care workers must be skilled in first aid operations such as cardiopulmonary resuscitation.
(vii) Psychotherapists and psychological counselors may be provided where available.
Four, the basic facilities
(a) operational rooms should be at least reception (including admission preparation), medical diagnosis and treatment, nursing unit, public **** activities and living aids and other functional areas, to provide rehabilitation medical services should be set up rehabilitation training area.
(2) According to the patient's health status, self-care ability and medical service needs and other actual circumstances, a reasonable division of care unit. Each nursing unit should at least have a patient living room, nurse's station, treatment (dispensing) room and disposal room, optional rehabilitation treatment room. Provide hospice services nursing unit should be accompanied by family room (bed).
(C) living room net use of each bed area of not less than 5 square meters, each bed spacing of not less than 1 meter. No more than four people living in each room is appropriate.
(d) living room should be set up for clothing storage space, and it is appropriate to set up a barrier-free bathroom, bathroom floor should meet the requirements of easy to clean, no water seepage and non-slip.
(e) There are independent bathing rooms, with handrails, call facilities, bathing facilities that meet the requirements of anti-skidding, moving the patient's facilities and other effective safety measures.
(F) with rehabilitation and indoor and outdoor activities and other areas, and should meet the requirements of barrier-free design. Activity areas and corridors should be equipped with handrails on both sides, the door should be convenient for wheelchairs to enter and exit, the business rooms should be set up barrier-free access.
(VII) the overall building facilities to implement the national barrier-free design standards, and in line with the fire, safety and security, emergency evacuation and prevention of falls, fall prevention, prevention of self-harm (suicide), prevention of loss, prevention of injury and other functional requirements. Buildings that require elevators should have at least one accessible elevator.
V. Basic Equipment
(A) conventional equipment: at least with call devices, oxygen devices, electric suction or suction devices, air mattress beds or mattresses with anti-pressure sores, treatment trolleys, morning and evening care trolleys, medical records trolleys, medicine cabinets, conventional disinfection equipment (such as ultraviolet lamps, air sterilizers, etc.), refrigerators, washing machines, and meet the standard of hot and cold water for drinking.
If a pharmacy, testing, auxiliary inspection and sterilization supply department is set up, it should be equipped with appropriate equipment and facilities.
(ii) first aid equipment: at least equipped with simple automatic defibrillator / device (AED), simple respirator, electrocardiograph, endotracheal intubation equipment, oxygen supply equipment, rescue vehicles.
(C) provide rehabilitation medical services should be configured with specialized equipment for rehabilitation therapy: at least equipped with exercise therapy, physical therapy and occupational therapy equipment appropriate to the rehabilitation needs of the admitted patients.
(4) Information technology equipment: equipment such as network computers with information reporting, transmission and automated office functions, and information management systems appropriate to their functions, to ensure that medical information technology construction is in line with the relevant national and regional requirements.
(E) nursing bed unit basic equipment with the same level of general hospitals.
(F) have other equipment that can meet the needs of diagnosis and treatment operations.
Sixth, management
Establishment of quality management system, the development of rules and regulations, personnel duties, the implementation of diagnostic and therapeutic technical specifications and operating procedures issued by the state or recognized. The rules and regulations at least include patient registration system, medical document management system, patient safety system, patient privacy protection system, inpatient nursing management system, quality management and control system, information management system, facilities and equipment management system, drug and consumable management system, hospital infection prevention and control management system, medical waste disposal system, medical personnel occupational safety and protection management system, food safety management system, power outages and other emergencies. The hospital also has an emergency plan for emergencies such as power and water outages, and a fire prevention system. Staff must participate in the study and training of the rules and regulations, job duties, process standardization, and have records.
Nursing Center Management Standards (Trial)
To standardize the management of nursing centers, improve the level of medical and nursing services, and safeguard the quality and safety of medical and nursing services, this specification is formulated in accordance with the relevant requirements of the "Practicing Physicians Law", "Regulations on the Administration of Healthcare Institutions", "Nurses Regulations", "Measures for the Management of Hospital Infections" and other relevant requirements. This specification applies to independently set up to carry out nursing services nursing center.
First, institutional management
(a) The nursing center should develop and implement management rules and regulations, the implementation of nationally issued or recognized technical specifications and operating procedures, clear staff duties, strict implementation of fire, safety and security, emergency evacuation, fall prevention, bed fall prevention, prevention of self-inflicted injuries (suicide), prevention of wandering, prevention of injuries, and prevention and control of hospital infections, and other measures to ensure that the rehabilitation of healthcare services are carried out safely and effectively.
(2) The nursing center shall set up an independent department or staff responsible for quality and safety management and control, and conscientiously carry out the implementation of rules and regulations, technical specifications, operating procedures, as well as the quality of service, safety management, guidance and inspection, quality control and internal oversight of the responsibility; daily operation and management and business process of risk factors to monitor, analyze and implement effective Intervention management responsibilities; the implementation of hospital infection prevention and control, medical waste disposal responsibilities; occupational safety protection and health management of staff to provide guidance on the responsibilities; nursing professional paperwork, files and data and information such as information writing, preservation, use and other management of guidance and inspection responsibilities.
(3) To manage internal quality, safety, service, technology, finance, security, nutritional feeding and logistics in accordance with relevant regulations.
Two, quality management
Care centers should be in accordance with the following requirements for quality management:
(a) health professionals and technicians staffing in line with the provisions of the "Basic Standards for Nursing Centers".
(2) In accordance with the relevant requirements such as diagnostic and treatment technical specifications and operating procedures issued or recognized by the state, with the goal of achieving sustainable improvement and enhancement of service quality, the technical specifications, service standards and processes are sound and complied with.
(3) Establish and implement a service quality management system, strictly implement internal quality management and control, and accept the quality management and control carried out by the health planning administrative department or quality control center. Establish an effective collaboration mechanism with higher-level medical, preventive, and health care institutions, and in the event of the need for treatment can be transferred to the relevant institutions in a timely manner.
(d) Establishment of patient information registration, paperwork management system, relevant information can be recorded in the electronic health records of residents. The authenticity, completeness and timeliness of the information are guaranteed.
(v) Establishment of a good communication mechanism to protect patients' right to informed consent and safeguard their legitimate rights and interests.
(F) In strict accordance with the relevant provisions and requirements, standardize the use and management of medical, nursing, rehabilitation and other equipment, consumables, disinfection medicine and supplies.
(vii) In accordance with the relevant regulations, it can provide nutritional meals and special diets that are in line with the patient's condition.
Three, safety management
Nursing centers should be in accordance with the following requirements to strengthen safety and hospital infection prevention and control work:
(a) conscientiously implement the system and requirements related to the management of hospital infections, improve and perfect the safety and hospital infection prevention and control of rules and regulations in line with the reality of the institution and the work of the norms and strict implementation.
(2) The building layout should meet the requirements of accessibility, meet the needs of environmental hygiene and hospital infection prevention and control, the layout of the process, functional zoning is reasonable, clearly marked, fire, safety and security, emergency evacuation, prevention of falls, prevention of falling beds, prevention of self-inflicted injuries (suicide), prevention of loss, prevention of injuries, and prevention and control of hospital infections, and other safety facilities are perfect.
(3) It has a perfect and executable emergency plan, and regularly conducts training and drills for emergency handling ability. Emergency response mechanism in the event of emergency medical assistance or unexpected accidents can be started in a timely manner, effective implementation, to maximize the protection of personnel safety.
(4) In strict accordance with the "Law on Prevention and Control of Infectious Diseases", "Code for the Management of Infectious Disease Information Reporting" and other requirements, to report confirmed or suspected cases of infectious diseases to disease prevention and control organizations, and to do a good job of controlling infectious diseases. When suspected outbreaks, gatherings and epidemics of infectious diseases occur, they should be reported in accordance with the Measures for the Management of Hospital Infections and relevant regulations. Medical waste shall be properly disposed of in strict accordance with the principle of classification management and relevant regulations.
Four, supervision and management
(a) Health and family planning administrative departments at all levels should strengthen the supervision and management of care centers under their jurisdiction. Health and family planning supervision agencies on-site supervision and inspection no less than once a year, found that there are quality problems or safety hazards, should be ordered to immediately rectify.
(2) health planning administrative departments at all levels to carry out supervision and inspection duties, have the right to take the following measures:
1. on-site inspection of care centers, understanding of the situation, investigation and evidence collection;
2. access or copy of quality and safety management of the relevant information, collection, sealing of samples;
3. order violations of the norms and relevant provisions of the care center to stop illegal acts;
3. Center to stop violating the law;
4.
(C) care centers in the following circumstances, the health and family planning administrative department shall, depending on the circumstances of the law in accordance with the rules, causing serious consequences suspected of committing a crime, shall be held criminally responsible:
1. The use of non-professional technicians to engage in the practice of professional activities that must be carried out by the practice of registration;
2. The occurrence of a major responsibility accident;
3. Failure to Participate in the management and control of medical quality and medical safety implemented by the administrative department of health planning and health care or quality control center, and refuses to accept the operational guidance and supervision of the administrative department of health planning and health care and quality control center; or the quality evaluation fails for more than two consecutive times, and still fails after rectification;
4. Other violations of the "Regulations on the Administration of Healthcare Institutions" and its implementing rules.
Office of the National Health and Family Planning Commission ? Issued on October 31, 2017