For the effective prevention, timely control and elimination of the hazards of public **** health emergencies, to ensure public health and safety of life, and to maintain the normal social and economic order, according to the "Chinese People's *** and the State Communicable Disease Prevention and Control Law", "Emergency Regulations for Public **** Health Emergencies," and other laws and regulations, to formulate this plan.
First, the scope of application:
A public **** health emergency (hereinafter referred to as emergencies), refers to the sudden occurrence of a major infectious disease outbreak, causing or likely to cause serious damage to the public health of the community, mass unexplained diseases, major food and occupational poisoning, and other serious impact on the public health of the event.
This plan will be activated in accordance with the relevant provisions when the following specific emergencies occur.
(1) major infectious disease outbreaks:
1, the emergence of the first cases of bubonic plague and pulmonary anthrax, as well as cholera outbreaks and epidemics;
2, outbreaks of infectious diseases of category B and C or multiple deaths;
3, group unexplained illnesses (such as cardiovascular reactions, mass acute hemorrhagic fever syndrome, infectious atypical pneumonia, acute diarrhea syndrome, acute jaundice syndrome and other unexplained diseases);
4, emerging infectious diseases;
5, outbreaks of disease epidemics in the course of and after various natural disasters.
(2) other emergencies:
1, foodborne, waterborne disease outbreaks;
2, major group food poisoning;
3, group occupational poisoning and pesticides, rat poison or other chemical interferences caused by the poisoning;
4, major mass Hospital infections;
5, group or the emergence of fatal cases of immunization accidents;
6, biological, chemical, nuclear radiation terrorist attacks;
7, other non-routine public **** health incidents.
Second, the command structure of the emergency response
(a) the hospital set up a public **** health emergency response leading group, is responsible for the unified leadership and command of the emergency response.
The head of the group:
Deputy head:
Members:
(b) the establishment of a clinical emergency rescue team, consisting of clinical departments deputy chief physician and above, is responsible for the general emergency rescue work.
Three, emergency rescue process:
Fourth, the hospital departments and personnel work responsibilities:
Sudden public **** health emergency response to follow the main prevention, the policy of unremitting preparedness, the implementation of the unified leadership, hierarchical responsibility, Timely response, decisive measures, relying on science, strengthen the principle of cooperation. Under the direct leadership of the leading group of emergency response, the outpatient department, medical department, emergency response office, public **** health department, nursing department, hospital office, general affairs department, equipment department, security department, pharmacy, infection management office and clinical departments and other related departments to cooperate, and effectively perform their respective duties, to ensure that the emergency response to emergencies is carried out in an orderly manner.
(a) hospital leadership responsibilities:
In accordance with the provisions of laws and regulations, to do a good job of infectious disease prevention and control and public **** health management, timely prevention, response to emergencies; organization of all aspects of the force to deal with emergencies, command emergency rescue, the implementation of emergency response system of responsibility to control the spread of the situation and expansion; Check and urge all relevant departments and sections to do a good job of emergency treatment and handling of the injured or sick and command, coordination, aftermath, timely detection and resolution of problems in the relevant departments.
(2) the functional parts and personnel responsibilities
1, the door, emergency, public **** health section, the Emergency Response Office is responsible for carrying out day-to-day monitoring, to ensure that the monitoring and early warning system is normal; supervise emergency treatment of disinfection, isolation, personal protection norms in place; regular organization of the medical staff to carry out relevant training, to the public to carry out emergency Knowledge education; organization of emergency reporting, control, investigation, analysis and evaluation work, timely report to the CDC processing progress, if necessary, request support from higher authorities;
2, the Medical Department is responsible for emergency on-site command and treatment work, deployment of all relevant clinical departments to participate in the rapid treatment of the medical treatment force, the opening of the emergency green channel, the fastest and efficient to ensure that the medical, technical and pharmaceutical close coordination, if necessary, the organization of the emergency response to the public's needs. Close cooperation, if necessary, to organize a hospital-wide consultation, focusing on the technical advantages of various specialties, to ensure the effective treatment of emergency, critical and serious patients. Promptly report the progress of treatment to the competent administrative department of health and health supervision, and if necessary, request support from higher departments;
3. The Nursing Department is responsible for urgently deploying the nursing staff of all clinically relevant departments to be in place at once, and quickly put into the treatment work, to ensure that the nursing power of each triage department is sufficient to ensure the safety of medical treatment.
4, the office is responsible for the hospital's functional departments and clinical departments of effective coordination, to ensure that the leadership of the implementation of the instructions, coordination of various departments of human and material resources, to ensure the smooth operation of the clinical work; responsible for communication with the higher administrative departments.
5, instrumentation is responsible for the hospital's equipment in a good state of emergency, at any time can be put into the normal work, to ensure that the diagnosis of emergencies, rescue, treatment of instruments and facilities for normal operation, strong with the clinical treatment work;
6, logistics and service center is responsible for the normal and adequate supply of logistical materials in hospitals, in the emergency response to the state of guaranteeing the supply of timely and to ensure that the medical garbage Safe and standardized transportation; to ensure the safety of water and electricity;
7, the Defense Department is responsible for the hospital fire, safety and security, to ensure good medical order, to guard against emergencies in the process of public **** health emergency treatment of security and fire protection loopholes, to ensure that the hospital all the medical and patient personnel personal and property safety;
8, the administrative general duty is responsible for the emergencies of the hospital report (outpatient clinic, the public ****) Health Department, Medical Department, Nursing Department, Office, Infection Management Office) and initial coordination, and is responsible for immediately notify the clinical emergency rescue team members to the emergency department support.
(C) the clinical medical departments and personnel responsibilities:
1, the Emergency Department is responsible for the hospital emergency treatment, to ensure that emergency, critical, serious patients can be transported to the hospital in a timely manner and get rapid and effective treatment. Responsible for public **** health emergency treatment process of various specialties to support the organization of medical personnel, deployment and treatment process is reasonable, to ensure that a variety of rescue equipment and rescue items are available, and to maintain its emergency status, to ensure that the green channel is open.
(1) the emergency department director's duties:
① the first time on-site organization and command of the emergency department and the clinical emergency rescue team of doctors of the medical work
work, group treatment of patients;
② the development of the temporary prescription and rescue program;
3 focus on the emergency rescue of critical patients
④Coordinate with relevant departments (pharmacy, medical technology, general affairs, other clinical departments);
⑤Report to the medical department, outpatient clinic and hospital leadership in a timely manner, and put forward the work construction.
(2) Emergency Department Nurse Manager Responsibilities:
①Organize and coordinate the nurses in this section and support, grouping to treat patients;
②Coordinate with all relevant departments (Pharmacy, Medical Technology, General Affairs, other clinical departments);
③Strengthen the patient's inspections and the supervision of nurses.
(3) Deputy Director of the Emergency Department responsibilities:
① Assist the director of the department to rescue patients;
② Focused on the treatment of patients in the group to rescue, and to guide the group and support the medical work of doctors.
(4) Emergency Department on-site doctor's duties:
① Immediately understand clearly the patient's name, age, gender, onset of time, location, number of people, to make a preliminary diagnosis, emergency response, report to the director of the Department of Emergency Medicine and the head nurse, and timely report to the Department of outpatient services;
② general patient treatment group: the deputy director of the physician as the group leader
② General patient treatment team: deputy chief physician for the team leader, the doctor is responsible for patient treatment, condition observation, medical records;
③ Critical patient treatment team: deputy chief physician for the team leader, the doctor is responsible for patient treatment, resuscitation, monitoring, condition observation, medical records.
(5) Emergency Department on-site nurse duties:
①Nurses receiving the phone call of the occurrence of an emergency public **** health incident notification need to understand the following: the location of the incident, the number of casualties, the cause, the clinical manifestations, such as poisons, etc. should be instructed to take a sample and bring to the hospital. At the same time immediately according to the first doctor to provide assistance in reporting work;
② set a nurse full-time reception, registration, including: name, age, address, contact person and phone number, transfer to the hospital, and do a good job of statistics. At the same time will be ordinary patients and critical patients guided to the various treatment groups;
3 ③ nurse assigned medicine group, general treatment group, rescue group, rounds (triage) group, which rescue is responsible for the rescue of critically ill patients;
4 the cooperation of the groups to ensure that the rescue process is organized.
2, the clinical medical departments are responsible for their own professional injury patients transferred to the hospital when the rescue force and rescue measures to standardize and rationalize the process, is responsible for emergency personnel support and emergency consultation in the treatment of emergent public **** health emergencies, and when needed to quickly join the emergency treatment team.
3, special specialties, especially fever clinic, infectious diseases, pediatrics, gastroenterology and burns ward to perform their respective duties, strictly in accordance with the norms of operation, in the relevant emergencies at any time into the state of emergency treatment, to ensure that the focus of the case or group of patients with an effective, timely, special treatment.
4, the medical and technical departments are responsible for checking and diagnosis, to ensure that in the emergency treatment, timely deployment of manpower to complete the emergency inspection tasks, to ensure that the fastest speed to assist the clinical diagnosis and treatment.
5, the Pharmacy Department is responsible for safeguarding the medication needs of all clinical departments in the hospital, to ensure that the emergency treatment of emergencies to provide adequate special drugs, and at any time to coordinate and solve the urgent procurement of clinically necessary pharmaceuticals, to ensure that the effectiveness of treatment.
Fifth, the reporting system:
Each department, department and individual found that the occurrence of emergencies or may occur, should be the fastest means of communication to the outpatient clinic department and the Ministry of Medical Affairs report, the outpatient clinic department is the first responsibility to report to the higher level of the department. Each section, department and individual of the emergency shall not conceal, slow report, false report or authorize others to conceal, slow report, false report.
Six, safeguards:
(a) the establishment of an efficient emergency response organization system and action mechanism:
emergency response organization system of the relevant departments should be in accordance with the division of responsibilities to develop the corresponding emergency treatment implementation plan, mobilize the department Manpower and material reserves to deal with emergencies quickly. After the occurrence of emergencies, hospitals and relevant departments in accordance with the relevant provisions of the emergency response plan immediately started, the leadership command organization and technical team immediately into action.
(2) the implementation of financial support policies:
Hospitals regularly organize and carry out research on the relevant departments to prevent and control emergencies, the establishment of emergency investigations of emergencies, the isolation of infectious agents, medical care, equipment, facilities, technology and human resources reserves, the required funds are included in the hospital's financial budget.
To the medical personnel participating in the emergency treatment of emergencies, the hospital gives appropriate subsidies and health care allowances; to give recognition and rewards for the contribution of the personnel; to the participation in the treatment of the work of the sick, disabled, dead, in accordance with the relevant provisions of the state, to give the appropriate subsidies and pensions.
(3) strengthen the construction and training of the emergency response team:
The hospital regularly organizes technical training and on-site rehearsals for the emergency response team to familiarize themselves with the requirements of the plan, to strengthen the tacit understanding, and at the same time, to identify the weak points and focus on overcoming and improving, and to build up a responsive, flexible, well-equipped and professional public emergency ****. The first step is to establish a fast-responding, flexible, well-equipped, professional emergency response team for public **** health emergencies.
(4) to carry out publicity and education, improve the awareness of prevention:
Vigorously carry out publicity and education of public **** health science and technology knowledge, improve the identification of medical personnel on the emergencies, reporting awareness, self-protection ability, master the correct reporting channels, to ensure that the first time to organize the rescue and emergency treatment work.