Duties of Geriatrics Department

I. General Provisions Article 1 In order to guide and strengthen the standardized construction and scientific management of geriatrics in traditional Chinese medicine hospitals, highlight the characteristics of traditional Chinese medicine and improve the clinical efficacy, this guide is formulated on the basis of systematically summarizing the experience of geriatrics construction and management in traditional Chinese medicine hospitals and referring to relevant laws and regulations. Article 2 This guide aims to guide Chinese medicine hospitals and their gerontology managers to strengthen the construction and management of the characteristics and advantages of Chinese medicine in gerontology, and can also be used as a reference and basis for Chinese medicine management departments at all levels to carry out evaluation work. Article 3 The construction and management of geriatrics departments in Chinese medicine hospitals above Grade II shall be implemented with reference to this Guide. Article 4 The Geriatrics Department of a hospital of traditional Chinese medicine shall, on the basis of basic diagnosis and treatment techniques for senile diseases, take the theory of traditional Chinese medicine as the guide, apply drugs and techniques to carry out diagnosis and treatment of senile diseases, pay attention to highlighting the characteristics of traditional Chinese medicine, give full play to the advantages of traditional Chinese medicine, inherit, innovate and develop the diagnosis and treatment techniques with traditional Chinese medicine characteristics, and continuously improve the clinical diagnosis and treatment level of traditional Chinese medicine. Article 5 The administrative departments of traditional Chinese medicine at all levels shall strengthen the guidance and management of the geriatrics department of traditional Chinese medicine hospitals, which shall strengthen the standardized construction and management, constantly give play to the characteristics and advantages of traditional Chinese medicine, and ensure the quality and safety of medical treatment. Second, the basic conditions Article 6 The geriatrics department of a hospital of traditional Chinese medicine should have the places, equipment and facilities and technical force suitable for its hospital level and department functions to ensure the effective development of undergraduate diagnosis and treatment. Seventh conditional Chinese medicine hospital geriatric clinic, can set up a special disease clinic. Three-level Chinese medicine hospitals and conditional two-level Chinese medicine hospitals should set up geriatric wards, and have the ability of emergency diagnosis and treatment services in geriatrics. Article 8 The outpatient department of geriatrics in a hospital of traditional Chinese medicine shall be provided with waiting seats, consultation rooms, examination rooms and treatment rooms (including treatment rooms of traditional Chinese medicine), with reasonable regional layout and convenient treatment process, which can protect patients' privacy. The geriatrics department of the third-level Chinese medicine hospital and the geriatrics department of the second-level Chinese medicine hospital with conditions should set up supporting diagnostic facilities and treatment rooms according to the characteristics of specialties. The building pattern and facilities should meet the requirements of hospital infection management. The elderly ward of Chinese medicine hospital should be equipped with examination room and Chinese medicine treatment room, which can carry out acupuncture, cupping, sound therapy, Chinese medicine fumigation, external treatment of Chinese medicine and physical therapy. Article 9 The equipment configuration of geriatrics department of Chinese medicine hospital should be adapted to the hospital level and department functions. In addition to the basic diagnosis and treatment equipment, it can be equipped with traditional Chinese medical diagnosis and treatment equipment, acupuncture equipment, meridian treatment equipment, traditional Chinese medical magnetic therapy equipment, traditional Chinese medical soaking and washing equipment and so on, which is helpful to improve the curative effect. Equipment and related function inspection room should be shared by the whole hospital. Article 10 The Geriatrics Department of Chinese Medicine Hospital shall establish and strictly implement various rules and regulations, job responsibilities, diagnosis and treatment plans and technical operation procedures to ensure medical quality and medical safety. According to the development of special treatment in our department, the operating norms and related management systems of common diagnosis and treatment equipment for senile diseases such as acupuncture, auricular point therapy, acoustic therapy, acupoint injection, acupoint application, external application of traditional Chinese medicine, fumigation and washing of traditional Chinese medicine, and enema of traditional Chinese medicine have been formulated. Three. Personnel Team Article 11 The proportion of Chinese medicine practitioners (including assistant practitioners) in the geriatrics department of Chinese medicine hospitals is not less than 70%, and other types of practitioners who have been trained in Chinese medicine are equipped according to the needs of their work. Article 12 The qualifications of senior, middle and junior professional and technical positions in geriatrics department of Chinese medicine hospital should be reasonable, the age composition is basically balanced, and it has a talent echelon to support the sustainable development of the department. Article 13 Geriatrists in traditional Chinese medicine hospitals should have received systematic training on geriatrics in traditional Chinese medicine, and master the basic theory, basic knowledge and basic operation skills of geriatrics in traditional Chinese medicine; Should be proficient in critical care and rescue skills. After standardized training, Chinese medicine residents should master the diagnostic criteria of common diseases (syndromes) in geriatrics, master the TCM diagnosis and treatment scheme, clinical pathway, clinical guidelines and basic diagnosis and treatment skills of major diseases in undergraduate, be familiar with 200 prescriptions, focus on 100 commonly used prescriptions (see annex), and master the common diagnosis and treatment techniques in geriatrics. On the basis of meeting the basic requirements of residents, attending physicians of traditional Chinese medicine should have a high level of diagnosis and treatment of some diseases, accumulate rich experience in diagnosis and treatment of common and difficult diseases, have the ability to deal with acute and critical diseases in common geriatric departments, and can guide junior physicians to carry out diagnosis and treatment of traditional Chinese medicine. On the basis of meeting the basic requirements of attending doctors, doctors above the deputy chief physician of traditional Chinese medicine should have high theoretical literacy and rich practical experience of traditional Chinese medicine, have the ability to diagnose and apply traditional Chinese medicine methods to deal with difficult and critical senile diseases, and have the final decision-making ability of important TCM diagnosis and treatment programs in their own departments. Article 14 After completing standardized training and changing departments, residents in geriatrics department of traditional Chinese medicine hospitals should focus on training the diagnostic criteria of common geriatrics, the diagnosis and treatment plan, clinical pathway, clinical guidelines and basic skills of major undergraduate diseases, and the basic knowledge, basic theory and common diagnosis and treatment techniques of geriatrics in traditional Chinese medicine. Attending doctors of traditional Chinese medicine mainly train the techniques and methods of TCM diagnosis and treatment of difficult diseases, the academic experience of famous TCM experts, new technologies and methods, etc. By attending advanced studies, learning from teachers, attending classes, etc. , so as to understand the new progress in the prevention and treatment of senile diseases, clear the direction of personal professional development, and have more than one expertise in TCM diagnosis and treatment of senile diseases. Physicians above the deputy director of the category of traditional Chinese medicine mainly train the difficult and critical elderly people in the techniques and methods of diagnosis and treatment of traditional Chinese medicine, and master the new progress in the prevention and treatment of senile diseases by attending advanced seminars, academic conferences and studying with teachers. Article 15 The director of geriatrics department in a hospital of traditional Chinese medicine shall be a Chinese medicine practitioner who is engaged in the professional work of geriatrics in traditional Chinese medicine or a clinical practitioner who has received professional knowledge training of traditional Chinese medicine (more than 2 years) and has certain management ability. The director of geriatrics department in the second-level Chinese medicine hospital should have more than 10 years of study and work experience in the field of geriatrics in traditional Chinese medicine, and have the qualifications for professional and technical positions above the intermediate level; The director of geriatrics department of tertiary Chinese medicine hospital should have more than 10 years of professional work experience in geriatrics of traditional Chinese medicine and senior professional and technical post qualifications. Sixteenth medical practitioners 10 above the third-level Chinese medicine hospital geriatrics department and conditional second-level Chinese medicine hospital geriatrics department can establish a discipline leader system. As the academic authority of undergraduate departments, academic leaders have full and senior professional and technical qualifications, engaged in geriatric research and work for more than 20 years, and should have a certain academic status in professional fields. Academic leaders are responsible for guiding the inheritance and innovation of the characteristics of traditional Chinese medicine in the undergraduate course, organizing research to determine the academic development direction of the undergraduate course, and guiding the formulation and implementation of key projects. Article 17 The academic successors of geriatrics in Chinese medicine hospitals shall have more than 10 years working experience in Chinese medicine geriatrics, the academic successors of geriatrics in second-level Chinese medicine hospitals shall have the qualifications for professional and technical positions above the intermediate level, and the academic successors of geriatrics in third-level Chinese medicine hospitals shall have the qualifications for senior professional and technical positions. The cultivation of academic heirs should make full use of the resources of the department, the hospital and the local area, and focus on cultivating the theory of traditional Chinese medicine, the academic thoughts of old experts, clinical experience, and the new progress of traditional Chinese medicine in preventing and treating senile diseases through the forms of learning from teachers, advanced seminars and academic conferences. Article 18 The Department of Geriatrics of Chinese Medicine Hospital shall do a good job in inheriting the academic experience of famous and old Chinese medicine practitioners, and organize the inheritance of the academic experience of famous and old Chinese medicine practitioners through tutors, lecture halls for famous doctors and workshops for old experts. Article 19 Nursing staff in geriatrics department of traditional Chinese medicine hospitals shall systematically receive training on knowledge and skills of traditional Chinese medicine, and the training time of knowledge and skills of traditional Chinese medicine for nurses graduating from western medicine colleges shall not be less than 100 class hours within three years. Article 20 Nurses in geriatrics department of traditional Chinese medicine hospital should be familiar with the basic knowledge of TCM diagnosis and treatment of common geriatrics, master the basic nursing knowledge and methods of common and frequently-occurring diseases in geriatrics department, master the routine nursing of undergraduate TCM diseases and the operating rules of TCM characteristic nursing technology, and provide patients with TCM characteristic nursing services and health guidance. Article 21 The head nurse of geriatrics department in a Chinese medicine hospital is the first responsible person for the nursing quality of geriatrics department, and the head nurse of geriatrics department in a second-level Chinese medicine hospital should have the professional and technical post qualification of nurse or above, and have more than 1 year clinical nursing experience in geriatrics department. The head nurse of geriatrics department of tertiary Chinese medicine hospital shall have the qualifications of a competent nurse or above and professional and technical positions, and have more than 2 years of clinical nursing experience in geriatrics department. Twenty-second Chinese medicine hospital geriatrics department should actively apply Chinese medicine methods to promote the improvement of Chinese medicine diagnosis and treatment level. A performance appraisal system should be established, which will include the excellent and good rate of syndrome differentiation and treatment, the utilization rate of Chinese patent medicine, the treatment rate of Chinese medicine, the prescription rate of Chinese herbal pieces in outpatient department, the participation rate of Chinese medicine in acute and critical diseases, and the cure and improvement rate. Four. Service technology Article 23 The Geriatrics Department of a Chinese medicine hospital should pay attention to inheriting and developing the traditional diagnosis and treatment technology of Chinese medicine, and actively explore and innovate the diagnosis and treatment technology of Chinese medicine for senile diseases on the premise of ensuring medical safety and the interests of patients. Article 24 The Geriatrics Department of a hospital of traditional Chinese medicine should have the ability to diagnose and treat common and frequently-occurring geriatric diseases, and the second-level hospital of traditional Chinese medicine should have the ability to diagnose and treat common geriatric diseases such as depression, insomnia, osteoarthralgia, diabetes, stranguria, constipation, epigastric pain, hyperhidrosis, chest pain, dizziness and stroke. On the basis of the service ability of the second-class Chinese medicine hospital, the third-class Chinese medicine hospital should have the ability to carry out the diagnosis and treatment of senile difficult diseases, tremor, palpitation, asthma, edema and other acute and critical diseases. Twenty-fifth Chinese medicine hospital geriatrics should pay attention to highlight the characteristics of Chinese medicine, encourage the use of Chinese herbal pieces in outpatient and ward, and rationally use Chinese patent medicines and hospital Chinese medicine preparations under the guidance of the principle of syndrome differentiation and treatment. Carry out traditional Chinese medicine special services such as external application of traditional Chinese medicine, enema of traditional Chinese medicine, acupuncture, auricular point treatment, foot bath, acupoint application, umbilical therapy and cupping; Actively create conditions to carry out acupoint injection, acupoint catgut embedding, stone cutting and other services to improve the clinical efficacy of traditional Chinese medicine. Article 26 The Geriatrics Department of Chinese Medicine Hospital shall, in accordance with the TCM diagnosis and treatment scheme and clinical pathway of related diseases formulated and published by state administration of traditional chinese medicine, form a TCM diagnosis and treatment scheme for key diseases of undergraduate course, and apply it to clinic, regularly analyze, summarize and evaluate the implementation and curative effect level of TCM diagnosis and treatment scheme, continuously optimize the diagnosis and treatment scheme, and improve the clinical efficacy of TCM. Twenty-seventh to strengthen the basic training of Chinese medicine, and constantly improve the level of Chinese medicine diagnosis and treatment. A three-level doctor rounds system should be implemented, and the contents of rounds should reflect the idea of syndrome differentiation and treatment in traditional Chinese medicine, so as to achieve accurate syndrome differentiation and give full play to the guiding role of superior doctors in the diagnosis and treatment of traditional Chinese medicine for junior doctors; Carry out case discussion in time to improve the level of TCM diagnosis and treatment of critical and difficult diseases. Article 28 The Geriatrics Department of Chinese Medicine Hospital should pay attention to the introduction and absorption of new diagnosis and treatment technologies according to the development direction and construction planning, and actively explore and make bold innovations in TCM theories, technical methods and drug research and development based on clinical efficacy. V. Environmental Image Article 29 The Department of Geriatrics of Chinese Medicine Hospital should pay attention to the characteristics and advantages of traditional Chinese medicine in the construction of environmental image according to the actual situation of the unit and the undergraduate department. Article 30 The key points of environmental image construction of geriatrics department in Chinese medicine hospital include outpatient corridor and waiting area, ward corridor, treatment room and other areas. Article 31 The environmental image construction of geriatrics department of Chinese medicine hospital should focus on spreading the popular science knowledge of preventing and treating senile diseases with Chinese medicine, introduce the methods and professional knowledge of preventing and treating senile diseases with Chinese medicine, highlight the characteristics and advantages of preventing and treating senile diseases with Chinese medicine, and create a good cultural atmosphere of Chinese medicine. The specific contents of propagating knowledge, introducing methods and highlighting features should use the names of TCM diseases and TCM terms, and adjust them in time according to the changes of diseases. Article 32 According to different areas and contents, the interior decoration of geriatrics department of Chinese medicine hospital can adopt painting and calligraphy works about famous sayings and aphorisms of famous doctors, photos, posters, display cases in windows, objects, touch screens, video networks, leaflets and other forms of publicity. Supplementary provisions of intransitive verbs Article 33 Clinical teaching and scientific research in geriatrics departments of traditional Chinese medicine hospitals shall be conducted in accordance with relevant requirements. Article 34 The construction and management of clinical departments of traditional Chinese medicine in hospitals of integrated traditional Chinese and western medicine, specialized hospitals of traditional Chinese medicine and general hospitals featuring the diagnosis and treatment of senile diseases shall be implemented with reference to this guide. Article 35 The relevant provisions on the construction and management of geriatrics departments in ethnic medical hospitals shall be formulated separately by the administrative departments of traditional Chinese medicine of all provinces, autonomous regions and municipalities directly under the Central Government. Article 36 state administration of traditional chinese medicine shall be responsible for the interpretation of this Guide. Article 37 These Guidelines shall come into force as of the date of promulgation.