Instrumentation and equipment repair, maintenance, maintenance system
(1)
Equipment Maintenance Department is responsible for the hospital's instrumentation, air conditioning, oxygen equipment repair, maintenance, maintenance work.
(2)
Departments are responsible for the daily maintenance of the instruments and equipment of this section, and the users strictly implement the operating procedures and the equipment management
and use system.
(3)
Regular repair and maintenance of instruments and equipment throughout the hospital.
(4)
Strictly implement the
ISO
9000
procedures for the maintenance of instrumentation and equipment, and record the operation and repair of instrumentation and equipment
maintenance.
(5)
The person in charge of the Equipment Maintenance Department puts forward technical appraisal opinions on instruments and equipments to be downgraded for use or scrapped in the whole hospital for the reference of the Equipment
Management Committee.
(6)
Regularly inspects the safe use of instruments and equipment in the whole hospital and makes comments or suggestions.
(7)
Any staff member who achieves obvious benefits in the repair and maintenance of instruments and equipment will be given spiritual and material rewards and
recorded in the file as a reference for promotion.
(8)
Whoever violates the system and causes losses to the unit, the person concerned shall be held responsible, and shall be criticized and educated, subjected to administrative
political sanctions, economic penalties, and even prosecuted for legal responsibility.
Disposable consumables daily management
In order to strengthen the disposable consumables
Internal management, to protect the medical safety and normal medical order, must do a good job of disposable consumables
Daily management.
One, disposable supplies warehousing acceptance
One
Inspection of physical
(1)
Time of acceptance
Should be in the manufacturer's goods arrived on the day immediately after the organization of the relevant personnel for acceptance, without delay.
(2)
Acceptance inspection personnel
Full-time treasury administrator.
(3)
Contents of acceptance
①Quantity:
In principle, for small items in fixed packages,
sampling of inner packages
5%
When ensuring that there are no errors or other problems,
the packages can no longer be removed.
If the quantity inspected does not match the quantity on the delivery note,
all items and accompanying documents should be returned for picking
goods.
② Appearance:
Check the quality of the appearance of the goods,
including the name of the goods,
model,
production batch number,
sanitization date and expiration date.
③Packaging: the dryness and humidity of the packaging, the sealing condition of the inner packaging, with the eye, hand-checking method, where it can not
meet the inspection standards will not be stocked.
Two
Fill in the acceptance record
After the acceptance of goods,
must fill in the acceptance record,
fill in the content including the date of acceptance,
producer,
supplier,
Item name, specifications, number, unit, unit price, total, the production batch number, Sterilization date, expiration date, acceptance package,
Certificate of Conformity, remarks and other content.
2
Three
entry
for computerized management.
Two, disposable supplies issued
a
Low-value supplies issued
Equipment Division, according to the application form entered into the computer in the receiving department, the arrangement of the treasurer in the ah after checking the items delivered to the
position, signed by the department staff. In case of urgent need of consumables directly to the warehouse to receive and sign the application form.
Two
High-value consumables
1
The scope of high-value consumables includes interventional materials for catheterization, ophthalmology IOLs, surgical instruments used in the operating room, and dialysis consumables for the dialysis room.
(2)
High-value consumables are managed through the establishment of a standby store in the department. This store is managed by the department on a daily basis, but the items
must first be entered by the large store room of the device office, such as name, number, bar code, expiration date, etc. The department must follow the rules of the large store room. The department must store the consumables according to the base number of items stored in the main warehouse, which is recorded in the account of the items in the main warehouse. In case of clinical need,
the spare warehouse will issue the supplies directly in the clinic, fill in the Feedback Form for High-value Items
(content: patient's name, age, case
number, company name, model, quantity, prescribing doctor)
and complete the issuance
procedure after signing by both the equipment office and the clinical department.
Three, disposable consumables reported loss
1
The items in the warehouse to maintain stable quality, effective, no damage, no deterioration.
(2)
Where damage occurs during transportation, the purchaser should be responsible for contacting the supplier for replacement or return.
(3)
Breakage of items due to work inadvertence (e.g., glass) should be registered and go through the procedures for reporting damage.
(4)
3
Expired items within 3
months are to be returned by the purchasing agent in contact with the supplier.
(5)
Any scrapped items (broken or expired) should be provided with a report by the responsible person, stating the name of the item, specification, quantity, price
quality,
reason for scrapping,
responsible,
lesson learned, etc., and
discussed by the group,
put forward the treatment opinion and improvement measures,
submitted to the Director and the relevant departments for approval and write-off.
(6)
The annual consumption of scrapped items in the warehouse should be less than
0.5%
accumulated by amount.
Four, disposable supplies return system
1
Items into the warehouse should be regularly inventory, such as half a year not to be used, should be notified by the warehouse staff to the purchaser for the return of
goods.
(2)
In the process of use found that the quality of substandard, should be used by the department to explain in detail the reasons and provide relevant evidence, after verification
real quality problems,
by the treasury staff to notify the purchaser and the supplier to contact the return of goods,
and will be returned to the
"Return
Situations The return will be recorded in the "Register of Returned Goods", and depending on the severity of the case, we will decide whether or not to delete it from the "Qualified Supplier List" and disqualify it from supplying goods again.
Large-sized suppliers are not allowed to return goods.
Large precision instruments management
Large precision instruments are an important part of the hospital's fixed assets,
is a medical,
teaching,
research and training of talents indispensable technical
equipment. The level of equipment and use is an important symbol of the level of hospitals.
3
Where
2
million yuan or more of instruments and equipment is designated as large precision instruments.
5
More than 10,000 yuan belongs to the State Education Commission, the Ministry of Health regulations
23
type of instruments and equipment, for the Education Commission, the Ministry of Health, the unified management of large precision instruments. Large precision instruments with expensive, complex structure
Characteristics, the need for specialized management. According to the relevant provisions of the Education Commission, the Ministry of Health has developed this management approach.
I, large precision instruments of the requisition
(1)
Where the requisition is worth
2
million yuan or more of large precision instruments, the director of the department must apply for the designation of a person on the instrument
relevant information for a detailed investigation, study, fill out the "feasibility report on the acquisition of large precision instruments and application form"
, its content should be
, and the application form for the purchase of large precision instruments, and the application form for the purchase of large precision instruments, and the application form for the purchase of large precision instruments. p>, its content should
include: reasons for the acquisition, technical performance demonstration, feasibility studies and benefit forecasts. Only then can the Equipment Management Committee and the
Equipment Office, together with relevant experts, validate and establish the project.
(2)
Equipment after the project by the equipment management committee, equipment, together with relevant experts for public bidding, the bidding process should be
in the spirit of openness, justice and fairness of the principle; resolutely put an end to the emergence of unhealthy practices, the bidding results should be audited, disciplinary inspection of the relevant
departmental review and confirmation of the item,
reported to the competent dean to sign!
By the Equipment Office in accordance with relevant national policies on the acquisition of instruments and equipment related to the hand
continued.
(3)
In the daily work, the departments of the hospital, due to special reasons, are not included in the annual acquisition plan and must be resolved in a timely manner
Devices Division should be special treatment of special circumstances,
departmental application by the dean in charge reported to the president of the secretary of the Office of the President for discussion and approval,
by the Devices Division in conjunction with the relevant departments In accordance with the program to solve the problem in a timely manner.
(4)
Large-scale precision instruments that have been approved for purchase, the requisitioning section should grasp the housing, maintenance, management and other conditions of the matching and operation
The training of personnel to ensure that the arrival of the acceptance of the goods can be equipped with the acceptance of the conditions, the installation, debugging, and the use of.
Two, the acceptance of large precision instruments
(1)
Acquisition of large precision instruments, after the contract is formally signed, the use of the section should immediately designate a person responsible for the formation of acceptance
group,
begin to digest the information. With the equipment office to develop acceptance criteria and programs, prepare for the installation conditions, do a good job of acceptance of
all the preparations.
(2)
After the instrument arrives at the hospital, it should carry out strict acceptance according to the relevant indexes in the ordering contract and technical information item by item. Where necessary
The items that must be claimed, can not miss the claim period. Acceptance of large-scale precision instruments, the department should be put into use within the specified period.
(3)
has passed the acceptance of the instrument, to fill out the "large precision instruments acceptance report" to the Equipment Office for the record, and timely processing
fixed assets report increase procedures.
Three, large precision instruments management
(1)
Each large precision instruments in the hospital departments,
must be designated as the technical person in charge of intermediate title or above,
responsible for the instrument inspection, maintenance, maintenance, maintenance and calibration, to ensure that the instrument's accuracy and good condition, and under the direction of the person in charge of the
guided by a person in charge of the equipment. p>Guided by the person in charge of the arrangement of the use and management by a person. Users must receive technical training beforehand, and can only operate on the machine after passing the examination.
The management of special large precision instruments should be in accordance with the relevant provisions of the Ministry of Health.
(2)
Where large precision instruments should be formulated operating procedures and configure the use of records, all operations should be strictly in accordance with the developed
procedures for operation, each use should be well documented.
(3)
Where large precision instruments and equipment (
10
million yuan or more) should be set up by the Equipment Office of the technical file, collect the equipment application
requests, contracts, various approvals, acceptance, efficiency, maintenance, scrapping, and other information in the whole process, in order to be ready for future reference.
Four, large precision instruments, maintenance
1
Large precision instruments should be routine calibration year by year, quarter by quarter, month by month routine maintenance, maintenance. All calibration,
maintenance, maintenance should be in accordance with the standardized form to make records.
(2)
Instrument failure or damage, to identify the cause and promptly report to the hospital authorities. Where the responsibility for accidents caused by
instrument damage,
the parties must provide a written examination,
then by the instrument use department and the hospital authorities to discuss,
depending on the nature of the damage and the degree of damage and the relevant provisions of the
decision on financial compensation and administrative sanctions.
4
Fifth, the scrapping of large precision instruments
(1)
If the instrument is damaged, there is no repair value or old, need to do scrapping, the use of the department must be
The acquisition of the instrument,
use of the whole process of a serious summary,
and then submit
"Application Report for Scrapping of Large Precision Instruments". Large precision instruments scrapping application report"
a.
The equipment department of the hospital organizes relevant experts to consider and report to the dean in charge for approval to handle the procedures of cancellation and cancellation of cards.
(2)
Instruments that have been approved to be scrapped cannot be lent, transferred or assigned by the original department, but must be handled by the competent department of the hospital in a unified manner
.
Sixth, other
(1)
These measures have been implemented since the date of promulgation, and the similar provisions promulgated in the past will be canceled at the same time. Other relevant provisions in conflict with these
Laws shall be implemented in accordance with these Measures.
(2)
If these Measures are in conflict with regulations issued by higher authorities, they shall be handled in accordance with the higher authorities' regulations. This Scheme shall be interpreted by the Equipment Office
.
Computer network and information security management
In order to strengthen the hospital's computer network and information security management and the spirit of the relevant documents, the development of this approach.
1
The security management of the hospital
CHIS
(Hospital Information Management System) system and the medical insurance information system is applicable to these measures.
(2)
The security and confidentiality of the computer room is under the leadership of the hospital security and confidentiality leading group, and all the staff of the computer room must
be carried out in accordance with these measures. The last
1
week of each month in the computer room is scheduled
1
working days are dedicated to the work of security and confidentiality.
(3)
Related personnel training, software and hardware equipment investment in the hospital should be arranged annually expenditure plan.
(4)
Computer room personnel must implement the security and confidentiality of the provisions of this approach, shall not be engaged in endangering the security of the computer information
information network activities,
not disclose confidential data and business data to other people and organizations,
without the consent of the
not query for
others the relevant data.
①Technical security,
database system by the system developer to take relevant security access measures,
to ensure the database de
security,
CHIS
systems and health insurance information system to install a professional network of anti-virus software, the network built to take the necessary measures to prevent
illegal intrusion and unauthorized access. intrusion and unauthorized access.
Computers used as workstations on the network do not have floppy drives installed, and
no application software other than the business module is used
.
The computers on the Internet are not physically connected to the computers used for the institution's business,
avoiding external intrusion and
unauthorized access.
②In business management,
Each application module is equipped with an application system administrator,
who is responsible for the authorization of the functions and privileges of the users of the module
.
Authorized personnel should properly protect their user passwords,
preventing illegal theft of the institution
Outside personnel
(including advanced training and internship students, international students) and non-authorized personnel are not allowed to use the computers on the network. The computer room conducts a monthly supervision and inspection of the use of
computers.
③The planning,
design and implementation of information systems must be in line with the relevant standards of network and information security construction,
and be able to meet the needs of safe
full operation and information confidentiality. The new application system must take into account the requirements of security and confidentiality.
4 hospital department query about the department's business data,
by the department to fill out the data query form,
by the computer room to guide its search
or on behalf of the search.
The hospital department inquires about the business data of the whole hospital,
the department fills in the data query form,
reported to the quality of information management
Division leadership signed the consent before the query can be carried out.
5 ⑤ outside the hospital personnel query the data,
must be agreed by the medical department or hospital office,
and signed by the quality of information management
leaders agree to query.
5
Information System Emergency Response
I. Definition of Emergency
The hospital information system due to changes in the environment outside the system or the system itself, and the failure of the equipment,
network,
data damage and other emergencies caused by
the whole system or the system part of the inability to work normally and so on. The situation.
Second, the processing part
A
Reporting procedures
When an emergency occurs, it should be reacted in time, and all departments should cooperate with each other, take their own responsibility, and deal with it decisively.
The staff of the information system application department should report to the computing
computer room in a timely manner when they find that the application software or computer equipment is malfunctioning.
The computer room, based on the nature of the reported event and the degree of urgency, will immediately carry out investigations to determine whether it is an emergency, if
it is, they should report to the leadership of the Quality Information Management Division immediately, and start the organizational procedures.
Two
Organizational Procedures
After the sudden occurrence of the above events,
Institutional Information System Emergency Response Command Group is automatically set up,
by the dean in charge as the leader,
Quality Information
Management Office of the person in charge of quality information management as the deputy leader, all the staff of the computer room as a member of the group, centralized, unified command and treatment.
Defense Department, General Affairs Department, Equipment Department to do a good job of emergency treatment of the relevant support and cooperation.
Three, processing procedures
(1)
The use of the department in the computer room under the guidance of the activation of standby measures to temporarily maintain normal operation.
(2)
The computer room should immediately carry out fault checking in order to clarify the truth of the fault and find out the cause. When necessary, the relevant departments should actively
extremely cooperative, if necessary, information systems vendors can be asked to support assistance.
(3)
In case of backup measures can not be activated, can be approved by the head of the hospital information system emergency response command team, temporarily shut down
Information systems.
(4)
Alternate Measures (Contingency Measures)
Alternate measures, which can also be called contingency measures. Outpatient and emergency charges are switched to run on the standby service
server,
each outpatient pharmacy dispenses medication by prescription,
registration is done manually,
ward medical orders are done manually to the inpatient pharmacy to receive
medicine, and inpatient management billing and other modules are all temporarily shut down.
Four, preventive part
(1)
Computer room usually need to strengthen the detection of emergencies, early warning, reflect, deal with and other related work, the strict implementation of
Hospital information system operation and maintenance of the measures, the strict implementation of information system operating procedures.
①"Backup Measures"
②"Network Regular Inspection System"
③"Uninterruptible Power Supply Maintenance Measures"
④"Host Room Temperature, Humidity, Fire Prevention and Other Environmental Standards"
(2)
Materials and Equipment Safeguard Measures:
There should be a spare parts storehouse for some of the commonly used key equipments, and the varieties are servers, servers, fire prevention and other environmental standards
. p>Varieties are servers,
switches,
network cables, hubs, power supplies, sockets, etc., the number of the total number of
5%
about. Spare parts are kept in the computer room.
(3)
The operating procedures of the information system should be strictly enforced by each using department to reduce the possibility of damage to the information system.
(4)
Preventive measures: the Quality Information Management Office should record the abnormalities and failures detected on a daily basis and analyze them,
analyze whether there is some kind of development trend, and make some preventive treatments for the possible failures.