Outpatient clinic attendance system model for god help

1. Compliance with the provisions of the system of responsibility for the first diagnosis is not only the first performance of physicians at all levels of responsibility for the patient, but also an important part of the elimination of medical accidents, but also an important part of the construction of spiritual civilization. 2. For patients belonging to the Department of the disease, the first physician must be responsible for to the end. Eliminate the phenomenon of "kicking the ball". When encountering difficulties, we can ask the superior physician to guide or the same level of physicians to deal with the consultation. 3. Critical patients should strive to local rescue, we can ask the superior physician or the same level of rescue; the transfer of life-threatening and may be delayed in the resuscitation of patients on the way, not without resuscitation shall not be transferred, you must contact the transfer of resuscitation side. 4. shall not be an excuse to put the thorny problem to the superior physician or the administrative head to take over the task. Patients with serious illnesses or critical illnesses should not be refused for any reason. 5. Special care should be taken for inter-disciplinary symptoms and illnesses such as abdominal pain, hematuria, vertigo, etc. The first physician should first consider the disease of the department. The first physician shall first consider the diseases of this department, and then refer to other departments after ruling out the diseases of this department, and shall not reverse the procedure. 6. Whoever is asked to go to and see the critical patients, emergencies, and outpatient visits (except for interns) that are difficult to be divided into different departments shall not be shirked or refused for any reasons, or else they shall bear the responsibility for the consequences. 7. Referral system 1. The patients who are unconditionally handled by the clinic or who have difficulties in diagnosis and treatment after consultation can be referred to the designated hospitals for treatment. 2. When referring, the receiving doctor should record the medical history, referring hospital, purpose of referral and the time description in detail on the patient card. 3. One kind of disease shall not be referred to two hospitals at the same time. 4. After receiving the outpatient medical record of the referring hospital, the patient's condition and the conditions of the department can help the patient to get treatment. 5. The patient's condition and the conditions of the Department can help the patient to complete the process of diagnosis and treatment (treatment in the clinic or continue to refer). 5. Critical patients should be rescued locally or transferred to the hospital while rescuing, and the procedures are simplified, but a retrospective record must be made after the treatment. 6. Third, infectious disease management system 1. infectious diseases by the outpatient doctor is responsible for screening, should be promptly reported to the prevention and protection section, at the same time turned to the infectious disease hospitals. 2. prevention and protection section do a good job on the infectious disease of the transmission of the report, there are registered, visit, etc., at the same time, the infectious disease of the residence, as well as contact with the goods to carry out disinfection. The report must be timely, no omission, not good report, once a clear diagnosis of suspected cases should be corrected report. 3. For students who fail to reach the level of hospitalization, the Student Affairs Office to provide a separate room for isolation, strong control of the source of infection, cut off the transmission pathway, protection of susceptible populations, and do everything possible to control the spread of infectious diseases. 4. found that infectious diseases are suspected to be a patient, and unconditional exclusion, but also should be transferred to the hospital specializing in infectious diseases. 5. The discovery of virulent infectious diseases, such as epidemic epidemic, B brain, cholera, etc., must be immediately reported to the epidemic prevention station and the Department of Physical Education and Health of the Board of Education, and active measures should be taken to prevent the expansion of the epidemic. 6. After lifting the quarantine of chronic hepatitis and tuberculosis patients, they should be followed up by outpatient clinics on a regular basis. 7. Prescription management system 1. The prescription right of physicians at all levels shall be approved by the director of outpatient department. 2. Prescription shall be issued in accordance with the standard requirements, and the contents of the items shall be filled in completely, and the registered number and pharmacy shall be strictly controlled, and shall have the right to refuse to accept the prescriptions filled in by physicians with incomplete or irregular contents, or else they are all liable for the responsibility. 3. Physicians shall not issue prescriptions for themselves and their families. 4. If the prescriptions are inaccurate or not in accordance with the norms, the pharmacist shall notify the physicians to change, otherwise the pharmacy shall have the right to refuse to dispense them. 5. Otherwise the pharmacy has the right to refuse to dispense it. However, the pharmacy personnel shall not change the prescription without authorization, nor shall they dispense any medicine without authorization, otherwise they shall be responsible for it. 5. Prescription shall be filed, kept and destroyed according to the requirements of the regulations. 6. V. Attendance system (1), the code of commuting 1. consciously abide by the work and rest time, punctual opening of the clinic work, not to be late and early departure. 2. during the working hours, adhere to their posts, do not leave their posts without permission, and do not do private work. 3. if there is something need to go out, you must ask for leave from the team leader, and at the same time, arrange the work. (ii) Sick leave 1. All sick leave shall be taken on the basis of a sick leave slip, which shall be submitted to the Team Leader in advance after fulfillment of the procedures for leave taking. Those who are on emergency sick leave and live far away may call in for leave, but they must show proof of their condition afterwards. 2. Long-term sick leave shall be implemented according to the relevant regulations of the school. 3. An application report shall be written for leave of absence, submitted to the office of the school hospital, and approved by the director of the clinic of the new school or the assistant before leaving the post. 4. If there are special circumstances that prevent the person from taking leave in person, he/she should take leave by phone first and make up the leave afterwards after agreeing to do so; otherwise, the leave will be treated as absenteeism. (C) Family visit and official leave shall be handled according to the relevant regulations of the university, the Logistics Service Center and the university hospital. (D), the system of leave transfer 1. outpatient department staff need to work on duty, overtime without leave, can be responsible for attendance staff as a record of leave transfer. 2. leave transfer can only be used by the person himself, can not be transferred to another person. 3. if the use of leave transfer, should be asked to transfer in advance, to 2 hours from the start. 4. in case of emergencies, can be asked to take leave by phone leave transfer. 5. leave transfer is deducted by the attendance clerk and records. In case of falsification, once found, it will be treated as absenteeism. 6. The leave-taking should be based on work, and the director of the clinic has the right to disallow it when the clinic is busy with work. 7. If you leave the clinic without the consent of the director, you will be treated as absenteeism or personal leave as appropriate. 7. Vacation leave can be accumulated and will be checked and counted by the attendance clerk every month. At the beginning of each month, the accumulated leave summary record of the previous month will be published. Sixth, the duty room work system 1, the duty personnel must adhere to the workstation, can not leave without authorization, to prevent the occurrence of medical accidents. 2, the duty personnel such as special circumstances out of the clinic, must be listed to indicate the direction and time or one person to stay behind. 3, the successor must pay attention to the inventory of the relevant medicines, equipment before taking over the shift, the shift is generally completed in half an hour after the start of the work. 4, the duty personnel to write a complete history of the record and treatment process, resuscitation of critical care. 5, the duty personnel should be a complete record and the treatment process, the rescue of critical care. 6, the duty room work system The staff on duty should write a complete medical history and treatment process, and the rescue of critically ill patients should be recorded in detail. 5. The staff on duty must make up all the medicines (with prescription) and equipments, and clean the indoor hygiene before handing over the shift. 6. After going to work, some special patients' conditions must be explained to the physicians of the relevant departments for further treatment of their conditions and treatments. 6. The staff on duty must strictly abide by the registration system and the management system of publicly-funded medical treatment. 7. Clinic work system 1. Establish the idea of serving patients wholeheartedly, adhere to the principle, and treat people politely. Carry forward the spirit of saving lives and helping the sick and the humane. 2. Strengthen business learning, study hard to improve the level of medical care, to treat patients with love, inquiring about the condition of the careful, physical examination carefully, diagnosis and treatment of the heart, explaining the condition of patience, similar cases to stay in mind the "six heart service" provisions. 3. Priority care for patients in critical condition, outpatient treatment of diseases that can not be resolved timely transfer to hospitals for treatment. The disease that cannot be solved by the outpatient clinic will be transferred to the hospital in time for treatment. 4. The writing of medical history, medication, treatment, and the writing of examination application form should be standardized. 5. Strictly implement the disinfection and isolation system and aseptic operation, and do a good job in disinfecting the clinic and treatment room. 6. When infectious diseases are found, transfer to specialized hospitals for treatment in time, and assist in the reporting work. 6. Keep the room clean and tidy. 7. Eight, laboratory work system 1 based on the outpatient physician's application, the patient laboratory examination. 2 operation bench, floor disinfection solution disinfection once a day, the occurrence of contamination in a timely manner disinfection. 3 receiving specimens, the strict implementation of the system of checking, specimens do not meet the requirements, should be re-collected, can not be immediately tested specimens, should be properly stored. 4 disposable medical waste is strictly in accordance with the specification requirements Disinfection, collection and forwarding for treatment. 5. All kinds of laboratory instruments must be disinfected according to regulations before use. 6. Centralized treatment of test specimens, such as blood, urine, stool specimens should be disinfected according to the specifications before disposal. 7. General specimens and utensils should be disinfected immediately, and contaminated utensils should be disinfected before washing. 8. Strictly abide by the various testing systems, fill in the report form clearly and unambiguously, and the report should be carefully checked before being issued, and signed and stamped. 9. Ensure the quality of the test, regularly check the reagents and calibrate the sensitivity of the instrument. Electrocardiogram room work system 1 to establish the wholeheartedly for the people's service to the people's mind, do adhere to the principle, polite to others. 2 based on the application of the outpatient physician, the patient for electrocardiography. 3 timely and accurate report of the results of the examination, in the event of any difficult problems with the clinician to contact, *** with the study to solve. 4 strictly comply with the operating procedures, and conscientiously implement the management system of medical equipment. Enhance learning, familiarize with the performance of ECG machines, and improve the diagnostic level. 5. Pay attention to safety, regular maintenance, repair and annual inspection. 6. Seriously make a good record of the report of each examination. 7. Keep the examination room clean and tidy. Pharmacy work system 1. strictly abide by the drug management system, strictly abide by the post, courteous service. 2. when the formula to concentrate, pay attention to the contraindications, after careful checking to determine that there is no error can be formulated. When the formula is finished, the person in charge will sign it to prevent errors from occurring. 3. Prescriptions that violate the regulations and abuse drugs will not be dispensed. 4. The medicines are used in accordance with the chronological order of storage, first-in-first-out. Minimize the occurrence of drug expiration. All deteriorated and expired medications will be discontinued. Prescriptions issued by non-college doctors will not be dispensed. 4. Do a good job of summarizing medicines and storing prescriptions. The general prescription is kept for two years, and the psychiatric prescription is kept for three years. 5. Strengthen the contact with the outpatient clinic, and constantly improve the level of rational use of medication. 6. Do a good job of safety and security, and the pharmacy staff of the non-clinic department is not allowed to enter the pharmacy without consent. 7. It is strictly prohibited to divert the medicines from the clinic. 8. Do a good job of indoor hygiene, keep neat and clean. XI, prevention and protection work system 1. to comply with the new school clinic and the school's work system. 2. to do a good job of preventive health care of teachers and students in the new school district and disease prevention work. 3. to do a good job of summary statistics of the relevant business. 4. to strengthen the contact with the district health authorities, the Center for Disease Control. 5. to do a good job of infectious disease management; good food hygiene, teaching hygiene, public **** hygiene and other supervision. 6. to do a good job of all the medical examination Organize the work, keep the medical examination utensils, and do the work of newborn health appraisal according to the regulations. 7. Organize the work of vaccination and other work for the students in the new campus. Issue summer medicine. Twelve, registration, charging room work system 1. adhere to the post, the idea of concentration, warm service, courtesy, give priority to the old, weak and critical patients. 2. seriously do a good job of outpatient registration, charging, bookkeeping, etc. When registering students should be carefully checked. When registering, you should carefully check your student ID, magnetic card, work ID, campus card, and register on time and according to the regulations. 3. Receive patients with a kind attitude, use civilized language, and do not quarrel with patients. No unauthorized absence from the post, no laughing, joking, doing private work with others during working hours, and no bringing idlers into the collection office.4. Strictly implement financial discipline, no use of authority to keep accounts of favors, stamping favors.5. Strictly implement the financial fee management system, accounts and documents should be clear, and errors should be strictly prevented. Cash daily report once a day, timely submission. 6. Do a good job of computer operating procedures and computer maintenance, do a good job of patient card indexing, daily recovery of the patient card filing, to prevent loss. 7. Registration and charging platform is not allowed to install the program has nothing to do with registration and charging, and shall not be used for gaming entertainment. XIII. Work system of injection room 1. Strictly implement the sterilization system and aseptic technique operation specification. Wear a good hat and mask during operation. 2. Perform injection according to the injection order issued by the physician and ask for any history of allergy. 3. If allergy test is needed, it must be carefully observed. 3. Do three checks and seven checks to prevent errors and accidents, and pay attention to the contraindications of drugs. 4. Disposable medical materials, such as syringes, are disposed of in accordance with the regulations. 5. The air in the room is irradiated with ultraviolet rays for one hour every day and the desktop is scrubbed with disinfectant solution, and the treatment table and beds should be kept neat and clean. 6. Count the emergency spare articles and first-aid medicines (such as anti-allergic shock drugs) before the end of the work day. 7. The medicines (e.g. anti-allergic shock, etc.) should be counted before the end of each day. The work system of the dressing room 1. Strictly implement the sterilization and aseptic technique operation standard. 2. The staff should wash their hands with running water and soap before and after each dressing change, and wear a good hat and mask when changing the dressing. 3. All kinds of instruments and dressing jars are disinfected once a week. 4. The indoor furniture, tables and chairs are disinfected with disinfectant or spray every day. 5. The air in the room is irradiated with ultraviolet rays for 1 hour every day. 6. The disinfected items are placed strictly differently from the un-disinfected ones. 7. Sterilized items are placed strictly differently from unsterilized items and are clearly marked. 7. Dirty buckets and dirty dressings should be sterilized and collected for treatment every day according to regulations. 8. Physiotherapy room work system 1. Strictly implement the operation procedures, give precautions before treatment, observe carefully during treatment, find abnormalities and deal with them in time to prevent accidents and errors. 2. Determine the type of physiotherapy according to the patient's condition and diagnosis on the physiotherapy sheet, pay attention to observing and summing up the efficacy of the treatment and keep in touch with the clinical departments. 3. Strictly implement the system of disinfection and isolation, disinfect the treatment utensils on a regular basis, change and wash the bed sheets and bedding regularly, and maintain a fresh environment. 4. Regularly change and wash bedsheets and bedding, maintain a fresh environment, and make patients feel happy and comfortable. 4. Pay attention to frequent maintenance and repair of instruments to prolong the service life of equipments, and turn off the power supply after work to ensure the safety of electricity. The management system of items in the outpatient department 1. All kinds of consumable items in the outpatient department are managed by the nursing department and accounts are set up, and the personnel of each clinic are responsible for the custody and maintenance of the equipment. 2. Each clinic needs to purchase items and apply to the office of the university hospital, and the director of the outpatient department will determine whether to apply for purchase according to the needs. 3. The users must take care of the public *** property and do a good job of maintaining it. 4. The office staff will check the use of medical equipment from time to time. 4. If the items are damaged and need to be repaired, the user will submit the request to the office, and the office staff will contact the equipment for repair. 5. The public *** items of the outpatient department belong to the assets of the school and are not allowed to be used for private use. 6. Medical waste management system 1. The medical waste of the outpatient department is managed by the Nursing Department, with the active cooperation of the relevant staff of each department. 2. Each clinic carries out preliminary treatment and disinfection according to the requirements of the standard for medical waste treatment. 3. The medical waste must be stored in special containers (with the sign of medical waste). 4. The place where the medical waste is stored is separate from the place where the public*** is stored. 5. After the waste is sterilized and treated, it should be sent to the designated place for destruction in accordance with the regulations. 6. After being sent to the designated place, it should make a good record of pick-up and drop-off and keep a good account. 7. It is strictly prohibited to mix the medical waste with the domestic garbage. 8. Safety management system of outpatient department 1. the outpatient department designates safety administrator and establishes a special record book for safety inspection. 2. safety work is the foundation of all work, and the staff of each clinic shall actively cooperate with the safety officer to do a good job of safety work. 3. in addition to the regular inspection of the safety work by the safety officer, the safety officer also randomly inspects the safety work from time to time. 4. in addition to regular inspection of the safety officer for the special equipments, the staff of the post shall strictly follow the requirements of the operation regulations. 5. In accordance with the requirements of the operating procedures. 5. equipment failure and other safety hazards should be found in a timely manner warranty. 6. special equipment should be licensed. 7. to do the annual inspection of specific equipment. (For reference only)