Village health office duties
I, consciously abide by national laws, regulations and rules, practicing within the approved scope of practice.
Two, publicize national health regulations, carry out mass health education, the establishment of family health records.
Three, under the guidance of the township health center to carry out immunization, maternal and child health management and other preventive health care work.
Four, provide primary diagnosis and treatment of common diseases and multiple diseases and referral guidance.
V. It actively carries out technical guidance on the elimination of pests and diseases in rural areas and the comprehensive improvement of environmental sanitation.
Sixth, to assist the villagers' committee to actively publicize and promote the new rural cooperative medical system, the strict implementation of the new rural cooperative policies and regulations, and enthusiastic for the majority of farmers participating in the service.
VII, responsible for village health supervision.
VIII, to complete the epidemic, births and deaths and other health information statistics reported.
Nine, to complete other work assigned by the higher health department.
Attachment 2:
Code of Conduct for Rural Doctors
I. Save lives and promote humanitarianism. Always for the sake of patients, do everything possible for the people to relieve the pain.
Second, civilized service, courtesy. Reception of patients using civilized language, demeanor, attitude and warmth of patients with love.
Three, obey the management, legal medical practice. Consciously abide by national laws and regulations, strictly in accordance with the medical operation routine, humbly accept the township health center and the higher level of medical and health institutions of technical guidance and business management.
Four, ensure safety, reasonable fees. Highly responsible for patients, focusing on medical safety, not indiscriminate charging, not illegal overcharging.
Fifth, respect for personality, keep medical secrets. Treat patients equally and do not disclose their privacy and secrets.
Sixth, good publicity, strengthen prevention and control. Often take advantage of a variety of opportunities to publicize health care knowledge to the villagers, timely health education, timely reporting of infectious disease outbreaks and poisoning, to assist the relevant departments to do a good job in disease prevention and control, health supervision, the new rural cooperative, patriotic health and other aspects of the work.
Seven, continuous learning, improve the level. Good at work in practice to summarize the lessons learned, study medical technology, excellence, constantly update knowledge, improve the level of medical technology.
VIII, mutual help and learning, solidarity and cooperation. Correctly handle the relationship with neighboring village health center, unity and cooperation, learning from each other.
Attachment 3:
Village health center vaccination system
I. Medical personnel of the village health center must be qualified to carry out vaccination activities. Unqualified units and personnel are strictly prohibited to engage in preventive vaccination.
Second, must accept the higher medical and health institutions technical guidance and supervision and management, on time to participate in regular meetings, training and assessment.
Third, complete collection of information on the total population of the jurisdiction and the composition of the population in each age group from 0-14 years old, and timely information on the inflow and outflow of children targeted for immunization planning and births in each month. Within one month after the birth of children, the timely establishment of vaccination certificate and card.
Four, on time to develop a class I vaccine use plan, good vaccine management, to ensure that the vaccine refrigeration.
Fifth, the vaccination site set up in accordance with national technical specifications, in a prominent position to publicize the vaccine varieties, immunization procedures, vaccination methods, effects, contraindications, adverse reactions and precautions.
Sixth, conscientiously fulfill the obligation to inform and health status inquiry before vaccination, according to the monthly norms for the implementation of preventive vaccination, on-site observation of 15-30 minutes after vaccination, to ensure that preventive vaccination injection safety, the resident children and migrant children immunization program vaccines throughout the qualified vaccination rate of 95% or more. Each year in the fall when the school enrollment, guiding the jurisdiction of child care institutions, schools to carry out children's child care, enrollment verification of vaccination certificate, no vaccination certificate and did not complete the routine immunization of children under 14 years of age to make up for the certificate (vaccination).
Seven, to carry out suspected abnormal reactions to preventive vaccination report, and preventive vaccination after the occurrence of general reaction timely treatment.
Eighth, the national immunization program vaccine against infectious diseases monitoring work, and participate in the handling of epidemics.
nine, to carry out health education, timely posting of vaccination posters, the establishment of vaccination consultation telephone, acceptance of relevant advisory activities.
Ten, standardized management of various types of information on preventive vaccination, the end of the year for the whole year to organize and archive information.
Xi, the implementation of the township as a unit of centralized vaccination area, the village health office is responsible for the jurisdiction of the population data collection and reporting, vaccination notices issued, for infectious disease outbreaks and suspected abnormal reactions to preventive vaccination monitoring and treatment, preventive vaccination of health education and counseling, the jurisdiction of the school and child care institutions to check the vaccination certificate guidance and other work.
Attachment 4:
Village health center maternal and child health work system
I. Study and implement the Maternal and Child Health Law and other maternal and child health laws and regulations.
Second, there is a person in charge of maternal and child health care, grasp the basic situation of maternal and child work in the village, under the guidance of the township health center to carry out health care business.
Three, to carry out maternal system management. Do a good job of early pregnancy mapping, card building, registration, suspected high-risk pregnant women timely referral to the township level management. Mobilizing hospital delivery, responsible for postpartum visits.
Four, carry out children's systematic management. Do a good job of child health care card, registration and high-risk children's initial screening and referral.
V. Doing a good job in the prevention and treatment of women's and children's diseases. Cooperate with the township level to carry out women's disease screening and general treatment, children's physical examination, so that accurate information and complete registration.
VI. Do a good job of maternal and child health information management. Timely collection, summarization and reporting of various types of information.
Seven, on time to participate in the regular meetings of the township-level maternal and child work, report on the work, receive training and business guidance, and on time to complete the tasks assigned by the superiors.
VIII. Do a good job in health education. To maternal and children's parents to publicize maternal and child health care knowledge, guide the masses to carry out family self-care.
nine, do a good job of maternal and child health programs to improve the health of women and children.
Ten, on time to complete other maternal and child health care work assigned by the superior.
Attachment 5:
Village health office health education system
I. Under the guidance of the higher health departments and health education institutions, health education and health promotion activities are widely carried out, through publicity and education, to raise the public's awareness of health and self-care, and to strengthen the formation of good hygiene behavior of the farmers.
Second, set up and manage the village's health education bulletin board, combined with the seasonal disease prevention focus, various types of disease prevention science and technology knowledge propaganda, timely posting in the bulletin board, brushing the corresponding health education materials, at least 1 time a month to change. Receive health education materials issued by the higher level, publicity and education materials should be timely archived.
Three, to change bad behavior and lifestyle as the content of the village health knowledge propaganda. Combined with the public health education needs or local public **** health emergencies, with high-risk groups as the focus of the object, door-to-door publicity of relevant health knowledge, including common diseases, chronic diseases, the prevention and treatment of key management of disease knowledge, etc.; to guide the villagers to develop the correct health behavior and lifestyle, and constantly improve the knowledge of the residents of the knowledge of health education.
Fourth, the regular distribution of health education materials in accordance with the provisions of the Chronic Disease Management, focusing on the management of chronic diseases, in patient follow-up visits to carry out verbal education for the condition, and the issuance of health education prescriptions.
V. Tobacco control education is strengthened and villagers are guided to strive for activities such as non-smoking families, smoke-free offices, conference rooms and clinics.
VI. Actively guiding and organizing villagers to exterminate flies, mosquitoes, rats, cockroaches and other "Four Pests" activities.
Annex 6:
Village health center medical document writing system
I. Improve the medical documents according to the regulations, including: outpatient medical records, outpatient registration book, prescriptions, disposal (injection, wounding, medication, etc.) registration book, infusion card, etc., in order to standardize the format, content, requirements and so on for counties and districts.
Two, medical documents must be qualified to practice by health professionals in accordance with the scope of duties and requirements completed and signed by the writer himself.
Third, medical documents should be written in blue and black ink, carbon ink, the record must be objective, true, timely, complete, clear handwriting, not be altered, special circumstances must be modified, should be signed at the modification and indicate the date of modification.
Fourth, the strict implementation of the "prescription management approach". Writing prescriptions should use standardized Chinese and medical terminology, drug names, dosages, specifications, usage, dosage should be accurate, not to compile their own names or codes. Each prescription shall not exceed five kinds of drugs.
V. All treatment processes using drugs in village health centers must be documented by both prescription and transfer.
Sixth, the village health office medical documents shall not be filed for less than five years, of which, the prescription shall not be filed for less than three years.
Annex 7:
Village health center medical safety system
I. Medical personnel should have good professional ethics and due medical skills.
II. Strictly abide by laws and regulations, conscientiously implement the technical operation standards, and regularly conduct self-examination of medical safety.
Third, the conscientious implementation of the Drug Administration Law, and effectively strengthen the management of drugs, strictly in accordance with the provisions of the drug.
Four, the strict implementation of nursing "three checks and seven right" system, prescription transfer "four checks and ten right" system and the relevant provisions of the hospital infection.
Fifth, take emergency measures to rescue and treat patients with acute and critical illnesses in a timely manner, and do a good job of timely referral of related work.
Sixth, the medical equipment, power supply and other regular inspection and maintenance, strict implementation of operating procedures.
VII, non-health professionals are strictly prohibited from engaging in health care work.
VIII, the village health office should be approved by the scope of the health license to practice medicine, shall not carry out any surgery in addition to the general simple body surface debridement suture.
IX. Strengthen communication between doctors and patients, properly handle medical disputes, and prevent medical accidents.
Attachment 8:
Village health center safety injection system
I. Stick to your job, strengthen business learning, and master the adverse reactions, contraindications of various injections and emergency measures.
Two, the injection should be performed according to the prescription and medical advice. Allergic drugs, must be in accordance with the provisions of the allergy test before injection. Injection room should be posted in the table of contraindications of commonly used drugs.
Three, the strict implementation of the checking system, injection to do meticulous, accurate, warm and considerate to the patient.
Four, the preparation of the injection of drugs, should carefully check the quality of the appearance of any expired, spoiled, contaminated, moldy, unlabeled or poorly labeled, ampoule cracks, the contents of the non-dispersible clots or foreign objects, shall not be used.
Fifth, the strict implementation of aseptic operating procedures, the use of qualified disposable sterile plastic syringes, so that one person, one needle, one tube, immediately after the use of disfigurement, is strictly prohibited from re-use.
Sixth, closely observe the patient's reaction in the injection and after the injection, the occurrence of allergic reactions or other abnormalities, should immediately stop the injection, and take emergency measures, disposal of the effect is not obvious, should be decisive, rapid transfer to a higher hospital.
Seven, rescue drugs, equipment, positioning placed in a location conducive to the implementation of rescue, and regular inspection, timely adjustment and supplementation.
VIII, strict implementation of isolation and disinfection system to prevent cross-infection, daily disinfection of the injection room, regular monitoring.
Annex 9:
Village health center disinfection and isolation system
I. Strictly abide by the disinfection and sterilization system, and conscientiously implement the aseptic technology operating procedures.
II. It is strictly prohibited to set up living areas within the health room.
Three, medical personnel in the work area, to be neatly dressed, is strictly prohibited in work clothes to the non-work place. Before and after treatment should wash their hands in a timely manner, if necessary, the use of disinfectant soak disinfection.
Four, dressing cylinder, holding forceps and other medical equipment supplies to be regularly disinfected. Thermometer, pulse pressure band, tongue depressor to be used by one person and one disinfection.
Fifth, the treatment room doors and windows should be well closed, regular ventilation, daily use of ultraviolet disinfection, regular monitoring, and complete records. Treatment room ultraviolet disinfection, should have the conditions of light avoidance, so as not to cause harm to the personnel outside the treatment room.
Sixth, a variety of medical equipment after use must be promptly sterilized for use. Bedding, mattresses should be regularly washed, disinfected and replaced.
Seven, should try to use disposable medical equipment, reduce the infection rate. Used disposable medical equipment and sanitary materials, should be handled in accordance with the provisions. Repeated use of disposable medical devices and sanitary materials is strictly prohibited.
Attachment 10:
Village Health Office Medical Waste Disposal System
I. The village health office must strictly implement the "Regulations on the Management of Medical Waste" and properly dispose of medical waste.
II. The amount of hazardous, toxic waste and infectious waste should be minimized in the medical process.
Three, medical waste to take the principle of collection of classification, equipped with black, yellow, red three colors of dirt bags: black bags, with domestic waste; yellow bags, with medical waste (infectious waste); red bags, with can be directly incinerated, radioactive and other special waste. The bags should be tough and durable, and biodegradable plastic bags are preferred. All waste should be disinfected, respectively, into the dirt bag marked with the appropriate color, daily and timely disposal of empty.
Four, used disposable items can not be reused, is strictly prohibited to sell or mixed into the living garbage discarded. Needles, infusion sets and other sharps should not be mixed with other wastes, should be destroyed first, and then disinfected, and finally centralized incineration or buried in a timely manner.
Fifth, the excreta of patients with infectious diseases or suspected infectious diseases and the body fluids and concentrated fluids discharged by infected patients should be added with 1/5 amount of bleach, stirred well, covered and left for 4 hours before pouring into the toilet.
Sixth, complete preservation of medical waste disposal registration records, and regularly reported to the jurisdiction of the township health center disposal statement.
VII. It is strictly prohibited for anyone, in any way, to sell medical waste.
Attachment 11:
Village health center drug management system
I. Seriously implement the Drug Administration Law and related regulations. Strengthen the management of medicines and provide effective, safe and secure medicines for the farmers.
Two, the village health office must be in accordance with the basic medication catalog developed by the provincial health administrative department, standardize the procurement, use and management of drugs. Village health centers shall not be used as retail outlets for enterprise drugs.
Three, the pharmacy is set up independently, the layout is scientific and reasonable, in line with the requirements of hygiene, and convenient for patients to take medicine.
Four, the pharmacy management standardized, clear division of labor, display, orderly arrangement, special drugs are responsible for the custody of a person.
Fifth, the village health center drugs to the county as a unit of centralized and unified distribution, the establishment of drug warehousing and acceptance register. Drug purchase tickets shall not be stored for less than five years.
Sixth, adhere to the rational use of drugs, treatment of disease, pay attention to the contraindications, to ensure that the use of drugs is safe and effective.
VII, the pharmacy must be dispensed by prescription, careful verification, checking, to prevent errors and accidents.
VIII, regular inventory of the pharmacy, so that the drug account is consistent. Timely removal of spoiled, expired, invalid drugs.
nine, according to the provisions of the use of qualified disposable sterile instruments, after the use of disfigurement, disinfection, unified destruction, and records.
Ten, take the initiative to cooperate with the inspection and technical guidance of the drug supervision department, and strictly implement the relevant provisions.
Attachment 12:
Village health center infectious disease reporting system
I, conscientiously implement the "Prevention and Control of Infectious Diseases Act", "public **** health emergencies and infectious disease information reporting management measures", "medical institutions, statutory infectious disease reporting management standards" and other relevant national laws and regulations and technical specifications, and comprehensively do a good job in the village health center infectious disease reporting.
Second, the village health center for infectious disease outbreaks responsible for reporting units, the village health center medical staff for outbreaks responsible for reporting.
Three, the establishment of clinic logs, infectious disease registers and other related registration and fill out in accordance with the norms.
4. When patients or suspected patients of Class A infectious diseases and Class B infectious diseases such as pulmonary anthrax, infectious atypical pneumonia, poliomyelitis, human infection with highly pathogenic avian influenza are found, or when outbreaks of other infectious diseases and unexplained illnesses are found, they should be reported to the local county-level disease control and prevention agencies by the fastest means of communication (telephone, fax) within two hours, and the report should be sent out within two hours. Infectious Disease Report Card. For other B, C infectious diseases patients, suspected patients and the provisions of the report of infectious disease carriers in the diagnosis, should be sent out within 24 hours of the infectious disease report card.
V. Medical staff shall regularly participate in the study and training of infectious disease prevention and control knowledge and related regulations.
VI. Cooperate with the disease prevention and control organizations to do a good job in the flow of infectious diseases, follow-up, outbreak treatment and isolation of close contacts.
Attachment 13:
Village health office health supervision work system
I. Village health supervision is part of health supervision and law enforcement, village health office physician for the village health supervision information officer, health supervision tasks.
Two, conscientiously do a good job in the village within the scope of food hygiene, drinking water sanitation, school health and other health regulations and publicity and education work. Establishment of a sound supervision work files, on time to report relevant information.
Three, actively prevent the occurrence of food poisoning, the village of food service personnel to establish health records, food hygiene regulations training, the villagers organized red, white wedding prior to the township health supervision specialists to report, and to assist in the site of food hygiene supervision, guidance.
Four, food poisoning and other emergencies within the jurisdiction of the public **** health incidents, timely report to the higher level, do our best to protect the scene, and assist in the disposal work.
Fifth, grasp the relevant situation of the medical market within the jurisdiction, such as the emergence of wandering doctors and unlicensed practice of medicine should be promptly reported to the superiors, to assist in the investigation and handling.
Sixth, on time to participate in relevant meetings and training, to complete the superiors assigned to other temporary health supervision tasks.
Annex 14:
Village health center assessment and management system
I. Carrying out integrated rural management. To achieve unified business guidance, unified personnel training, unified drug distribution, unified implementation of the new rural cooperative policy, unified public **** health assessment of medical institutions at the village level.
Second, the county and district as a unit, the implementation of the village health room six unified management, that is, the implementation of the logo signage, medical instruments, prevention and insurance card booklet, the work system, charging bills, medication directory six unified.
Three, the strict implementation of the "Regulations on the Management of Rural Doctors", rural doctors at least once every two years to receive business training, combined with practice, take the initiative to self-study, update their medical knowledge, improve their business level, and actively participate in the county and township health departments and health care institutions to organize learning and training activities.
Four, actively cooperate with the health department to organize the public **** health assessment, the village health office public **** health assessment organized at least 2 times a year.
V. The results of the village health office public **** health assessment is linked to the village doctor public **** health service subsidies.
Sixth, village doctors to participate in training assessment results, annual public **** health assessment results as the village doctor practice re-registration and health room for the issuance of a new "medical institutions practice license" is an important basis.