The Basic Standard not only meets the needs of the elderly who wish to receive professional medical services in nursing institutions, but also clarifies the positioning of medical institutions within nursing institutions. The medical office of the nursing institution is set up in the nursing institution, providing elderly health care for patients in the nursing institution, general common diseases, multiple diseases diagnosis and treatment, nursing care, diagnosis and treatment of chronic diseases, emergency ambulance and other services of the medical institutions. Nursing care station is set up in nursing institutions, nursing institutions for the elderly to provide patients with common diseases, chronic disease care, rehabilitation guidance, psychological care, disposal according to medical advice, disinfection and isolation guidance, health education and other services of the medical institutions.
The Basic Standards refine the medical staffing standards for nursing institutions. Compared with the "Basic Standards for Medical Institutions" published in 1994, the basic standards for nursing institutions, nursing stations, medical offices, nursing station from the personnel, housing, equipment, system of four aspects of the provisions, more specific and detailed, easy to operate and implement. For example, the Basic Standard has refined the staffing indicators and increased the types and lists of equipment.
For the nursing institution infirmary, the "Basic Standard" stipulates that at least one licensed physician qualification, at least one registered nurse. When the number of beds in a nursing institution reaches 100 or more, for every additional 100 beds, at least 1 additional registered nurse.
For nursing stations in nursing institutions, the Basic Standard stipulates that there are at least 2 registered nurses with the title of nurse or above, of which 1 has the title of nurse-in-charge or above. Similarly, when the number of beds in a nursing facility reaches 100 or more, for every additional 100 beds, there will be at least 1 additional registered nurse.
Attachment: basic standards for nursing home infirmaries (for trial implementation)
Nursing home infirmaries are set up in nursing homes to provide elderly health care, general common diseases, common illnesses, diagnosis and treatment, nursing care, diagnosis of chronic illnesses, emergency ambulance service medical institutions.
First, the personnel
(a) at least one licensed physician qualification, after registration in the medical and health care institutions to practice for five years, the health of the clinical category of licensed physicians or Chinese medicine category of licensed physicians. The number of practicing physicians ≥ 2, should contain at least 1 Chinese medicine category of practicing physicians.
(ii) at least 1 registered nurse. Nursing institutions with more than 100 beds, every additional 100 beds, at least 1 additional registered nurse. Caregivers are equipped as needed.
(C) other pharmacy, medical and technical personnel as needed.
II. Housing
(a) The overall design should meet the requirements of barrier-free design.
(b) The floor area is not less than 40 square meters.
(c) At least one consultation room, treatment room, disposal room.
(d) Each room is independent and in line with the hygienic layout and flow. Among them, the treatment room, disposal room use area of not less than 10 square meters; such as setting up an observation room, the use of its area of not less than 15 square meters; such as setting up a rehabilitation room, should increase the corresponding floor space (increased floor space of not less than 50 square meters).
(E) should be set up to store medical waste, separated from the treatment area.
Third, equipment
(a) basic equipment.
Diagnostic tables, diagnostic chairs, diagnostic beds, diagnostic benches, square trays, gauze canisters, stethoscopes, sphygmomanometers, thermometers, syringes, height and weight gauges, vision cards, vision light boxes, tongue depressor, medicine cabinets, ultraviolet disinfection lamps, autoclave sterilization equipment, disposal tables, instrument cabinets, portable electrocardiographs, glucose meters, nebulizing inhalers, clinic boxes, wheelchairs, infusion chairs, waiting chairs, medical refrigerators, dirty Bucket.
If a rehabilitation room is set up, it should be equipped with at least exercise therapy, physical therapy and occupational therapy equipment appropriate to the needs of rehabilitation.
Chinese medicine services, should also be equipped with pulse pillows, acupuncture and moxibustion equipment, fire pots, electro-acupuncture, moxibustion apparatus.
(B) first aid equipment.
Cardiac monitor, cardiac oxygen source (oxygen cylinder/oxygen concentrator), oxygen supply equipment, sputum aspirator, cotter, dental pads, oral airway, simple respirator.
(C) health education and other equipment.
Health education bulletin boards, health education video equipment, computers and printing equipment that can connect to the Internet, telephone and other communications equipment, health records management and other related equipment.
(D) have other equipment corresponding to the needs of work.
Fourth, with a referral system, drug registration and distribution system, health education system and other rules and regulations appropriate to the function and task, as well as first aid procedures, technical specifications, the development of personnel duties.
Basic standards for nursing stations in nursing institutions (for trial implementation)
Nursing stations in nursing institutions are set up in nursing institutions to provide patients with nursing care for common diseases, chronic disease care, rehabilitation guidance, psychological care, disposal according to medical advice, disinfection and isolation guidance, health education, and other services of the medical institutions.
I. Personnel
(a) at least two registered nurses with the title of nurse or above, of which one has the title of charge nurse or above. Nursing institutions with more than 100 beds, every additional 100 beds, at least 1 additional registered nurse.
(ii) At least one rehabilitation therapist.
(C) according to the work demand for nursing staff, the ratio of registered nurses to nursing staff is 1:2.5.
Second, housing
(a) the overall design should meet the requirements of barrier-free design.
(ii) The floor area is not less than 30 square meters.
(c) At least one treatment room and disposal room. Each room is independent and in line with the hygienic layout and flow.
(D) There should be a medical waste storage point, separated from the treatment area.
Third, equipment
(a) consultation tables, consultation chairs, consultation stools, square trays, gauze canisters, stethoscopes, fire canisters, gua sha boards, sphygmomanometers, thermometers, height and weight scales, glucose meters, external defibrillation equipment, treatment trolleys, medicine cabinets, ultraviolet disinfection lamps, autoclave sterilizing equipment, disposal tables, wheelchairs, infusion chairs, medical refrigerators, and dirt buckets.
(B) have the necessary health education, office and communication and liaison equipment, diagnosis and care records and document preservation conditions.
(C) with the work needs of other equipment.
Fourth, with a referral system, drug registration and distribution system, health education system and other rules and regulations appropriate to the function and task, as well as first aid procedures, technical specifications, the development of personnel duties.