I. Basic functions and service scope of village clinics
Village clinic is the foundation of rural medical and public health service network, which directly provides basic medical and public health services for villagers. In principle, an administrative village should set up a village clinic, and an administrative village with a population of more than 30 million is allowed to add a village clinic. If the administrative village is overpopulated and has a wide area, it is allowed to add a village clinic for every 3,000 people, and the distance between the added village clinic and the original clinic should be more than 1000 meters. Administrative villages in remote mountainous areas that temporarily and unconditionally set up village clinics may temporarily set up public health service points.
Second, staffing.
According to the rural resident population per 1000 population, there is one rural doctor. Employees must have the qualifications of rural doctors or practicing assistant doctors and practicing doctors, and be registered in the village clinic. Men are required to be 65 years old and women under 60 years old, healthy and competent.
Third, housing equipment.
(1) Housing conditions
1. Area of business premises: Grade A shall not be less than 80m2 and Grade B shall not be less than 60m2. Independent or relatively independent. The medical area and living area must be completely separated.
2. There is an independent infirmary, treatment and disposal room, injection and infusion room and pharmacy.
3, conditional preventive health care room, health education room, rehabilitation room, family planning technical guidance room, health information room.
4, eye-catching, reasonable structure, goods, equipment in place and orderly, clean and tidy environment.
(2), basic equipment
1. Have at least the following basic equipment: stethoscope, sphygmomanometer, thermometer, height and weight scale, examination table, visiting box, medicine box, infusion equipment, dressing changing equipment, ultraviolet lamp, dirt container, data cabinet, telephone, simple autoclaving equipment, fire extinguisher, observation bed, transfusion chair, etc.
2, there are other equipment corresponding to the subject of diagnosis and treatment.
3. If possible, computers, televisions, electrocardiographs and oxygen cylinders should be provided.
4. Establish a health bulletin board or window.
5, the basic drugs according to the "Zhejiang rural doctors drug list (Trial)" implementation.
6, according to the provisions, equipped with drug storage facilities and equipment.
Fourth, the organization and management system
(a) sound rules and regulations, personnel responsibilities and binders, including:
1, working system of village clinics
2, the village clinic management system
3. The duties of rural doctors
4, the village clinic drug management system
5, the village clinic financial management system
6, disinfection and isolation system
7, chronic disease management system
8, infectious disease reporting and registration system
9, medical waste disposal scheme
10, outpatient service, home visit, referral system
1 1, village clinic charging standard
12, medical quality assurance plan and medical accident prevention plan
13, public health service content and working system
(two) there are medical and nursing technical operating procedures formulated or recognized by the state.
Five, the village clinic wall information
1, working system of village clinics
2, the village clinic management system
3. The duties of rural doctors
4, the administrative village area plan (organization chart and regional overview)
5, chronic disease management, key population health management basic situation map or table
6. Convenience measures or service practices, service telephone numbers and complaint telephone numbers
7. Common medical charges
8. Compatibility contraindications of drugs for injection
Six, the establishment of medical and public health service register.
1, outpatient (referral) register.
2. On-site service (home visit) register.
3, chronic diseases, infectious diseases, mental patients management follow-up registration.
4, birth, death and maternal management register,
5. Register of health management of floating population.
6, disposable medical supplies purchase and disposal register.
7, health education register.
8, disinfection register. (ultraviolet, soaking and autoclaving register)
9. Attendance at meetings and training record books.
10, rural public health information collection and report register.
I hope you are satisfied ~ ~