Preventive health care system

1, rural prevention and health care personnel should consciously learn business skills, strive to improve service capabilities, and conscientiously carry out village-level prevention and health care work.

2, according to the law to carry out planned immunization, strengthen vaccination, do a good job of "four vaccines" and neonatal hepatitis B vaccination, strict management of all kinds of thin, table, card, certificate.

3, according to the law to carry out the prevention and control of infectious diseases at the village level, strictly implement the reporting system, do a good job in infectious disease statistics, disinfection and isolation, family visits, etc., implement various prevention and control measures, and improve the emergency response ability to deal with epidemics and emergencies.

4, to carry out the work of village maternal and child health care, the implementation of maternal and child health care management tasks, improve the health level of women and children.

5, vigorously carry out health education such as infectious atypical pneumonia, chronic non-communicable diseases, sexually transmitted diseases and AIDS. , improve villagers' awareness of disease prevention and health care, and promote the formation of healthy behavior.

6, coordinate and guide the patriotic health campaign at the village level, do a good job in addition to the four pests.

Home visit system

1. Medical personnel must have professional qualifications, noble medical ethics and certain work experience.

2. Patients who are seriously ill or can't be diagnosed after the second follow-up visit should promptly ask for instructions from a doctor at the next higher level for consultation or escort referral step by step.

3. The patient should be carefully examined and the outpatient medical records should be written in detail and accurately.

4. Outpatient auxiliary examination results must be accurate and timely; Outpatients can only carry out appropriate surgery and strict aseptic operation.

5. Strictly implement the disinfection and isolation system to prevent cross infection.

6 to strengthen the monitoring, diagnosis and treatment of infectious diseases, and seriously report the epidemic situation.

7. The staff should be considerate, careful, patient and responsible, simplify procedures, and arrange for patients with high fever, serious illness, old age, disability, martyrs and other places in advance in a planned way.

8. Clinics should be kept clean and tidy, with elegant environment, and create a good medical environment.

9. Lose no time to publicize and popularize the knowledge of disease prevention and control, mainly infectious atypical pneumonia, sexually transmitted diseases and AIDS, and raise people's awareness of disease prevention and health care.

10. Doctors should try their best to adopt effective, economical and convenient treatment methods, use drugs scientifically and rationally, and reduce the burden on patients.

Village clinic management system

1, study hard, publicize enthusiastically, actively implement the party's health principles and policies, keep pace with the times, and take Theory of Three Represents Theory as the guide.

2, study hard business technology, improve medical quality, improve service attitude, correct medical ethics, and serve patients wholeheartedly.

3, to undertake the health care tasks entrusted by the health department, to provide primary diagnosis and treatment of common injuries, basic medical services, as well as health education, rehabilitation guidance, family planning guidance and other comprehensive functions.

4, the village health center to establish and improve all kinds of thin table card, strict management, file storage.

5, strengthen management according to law, not necessarily "four noes", that is, no dangerous houses, no fake drugs, no moth-eaten, no mildew, no expired drugs.

6, conscientiously do a good job in health cleaning, public fees, accept the supervision of the masses.

7, strengthen the monitoring of infectious diseases, once found, report in time, and take isolation measures.

8. Actively participate in the business training organized by the superior, and complete other tasks assigned by the superior on time.

Outpatient medical record writing system

1, outpatient medical records should be written in pen, and strive to be smooth, complete, concise and accurate, with clear and neat handwriting, and shall not be deleted, filled backwards or cut and pasted; The doctor asked for his full name.

2, outpatient medical records should be written in Chinese, there is no official translation of the name of the disease and the name of the drug can be an exception, diagnosis, surgery should be filled in according to the name of the disease or surgery classification.

3, outpatient medical records should be concise, the patient's name, gender, age, occupation, native place, work unit or residence by the registration room to fill in. Chief complaint, present medical history, past history, various positive signs and necessary negative signs, diagnosis or impression diagnosis, treatment, treatment advice, etc. It should be recorded in the medical record and signed by the attending physician.

4, the interval is too long or different from the previous visit time of patients, generally should be the same as the first visit patients to write the examination results and diagnosis, and should indicate the words "first visit".

5, every time should fill in the date, emergency medical records should fill in the exact time.

6. When requesting consultation, the purpose of requesting consultation and the preliminary opinions of our hospital should be clearly filled in the medical records; The invited consultant should fill in the examination results, diagnosis and treatment opinions in the medical records requesting consultation and sign them.

7. When outpatients need to go out for examination and treatment, the outpatient doctor should be responsible for filling in the summary of referral medical records, and indicate the reasons for hospitalization and the initial impression diagnosis on the medical records.

Prescription system

1. Only people with the qualifications of practicing assistant doctors and rural doctors or above have the right to make prescriptions and leave their signatures or impressions in the pharmacy.

2. Pharmacy shall not modify the prescription without authorization. If there is any mistake in the prescription, the doctor should be informed to change it and distribute it. If the prescription does not meet the requirements, the pharmacy has the right to refuse to allocate it.

3. According to the national regulations on the management of narcotic drugs, poison, drama and anesthetic are generally not allowed to be used in village clinics.

4. The general prescription is limited to three days, and may be appropriately extended for some chronic diseases or special circumstances; The prescription is valid on the same day and must be replaced by a doctor after expiration.

5. Prescription content should include the following items: full name of health center, outpatient or inpatient number, prescription number, year, month and day, patient's name, gender, age, drug name, dosage form, specification, quantity, administration method, doctor's signature, and check the signature of distributor and drug price.

6. Prescriptions are generally written with pens or ballpoint pens, and the handwriting should be clear and may not be altered; If there are any changes, the doctor must sign the changes; Generally written in Latin or Chinese; Add the word "urgent" in the upper left corner of the emergency prescription.

7. The names and dosages of drugs and preparations shall be subject to the drug standards promulgated by China Pharmacopoeia and the Ministry of Health; If it is necessary to exceed the dose required by medical treatment, the doctor can re-sign the dose before deployment.

8, the number of drugs on the prescription should be written in Arabic; The dosage of drugs is generally in units (such as grams)

9. General prescriptions should be kept for at least two years, and special patient prescriptions should be kept for a long time. Prescriptions that have expired registration can be destroyed with the approval of the person in charge of the health care center.

10. Pharmacy has the right to refuse to allocate drugs in violation of regulations. If the circumstances are serious, it shall be reported to the person in charge of the health center or the villagers' committee for inspection and handling.

1 1. Dispensers have the right to supervise doctors to use drugs scientifically and rationally.

Drug, injection and infusion inspection system

1. Before taking medicine, injection and infusion, the system of "three checks and seven pairs" must be strictly implemented.

2. Before preparing drugs, check the quality of drugs, pay attention to whether the aqueous solution and tablets are deteriorated, whether ampoules and injections are cracked, and the expiration date and batch number do not meet the requirements or the labels are unclear, and shall not be used.

3. After placing the medicine, it must be checked or checked by a second person before implementation.

4. Before using allergic drugs, you should ask whether there is a history of allergies; When giving a variety of drugs, we should pay attention to whether there are compatibility taboos.

5. When dispensing and injecting drugs, if patients ask questions, they should find out in time before implementation.

Disposable medical supplies purchase and use system

1, disposable medical devices must be purchased through the main state-owned channels to prevent counterfeiting.

2, disposable medical supplies must carefully check whether the packaging is damaged before use, strictly implement one person for one use, prohibit repeated use and flow into the market.

3. After the disposable syringe is destroyed, it is soaked in a closed container filled with disinfectant (glutaraldehyde and 84 solution), and then burned at a fixed point (if possible, it should be contracted and recycled together with special garbage).

4. This product shall be sterile, nontoxic and pyrogen-free, and shall be used within the validity period of the batch number.

5. The use of disposable articles shall be registered, and it is forbidden to buy, sell, throw away or mix domestic garbage at will.

Working system of pharmacy, diagnosis room and treatment room

First, the pharmacy work system

1. Dispensing personnel should have a serious and responsible working attitude. After receiving the prescription, they should carefully examine the patient's name, age, drug name, dosage, dosage form, taking method, contraindications and other prescription contents, and prepare it without contraindications and counter-prescriptions. If there is any wrong dosage, improper usage or taboo prescription, the allocator should contact the doctor to correct it before deployment.

2. The formula should be careful, and it should conform to the technical routine of preparation and the operating procedures stipulated by the pharmacy department; Weighing should be accurate when preparing traditional Chinese medicine prescriptions, and it is not allowed to estimate the drugs taken; When preparing western medicine prescriptions, the dosage should be strictly controlled, and direct contact with drugs by hand is prohibited.

3. When preparing, in case of drugs with deteriorated or vague labels, they shall not be randomly prepared.

4. Chinese medicine prescriptions need to be decocted before taking special decoction, which must be indicated on a single package; Chinese herbal medicines that need to be processed temporarily should be processed as required to ensure the quality of important decoction.

5. Prescription allocation can only be issued after strict check, and it can only be issued after double check and signature.

6. Check whether the specification, dosage, usage and prescription of the drug are consistent when dispensing, and check whether the drug is deteriorated or expired; Write down the administration method in detail on the label of the medicine bottle or the medicine bag. All emulsions, suspensions and liquid prescriptions that produce precipitation should be marked "Shake well before taking", and external drugs should be marked "Shake well before using" and "Do not take orally". After checking the name and age, explain the taking method and precautions to the patient.

7. Emergency prescriptions must be distributed as needed, and the rest should be distributed in order.

8. The medicine bottle should be kept clean and put in a fixed place; Immediately after use, clean the medicine taking apparatus and put it back.

9, adhere to the main channel of national drug procurement, strictly control the quality of drugs, put an end to inferior drugs into pharmacies, pharmacies, drug stores should be classified custody, pay attention to temperature, humidity, ventilation, light and other conditions, to prevent drugs from expiring, moth-eaten, mildew and deterioration; Establish warehousing registration to ensure the consistency of daily and monthly accounts.

Diagnostic room working system

1, village health workers should be caring, considerate, kind, polite, patient, careful and careful.

2, the infirmary layout should be reasonable, often keep clean and tidy.

3. Doctors should adopt a treatment plan with high curative effect and low cost, use drugs scientifically and rationally, and reduce the burden on patients.

4. If the difficult case can't be diagnosed after two follow-up visits, please consult the superior doctor or escort the referral in time.

5, diagnosis and treatment doctors should stick to their posts, not late and leave early, working hours are not allowed to do private work, private guests, are not allowed to leave without leave.

6. Practice medicine in a civilized way, be polite to patients, be on call when they are in urgent need, and make timely diagnosis and treatment to satisfy patients.

Working system of treatment room

1, always keep the room clean, clean it in time after each treatment and disinfect it once a day. Except staff and patients, no one is allowed to enter the treatment room.

2, equipment items in a fixed location, classification identification.

3, strict aseptic operation, into the treatment room must wear work clothes, work cap and mask.

4. The soaking solution of sterile holding forceps should be changed once a day, and the soaking solution of instruments should be changed twice a week.

5, has been used to clean up, inventory, disinfection; Sterile articles must be marked with sterilization date, and re-sterilized after more than one week.

6. Clean the wound first, and then deal with the infected wound.

Rescue work system

Whether the rescue work is prompt, timely and effective is the key to win time and save patients' lives. It is also a fundamental symbol to measure the professional level and management level of a medical institution, and it is also a very important medical and nursing work.

1, to improve the quality of rescue, first of all, medical staff are required to establish a people-oriented service concept, have a solid and excellent business ability, and at the same time must strictly implement the rescue operation procedures.

2. For quick and timely rescue, there must be a complete division of labor and strict system guarantee.

3, rescue drugs and equipment must ensure the supply, strive to complete, and do special custody, positioning, quantitative storage, supplement at any time after use; Relief items shall not be lent out to ensure emergency use.

Strictly implement the rescue system.

(1) Rescuers must go all out, cooperate closely and strictly implement various rules and regulations.

(2) Before the doctor's orders are issued, the nursing staff should race against time to give oxygen, measure blood pressure, establish venous access, and carry out artificial respiration, chest compressions and hemostasis according to the condition.

(3) Closely observe the condition, make detailed and timely records, accurately dispose of drugs, and rescue critically ill patients on site until the condition is stable.

(4) Empty ampoules of drugs used must be inspected by two people before being discarded.

5, patients without accompanying diagnosis, to get in touch with the patient's family or unit in time.

6, after the rescue, in addition to rescue records, registration and disinfection, but also need to do a good job of rescue summary, in order to sum up experience and improve the work.

Disinfection management isolation system

1. Medical personnel should wear clean clothes and masks during working hours, and take off their work clothes after work, during meals and meetings.

2. Wash your hands after diagnosis and treatment, soak in disinfectant when necessary, and strictly abide by relevant regulations during aseptic operation.

3. Aseptic instrument containers, instrument dressing tubes, holding forceps, etc. Should be disinfected regularly, and the disinfectant should be replaced regularly; Thermometers should be soaked with disinfectant after use, and medical supplies that extend into tissues and organs must be disinfected; All disposable medical and health products must be recovered in time after use, and treated harmlessly or destroyed.

4. The clinic should be kept clean and ventilated regularly. Air and utensils should be disinfected daily, and bedding should be cleaned and replaced regularly.

5, during the epidemic of infectious diseases, medical personnel should strengthen protection, found that suspected patients must be isolated in situ, and timely report to the district health and epidemic prevention departments, patients should be disinfected in time after transshipment.

6. Patients with special infections such as anaerobic bacteria and Pseudomonas aeruginosa should be strictly isolated, and used instruments, clothes and rooms should be strictly treated, and used dressings should be burned.

7. Check whether the sterile items are expired every day, replace the syringe box, saline ball and gauze tube every day, strictly separate the sterile items from the contaminated items, and clearly identify them.

8. The treatment room dishcloth, mop and other appliances should be dedicated.

Code of integrity for medical personnel

1. Conscientiously implement the Party's principles and policies on health work, firmly establish the idea of serving the people wholeheartedly, consciously abide by medical ethics, put an end to unhealthy practices in the industry, accept the supervision of the broad masses, and establish a good image of white soldiers.

2. Respect the personality and rights of patients, care, sympathize with and care for patients, treat them equally, and be conscientious.

3. Strictly implement the price policy, observe the price discipline, and achieve "four reasonableness" (reasonable inspection, reasonable treatment, rational drug use and reasonable charges).

4. Those who seek personal gain through medical treatment and cause adverse effects among the masses will be dealt with severely once verified.

Drug injection system

1. In order to prevent cross-infection, village clinics require the use of disposable medical and health supplies in principle.

2, all kinds of injections should be carried out according to the prescription and doctor's advice; For allergic drugs (such as penicillin, gentamicin, streptomycin, etc. ), you must first do a skin test, and those with negative results can be injected; If desensitization injection is needed, it must be carried out under the guidance of a doctor and the rescue work should be done well.

3, strictly implement the check system, be sympathetic to patients, and speak politely.

4, closely observe the situation after injection, injection reaction or accident, should immediately on-site rescue, and report to the doctor on duty to assist in handling.

5. Strictly implement aseptic operation procedures, wash your hands first, wear a mask and hat, and change the instrument fluid twice a week. If there is pollution, replace it in time. Alcohol and iodine used for disinfection should be stamped to ensure the effective concentration of disinfectant.

6, the injection should be one needle and one tube per person, and strive to achieve two fast and one slow (fast-forward needle, fast-pull needle, slow-push medicine).

7, ready to rescue equipment, in a fixed position, regular inspection, timely supplement.

8, indoor disinfection with ultraviolet light, peracetic acid, chlorine dioxide, etc. Every day.

9 disposable sanitary products after injection, should be strictly in accordance with the disposable medical supplies purchase and use system.

Legal infectious disease management system

According to the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases, the following system is formulated for village clinics.

1. Prevention: Village health centers should carry out health education on knowledge and measures of infectious diseases prevention; Assist in guiding the patriotic health campaign at the village level; Implement planned immunization for school-age children in rural areas and strengthen the management of thin-meter cards.

2. Epidemic situation report: Village-level medical and health personnel are responsible epidemic situation reporters. When AIDS and pulmonary anthrax in Class A infectious diseases and Class B infectious diseases are found in rural areas, they should report to the district epidemic prevention station in the fastest way within 12 hours (within 6 hours in cities and towns); When patients with Class B infectious diseases are found, rural areas should report to the district epidemic prevention station within 24 hours (town 12 hours).

3. Epidemic control: When an infectious disease is prevalent, the village health center should take compulsory isolation for the infected patients in time, and implement necessary sanitary treatment and preventive measures for the contaminated places, articles and close contacts of the patients to cut off the transmission route.

4. Legal responsibility: If village-level medical and health care personnel violate this system and cause the spread or prevalence of infectious diseases, they shall be investigated for administrative responsibility or even criminal responsibility according to the seriousness of the case.

Maternal and child health care management system

1, conscientiously implement the "one law, two policies and two regulations", carry out systematic management of pregnant women and children according to law, and do a good job in setting up files for pregnant women, regular inspection and visits, screening and treatment of common diseases and frequently-occurring diseases of children, and project management.

2, the implementation of rural "peak cutting" project, improve the rural premarital examination rate, promote general service, reduce the rate of birth defects.

3. Do a good job in sorting out and improving the village-level maternal and child health care materials, and strive for accurate data and timely reporting.

4, consciously study business, actively participate in training, and strive to improve the special technical service ability of maternal and child health care.

5. Actively promote breastfeeding and promote baby-friendly actions at the village level.

6. Put an end to family delivery in non-remote and poor mountainous areas, improve the rate of hospital delivery, and reduce maternal and neonatal mortality.

Accountability system of medical disputes

1. Village health centers should conscientiously implement the regulations on handling medical accidents, strictly implement the error registration system, and establish and improve the accountability system.

2, the medical dispute as an important part of the village health institutions calibration, year-end assessment and assessment of rural doctors.

3. Medical disputes must be reported in time, and active and effective treatment and prevention measures should be taken quickly. They must never be hidden or lost. We should actively resolve disputes through medical appraisal.

4, the village health center medical accident, according to the level and circumstances, can be given a warning, ordered to suspend business for rectification, revocation of the "medical institution practice license" and other processing.

5. Rural doctors are responsible for medical negligence or alter, forge, conceal or destroy medical records without authorization. The health department will order him to suspend his practice, revoke his qualification certificate or give him administrative sanctions. If the circumstances are serious, the relevant departments will investigate criminal responsibility according to law.

6. For medical disputes settled through consultation between doctors and patients in village health centers, we should carefully sort out the process, responsibilities and treatment results of disputes and report them in a written summary form in time.

Financial management system

1, conscientiously implement the national financial policy, strengthen financial supervision, and maintain financial discipline.

2, the financial management of village hospitals must be clear accounts, accurate figures, Nissin monthly statement, perfect procedures.

3, the village clinic business income and higher subsidies of special funds, must all be used for rural doctor expenses and village clinic construction, and shall not be used for other purposes.

4, to regularly supervise the housing, equipment, medicines, equipment and other state-owned assets, timely inventory, to prevent waste and backlog.

5, strict implementation of accounting system, do a good job in income, expenditure and savings plan.

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