Chapter I General Provisions
Article 1 legislative purpose
In order to standardize the behavior and order of emergency medical care, make rational use of emergency medical resources, improve the emergency medical service system, improve the level of emergency medical service, promote the development of emergency medical care, and meet the growing demand of citizens for emergency medical service, these Regulations are formulated in accordance with relevant laws and administrative regulations and combined with the actual situation of this Municipality.
Article 2 Scope of application
These Regulations shall apply to pre-hospital and in-hospital emergency medical services and social first aid and their management within the administrative area of this Municipality.
Article 3 Definition
The pre-hospital emergency medical service as mentioned in these Regulations refers to the medical activities with on-site rescue, emergency treatment and on-the-way monitoring as the main contents after the emergency center (station) receives the emergency call and before the patient is sent to a medical institution for treatment.
The term "in-hospital emergency medical service" as mentioned in these Regulations refers to medical activities in which medical institutions with emergency departments (hereinafter referred to as emergency medical institutions) provide emergency treatment to patients sent to emergency centers (stations) or patients who come to see a doctor on their own.
The term "social first aid" as mentioned in these Regulations refers to the public's use of basic operations such as cardiopulmonary resuscitation, hemostasis and bandaging, and fixed handling to rescue the injured in time and reduce the injury.
Article 4 Government Responsibility
City, district (county) people's government should strengthen the leadership of emergency medical services, incorporate emergency medical services into the national economic and social development plan, establish and improve the financial input mechanism and operating funds compensation guarantee mechanism, encourage society to participate in emergency medical services, improve the emergency medical service system, and ensure the coordinated development of emergency medical services and economy and society.
Article 5 Department responsibilities
The municipal health and family planning administrative department is in charge of emergency medical services within the city, and the district (county) health and family planning administrative department is responsible for the management of emergency medical services within its jurisdiction.
Development and reform, finance, planning and land resources, public security, fire protection, construction, economy and information technology, transportation, human resources and social security, education, civil affairs, tourism and other relevant administrative departments shall, according to their respective responsibilities, do a good job in the management of emergency medical services.
Article 6 Emergency medical service system
Emergency medical service is a public welfare undertaking, an important part of public health system and an important guarantee force for urban public health safety.
The city has established an emergency medical service system consisting of pre-hospital first aid and in-hospital first aid. On-site self-help and mutual rescue by social organizations and the public is an important supplement to emergency medical care.
Article 7 Information disclosure
The administrative department of health and family planning shall disclose the information of emergency medical services to the public, so as to facilitate the rational use of emergency medical resources by patients.
Article 8 Publicity and education
The administrative department of health and family planning and the Red Cross Society shall organize publicity and education on emergency medical care, and guide patients to rationally use emergency medical resources.
Township people's governments, sub-district offices, residents' committees and villagers' committees shall assist in the publicity and education of first aid knowledge.
Newspapers, television, radio, internet and other media should carry out public welfare propaganda of emergency medical services, advocate the concept of self-help and mutual rescue, popularize first-aid knowledge and skills, and publicize the spirit of saving lives.
Chapter II Pre-hospital Emergency Medical Services
Article 9 Institutional setup
The administrative department of health shall set up an emergency center (station) in accordance with the planning and setting standards of the state and the pre-hospital emergency medical institutions in this Municipality.
Emergency centers (stations) and other institutions that undertake pre-hospital emergency medical services shall, in accordance with the relevant provisions of the state and this Municipality, apply to the municipal, district (county) health and family planning administrative department for pre-hospital emergency medical practice registration.
Article 10 Institutional Responsibility
The emergency center (station) shall undertake the following duties:
(1) Daily pre-hospital emergency medical services;
(2) Pre-hospital emergency medical security services for major social activities organized by the government;
(three) emergency medical rescue of urban public safety emergencies;
(four) publicity and popularization of public first aid knowledge and skills;
(five) other tasks assigned by the administrative department of health and family planning.
Article 11 Work norms
The municipal health and family planning administrative department shall organize the formulation of pre-hospital emergency medical work norms and quality control standards.
The emergency center (station) shall, in accordance with the pre-hospital emergency medical work norms and quality control standards, formulate corresponding management systems, regularly organize emergency business training and assessment, and implement the statistical reporting system of the health and family planning administrative department.
Article 12 Pre-hospital emergency personnel
Pre-hospital emergency personnel include medical practitioners, nurse trainees and emergency assistants. The post setting and staffing of the emergency center (station) shall be implemented in accordance with the relevant provisions of the state and this Municipality.
The municipal health and family planning department shall, jointly with the municipal human resources and social security department, formulate policies and safeguard measures that meet the characteristics of the pre-hospital first aid industry.
Thirteenth pre-hospital emergency vehicle
According to the regional service population, service radius (emergency response time), geographical environment, traffic conditions and business demand growth, the city is equipped with an ambulance for every 30,000 service population.
Ambulances shall conform to the national ambulance standards, have obvious first-aid medical signs and names uniformly prescribed by the industry, install positioning systems, communication equipment and video monitoring systems in accordance with relevant regulations, equip with alarms, sign lamps and first-aid equipment, and spray logo patterns.
The ambulance in the emergency center (station) shall be dedicated, and no unit or individual may use it without authorization.
Without the approval of the municipal, district (county) health and family planning administrative department, no unit or individual may carry out pre-hospital emergency medical services or use the 120 logo.
Article 14 Communication command platform
The city set up a pre-hospital emergency telephone reception and command and dispatch center, implemented 24-hour emergency telephone reception service, uniformly accepted the city's emergency telephones, and rationally allocated emergency resources.
Article 15 Special numbers and linkage mechanism
The special telephone number for pre-hospital emergency medical service call is "120". Telephone reception and command and dispatch center should set up a corresponding number of "120" telephone lines according to the population size and daily help-seeking business volume, and be equipped with dispatchers to ensure timely answering of public help calls.
No unit or individual may lie about the information for help or maliciously occupy or interfere with the "120" hotline.
The city has established "1 10", "1 19" and "120" linkage coordination mechanisms.
Article 16 Receiving and sending
After receiving the help information, the call acceptance and command and dispatch center shall carry out classified registration and dispatch. When necessary, give first aid guidance to those who call for help.
Call acceptance and command and dispatch center shall not refuse or delay the acceptance of help calls for any reason.
Article 17 On-site rescue
Pre-hospital emergency personnel should wear uniform emergency clothing when carrying out pre-hospital emergency medical services.
After the pre-hospital emergency personnel arrive at the scene, corresponding emergency measures should be taken according to the condition. For critically ill patients who need to be sent to emergency medical institutions for rescue, emergency medical institutions shall be notified to make preparations for treatment and rescue.
Pre-hospital emergency personnel shall not refuse or delay pre-hospital emergency medical services due to cost problems.
Family members of patients or other on-site personnel shall assist pre-hospital emergency personnel in their work.
Article 18 The principle of hospital delivery
Pre-hospital emergency personnel should follow the principle of meeting the needs of professional treatment, being near and urgent, and decide to send them to relevant emergency medical institutions for treatment. If patients or their families refuse to comply, pre-hospital emergency personnel should inform them of possible risks and sign for confirmation.
Under any of the following circumstances, the pre-hospital emergency personnel decide to send the patient to relevant emergency medical institutions for treatment:
(a) The condition is critical and life-threatening;
(two) suspected of sudden infectious diseases and serious mental disorders;
(3) Where there are special provisions in laws and administrative regulations.
Article 19 Special protection
When providing pre-hospital emergency medical services, pre-hospital emergency personnel shall promptly notify the local public security organs or professional organizations of patients who have behaviors that endanger social security, are suspected of committing crimes or need to provide special security protection according to law, and the public security organs or professional organizations shall be responsible for the protection.
Article 20 Preservation of data records
The emergency center (station) shall record the information of emergency call acceptance, on-site rescue, on-the-way treatment and monitoring.
Pre-hospital emergency medical records are managed and preserved according to national regulations. The emergency center (station) call recording and dispatching records shall be kept for at least 2 years.
Article 21 stereoscopic rescue
The city actively develops multi-directional ambulance by water, land and air, and forms a three-dimensional ambulance network by water, land and air.
Chapter III Hospital Emergency Services
Twenty-second hospital emergency capacity building
The municipal health and family planning administrative department shall improve the layout of emergency resources in this Municipality, formulate emergency facilities, staffing standards and management norms, and strengthen the supervision and management of emergency.
Specialized hospitals determined by comprehensive medical institutions at or above the second level and health and family planning administrative departments shall set up emergency departments in accordance with emergency department standards and management norms, strengthen the discipline construction and daily management of emergency departments, and improve the ability and level of emergency medical services in hospitals. Encourage emergency medical institutions to carry out the integration of emergency and intensive care units. Without the approval of the administrative department of health and family planning, emergency medical institutions shall not close the emergency department without authorization.
Twenty-third hospital emergency personnel.
Emergency medical institutions shall, in accordance with the relevant standards formulated by the administrative department of health and family planning, be equipped with emergency medical personnel who have mastered the theoretical knowledge and basic operational skills of emergency medicine, and strengthen the training of emergency medical personnel.
Twenty-fourth hospital emergency service standards
Emergency medical institutions shall formulate various rules and regulations, job responsibilities and operating procedures for emergency medical treatment in the hospital, abide by the technical specifications for diagnosis and treatment, and ensure the quality of medical services and medical safety.
The emergency department is responsible for the first visit, and shall not refuse or shirk emergency patients for any reason. For critical and emergency patients, the principle of "timely treatment first, then payment" shall be followed.
Article 25 the connection between pre-hospital first aid and in-hospital first aid.
The emergency center (station) shall establish a connection mechanism with emergency medical institutions, keep the green channel of emergency clear, and realize information exchange and business collaboration.