Hospital emergency plan - Education and Training Encyclopedia

Hospital emergency plan

Section 1 General Provisions

1. This plan is formulated in accordance with the Emergency Regulations on Public Health Emergencies, the Law on the Prevention and Control of Infectious Diseases in People's Republic of China (PRC), the Measures for the Implementation of the Law on the Prevention and Control of Infectious Diseases in People's Republic of China (PRC) and the relevant documents of Hebei Province.

Second, emergencies refer to:

1. Public health emergencies are: sudden outbreaks of major infectious diseases, group diseases with unknown causes, major food and occupational poisoning and other events that seriously affect public health.

2. Sudden catastrophic events and social security incidents include earthquakes, floods, major traffic accidents, flight accidents and major social security incidents.

Three. When the above-mentioned emergencies occur, the medical department and the chief attendant must arrive at the scene for screening at the first time. The vice president in charge of medical treatment and the medical department will put forward suggestions on the start-up plan to the commander-in-chief according to the nature of the incident, the number of people involved and the need to call medical treatment and protective equipment, medicines, medical devices and other materials, and the commander-in-chief will announce the start-up plan.

Four, departments, departments should refer to this plan to develop corresponding measures of undergraduate course room, department, and training, inspection and implementation records.

Five, in the process of dealing with emergencies, adhere to the medical record writing and management system; Adhere to the three-level rounds system: adhere to the consultation system and other effective rules and regulations to ensure medical safety.

Section 2 Personnel preparation

A, clinical department director, head nurse, emergency department personnel all-weather preparation, establish an effective communication network, ready to deal with emergencies.

Second, the personnel on duty in all subjects at night are allowed to obey the general duty of the hospital at any time.

Third, according to the clinical characteristics of emergencies, the hospital will form a working group with obvious professional characteristics at any time, and arrange professionals to undertake the work of the chief physician and guide clinical work.

Four, science and education office is responsible for organizing and coordinating the training of emergency measures personnel in clinical and medical departments of hospitals.

Five, the head of all departments in the hospital, responsible for instilling the Emergency Plan into every employee (including temporary workers) of the department and conducting regular drills.

Six, the command center and the Medical Department received the task of sending a medical team, and Bai Yao, the director of the department, quickly made personnel arrangements according to the requirements and reported them to the Medical Department's medical team; In the evening, the total hospital class meeting will select the doctors on duty according to the professional needs and notify the department director to supplement the staff.

Seven, the general affairs department is fully responsible for the medical team's life security, and the medical department is fully responsible for the medical team's business security.

Section 3 Reporting System

A, any department or individual must immediately truthfully report the emergency to the medical department or the person in charge of the hospital on duty, and shall not conceal, delay or make a false report, including:

1, number of patients.

2, injuries.

3, participate in the treatment department.

Second, the medical department or the section chief on duty in the hospital shall promptly report to the competent dean according to his duties.

1, emergency nature.

2, the number of injured personnel and injury status.

3, participate in the treatment department.

4, need to call the personnel, drugs and equipment.

Three, the director personally or entrust the medical department to report to the superior medical and health administrative department according to the procedure.

Four, the medical department regularly inform the floor of the epidemic.

Five, the hospital designated medical staff responsible for reporting emergencies or epidemics, safeguard section is responsible for providing the required information to the public security department; Without approval, no department or individual may disseminate emergency information to the outside world.

Six, in case of any of the following circumstances, need to immediately report to the medical department or the head of the hospital on duty:

1. Outbreaks and epidemics of infectious diseases have occurred or may occur.

2. Patients, pathogen carriers and suspected patients of Class A infectious diseases (cholera and plague) and Class B infectious diseases (SARS, AIDS and anthrax) are found.

3. Major food poisoning and occupational poisoning incidents have occurred or may occur.

4, the occurrence or possible discovery of unexplained group diseases (number).

5. Loss of toxic substances and radioactive sources.

6, reception of major accidents, celebrities, foreigners and overseas personnel, medical care objects, special circumstances of large-scale activities, flight accidents, major social security incidents.

The fourth quarter * * * public health emergencies emergency plan

First, the main responsible departments:

Medical department, nursing department, outpatient department, emergency department, clinical department, radiology department and laboratory department.

Second, all responsible departments regularly organize all employees to carry out training and drills on relevant knowledge and skills; And reserve a certain amount of necessary protective equipment.

Third, the early warning mechanism of infectious diseases.

1, the whole hospital and various departments, in order to implement the "early detection, early isolation. Early handling "work requirements, we must establish the corresponding early warning mechanism.

2. Early warning classification

① Three-level early warning: If there is an epidemic in other places and there are no new or suspected cases in this city, the medical department will organize personnel to carry out business training in time, and the procurement center and the general affairs department will provide necessary material reserves on the premise of ensuring normal medical order.

② Second-level early warning: When there is an epidemic in this city, our hospital accepts suspected or confirmed cases, and the isolation area is not open, we should be prepared to start the emergency plan in an all-round way, strengthen the supervision and guidance on the implementation of disinfection and isolation system and personal protective measures for medical staff, and ensure the normal development of medical work.

③ First-level early warning: start this plan in an all-round way, open the quarantine area, integrate medical resources and stop visiting.

Four, after the start of the emergency plan, the responsible department personnel must always stick to their posts, and be prepared for the backup echelon personnel, and obey the unified arrangement of the hospital emergency headquarters.

Fifth, emphasize the coordination of all subjects, and local interests must obey the overall interests.

Six, strict implementation of routine diagnosis and treatment. Ensure the scientificity and completeness of medical records.

Seven, set up a cordon, all personnel involved in the treatment have the obligation to prevent irrelevant personnel from entering the treatment area, and to prevent patients and suspicious personnel from leaving.

Eight, SARS and intestinal infectious diseases emergency plan attached.

Nine, the treatment department should keep the patient's vomit, excrement and blood samples.

Ten, without approval, shall not be arbitrarily disposed of the patient's excrement.

Eleven, city, district CDC staff arrived, the medical department is responsible for epidemiological investigation, delineation of the object, the implementation of monitoring measures.

Twelve, each department shall not refuse to be hospitalized under any excuse.

Thirteen, without approval, no department may transfer patients without permission.

Section 5 Emergency Plan for Sudden Disasters and Social Security Events

First, the main responsible departments

Medical department, nursing department, outpatient department, emergency department, clinical department, radiology department, laboratory department, pharmacy department and general affairs department.

Second, all responsible departments regularly organize training and drills for all employees' relevant knowledge and skills; And reserve a certain amount of necessary protective equipment.

Three, after the start of the emergency plan, the responsible department personnel must always stick to their posts, and be prepared for the backup echelon personnel, and obey the unified arrangement of hospital emergencies in emergency headquarters.

Fourth, emphasize the coordination of all subjects, and local interests must obey the overall interests.

Five, strict implementation of routine diagnosis and treatment, to ensure the integrity and seriousness of medical records.

Six, set up a cordon, all personnel involved in the treatment have the obligation to organize irrelevant personnel to enter the treatment area, and prevent patients and suspicious personnel from leaving.

Seven, according to the unified requirements, the attending department is responsible for hanging the corresponding ribbon in the patient's left chest (death is black; Light, moderate and serious injuries are red, yellow and blue bands respectively).

Eight, for patients who need surgery, as far as possible in the big operating room, and according to the need to open an outpatient operating room.

Nine, keep close contact with the city blood center to ensure blood supply. Actively use autologous blood transfusion technology to reduce the demand for blood.

Ten, each department shall not refuse to treat patients who need to be hospitalized under any excuse.

Eleven, without approval, any department shall not transfer patients.

Section 6 Safety Work

First, human resources protection.

1. Statistics and classified management of dispatched personnel.

2. Deploy hospital human resources.

3. Cash rewards and punishments.

Second, information security.

1. The archive room is responsible for collecting the latest trends of related diseases and understanding the latest diagnostic standards and procedures.

2. The computer center maintains the information system to ensure the accuracy and normal operation of the information.

3, archives at any time according to the relevant requirements of the higher authorities, fill in the form, report.

Third, equipment support.

1. The General Affairs Section ensures that the equipment of key departments is in good condition and ready for use.

2, timely provide the equipment needed in the rescue process.

3. Maintain the rescue equipment on site at any time.

Fourth, logistics support.

1, the general affairs department ensures the supply of strategic materials and necessary daily necessities needed for rescue.

2. Ensure power supply, heating, ventilation and water supply.

3. Ensure smooth communication and have the ability to increase communication at any time.

4, to ensure that the transport vehicles are in good condition, without the approval of the relevant departments, shall not be arbitrarily call an ambulance.

5. Ensure the construction of temporary facilities.

6. The general affairs department should ensure the food supply for the rescuers.

7, general affairs department to ensure that the medical staff clinical use of clothing timely washing and updating.

Verb (abbreviation of verb) safety and guarantee

1, In case of public health emergencies, it is necessary to delimit the isolation zone, the Security Section shall provide personnel in time, and assign special personnel for security to prevent irrelevant personnel from entering the isolation zone, and patients and suspicious personnel shall not leave the treatment zone without approval.

2. In case of sudden disasters and social security incidents, the security department must take protective measures for the electric power, heat and communication departments in time.

3. Keep in touch with the public security department and monitor the suspects.

Living security of intransitive verbs

1. The hospital office and the Party Office are responsible for the ideological and political work of medical staff, do a good job in explaining and appeasing the families of medical staff, and help solve practical difficulties. The general affairs section ensures the accommodation and health of the medical staff involved in the rescue.

2, general affairs department to ensure that the medical staff to participate in the rescue of accommodation and health.

Section 7 Detailed Rules and Procedures for the Implementation of Emergency Medical Assistance

I. Detailed Rules for the Implementation of Emergency Medical Assistance

Emergency situations include:

1, chemical poisoning;

2. Batch digestive system poisoning (food);

3. Batch respiratory infectious diseases;

4. Batch infectious diseases of digestive system.

5. Group trauma (car accident, crush injury in public places, explosion, etc. );

Emergency position:

1, municipal district;

2. Outside the city;

3. field;

4. Our hospital.

Emergency rescue classification:

1, pre-hospital rescue;

2. Hospital rescue.

Means of communication system in emergency:

1, telephone 2, mobile phone 3, network 4, manual.

Transportation in case of emergency:

1, ambulance (120);

2. Vehicles in our hospital;

3. Taxi;

4. Social vehicles.

Emergency information transmission system;

1, shift supervisor;

2. Medical Section;

3. Emergency department;

4. Vice President in charge;

5. Dean;

6. Health bureaus at all levels//CDC;

7. Other hospitals:

8. Relevant government departments;

Emergency command system:

1, Dean;

2. Vice President in charge;

3. Medical Department and Nursing Department;

4. Directors of all subjects;

5. Doctors at all levels;

6. Medical, nursing and administrative functions;

7, superior orders.

Emergency material preparation:

1, drugs;

2, materials and equipment (tracheal intubation, tracheotomy bag, stretcher, all kinds of splint, neck brace, bandage, flashlight, candle simple respirator.

3. ambulance;

4. Cotton tops, masks, hats, gloves and walkie-talkies;

5. Food and water.

The above items must be placed in the designated location, and the relevant personnel must be clear.

Emergency medical team:

1. Team leader: Dean/Vice President/Medical Department/Department Director.

2. According to the professionals and fixed number of emergency personnel, there are 5 doctors and 3 nurses.

3, personnel according to the needs of the superior and decide which level of professional commitment.

4. Determine the list of dispatched personnel according to different majors.

5, the hospital should be within 30 minutes after receiving the notice, personnel, materials, medicines, ambulances must arrive at the designated parts set * * *.

6. Contact the hospital headquarters at any time.

7. Obey the arrangement of the site command and the superior command.

8, do their own necessary safety and protection, to avoid medical team casualties;

Emergency medical team:

1, chemical poisoning:

① Team leader: Dean/Vice President/Medical Department/Department Director.

② Team leader: 1 (tentative).

③ Team members: 2 nurses, 2 physicians 1-2 and 2 surgeons 1-2.

2, digestive system (food) poisoning, digestive system infectious diseases:

① Team leader: Dean/Vice President/Medical Department/Department Director.

② Team leader: 1 (l tentative).

③ Team members: 2 nurses, 1 internal medicine system doctor, 1 surgical system doctor.