XX city village clinic management system \x0d\ village clinic responsibilities \x0d\ 1. Consciously abide by national laws, regulations and rules, and practice within the approved scope of practice. \x0d\ II。 Publicize national health laws and regulations, carry out mass health education, and establish family health records. \x0d\ III。 Carry out preventive health care work such as planned immunization and maternal and child health care management under the guidance of township hospitals. \x0d\ IV。 Provide primary diagnosis, treatment and referral guidance for common and frequently-occurring diseases. \ x0d \ v. Actively carry out technical guidance for the prevention and control of pests and diseases in rural areas and comprehensive improvement of environmental sanitation. \x0d\ VI。 Assist villagers' committees to actively publicize and promote the new rural cooperative medical system, strictly implement the policies and regulations of the new rural cooperative medical system, and serve farmers enthusiastically. \x0d\ VII。 Responsible for village health supervision. \x0d\ VIII。 Complete the statistical reporting of health information such as epidemic situation, birth and death. \x0d\ IX。 Complete other tasks assigned by the superior health department. \x0d\ Appendix 2: \x0d\ Code of Conduct for Rural Doctors \ x0d \ 1. Saving lives and promoting humanitarianism. Always think of the patient and do everything possible to relieve the suffering of the people. \x0d\ 2。 Serve with civility and treat people with courtesy. When receiving patients, the language is civilized, the behavior is dignified, the attitude is kind, and the patients are warmed with love. \x0d\ III。 Obey management and practice medicine legally. Consciously abide by national laws and regulations, practice medicine in strict accordance with medical routine, and humbly accept technical guidance and business management from township hospitals and superior medical and health institutions. \x0d\ IV。 Ensure safety and reasonable charges. Be highly responsible for patients, pay attention to medical safety, and do not charge fees indiscriminately or illegally. \x0d\ 5。 Respect personality and keep medical secrets. Treat patients equally and don't reveal patients' privacy and secrets. \x0d\ VI。 Do a good job in publicity and strengthen prevention and control. Often take advantage of various opportunities to publicize health care knowledge to villagers, carry out health education in a timely manner, report the epidemic situation of infectious diseases and poisoning incidents in a timely manner, and assist relevant departments in disease prevention and control, health supervision, new rural cooperative medical care, patriotic health and other aspects. \x0d\ VII。 Keep learning and improve your level. Good at summing up experience and lessons in work practice, studying medical skills, striving for perfection, constantly updating knowledge and improving medical technology. \x0d\ VIII。 Help each other, learn from each other, unite and cooperate. Correctly handle the relationship with neighboring village clinics, unite and cooperate, and learn from each other's strengths. \x0d\ Appendix 3: \x0d\ Vaccination system in village clinics \ x0d \ 1. Medical staff in village clinics must have vaccination qualifications before they can carry out vaccination activities. It is strictly forbidden for unqualified units and personnel to engage in vaccination work. \x0d\ 2。 You must accept the technical guidance, supervision and management of higher medical and health institutions, and attend regular meetings, training and assessment on time. \x0d\ III。 Collect the statistical data of the total population and 0- 14 age groups in the jurisdiction, and timely grasp the inflow, outflow and monthly birth of children targeted by immunization program. Establish vaccination certificate and card in time within 1 month after the child is born. \x0d\ IV。 Make a plan for the use of a class of vaccines on time, do a good job in vaccine management, and ensure the cold storage of vaccines. \x0d\ 5。 The establishment of inoculation sites shall conform to the national technical specifications, and the vaccine varieties, immunization procedures, inoculation methods, functions, contraindications, adverse reactions and precautions shall be publicized in a prominent position. \x0d\ VI。 Conscientiously fulfill the obligation of informing and asking about health status before vaccination, and vaccinate according to the monthly standard. On-site observation 15-30 minutes after vaccination to ensure the safety of vaccination, and the pass rate of permanent children and floating children during the whole vaccination is over 95%. When entering school every autumn, guide kindergartens and schools in the jurisdiction to carry out the audit of children's nursery and vaccination certificate, and make up the certificate (species) for children under the age of 14 who have no vaccination certificate and have not completed routine immunization. \x0d\ VII。 Report the suspected abnormal reaction after vaccination, and deal with the general reaction after vaccination in time. \x0d\ VIII。 Carry out national immunization program vaccine infectious disease monitoring and participate in epidemic situation disposal. \x0d\ IX。 Carry out health education, post vaccination posters in time, set up vaccination consultation telephones, and accept relevant consultation activities. \x0d\ X. Standardize the management of all kinds of vaccination data, and sort out and file the annual data at the end of the year. \x0d\ XI。 In areas where centralized vaccination is implemented in towns and villages, village clinics are responsible for the collection and reporting of population data, the issuance of vaccination notices, the monitoring and handling of infectious diseases and suspected abnormal reactions to vaccination, the health education and consultation on vaccination, and the guidance for schools and kindergartens in their jurisdiction to check vaccination certificates. \x0d\ Appendix 4: \x0d\ Working system of maternal and child health care in village clinics \ x0d \ 1. Seriously study and implement laws and regulations such as maternal and child health care law. \x0d\ Second, there is a special person who is responsible for maternal and child health care, grasps the basic situation of maternal and child work in the village, and carries out health care business under the guidance of township hospitals. \x0d\ III。 Systematic management of pregnant women. Do a good job in early pregnancy diagnosis and card registration, and hand over suspected high-risk pregnant women to township management in time. Mobilize hospital delivery and be responsible for postpartum visit. \x0d\ IV。 Develop children's systematic management. Do a good job in building children's health care cards, and register, screen and refer high-risk children. \ x0d \ v. Do a good job in the prevention and treatment of diseases of women and children. Cooperate with villages and towns to carry out general survey and treatment of gynecological diseases and physical examination of children to ensure accurate information and complete registration. \x0d\ VI。 Do a good job in maternal and child health information management. Collect, summarize and report all kinds of information in time. \x0d\ VII。 Attend the regular meeting of township maternal and child work on time, report the work, receive training and business guidance, and complete all tasks assigned by superiors on time. \x0d\ VIII。 Do health education well. Publicize the knowledge of maternal and child health science to pregnant women and parents of children, and guide the masses to carry out family self-care. \x0d\ IX。 Do a good job in maternal and child health projects to improve the health level of women and children. \x0d\ X. Complete other maternal and child health care tasks assigned by superiors on time. \x0d\ Appendix 5: \x0d\ Health education system in village clinics \ x0d \ 1. Under the guidance of higher health departments and health education institutions, health education and health promotion activities are widely carried out, and people's health awareness and self-care awareness are improved through publicity and education, and farmers' good health behavior is strengthened. \x0d\ 2。 Set up and manage the health education bulletin board in the village, publicize all kinds of popular science knowledge about disease prevention in combination with seasonal disease prevention, post and screen the corresponding health education materials on the bulletin board in time, and change it at least 1 time every month. Receive health education materials issued by superiors, and the publicity and education materials should be filed in time. \x0d\ III。 Promote rural health knowledge with the content of changing bad behavior and lifestyle. Combined with the needs of public health education or local public health emergencies, focusing on high-risk groups, door-to-door publicity of relevant health knowledge, including prevention and treatment knowledge of common diseases, chronic diseases and key management diseases; Guide villagers to develop correct healthy behaviors and lifestyles, and constantly improve the awareness rate of residents' health education knowledge. \x0d\ IV。 Regularly distribute health education materials according to regulations, focus on the management of chronic diseases, carry out oral education according to the condition of patients during follow-up, and issue health education prescriptions. \x0d\ 5。 Strengthen tobacco control education and guide villagers to strive for smoke-free families, smoke-free offices, conference rooms, consulting rooms and other activities. \x0d\ VI。 Actively guide and organize villagers to carry out activities of killing flies, mosquitoes, rats and cockroaches. \x0d\ Appendix 6: \x0d\ Writing system of medical documents in village clinics \ x0d \ 1. Improve medical documents according to regulations, mainly including: outpatient medical records, outpatient registration books, prescriptions, disposal (injection, debridement, dressing change) registration books, etc. ), infusion cards, etc. , and unified format, content and requirements in all counties. \x0d\ II。 Medical documents must be filled in by qualified health technicians according to the scope and requirements of their duties, and signed by the writer himself. \x0d\ III。 Medical documents should be written in blue-black ink and carbon ink. The contents of the record must be objective, true, timely and complete, and the handwriting must be clear. It is not allowed to change at will. Special circumstances need to be revised, it shall be signed at the revision place and indicate the date of revision. \x0d\ IV。 Strict implementation of prescription management measures. When making prescriptions, standardized Chinese and medical terms should be used, and the name, dosage, specifications, usage and dosage of drugs should be accurate, and names or codes should not be compiled by themselves. Each prescription shall not exceed 5 drugs. \ x0d \ v. All treatment processes using drugs in village clinics must be accompanied by prescription and dispensing records. \x0d\ VI。 Medical documents in village clinics shall be kept for not less than 5 years, including prescriptions for not less than 3 years. \x0d\ Appendix 7: \x0d\ Medical safety system in village clinics \ x0d \ 1. Medical personnel should have good professional ethics and appropriate medical technical level. \x0d\ II。 Strictly abide by laws and regulations, conscientiously implement technical operation specifications, and regularly carry out medical safety self-inspection. \x0d\ III。 Conscientiously implement the Drug Administration Law, effectively strengthen drug management, and use drugs in strict accordance with regulations. \x0d\ IV。 Strictly implement the system of "three checks and seven pairs" in nursing work, the system of "four checks and ten pairs" in prescription adjustment and the relevant regulations of hospital feeling. \x0d\ 5。 Take emergency measures to rescue and treat critically ill patients in time and make timely referrals. \x0d\ VI。 Medical equipment and power supply should be inspected and maintained regularly, and operating procedures should be strictly implemented. \x0d\ VII。 Non-health technicians are strictly prohibited from engaging in medical and health work. \x0d\ VIII。 The village clinic shall practice medicine within the approved health permit, and shall not perform operations other than general simple body surface debridement and suture. \x0d\ IX。 Strengthen communication between doctors and patients, properly handle medical disputes and prevent medical accidents. \x0d\ Appendix 8: \x0d\ village clinic safety injection system \ x0d \ 1. Stick to your post, strengthen business study, and master the adverse reactions, compatibility contraindications and emergency treatment measures of various injections. \x0d\ II。 The injection should be carried out according to the prescription and doctor's advice. For allergic drugs, allergy tests must be done according to regulations before injection. Contraindications for compatibility of commonly used drugs should be posted in the injection room. \x0d\ III。 Strict implementation of the check system, careful and accurate injection, warm and considerate to patients. \x0d\ IV。 The appearance quality of the drug to be injected should be carefully checked. Do not use expired, deteriorated, contaminated, moldy, unlabeled or unclear drugs, ampoules are broken, and the contents have persistent clots or foreign bodies. \x0d\ 5。 Strict implementation of aseptic operation procedures, the use of qualified disposable sterile plastic syringes, one needle and one tube, immediately destroyed after use. Do not use them again. . \x0d\ VI。 Observe the patient's reaction closely during and after injection. In case of allergic reaction or other abnormal phenomena, stop injection immediately and take emergency measures. If the treatment effect is not obvious, it is necessary to transfer to another hospital decisively and quickly. \x0d\ VII。 Medicines and instruments for rescue should be positioned in a position conducive to the implementation of rescue, and checked regularly, and adjusted and supplemented in time. \x0d\ VIII。 Strictly implement the isolation and disinfection system to prevent cross-infection. The injection room should be disinfected daily and monitored regularly. \x0d\ Appendix 9: \x0d\ Disinfection and isolation system of village clinics \ x0d \ 1. Strictly abide by the disinfection and sterilization system, and conscientiously implement the aseptic technical operation procedures. \x0d\ 2。 It is forbidden to set up living quarters in the bathroom. \x0d\ III。 Medical staff should wear clean clothes in the work area, and it is forbidden to wear work clothes to non-work places. Wash your hands in time before and after diagnosis and treatment, and soak them with disinfectant if necessary. \x0d\ IV。 Medical instruments and supplies, such as dressing cylinders and holding forceps, should be disinfected regularly. The thermometer, pulse pressure band and tongue depressor should be disinfected by one person. \x0d\ 5。 The doors and windows of the treatment room should be well sealed, ventilated regularly, disinfected by ultraviolet rays every day, monitored regularly and recorded completely. When ultraviolet disinfection is carried out in the treatment room, it should be protected from light to avoid harm to people outside the treatment room. \x0d\ VI。 All kinds of medical devices should be disinfected in time for later use. Bedding and mattresses should be cleaned, disinfected and replaced regularly. \x0d\ VII。 Disposable medical devices should be used as much as possible to reduce the infection rate. Disposable medical devices and sanitary materials used shall be disposed of in accordance with regulations. It is forbidden to reuse disposable medical devices and sanitary materials. \x0d\ Appendix 10: \x0d\ Village clinic medical waste disposal system \ x0d \ 1. Village clinics must strictly implement the regulations on medical waste management and properly handle medical waste. \x0d\ Second, we should try our best to reduce the amount of harmful, toxic and infectious wastes in the medical process. \x0d\ III。 Medical wastes should be collected separately and equipped with black, yellow and red dirt bags: black bags contain domestic garbage; Yellow bag containing medical waste (infectious waste); Red bags can be directly burned, radioactive and other special wastes. Dirt bags should be tough and durable, and degradable plastic bags are preferred. After disinfection, all wastes should be put into dirt bags marked with corresponding colors, and treated and emptied in time every day. \x0d\ IV。 Used disposable goods shall not be reused, and it is strictly prohibited to sell it or mix it with domestic garbage and discard it at will. Sharp tools such as needles and infusion sets should not be mixed with other wastes. It should be destroyed first, then disinfected, and finally burned centrally or buried in time. \x0d\ 5。 First, add 1/5 of bleaching powder into the excrement of patients with infectious diseases or suspected infectious diseases and the body fluids and concentrated solution discharged by infected patients, mix them evenly, cover them for 4 hours, and then pour them into the toilet. \x0d\ VI。 Keep the medical waste disposal registration records completely, and report the disposal report to the township health centers in the area regularly. \x0d\ VII。 It is forbidden for anyone to sell medical wastes in any way. \x0d\ Appendix 1 1: \x0d\ Drug management system in village clinics \ x0d \ 1. Seriously implement the Drug Administration Law and related rules and regulations. Strengthen drug management and provide effective, safe and reassuring drugs for farmers. \x0d\ II。 Village clinics must standardize the procurement, use and management of drugs in accordance with the basic drug list formulated by the provincial health administrative department. Village clinics shall not be used as drug retail outlets for enterprises. \x0d\ III。 The pharmacy is set up independently, and the layout is scientific and reasonable, which meets the hygiene requirements and is convenient for patients to take medicine. \x0d\ IV。 Pharmacy management is standardized, the division of labor is clear, the display is orderly, and special drugs are kept by special personnel. \ x0d \ v. Drugs in village clinics are distributed centrally and uniformly by the county, and a drug warehousing acceptance register is established. The retention period of drug purchase documents shall not be less than 5 years. \x0d\ VI。 Adhere to rational drug use, treat diseases, pay attention to incompatibility, and ensure safe and effective drug use. \x0d\ VII。 Pharmacies must fill prescriptions, carefully verify and check them to prevent mistakes and accidents. \x0d\ VIII。 Check pharmacies regularly to ensure that the drug accounts are consistent. Timely remove deteriorated, expired and invalid drugs. \x0d\ IX。 Use qualified disposable sterile instruments in accordance with regulations, destroy them after use, disinfect them, destroy them uniformly, and keep records. \ x0d \ X. Actively cooperate with the inspection and technical guidance of the drug supervision department and strictly implement relevant regulations. \x0d\ Appendix 12: \x0d\ reporting system of infectious diseases in village clinics \ x0d \ 1. Conscientiously implement the Law on the Prevention and Control of Infectious Diseases, the Measures for the Administration of Information Reports of Public Health Emergencies and Infectious Diseases, and the Management Standard for Legal Infectious Diseases Reports of Medical Institutions, and do a good job in reporting infectious diseases in village clinics. \x0d\ II。 The village clinic is the reporting unit of the epidemic situation of infectious diseases, and the medical staff in the village clinic is the epidemic reporter. \x0d\ III。 Establish outpatient logs, infectious disease registration books and other related registrations and fill them out carefully according to the specifications. \x0d\ IV。 When patients or suspected patients with pulmonary anthrax, infectious atypical pneumonia, poliomyelitis and human infection with highly pathogenic avian influenza in Class A infectious diseases and Class B infectious diseases are found, or when other infectious diseases and unexplained diseases break out, they should report to the local county-level disease prevention and control institutions by the fastest communication method (telephone or fax) within 2 hours, and issue an infectious disease report card within 2 hours. Other patients with Class B and C infectious diseases, suspected patients and carriers of infectious diseases that need to be reported should issue infectious disease report cards within 24 hours after diagnosis. \x0d\ 5。 Medical personnel should regularly participate in the study and training of infectious disease prevention and control knowledge and relevant laws and regulations. \x0d\ VI。 Cooperate with disease prevention and control institutions to do epidemiological investigation, follow-up, epidemic treatment and isolation of close contacts. \x0d\ Appendix 13: \x0d\ Health supervision system of village clinics \ x0d \ 1. Village-level health supervision is an integral part of health supervision and law enforcement. Doctors in village clinics are health supervision information officers in their villages and undertake the task of health supervision. \x0d\ II。 Conscientiously publicize and educate food hygiene, drinking water hygiene, school hygiene and other health laws and regulations in the village. Establish and improve supervision files and report relevant information on time. \x0d\ III。 Actively prevent the occurrence of food poisoning, establish health records for catering service personnel in the village, conduct training on food hygiene laws and regulations, report the villagers' weddings and funerals to the township health supervision Commissioner in advance, and assist in supervising and guiding the food hygiene site. \x0d\ IV。 Report food poisoning and other public health emergencies to the superior in time, and do your best to protect the scene and assist in the disposal. \x0d\ 5。 Master the relevant situation of the medical market within the jurisdiction, and report to the superior in time to assist in the investigation in case of traveling doctors and practicing medicine without a license. \x0d\ VI。 Attend relevant meetings and trainings on time, and complete other health supervision tasks temporarily assigned by superiors. \x0d\ Appendix 14: \x0d\ Assessment and management system of village clinics \ x0d \ 1. Implement comprehensive rural management. Achieve unified business guidance, unified personnel training, unified drug distribution, unified implementation of the new rural cooperative medical system policy, and unified public health assessment. \x0d\ II。 Taking the county as a unit, six unified management of village clinics is implemented, that is, six unified management of identification marks, medical documents, anti-insurance card books, working systems, charging bills and drug use catalogues. \x0d\ III。 Strict implementation of rural doctors management regulations. Rural doctors receive professional training at least once every two years, take the initiative to study by themselves, update their medical knowledge, improve their professional level, and actively participate in learning and training activities organized by county and township health departments and medical and health institutions. \x0d\ IV。 Actively cooperate with the public health assessment organized by the health department, and organize public health assessment of village clinics at least twice a year. \ x0d \ v. The results of public health assessment in village clinics are linked to the subsidy funds for public health services of village doctors. \x0d\ VI。 The assessment results of rural doctors participating in the training and the annual public health assessment results serve as an important basis for the re-registration of rural doctors' practice and the renewal of new practice licenses by clinic medical institutions.