Management system of village clinic

1. Adhere to practicing medicine in a civilized manner, stick to your job, be available to patients on call, provide timely diagnosis and treatment, and patiently answer questions. Do a good job in registering, summarizing, accumulating, analyzing, storing and reporting outpatient clinics, rashes, referrals and incidences.

2. Write outpatient medical history well, requiring clear writing, smooth writing, complete content, conciseness and accuracy. Use a pen to write and record the medical history in "six complete ways", namely: chief complaint, history of current illness, examination, diagnosis, medication, and full signature.

3. Anyone with drug allergies should indicate the name of the allergic drug in a prominent position in the medical record. If a medical history card is not used, a disease register should be established.

4. If you encounter difficult cases or diseases that are difficult to diagnose, you should fill in a brief medical history and make a referral request.

5. Do a good job in preserving, organizing, and accumulating basic information. Make the cover neat, complete and clear. Use the "eight volumes and one account" printed uniformly across the city to register.

6. Strictly adhere to the relevant medication regulations of the cooperative medical care and health insurance systems. 1. In accordance with the Shanghai Municipal Health Bureau’s requirements for the city’s “disease prevention” work, actively cooperate with higher-level health departments to handle the epidemic spots, disinfection and isolation of major infectious diseases.

2. Conduct in-depth inspections in the village, and ensure early detection, early reporting, early isolation, and early treatment of infectious patients to control the occurrence and spread of the disease.

3. Strengthen the management of infectious diseases, complete various vaccinations according to seasons, and ensure that the vaccination is complete, timely and sufficient.

4. Provide health technical guidance on patriotic hygiene, food hygiene, school hygiene, childcare hygiene and occupational hazards, focusing on pest control and disease prevention, sanitation establishment, health education and water pipes and excrement management. .

5. Earnestly prepare epidemic reports, register and systematically manage major infectious diseases, chronic diseases (referring to mental illness, tuberculosis, malignant tumors), eye diseases, dental diseases, sexually transmitted diseases, and elderly health care. Follow up regularly and keep records.

6. Promote hygiene and disease prevention knowledge to prevent pesticide poisoning, food poisoning, electric shock, drowning, and trauma accidents. 1. Medical staff must wear white overalls when working, and work caps and masks when injecting and changing dressings.

2. Strengthen the concept of sterility, adhere to aseptic operations, and prevent hospital-acquired infections. Disposable syringes must be used for various injections, and one person, one needle, and one barrel must be used for disposable medical supplies. They must then be destroyed, disinfected and disposed of in a unified manner.

3. Diagnostic rooms, treatment rooms, etc. should be sprayed or wiped with 0.2 peracetic acid every day. If they are contaminated by infectious patients, they should be disinfected immediately with 0.5 peracetic acid.

4. Soak the thermometer in 1 peracetic acid solution or disinfectant containing 1000mg/L effective chlorine for 5 minutes, then put in another 1peracetic acid solution or disinfectant containing 1000mg/L effective chlorine. Soak in water for 30 minutes, then rinse with cold boiled water or scrub with 75% alcohol, then wipe dry with sterile gauze and set aside.

5. After use, soak the tongue depressor in 0.5 peracetic acid for 30 minutes, clean and bake it, wrap it in paper and sterilize it under high pressure.

6. Use special sterilized tweezers and soak them in 2 neutral glutaraldehyde. The container should be covered, and the disinfectant should be updated after boiling or high-pressure sterilization every week during the peak period.

7. Dressings, cotton swabs, and ointment gauze are all sterilized with high pressure. 1. There is a dedicated person responsible for family planning, maternal and child health care, recording, registering and reporting the number of newlyweds, pregnant women, parturient women, children aged 0-6 years old and the implementation of family planning measures in the village.

2. Mobilize the young people of marriage age in the village to conduct pre-marital health examinations, conduct monthly newlywed visits, understand the number of early pregnancies in the village, and urge pregnant women to have a preliminary check-up at 12 weeks.

3. Carry out prenatal examinations, postpartum visits and family planning technical guidance, and care for the recipients of family planning surgeries.

4. Understand the high-risk situation of pregnant women in the village, urge them to receive treatment on time, and help families perform self-monitoring during pregnancy.

5. Responsible for providing health care guidance in child care institutions, visits and simple treatment of newborns, premature infants and frail infants.

6. Promote the implementation of labor protection measures for women in the “four periods” (menstruation, pregnancy, puerperium, and lactation).

1. The prescription should be written with a pen according to the prescribed format, with clear handwriting and complete content.

2. The written prescription must be "complete", that is: name, gender, age, date, home address, drug name, dosage, quantity, usage, and full signature.

3. Prescriptions must be reasonable and drug prices must be settled correctly.

4. The quantity of medicines on the prescription is written in Arabic numerals. The dosage units of medicines are calculated in international units of grams, milligrams and milliliters, and Chinese medicine tablets, pills and capsules are written in units of fu, tablet, pill and grain. Injections are delivered in tubes and vials.

5. The prescribed dosage is suitable for one day, not more than three days, and not more than one week for chronic diseases or special circumstances.

6. No poisonous, restricted or highly toxic drugs may be used. 1. The village clinic should be equipped with a part-time accountant and cashier, strengthen financial management, and establish necessary account books such as household consumption and cash cashiers. The accounts should be cleared daily, settled monthly, published quarterly, reported regularly, and published annually. The medical expenses of villagers are earmarked for special use and are strictly prohibited from being used for other purposes.

2. Strictly implement the reimbursement and charging system, have standards for service charges, clearly mark prices, and have vouchers (invoices) for charging fees.

3. Financial account books, drug account books, material account books, etc. should be established, with clear division of labor, separate management of accounts and money, and separation of accounting and property management.

4. Various medical instruments and other equipment in the village clinic must be registered and documented, and must be kept properly to prevent loss.

5. Establish detailed accounts and economic accounts for drug purchase, sales, and deposits, and conduct quarterly inventory to ensure that the accounts are consistent.

6. Those who cause medical accidents or collective property losses due to dereliction of duty, irresponsibility, or violation of operating procedures shall be criticized, educated, punished, or compensated as appropriate based on the severity of the case and the individual's consistent performance.