Nursing center is an independent professional medical institution that provides daily care for the disabled, demented or bedridden for a long time, supplemented by simple medical measures, with the basic function of improving the quality of life of patients.
The nursing center does not include the nursing units in the hospital, nor does it include the nursing institutions set according to the standards of nursing homes and nursing stations.
I. Bedclothes
The total number of nursing beds exceeds 20.
Second, the professional setting
(a) at least for the elderly, weak, disabled, dementia and long-term bedridden people to provide general medical treatment, daily medical care, basic rehabilitation and other services, conditional provision of hospice care services.
(two) to provide at least medical imaging, medical examination, pharmacy, nutritious diet and disinfection supply to meet the needs of medical and health care services. Among them, medical imaging, medical inspection and disinfection supply services can be provided by third-party professional institutions.
Third, staffing.
(1) There shall be at least 2 medical practitioners with more than 5 years' working experience, among whom at least 1 medical practitioners with associate senior and above professional and technical qualifications in internal medicine.
The nursing center should take the protection of patients' safety as the basic principle, and equip relevant professional doctors or hire multi-agency practitioners according to the health status and actual work needs of nursing staff. Physicians in neurology, cardiovascular medicine, respiratory medicine, oncology, geriatrics and traditional Chinese medicine should make regular rounds to guide or assist in dealing with related medical problems.
(2) Each sickbed shall be equipped with at least 0.6 full-time nursing staff, of which the ratio of nurses to nurses is 1:3-4.
(3) There shall be at least 1 person of nurses with professional and technical post qualifications above the head nurse. If the number of nursing beds reaches or exceeds 30, at least 2 nurses with professional and technical post qualifications who are in charge of nursing shall be equipped.
Those who provide rehabilitation medical services at the same time shall be equipped with corresponding rehabilitation doctors and therapists according to the needs of the rehabilitation medical services provided.
(four) the establishment of departments such as pharmacy, inspection, auxiliary inspection, nutritious diet and disinfection supply shall be equipped with health professional and technical personnel with corresponding qualifications.
(5) Nurses should receive systematic training from medical institutions or professional institutions and obtain training certificates.
(6) All medical personnel must be familiar with first aid operations such as cardiopulmonary resuscitation.
(seven) conditional can be equipped with psychotherapists, psychological counselors.
Fourth, infrastructure.
(a) the business premises should be equipped with at least reception (including hospital preparations), medical treatment, nursing units, public activities and living AIDS, and set up rehabilitation training areas to provide rehabilitation medical services.
(two) according to the actual situation of patients' health status, self-care ability and medical service demand, reasonable division of nursing units. Each nursing unit should have at least one patient living room, a nurse station, a treatment (dispensing) room, a disposal room and an optional rehabilitation treatment room. Nursing units providing hospice care services should be equipped with family companion rooms (beds).
(3) The net usable area of each bed in the living room shall not be less than 5 square meters, and the spacing between each bed shall not be less than 1 meter. It is wise to live no more than four people in each room.
(4) The living room should be provided with a space for storing clothes, and a barrier-free toilet should be installed inside. The floor of the bathroom should meet the requirements of easy cleaning, impermeability and anti-skid.
(5) having an independent toilet, equipped with handrails and call facilities, equipped with effective safety protection measures such as bathing facilities that meet the anti-skid requirements and facilities for moving patients.
(six) with rehabilitation and indoor and outdoor activities and other areas, and should meet the requirements of barrier-free design. Handrails should be set on both sides of the activity area and corridor, doors should be convenient for wheelchair access, and all business rooms should be equipped with barrier-free access.
(seven) the overall implementation of national barrier-free design standards for building facilities, to meet the functional requirements of fire protection, security, emergency evacuation and fall prevention, bed fall prevention, self-mutilation (suicide) prevention, loss prevention, injury prevention and so on. Buildings that need elevators must have at least 1 barrier-free elevators.
Verb (abbreviation for verb) basic equipment
(1) Conventional equipment: at least equipped with calling device, oxygen supply device, electric suction device or sputum suction device, air cushion bed or mattress with pressure sore prevention function, treatment vehicle, morning and evening care vehicle, medical record vehicle, medicine cabinet, and conventional disinfection equipment (such as ultraviolet lamp and air disinfection machine). ), refrigerator, washing machine, hot and cold water that meets drinking standards.
Where there is a drug, inspection, auxiliary inspection and disinfection supply department, it shall be equipped with corresponding equipment and facilities.
(2) First aid equipment: at least equipped with simple automatic cardiac defibrillator/defibrillator (AED), simple ventilator, electrocardiograph, tracheal intubation equipment, oxygen supply equipment and rescue vehicle.
(3) Rehabilitation medical services should be equipped with professional rehabilitation equipment: at least equipped with sports therapy, physical therapy and occupational therapy equipment suitable for patients' rehabilitation needs.
(4) Information equipment: equipped with network computers and other equipment with information reporting, transmission and automation functions, and equipped with an information management system adapted to the functions to ensure that the medical informatization construction meets the relevant requirements of the state and the region.
(five) the basic equipment of the nursing bed unit is the general hospital at the same level.
(six) other equipment that can meet the needs of diagnosis and treatment business.
Management of intransitive verbs
Establish a quality management system, formulate various rules and regulations, post responsibilities of personnel, and implement technical specifications and operating procedures for diagnosis and treatment promulgated or recognized by the state. Rules and regulations at least include patient registration system, medical document management system, patient safety system, patient privacy protection system, inpatient nursing management system, quality control system, information management system, facilities and equipment management system, medicine consumables management system, hospital infection prevention and control management system, medical waste standardized disposal system, occupational safety protection management system for medical personnel, food safety management system, emergency plan for emergencies such as power failure and water cut-off, and fire control system. Staff must participate in the study and training of various rules and regulations, job responsibilities and process specifications, and keep records.
Management standard of nursing center (for Trial Implementation)
In order to standardize the management of nursing centers, improve the level of medical care services, and ensure the quality and safety of medical care services, this specification is formulated in accordance with the Law on Medical Practitioners, the Regulations on the Administration of Medical Institutions, the Regulations on Nurses and the Measures for the Administration of Hospital Infection. This specification is applicable to independent nursing centers that provide nursing services.
I. Institutional management
(a) the nursing center shall formulate and implement management rules and regulations, implement technical specifications and operating procedures promulgated or recognized by the state, clarify the post responsibilities of staff, and strictly implement measures such as fire control, safety and security, emergency evacuation, fall prevention, bed fall prevention, self-mutilation (suicide), loss prevention, injury prevention, and hospital infection prevention and control to ensure the safe and effective development of rehabilitation medical services.
(2) The nursing center shall set up an independent department or be equipped with full-time personnel to be responsible for the management and control of quality and safety, and earnestly perform the duties of guidance and inspection, quality control and internal supervision on the implementation of rules and regulations, technical specifications and operating procedures, as well as the management of service quality and safety; Responsible for monitoring, analyzing and implementing effective intervention management on risk factors in daily operation and management and business development; Implement the responsibility of preventing and controlling hospital infection and standardizing the disposal of medical waste; Provide guidance for employees' occupational safety protection and health management; Responsible for guiding and checking the writing, preservation and use management of nursing professional documents, files and data.
(three) in accordance with the relevant provisions of internal quality, safety, service, technology, finance, public security, nutrition and catering and logistics management.
Second, the quality management
The nursing center shall implement quality management according to the following requirements:
(a) the configuration of health professional and technical personnel conforms to the provisions of the Basic Standards for Nursing Centers.
(two) in accordance with the relevant requirements of the technical specifications and operating procedures for diagnosis and treatment promulgated or recognized by the state, with the goal of achieving continuous improvement and improvement of service quality, improve and abide by various technical specifications, service standards and processes.
(three) to establish and implement the service quality management system, strictly implement the internal quality management and control, and accept the quality management and control implemented by the health and family planning administrative department or the quality control center. Establish an effective cooperation mechanism with superior medical, prevention and health care institutions, and transfer them to relevant institutions in time when treatment is needed.
(four) the establishment of patient information registration, document management system, the relevant information can be entered into the electronic health records of residents. Ensure the authenticity, completeness and timeliness of information.
(five) to establish a good communication mechanism to protect patients' informed consent and safeguard patients' legitimate rights and interests.
(six) in strict accordance with the relevant provisions and requirements, standardize the use and management of medical, nursing, rehabilitation and other equipment, consumables, disinfection equipment and supplies.
(seven) in accordance with the relevant provisions, can provide nutrition catering and special diet in line with the patient's condition.
Third, safety management.
The nursing center shall strengthen the prevention and control of safety and hospital infection according to the following requirements:
(a) seriously implement the relevant systems and requirements of hospital infection management, improve the safety and hospital infection prevention and control rules and regulations in line with the actual situation of this institution and strictly implement them.
(2) The layout of the building shall meet the barrier-free requirements, meet the needs of environmental sanitation and hospital infection prevention and control, have reasonable layout process and functional zoning, have clear signs, and have perfect safety facilities such as fire fighting, security, emergency evacuation, fall prevention, bed fall prevention, self-mutilation (suicide) prevention, loss prevention, injury prevention and hospital infection prevention.
(3) Having a perfect and executable emergency plan, and regularly carrying out emergency handling capacity training and drills. In case of emergency medical rescue or emergency, the emergency mechanism can be started in time and effectively implemented to ensure the safety of personnel to the maximum extent.
(4) Report the confirmed or suspected cases of infectious diseases to the disease prevention and control institutions in strict accordance with the requirements of the Law on the Prevention and Control of Infectious Diseases and the Management Specification for Information Reporting of Infectious Diseases, and do a good job in controlling infectious diseases. The outbreak, gathering and epidemic of suspected infectious diseases shall be reported in accordance with the Measures for the Administration of Hospital Infection and relevant regulations. Properly dispose of medical wastes in strict accordance with the principles of classified management and relevant regulations.
Four. Supervision and management
(a) health and family planning administrative departments at all levels should strengthen the supervision and management of nursing centers within their respective jurisdictions. Health and family planning supervision institutions on-site supervision and inspection not less than once a year, found that there are quality problems or security risks, it should be ordered to immediately rectify.
(2) Health and family planning administrative departments at all levels have the right to take the following measures when performing their duties of supervision and inspection:
1. Conduct on-site inspection of the nursing center to understand the situation and investigate and collect evidence;
2. Consult or copy relevant materials of quality and safety management, and collect and seal samples;
3. Ordering the nursing center that violates this specification and relevant regulations to stop the illegal behavior;
4. Deal with violations of this Code and related regulations.
(three) the nursing center has one of the following circumstances, which shall be dealt with by the administrative department of health and family planning according to the circumstances, causing serious consequences and being suspected of committing a crime, and shall be investigated for criminal responsibility according to law:
1. Professional activities that can only be carried out after using non-professional technicians to engage in practice registration;
2. A major accident occurred;
3 did not participate in the health and family planning administrative departments or quality control centers to implement the management and control of medical quality and medical safety, and refused to accept the business guidance and supervision of the health and family planning administrative departments and quality control centers; Or the quality evaluation is unqualified for more than two consecutive times, and it is still unqualified after rectification;
4 other violations of the Regulations on the Administration of Medical Institutions and its detailed rules for implementation.
General Office of the National Health and Family Planning Commission? 20 17 10 3 1 issued