First of all, the bed
There are 80 to 299 hospital beds.
Second, the department setting
(1) Clinical departments: at least emergency department, internal medicine, surgery, preventive health care department, internal medicine, surgery, gynecology, pediatrics, orthopedics, dermatology, acupuncture and massage department. Among them, there are 3 departments above the second level of internal medicine and surgery of traditional Chinese medicine; Set up more than 2 key specialties of traditional Chinese medicine or integrated traditional Chinese and western medicine; There is a comprehensive intensive care unit, and the operating room should have a resuscitation room.
(2) Medical department: at least pharmacy department (including western pharmacy, Chinese pharmacy, decocting room, etc.). ), clinical laboratory, medical imaging department, blood bank (which can be merged with clinical laboratory), nutrition room, disinfection supply room, operating room, functional department (including cardiac and pulmonary electrophysiology).
(3) Other departments: medical department, information department (including medical record room and statistics room) and quality control department (including hospital infection control).
Third, personnel.
(a) the main person in charge of the hospital should have the "Qualification Certificate of Medical Practitioner" and be registered in practice, have been engaged in clinical work in secondary hospitals for more than 5 years, be in good health and be able to personally preside over medical work.
(two) each bed is equipped with an average of at least 0.88 health technicians. All doctors must have a "Medical Qualification Certificate" and register for practice.
(3) Each sickbed is equipped with at least 0.4 nurses on average, including at least/kloc-0 deputy directors and 5 supervisors. All nurses must have a nurse's license and register.
(four) the director of the first-level clinical departments and key specialties must be the chief physician of the corresponding profession; At least 50% of the directors of secondary departments are deputy chief physicians or above. More than 25% of medical staff have professional and technical titles such as pharmacy, laboratory, medical imaging and pathology.
(five) the proportion of personnel with a bachelor's degree or above and the proportion of Chinese medicine personnel in medical personnel is not less than 60%. The proportion of senior professional titles in hospitals is not less than 8%.
(6) The number of clinical nutritionists shall not be less than 1 person.
(seven) the proportion of engineering and technical personnel (technicians, assistant engineers and above) in the total number of health technical personnel is not less than 2%.
Fourth, site selection
(1) The community where the secondary general hospital is located serves a population of 300,000-500,000.
(2) The shortest distance between the newly-built hospital and the clinic is not less than 500m, the shortest distance between the newly-built hospital and the outpatient department or the community health service center is not less than 1000m, and the shortest distance between the newly-built hospital and the hospital is not less than 2000m.
(three) the site should be physically isolated from the surrounding kindergartens, primary and secondary schools, food production and business units, meat markets, etc., in line with the requirements of health and disease prevention.
The location of the hospital should be the planned medical land or the house that can be converted into medical use (in principle, its use nature is mainly commercial, office and factory buildings, including public facilities such as houses, dormitories, clubs, culture, sports and community services in residential quarters, and houses adjacent to catering and productive factories, which should not be used for medical purposes. The nature of the use of existing houses is subject to the real estate ownership certificate).
(4) There is no obvious objection from the adjacent obligees (owners/residents, existing medical institutions in the community) (the opinions collected by the health administrative department and the special committee shall prevail). Before site selection, the applicant for establishment shall solicit the opinions of neighboring obligees.
Verb (abbreviation for verb) architecture, facilities and environment
Hospitals should have good lighting and ventilation. Architectural design and facilities should meet the requirements of diagnosis and management, embody the principle of patient-oriented, meet the requirements of hygiene and aesthetics, and create a harmonious medical and humanistic environment.
(a) the hospital building should be an independent building.
(2) The average construction area of each bed is not less than 130 square meters, the average construction area of each business room is not less than10 square meters, the use area of each ward is not less than 8 square meters, the green area accounts for at least 35% of the total construction area, and at least 30 parking spaces are provided for each 100 bed.
(3) Each consulting room is relatively independent, with an area of not less than 10 square meter.
(4) Hospital infrastructure, including fire protection, environmental protection, radiation hygiene and pressure vessels (such as sterilizers and hyperbaric oxygen). ), elevators, etc. , must be tested and accepted by fire protection, environmental protection, disease control, quality and technical supervision and other corresponding departments.
(5) The building layout must be systematically and scientifically planned in strict accordance with the medical function, the direction of people flow and logistics should be reasonable, the plane of the same floor should be barrier-free, the medical area should be paved with anti-skid and noise-proof floors, the walls of wards and corridors should be made of materials convenient for cleaning and disinfection, and the corners should be dustproof.
(six) the emergency department has an independent entrance and back alley, an open rescue environment and complete first aid equipment.
(seven) the location of the ICU should be reasonable, with good natural lighting and purification of artificial environment control.
(eight) the location of the operating room should be in a quiet environment, fresh air and sufficient light, away from departments with bacterial infections, and the area of the operating room should be at least 25 square meters, which meets the requirements of hospital infection control.
(9) Central attraction, central oxygen absorption.
(10) The disinfection supply room meets the requirements of the Acceptance Standard of Hospital Disinfection Supply Room of the Ministry of Health.
(eleven) pharmacy, pharmacy, decocting room in accordance with the state administration of traditional chinese medicine "Chinese medical institutions" rest assured pharmacy construction norms ". Chinese and western pharmacies are set up separately. The area of outpatient and inpatient pharmacies is not less than 150 square meters, and the area of drug warehouse is not less than 200 square meters. To carry out TPM, clinical pharmacy and other businesses, it should be set up separately according to the corresponding requirements.
(12) The area of in-patient laboratory is not less than 250 square meters, and the area of out-patient laboratory is not less than 100 square meters.
(13) The hospital should have a complete information management system, the wiring rate of information network construction should reach 100%, and the per capita computer ownership rate of the hospital should be not less than 50% to realize information sharing.
(fourteen) hospitals should have barrier-free access and facilities for the disabled.
Intransitive verb equipment
(1) Basic equipment:
Clinical diagnosis and treatment equipment: central oxygen supply device, ventilator, electric aspirator, automatic gastric lavage machine, electrocardiograph, cardiac defibrillator, ECG monitor, multifunctional rescue bed, universal operating bed, shadowless lamp, anesthesia machine, anesthesia monitor, high-frequency electrotome, lung function instrument 24-hour blood pressure measuring instrument, fiberoptic esophagoscope, gastroscope, fiberoptic rectoscope, gynecological examination bed, cleaning machine, mobile X-ray machine, 800. Traditional Chinese medicine fumigation therapeutic instrument, electroacupuncture instrument and other traditional Chinese medicine diagnosis and treatment equipment.
Clinical test equipment: blood gas analyzer, automatic coagulation analyzer, bone marrow classification computer processing system, automatic biochemical analyzer, automatic blood cell counter, automatic bacteria identification instrument, blood bacteria incubator, microscope, CO2 incubator, anaerobic incubator, low-temperature refrigerator, low-temperature high-speed centrifuge, osmometer, clean workbench, emergency biochemical analyzer, enzyme-labeled washing machine, automatic electrophoresis analyzer,1
Supply room equipment: it is configured according to the requirements of the Acceptance Standard for Disinfection Supply Rooms in Hospitals issued by the Ministry of Health.
Decocting room equipment: decocting machine, packaging machine, medicine storage device, medicine storage cabinet, refrigerator, cleaning equipment, etc.
(two) the ward is equipped with oxygen supply, sputum suction, call system and multi-functional beds. The ward is equipped with a sickbed sterilizer.
(3) Average unit equipment of sickbed: 1 bed, 1.2 mattress, 1.2 quilt, 1.2 mattress, 2 quilts, 2 sheets, 2 pillow cores, 4 pillowcases, 1 bedside table, 6544.
(four) the pharmacy department is equipped with and provides instruments and equipment suitable for the tasks undertaken by the pharmacy department.
(five) there are other equipment and TCM diagnosis and treatment equipment corresponding to the diagnosis and treatment subjects carried out.
Seven, to carry out obstetrics, maternal and infant health care technical services, family planning surgery, medical beauty, sexually transmitted diseases, infectious diseases, mental illness, brain surgery, cardiac surgery, medical intervention surgery and other medical projects, should apply for approval in accordance with the relevant provisions.
Eight, the hospital should have a sound management system, medical care, nursing and other technical operating procedures, and a notebook is available.
Nine, the registered capital in place, the average bed is not less than 500 thousand yuan.