Situation report at the emergency department first aid station

Due to the development needs of our hospital, our hospital has applied to join the 120 first aid station. According to the "Notice of the Henan Provincial Department of Health on Further Strengthening the Capacity Building of Emergency Departments in Emergency Departments of General Hospitals above Level 2 in the Province" (Yuwei Medical No. 201729) Regarding the spirit of "hospitals whose EICUs do not meet the standards shall not assume the task of pre-hospital first aid stations and shall not apply for hospital grade review", the following suggestions are hereby made to improve the medical emergency service capacity building of our hospital's emergency department:

1. Emergency department infrastructure and equipment construction

1. The required functional areas of the emergency department do not include EICU, emergency supplies storage room, treatment room, central monitoring station, etc. It is recommended that the Department of Traditional Chinese Medicine and Internal Medicine Clinic be vacated.

It is recommended to set up. (Document requirements: Number of monitoring beds in the EICU ward of the emergency department: ≥ 2 in a secondary general hospital; the area of ??each open bed is ≥ 15 square meters, and the bed spacing > 1 meter.)

2. Emergency The EICU ward must be equipped with an invasive ventilator, 3 infusion pumps, micro-injection pumps (required ≥ 4 units/bed), portable monitors, and anti-decubitus mattresses (required 1 set/bed), which are recommended.

2. Emergency Department Staffing and Treatment

1. According to the staffing requirements of emergency stations and emergency department medical staff, ensure that the number of fixed emergency doctors and nurses in the emergency department is no less than that of on-the-job doctors and nurses. The number of nurses is 70, and the configuration of doctors and nurses in the EICU is relatively fixed. The number of doctors: the number of beds is ≥ 0.8: 1, and the number of nurses: the number of beds is ≥ 3: 1, ensuring the visiting group and the in-hospital observation group (emergency medical and surgical). At present, the staffing of the emergency department of our hospital is obviously insufficient. During the inspection and assessment, there is a single vote of veto. Moreover, during small shift hours, there are unsafe factors such as medical staff in the department being vacant during emergency visits, which cannot guarantee the safety of patients in the department. The continuity and effectiveness of diagnosis and treatment activities must be carried out. If there are emergency patients in the department and the medical requirements cannot be met, it is recommended to increase staffing. The number of nurses increased by 3 and the number of doctors increased by 4.

2. According to the requirement, first aid station staff must hold certificates to work. Currently, there are still many unlicensed personnel in the emergency department of our hospital, which is an unsafe factor and can easily cause medical disputes. It is recommended to replace certified personnel to ensure The first-aid station (emergency department) of our hospital has a certified employment rate of 100, reducing medical risks.

3. According to the "Notice of the Henan Provincial Department of Health on Further Strengthening the First-aid Service Capacity Building of Emergency Departments of Second-Class and Above General Hospitals in the Province" "In view of the particularity of emergency first-aid work, in order to ensure the safety and quality of emergency first-aid work, "Sustainability, it is strictly prohibited to issue income-generating indicators to the emergency department, and properly resolve the issue of bonus treatment in the emergency department" and the actual situation of our hospital, it is recommended that the hospital consider improving the treatment of emergency medical staff.

3. Continuously improve the service capabilities of emergency medical practitioners

In view of the fact that the Henan Provincial Emergency Medical Quality Control Center will regularly hold Henan Provincial Emergency and Critical Care Medicine specialty job training courses, and provide a comprehensive review of the province's EICU work It is required that personnel undergo rotation training and obtain employment certificates before they can take up the job. We hope that the hospital will strongly support the training, so that the emergency service capabilities of our hospital's emergency department will reach a new level.

Emergency Department

June 9, 2017

Emergency Department First Aid Station Situation Report [Part 2]

Dawu County Front Hospital Under the care and guidance of leaders at all levels, emergency work establishes and implements the "people-oriented" scientific development concept, further deepens the "patient-centered, with the purpose of improving the quality of medical services", and adheres to the pursuit of social benefits, safeguarding the interests of the masses, and building Putting the harmonious doctor-patient relationship in the first place, pre-hospital first aid work has made great progress, maintaining a smooth green life channel and effectively ensuring the life safety of the people in the county.

1. Basic situation of pre-hospital first aid work in Dawu County

At present, the units that officially carry out pre-hospital first aid work in our county include: Dawu County People’s Hospital 120 Emergency Center, County Emergency Department of Traditional Chinese Medicine Hospital The pre-hospital first aid station of the Second Hospital of the Department and County. The relevant situation is now reported as follows.

(1) Construction of first aid work in the County People’s Hospital

The pre-hospital first aid work of the County People’s Hospital was launched in May 2002, and is co-managed by the “120” Emergency Department of Dawu County People’s Hospital , undertakes first aid tasks for more than 600,000 people in the county, and the emergency service diameter is more than 50 kilometers. On average, the hospital makes more than 2,000 trips a year, including more than 300 transfers to higher-level hospitals. The medical staff of the department are on duty 24 hours a day. Two ambulances are on standby in the hospital 24 hours a day, and a doctor and a nurse are on board to ensure that they can visit the hospital at any time. Starting from April 2017, 120 was officially independent from the Emergency Department of the People's Hospital and established the 120 Emergency Center, with 2 new vehicles and targeted recruitment of 5 doctors, 7 nurses, 5 drivers, and 1 stretcher bearer. Directly managed by the Education Department, it is responsible for the smooth flow of first aid from pre-hospital to in-hospital and organizing the rescue treatment of critical and severe patients. There are currently 4 vehicles, 3 of which are actually in operation every day, and 1 vehicle is in reserve. Three drivers and medical staff are on call 24 hours a day to ensure that they are available at any time. We provide free medical treatment to critically ill patients.

1. Staffing

The 120 Emergency Center is directly managed by the Medical Education Department. There are 19 general practitioners, 1 head nurse, and 13 medical staff: 5 of them are doctors. There are 8 people and nurses, 5 "120 drivers" and 1 stretcher bearer.

2. First aid equipment

There are currently 2 monitoring ambulances (equipped with first aid kits, shovel type Stretcher, oxygen, ECG monitor, electrocardiograph, defibrillator, sputum suction device, blood glucose meter, simple breathing air bag, etc.), 2 transfer ambulances (equipped with first aid kit, stretcher, oxygen, electrocardiograph, simple breathing air bag) etc.), 2 ECG monitors, 3 ECG machines, 2 sputum suction machines, 2 defibrillators, 4 trolleys, 4 stretchers, 2 oxygen bottles, 4 sets of simple breathing air bags, etc.

(2) Pre-hospital first aid work of the County Hospital of Traditional Chinese Medicine

The pre-hospital first aid work of Dawu County Hospital of Traditional Chinese Medicine began in July 2017. Pre-hospital first aid is undertaken by the emergency department, which covers an area of ??100 square meters. Square meters, the emergency hotline 7238120 has been opened, and in conjunction with 110, there are currently 4 ambulances, 3 beds, and 24-hour medical service.