Chongqing Qijiang District Health Bureau Dental Clinic Bid Conditions

at least one comprehensive oral treatment table should be set up.

2. Personnel

(1) Doctors.

1. At least one medical practitioner who has obtained the qualification of dental practitioner, has been engaged in oral diagnosis and treatment in medical and health care institutions for 5 years after registration, and is in good health.

2. For every two additional comprehensive dental treatment tables, at least one dentist should be added.

3. If there are more than 4 comprehensive dental treatment tables, at least one person with professional and technical post qualifications above that of oral attending physician.

(2) nurses.

1. At least one registered nurse.

2. For every three additional comprehensive dental treatment tables, at least one registered nurse should be added.

III. House

(1) If one comprehensive dental treatment table is provided, the construction area shall be not less than 3 square meters; If there are more than two comprehensive oral treatment tables, the construction area of each table shall be no less than 25 square meters.

(2) The net use area of each oral comprehensive treatment table in the consulting room is not less than 9 square meters.

(3) The house setting should conform to the hygienic layout and process.

iv. equipment

(1) basic equipment.

photocuring lamp, ultrasonic cleaner, air purification equipment, autoclaving equipment.

(2) First aid equipment.

oxygen bottle (bag), mouth opener, tooth pad, oral airway, artificial respirator.

(3) Unit equipment for each oral comprehensive treatment table.

1 dental treatment chair (with an operating lamp, a spittoon and an instrument tray), 1 high-speed and low-speed dental cutting device, 1 saliva suction device, 1 three-purpose spray gun, 1 doctor's seat, 1 medical record writing table and 1 oral examination instrument. The diagnosis and treatment instruments conform to the configuration of one person, one use and one disinfection.

among them, the clinical inspection and disinfection supply have signed relevant service contracts with other legal institutions, and the services provided by other institutions need not be equipped with laboratory and disinfection supply room equipment.

five, with the national unified regulations and technical operation norms, formulate the post responsibilities of clinic personnel.

VI. The registered capital is in place, and the amount shall be determined by the health administrative departments of all provinces, autonomous regions and municipalities directly under the Central Government.

Examination and approval of dental clinics 1. Regulations on the Administration of Medical Institutions

Article 1 To apply for the establishment of a medical institution, the following documents shall be submitted:

(1) Application for establishment;

(2) setting up a feasibility study report;

(3) site selection report and architectural design plan.

2. Detailed rules for the implementation of the regulations on the administration of medical institutions:

Individuals who set up clinics in cities must meet the following conditions at the same time:

(1) They have passed the examination of doctors' professional skills and obtained the Doctor's Practice Certificate;

(2) Having been engaged in clinical work in the same profession for more than five years after obtaining the Practice Certificate of Physician or the title of physician;

(3) Other conditions stipulated by the health administrative department of the province, autonomous region or municipality directly under the Central Government.

the technical standards for practicing doctors shall be formulated separately.

the conditions for individuals to set up clinics in towns and villages shall be stipulated by the health administrative departments of provinces, autonomous regions and municipalities directly under the central government.

Specific and detailed steps:

1. Individual clinics are generally located in for-profit medical institutions

2. Sign up for the practice examination of individual doctors organized by the administrative department of health (the registration conditions are generally physical health, medical practitioners, local permanent residence, etc., and you can contact the medical administration department of the Health Bureau for details, including the registration time, etc.), and obtain a qualified certificate after passing the examination.

3. submit an application to the health bureau, including: an application for establishment; Set up a feasibility study report; Site selection report and architectural design plan; Qualification certificate and examination certificate.

4. After the health department agrees, it will issue the approval letter for setting up a medical institution, and go to the industrial and commercial department for name approval and registration with the approval letter.

5. Go to the Health Bureau to fill in the Application for Practice Registration of Medical Institutions, and submit the property right certificate or use certificate of the premises used by medical institutions; Architectural design plan of medical institutions; Capital verification certificate and assets evaluation report; Rules and regulations of medical institutions A copy of the relevant qualification certificate and practice certificate of the legal representative or principal responsible person of the medical institution;

6. Pass the examination and obtain the practice license of medical institutions.

7. Go to the tax department for registration and get the invoice. Print medical records and prescriptions.

8. Opening

The new standard for registered clinics (dental clinics) requires that the registered capital should be no less than 5, yuan (the amount of registered capital of clinics should be determined by the health administrative departments of provinces, autonomous regions and municipalities directly under the Central Government). In addition to basic medical equipment, clinics should also have first-aid equipment such as artificial respirators. At least one comprehensive oral treatment table shall be set up; At least one licensed oral medical practitioner who has been engaged in oral diagnosis and treatment in medical and health care institutions for 5 years after registration and is in good health; For every two additional comprehensive dental treatment tables, at least one dentist should be added; There shall be at least one person with professional and technical post qualifications above that of oral attending physician if there are more than 4 comprehensive dental treatment tables.

At the same time, a clinic with a comprehensive dental treatment table with a construction area of not less than 3 square meters; There are more than 2 sets of oral comprehensive treatment tables, each with a construction area of not less than 25 square meters; The net use area of each oral comprehensive treatment table in the consulting room is not less than 9 square meters; The house setting should conform to the hygienic layout and process. The basic equipment includes photocuring lamp, ultrasonic cleaner, air purification equipment and autoclaving equipment; First-aid equipment includes oxygen bottle (bag), mouth opener, tooth pad, oral airway and artificial respirator.

in addition, the unit equipment of each oral comprehensive treatment table is: one dental treatment chair (with an operating lamp, a spittoon and an instrument tray), one high-speed and low-speed dental cutting device, one saliva suction device, one three-purpose spray gun, one doctor's seat, one medical record writing table and one oral examination instrument. The diagnosis and treatment instruments conform to the configuration of one person, one use and one disinfection. Among them, the clinical inspection and disinfection supply have signed relevant service contracts with other legal institutions, and the services provided by other institutions may not be equipped with laboratory and disinfection supply room equipment.

Note: The subject code to be declared by the dental clinic is:

12. Stomatology 12.1, Oral Internal Medicine 12.2, Oral Maxillofacial Surgery 12.3, Orthodontics 12.4, Prosthodontics 12.5, Oral Preventive Health Care 12.6, Others

The Ministry of Health issued the technical operating rules for disinfection of oral diagnosis and treatment devices in medical institutions

In order to further strengthen disinfection of oral diagnosis and treatment devices in medical institutions, Work, to ensure medical quality and medical safety, our department organized relevant experts, on the basis of investigation and study, formulated the Technical Operation Specification for Disinfection of Oral Diagnosis and Treatment Devices in Medical Institutions (hereinafter referred to as the Specification), which is hereby printed and distributed to you. Please follow it and put forward the following requirements:

1. All kinds of medical institutions at all levels must attach great importance to the disinfection of oral diagnosis and treatment devices and incorporate the disinfection quality of oral diagnosis and treatment devices into medical quality and medical safety management. Before the implementation of this Code, medical institutions that provide dental services must conduct self-examination and rectification according to the requirements of the Code, establish and implement various rules and regulations on disinfection of dental instruments, ensure the disinfection quality, meet the requirements of this Code, and prevent and control hospital infection and iatrogenic infection caused by disinfection of dental instruments.

second, strengthen the study and training of the Code. Medical institutions that carry out oral diagnosis and treatment services must seriously organize and study and fully implement this Code. Relevant hospital infection management personnel and medical personnel engaged in oral diagnosis and treatment services and disinfection of oral diagnosis and treatment instruments should receive corresponding training and correctly master disinfection and sterilization techniques.

third, the health administrative departments at all levels should strengthen the supervision and management of the disinfection of oral medical instruments in medical institutions. Medical institutions that do not meet the requirements of this Code may not carry out corresponding dental medical services.

March 3, 25

Attachment:

Technical Operation Specification for Disinfection of Oral Diagnostic Devices in Medical Institutions

Chapter I General Provisions

Article 1 This Specification is formulated to standardize the disinfection of oral diagnostic devices in medical institutions and ensure medical quality and safety.

article 2 this specification is applicable to the stomatology department of general hospitals, stomatological hospitals, stomatological clinics and other medical institutions that provide oral diagnosis and treatment services.

article 3 medical institutions that provide dental diagnosis and treatment services must incorporate the disinfection of dental instruments into medical quality management to ensure the disinfection effect.

article 4 local health administrative departments at all levels shall be responsible for the supervision and management of the disinfection of oral medical instruments in medical institutions within their respective jurisdictions.

Chapter II Basic Requirements

Article 5 Medical institutions that provide oral medical services shall formulate and implement various rules and regulations for disinfection of dental instruments, establish and improve the disinfection management responsibility system, earnestly perform their duties and ensure the quality of disinfection work.

article 6 medical personnel engaged in oral diagnosis and treatment services and disinfection of oral diagnosis and treatment instruments should master the knowledge of hospital infection prevention and control such as disinfection of oral diagnosis and treatment instruments and personal protection, follow the principle of standard prevention and strictly abide by relevant rules and regulations.

Article 7 Medical institutions should choose appropriate disinfection or sterilization methods according to the danger degree and material characteristics of oral medical instruments, and follow the following principles:

1. All medical instruments entering the patient's mouth must meet the requirements of "one person, one use, one disinfection or sterilization".

2. All kinds of oral diagnosis and treatment instruments, including dental handpieces, sewing needles, root canal therapy instruments, tooth extraction instruments, surgical therapy instruments, periodontal therapy instruments and dressings, which come into contact with patients' wounds, blood, damaged mucous membranes or enter human sterile tissues, must be sterilized before use.

3. Oral diagnosis and treatment instruments that come into contact with the patient's complete mucosa and skin, including oral examination instruments such as stomatoscope, probe, dental tweezers, various physical measuring instruments used for auxiliary treatment, impression trays, mouthwash cups, etc., must be disinfected before use.

4. All articles that come into contact with patients' body fluids, blood repair, orthodontic models, etc. must be disinfected before being sent to the mechanic room for operation.

5. The dental comprehensive treatment table and its supporting facilities should be cleaned and disinfected daily, and should be cleaned and disinfected in time in case of pollution.

6. The staff who clean, disinfect or sterilize the dental instruments should do a good job of personal protection during the operation.

article 8 medical personnel should wear masks and hats when performing oral diagnosis and treatment, and goggles should be worn when patients' blood and body fluids may splash. Hand washing or hand disinfection should be strictly carried out before and after each operation.

When operating with gloves, medical staff should change a pair of gloves and wash or disinfect their hands every time they treat a patient.

article 9 medical wastes generated in the process of oral diagnosis and treatment shall be disposed of in accordance with the regulations on the administration of medical wastes and relevant laws and regulations.

article 1 the oral diagnosis and treatment area and the cleaning and disinfection area of oral diagnosis and treatment instruments should be separated, and the layout should be reasonable, which can meet the basic needs of the diagnosis and treatment work and the cleaning and disinfection work of oral diagnosis and treatment instruments.

chapter iii disinfection procedures and key points

article 11 disinfection of dental instruments includes cleaning, instrument maintenance, disinfection or sterilization, storage and other work procedures.

Article 12 The main points of cleaning dental instruments are as follows:

1. After using dental instruments, they should be thoroughly cleaned with running water in time, and the method should be manual brushing or mechanical cleaning equipment.

Second, hospitals with conditions should be cleaned with enzyme lotion, and then washed with running water; Ultrasonic cleaning should be used for instruments with complex structure and many gaps.

3. The cleaned instruments should be dried or dried by mechanical equipment.

Article 13 After cleaning, the dental instruments should be maintained, proper amount of special lubricant should be injected into dental handpieces and special dental instruments, and the service performance of the instruments should be checked.

article 14 the dental instruments shall be packaged according to the different disinfection and sterilization methods, and the disinfection date and expiration date shall be indicated on the outside of the package.

The sterilization equipment of quick-clip pressure steam sterilizer can be packaged without sealing, and stored in a sterile container for later use after naked sterilization; Once opened for use, the validity period shall not exceed 4 hours.

Article 15 Dental handpieces and hygrothermal-resistant oral medical instruments that need sterilization should be sterilized by pressure steam sterilization, or by other sterilization methods such as ethylene oxide and plasma.

chemical methods can be used for immersion disinfection or sterilization of instruments that are not resistant to damp heat and can be fully exposed to disinfectant. Before the instrument is used, the residual disinfectant should be washed with sterile water.

Article 16 Before and after each treatment, step on the foot brake to wash the lumen for 3 seconds in time to reduce the pollution caused by reinjection; Conditional can be equipped with lumen anti-suction device or use anti-suction dental mobile phone.

Article 17 The areas for oral diagnosis and treatment shall be kept clean and tidy, and the areas for oral diagnosis and treatment, cleaning and disinfection shall be cleaned and disinfected every day; Daily regular ventilation or air purification; Clean and disinfect the surface of the diagnosis and treatment environment that may cause pollution in time.