Dr. Fan's work plan for going to the countryside:
Going to the countryside is an important measure to implement Scientific Outlook on Development, narrow the gap between urban and rural health, promote rural health development and build a harmonious society. Since Shijiazhuang Health Bureau launched the activity of "Thousands of Doctors Going to the Countryside", our hospital has taken over the counterpart support work of _ _ _ hospitals for 20 years. Since we started the support work for one year, we have successfully completed the support task and made some achievements, but after this year's work, we still found some problems, such as the deployment of personnel. In order to further standardize the work of health going to the countryside in our hospital, speed up its standardization and systematization, and better complete the task of the Municipal Health Bureau, the work system of health going to the countryside is formulated according to the actual situation of our hospital. All departments are requested to seriously study the spirit of the document, effectively implement the relevant work system in practical work, and promote the work of health going to the countryside to a new level.
First, support the goal.
Through the implementation of counterpart support work in urban and rural hospitals, help recipient hospitals improve their service capacity and level, and improve and strengthen management. Through three years of construction and development and counterpart support, the management level, discipline construction and service ability of the aided hospitals have been significantly improved, and have been continuously improved and improved.
Second, the support content
(1) According to the requirements of the higher-level documents, it is necessary to send three support personnel to the recipient hospitals at a time, mainly with intermediate titles in principle, and according to the characteristics of local hospitals, enter the recipient hospitals to carry out technical assistance activities such as clinical diagnosis and treatment, teaching and training, and construction of key disciplines.
(two) according to the needs of the recipient areas, support hospitals to send experts to the recipient hospitals for special lectures, teaching rounds, surgical teaching, rescue of critical cases, etc. ...
(3) Establish a green channel for consultation and referral of difficult and severe diseases with the recipient hospitals, and receive medical staff from the recipient hospitals to support hospitals for resident and specialist training or further study free of charge.
(four) in accordance with the provisions of the classification management of medical technology, to help the recipient hospitals to develop appropriate technologies and new technologies and new businesses, and to expand the scope of services in light of the actual situation.
Third, the specific implementation measures
(a) under the premise of ensuring the continuity and stability of the work, the medical staff shall be rotated once every three months, and no substitution shall be allowed in the middle. The first Monday of each quarter is the handover day of the rotating personnel. In order to allocate resources reasonably, the hospital ranks all departments in rural areas, hoping that all departments will send people to complete tasks in strict order.
(2) If any staff in the department can't go to the countryside for further study, vacation or other factors, they can apply to the Medical Department for an extension in advance. After verifying the situation, the medical department decides whether the department will automatically postpone or transfer to the last batch. Before the rotation of all departments is completed, each department can only apply for extension once.
(3) If individual medical personnel need to go to the countryside for promotion, they can apply to the Medical Department. After communicating with the applicant and the next batch of rural departments, the Medical Department will give priority to those who need to go to the countryside for promotion.
(4) If the order or personnel of going to the countryside changes due to unexpected events, it will be announced by the Medical Department in this month's quality control dynamics, and all departments should pay attention to the quality control dynamics, so as to arrange the undergraduate work in the countryside in time.
(5) The security personnel shall be under the unified management of the recipient hospitals during their stationing, participate in the related business and management of the recipient hospitals, and participate in local free clinics and medical treatment of public health emergencies.
(6) All rural personnel do not undertake any undergraduate work during their trip to the countryside, and departments shall not transfer them back from rural units for any reason. If there are special reasons, the director or individual shall apply to the medical department, and the medical department shall make a decision after reporting to the leaders for approval. Once the department is found to transfer rural personnel back to the department without authorization, or individuals are transferred back to the department without reason, 40 yuan will be punished for rural individuals and departments every working day.
(seven) rural workers need to ask for leave within 3 days, first to ask for leave from the person in charge of the recipient hospital, after approval, call the medical department for the record; Need to leave for more than 3 days, with the approval of the person in charge of the recipient hospital, give a written explanation to the director of the medical department.
Four. Measures for assessment and rewards and punishments in rural areas
(a) all dispatched personnel in rural areas in addition to their daily work, must complete their own teaching, rounds, attendance and other assessment tasks. (See attached table for details)
(two) the teaching task is once every two weeks, and the teaching time is strictly implemented once every two weeks. If you finish teaching less than four times in the countryside, or the teaching interval is less than one week, it will be considered unqualified; Check the rounds once a week, and those who go to the countryside to check the rounds less than 8 times are considered unqualified; All dispatched personnel to the countryside must fill in the attendance sheet every day and simply record the work of the day. Attendance rate below 80%, as unqualified.
(three) the above three assessments are not completed, and the subsidy for going to the countryside for one month is deducted; If the two tasks are not completed, the subsidy for going to the countryside for two months will be deducted, and the recipient hospital will be notified not to fill out the Evaluation Form for Doctors Serving Rural Medical and Health Institutions. If the three tasks are not completed, the subsidy for going to the countryside for two months will be deducted, and the "Examination Form for Doctors' Services in Rural Medical and Health Institutions" will not be filled out, and it will be arranged to go to the countryside again for examination and 500 yuan punishment will be imposed on its department.
(4) During the period of going to the countryside, the attendance of people going to the countryside every month will be notified by the Medical Department and won the average hospital award. After the end of going to the countryside (or one week before the end of going to the countryside), submit the task assessment form and the summary of going to the countryside to the medical department, and the medical department will give subsidies to going to the countryside after the audit is completed, and notify the local hospital to fill out the Examination Form for Physician Services in Rural Medical and Health Institutions.
(5) Individual subsidies for going to the countryside will be paid for 22 days every month, with 20 yuan every day for * * * three months.
(6) Departments and hospitals that send personnel to the countryside will be rewarded with 1 000 yuan for each department, which will be linked to the year-end performance. Departments that refuse to send people to the countryside without special reasons will be punished by 2000 yuan per department.
Going to the countryside is an arduous political task in our hospital, and leading organs at all levels attach great importance to it. We should overcome all kinds of difficulties, complete the task of going to the countryside best, and bring the spirit of our hospital, our medical skills and our influence to the grassroots. While bringing health to the grassroots, let the grassroots know about our hospital. Therefore, I hope that all departments will strictly follow this document and better cooperate with the hospital to complete the task of going to the countryside.
Dr. Fan's work plan for going to the countryside:
In order to conscientiously implement the Party's spirit and implement the Party's and the State's work guidelines on "agriculture, rural areas and farmers", our station will continue to do a good job in sanitation work in the countryside, strengthen leadership and formulate specific measures in accordance with the spirit of the central, provincial, municipal and county documents. According to the actual situation of our station, the implementation plan is as follows:
I. Guiding ideology
Conscientiously implement the party's spirit, take serving the countryside and constantly meeting the health needs of farmers as the starting point, adhere to the reality, forge ahead, and actively and steadily carry out rural health work.
Second, the content of the activity
1, carry out disease investigation activities.
Make use of the medical resources of the county maternal and child health hospital, give full play to the advantages of superior medical technology, and cooperate with the team of clinicians in our station to carry out the "two cancers" investigation of women of childbearing age to improve the health level of rural women.
2. Popularize health knowledge.
Our station should organize some experienced clinicians to go deep into the countryside with manpower and material resources, and take health education in village clinics as an opportunity to carry out health knowledge training among rural residents.
Third, organize the implementation.
(1) Strengthen the leadership of rural health work. Set up a leading group for health going to the countryside, with the stationmaster as the team leader, the leaders in charge as the deputy team leader, and the heads of relevant units and departments as members, and earnestly strengthen the organization, implementation, guidance, coordination and supervision of activities to form a working pattern of linkage from top to bottom and joint management.
(two) a comprehensive launch, extensive publicity. It is necessary to fully understand the significance of developing rural health work and arrange special personnel to be responsible for rural health work. It is necessary to organize specialized personnel to conduct in-depth investigation and study, and do a good job in various organizational work in light of local actual needs.
(3) Summarize and commend. Conscientiously sum up experience, commend and reward the advanced collectives and individuals emerging in the activities of health going to the countryside.
Fan Wensan, Doctor's Work Plan for Going to the Countryside:
In order to further improve the work of supporting township hospitals by medical and health institutions at or above the second level in our county in 20 years, improve the diagnosis and treatment level of common and frequently-occurring diseases in rural areas, provide high-quality, cheap and convenient medical services for rural patients, further alleviate the problem of farmers' difficulty in seeing a doctor, and promote the comprehensive, coordinated and sustainable development of urban and rural health undertakings in our county, the Health Bureau and county-level second-level medical institutions have organized meetings for many times to study, call, mobilize and select a medical security with excellent technical strength. Divided into two groups to provide medical counterpart support to Puchuan Township Central Health Center and Zhonghe Town Central Health Center in Tengchong County respectively. It is required to take various ways such as training clinical service personnel, technical guidance, equipment support, standardized management, etc. to improve the basic medical and public health service capabilities of township hospitals, and cultivate a team that can stay, use, understand technology and manage for rural areas, so that township hospitals can effectively assume the responsibility of safeguarding farmers' health.
Through a comprehensive understanding of the recipient units, combined with the actual situation of Zhonghe Town Central Hospital, combined with its own professional and technical expertise, under the premise of ensuring medical quality and patient safety, I sincerely hope to contribute to the medical construction of Zhonghe Town Central Hospital and draw up the work plan for medical counterpart support this year:
First, strictly observe discipline and clarify responsibilities and obligations. The original unit should leave the post and go to work at the designated place, strictly check attendance, obey the arrangement of the receiving unit, not accept any expenses such as bonuses and allowances from the receiving unit, strictly observe discipline, be strict with self-discipline, seriously study the spirit of the document, clarify responsibilities and obligations, adhere to the principle of combining clinical, preventive health care and hospital management, and implement mutual supervision and self-supervision on the medical team. And coordinate the formulation of various business and administrative rules and regulations of township hospitals, so that the work can be followed.
Second, pay attention to learning and grasping the system to ensure the quality and safety of medical care. Obstetrics and Gynecology is a clinical department with certain medical risks, and the sense of responsibility and professional skills of staff are related to the health and life safety of two generations. Therefore, it is necessary to establish a medical safety responsibility system in internal hospitals, adhere to professional learning, further implement medical operation procedures, and standardize services, operations and quality.
Third, do a solid job in perinatal health care, improve the quality of maternal system management, register all kinds of books completely, release information, regularly go to the countryside to educate women about health care for five times, conduct knowledge training, on-site consultation and spot checks for fertility visitors, regularly carry out pregnant women's study, and carry out pregnant women's training and breastfeeding education. Every pregnant woman should be standardized and carefully managed, and the pregnancy card should be filled in in a standardized, complete and correct way, and high-risk screening, registration, referral and follow-up should be carried out.
Fourth, through mentoring, participating in special lectures or professional training and learning, we will improve the first-aid ability of obstetrics in Zhonghe Health Center, be ready to respond to specialist first aid at any time, strengthen the construction of obstetrics and gynecology business strength and hardware facilities, ensure that the layout in the health center is reasonable, increase the necessary medical equipment, complete first-aid articles and functions, complete first-aid drugs are qualified and effective, and effectively improve the comprehensive strength of obstetrics.
Five, do a good job in the prevention and treatment of gynecological diseases and family planning technical services, actively carry out reproductive health education, publicize contraceptive knowledge, carry out prenatal and postnatal care consultation, abide by the family planning operation routine, strictly grasp the indications and contraindications, avoid surgical complications, ask the medical history in detail before operation, have a comprehensive physical examination, make full preoperative preparations, talk and sign, strictly implement aseptic operation during operation, and treat postoperative symptoms with anti-inflammatory hemostasis and fill in the operation records in detail to give guidance. Fill some medical gaps, so as to better complete the primary medical work.