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目 录
医院职业道德规范···························································· 1
医务人员医德规范···························································· 2
一、岗位职责··································································· 3
（一）医院职责范围························································· 3
（二）行政管理人员岗位职责··········································· 4
1. 院长职责······························································· 4
2. 业务副院长职责···················································· 5
3. 行政副院长职责···················································· 5
4. 门诊部主任职责···················································· 6
5. 医疗科科长职责···················································· 6
6. 护理部主任职责···················································· 7
7. 预防保健科长职责················································· 8
8. 药械科科长职责···················································· 9
9. 计划生育办公室主任职责······································ 9
（三）各级各类医疗技术人员岗位职责··························· 10
临床医师岗位职责···················································· 10
1. 副主任医师职责··················································· 10
2. 主治医师职责······················································ 11
3. 住院医师职责······················································ 11
临床护理岗位职责···················································· 13
1. 主管护师职责······················································ 13
2. 护师职责····························································· 13
3. 急诊室观察室护士职责········································ 14
4. 注射室护士职责··················································· 14
5. 换药室护士职责··················································· 15
6. 病房护士职责······················································ 15
7. 主班护士职责······················································ 16
8. 治疗护士职责······················································ 16
9. 临床护理护士职责··············································· 17
10. 供应室护士职责················································· 17
11. 手术室护士职责················································· 18
医技、药、卫人员岗位职责······································ 19
1. 检验科医师职责··················································· 19
2. 放射科医师职责··················································· 20
3. “B”超、心电图室医师职责······························· 20
4. 药房工作人员职责··············································· 21
5. 预防保健科医师职责············································ 21
6. 挂号、收费员职责··············································· 21
7. 电脑操作人员职责··············································· 22
8. 卫生员、清洁工职责············································ 22
二、规章制度·································································· 23
（一）行政管理制度······················································· 23
1. 院委员会办公制度··············································· 23
2. 请示报告制度······················································ 23
3. 会议制度····························································· 24
4. 考勤制度····························································· 24
5. 聘用制度····························································· 25
6. 奖惩制度····························································· 28
7. 经费使用制度······················································ 29
8. 休假制度····························································· 31
9. 安全工作制度······················································ 32
10. 清洁卫生工作制度············································· 32
11. 物资丢失、损坏赔偿的管理办法························· 33
（二）医疗管理工作制度················································ 34
1. 门诊工作制度······················································ 34
2. 肠道门诊工作制度··············································· 35
3. 首诊负责制度······················································ 36
4. 病历书写制度······················································ 37
5. 医嘱制度····························································· 39
6. 处方制度····························································· 40
7. 查房制度····························································· 41
8. 值班、交接班制度··············································· 41
9. 会诊制度····························································· 42
10. 病例讨论制度···················································· 43
11. 查对制度···························································· 44
12. 转、出诊制度···················································· 45
13. 医疗质量管理工作制度······································ 46
14. 检验科工作制度················································· 47
15. 放射科工作制度················································· 48
16. 口腔科工作制度················································· 48
17. 理疗室工作制度················································· 49
18. 心理咨询室工作制度·········································· 49
19. 挂号室工作制度················································· 50
20. 收费处工作制度················································· 50
21. 病案管理工作制度············································· 51
22. 医疗登记统计工作制度······································ 51
23. 医疗事故预防及管理工作制度···························· 52
（三）护理工作制度······················································· 54
1. 护理部工作制度··················································· 54
2. 治疗室工作制度··················································· 55
3. 观察室工作制度··················································· 55
（四）抢救室工作制度···················································· 56
（五）换药室工作制度···················································· 57
（六）注射室工作制度···················································· 58
（七）供应室工作制度···················································· 58
（八）手术室工作制度···················································· 59
（九）病房工作制度······················································· 60
（十）值班、交接班制度················································ 61
（十一）查对制度··························································· 62
（十二）物品、药品、器械管理制度······························· 62
1. 物品管理制度······················································ 62
2. 药品管理制度······················································ 63
3. 器械管理制度······················································ 63
（十三）消毒隔离制度···················································· 64
（十四）病房管理制度附件············································· 65
1. 病房工作人员守则（附件1）······························· 65
2. 住院规则（附件2）············································· 66
（十五）药房管理制度···················································· 67
1. 药房工作制度······················································ 67
2. 西药房工作制度··················································· 67
3. 中药房工作制度··················································· 68
4. 药库工作制度······················································ 68
（十六）预防保健科管理工作制度·································· 69
1. 预防保健科工作制度············································ 69
2. 健康教育制度······················································ 69
3. 传染病管理制度··················································· 70
4. 疾病证明书管理制度············································ 70
（十七）计划生育工作制度············································· 71
（十八）非典型肺炎防治工作预案·································· 72
（十九）突发人间禽流感疫情应急处理预案···················· 77
（二十）霍乱防治工作预案·············································· 80
（二十一）食物中毒防治工作预案·································· 82
（二十二）突发公共卫生事件应急处理工作预案··············· 84
（二十三）医院行政医疗管理工作评估表························ 87
（二十四）医院各岗位人员考核标准······························· 88
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