医院管理制度汇编
目 录
第一章 医疗规章制度
第一节 共同制度
一、请示报告制度·······································1
二、医师值班交接班制度·································1
三、院总值班制度·······································2
四、消毒隔离制度·······································2
五、处方制度···········································3
六、查对制度···········································4
第二节 医疗行政管理制度
一、行政会议制度·······································7
二、医务科工作制度·····································9
三、医疗质量管理制度···································9
四、医疗经费管理·······································10
五、院领导深入科室制度·································10
第三节 医疗信息工作制度
一、医疗登记、统计制度·································10
二、病案管理制度·······································11
三、医学图书管理制度···································11
第四节 医院感染管理工作制度
一、医院感染管理制度···································12
二、医院传染源管理制度·································13
三、医疗场所、环境卫生管理制度·························13
四、抗生素使用制度·····································14
第五节 科室工作制度
一、门诊工作制度·······································15
二、挂号室工作制度·····································15
三、住院处工作制度·····································16
四、观察室工作制度·····································16
第六节 临床工作制
一、检诊制度···········································17
二、病历书写制度·······································17
三、医嘱制度···········································19
四、查房制度···········································19
五、会诊制度···········································20
六、病例讨论制度·······································21
七、中医工作制度·······································22
八、麻醉工作制度·······································22
九、手术室工作制度·····································23
第七节 护理工作制度
一、护理部工作制度·····································24
二、护理值班制度·······································24
三、差错事故登记报告处理制度···························25
四、护理文件书写制度···································25
五、分级护理制度·······································26
六、责任护理制度·······································26
七、病房管理制度·······································26
八、病人转院转科制度···································27
九、病人出入院制度·····································27
十、治疗室工作制度·····································28
十一、换药室工作制度···································29
第八节 医技科工作制度
一、检验科工作制度·····································29
二、放射科工作制度·····································30
三、超声检查工作制度···································31
四、心电图检查工作制度·································31
第九节 药品器材供应管理工作制度
一、药剂科工作·········································32
二、医疗器械设备管理制度·······························35
三、麻醉药品、毒性药品与精神药品管理制度···············36
四、供应室工作制度·····································38
第二章 医院其他方面工作制度
第一节 行政管理制度
一、院办公室工作制度··································40
二、信访接待制度······································40
三、加强医德医风建设的措施····························40
四、医德医风考核办法··································41
五、社会监督制度······································42
六、职工考勤管理制度··································42
七、传达门卫制度······································43
第二节 医院人事工作制度
第三节 后勤工作制度
一、总务科工作制度····································44
二、财产物资管理制度··································44
三、各种耗材审批请领制度······························45
四、职工食堂管理制度··································45
五、汽车司机管理制度··································46
六、安全保卫制度······································46
第四节 医院财务工作制度
一、财务科工作制度····································47
二、财务管理规定······································47
三、门诊收费处工作制度································49
四、门诊病人退费规定··································49
第三章 医院各级人员工作职责
第一节 院级委员会职责
一、院务委员会职责····································50
二、学术指导委员会职责································50
三、医院感染管理委员会职责····························51
四、药品管理委员会职责································51
五、爱国卫生运动委员会职责····························51
六、安全和质量管理委员会职责······························52
第二节 行政管理人员职责
一、院长职责··········································52
二、业务副院长职责····································53
三、院办公室主任职责··································53
四、医务科科长职责····································54
五、护理部主任职责····································54
六、人事科长职责······································55
七、财务科长职责······································55
八、总务科科长职责····································56
第三节 门诊部人员职责
一、门诊部主任职责····································56
二、门诊部主任医师(副主任医师)职责····················57
三、门诊部主治医师职责································57
四、门诊部医师职责····································57
五、门诊部护士长职责··································58
六、门诊部护师(士)职责································58
七、导诊人员工作职责 ·································59
八、门诊挂号工作人员职责······························59
第四节 临床科人员职责
一、临床科主任职责····································60
二、临床科主任(副主任)医师职责························60
三、临床科主治医师职责································60
四、临床科住院医师职责································61
五、临床科护士长职责··································61
六、临床科护师(士)职责································62
七、麻醉科医师职责····································62
八、手术室护士长职责··································63
九、手术室护师(士)职责································63
第五节 医技科人员职责
一、检验科主任职责····································64
二、检验科技师(士)工作职责····························64
三、放射科医师的职责··································65
四、功能科技师(医师)职责······························65
五、药剂科主任职责····································65
六、药剂师(中西药)职责································66
七、消毒供应室护士长职责······························66
八、消毒供应室护士职责······································67
第六节 财会人员的工作职责
一、会计工作职责······································67
二、出纳员职责········································68
三、门诊收费员职责····································68
四、住院处会计职责····································69
第七节 后勤人员职责
一、保管员职责········································69
二、电工职责··········································70
三、职工食堂炊事员职责································70
四、汽车司机职责······································70
五、门卫保安人员职责··································71
