The laboratory configuration standard of secondary hospitals in Henan Province needs to be improved urgently.

Article 1 Make overall plans and fill in the gaps. The planning and construction of secondary hospitals, housing construction and equipment configuration shall be implemented in accordance with this standard and the principle of filling in the blanks.

second

Improve and upgrade the service function of traditional Chinese medicine to meet the basic needs. Combined with the local demand for Chinese medicine services, in terms of housing construction and equipment configuration, it basically meets the requirements of county-level Chinese medicine hospitals to provide Chinese medicine medical treatment, prevention, health care and other services, and to carry out Chinese medicine business guidance, technical support and personnel training in rural areas.

Third unified standards, standardized construction, highlighting the characteristics of traditional Chinese medicine. According to the basic standards, population coverage and functional positioning, the construction scale is determined, so that the scale is moderate, the functions are applicable, the equipment is applicable, and it is economical and reasonable.

Second, the commercial building construction standards

Article 4

The construction scale of business premises is 60 square meters/bed; In principle, the bed size shall not exceed 0.25/ 1000 population. In principle, the total number of beds in county-level medical institutions is controlled according to the planned urban population of 2/ 1000.

Article 5 The construction area of the preventive health care room of the project unit is 20 square meters for each preventive health care worker of the unit.

Article 6

In principle, the new construction cost of business premises shall be controlled within 1 1,000 yuan /m2 (excluding land and various expenses), and the specific project units shall fluctuate within 10%-20% according to local climate, regional environment and other factors; In principle, the renovation cost of existing business premises should be controlled within 500 yuan /m2.

Article 7

The area allocation of business premises should meet the needs of service functions, business technology and equipment. Under the premise of controlling the total construction area, the proportion of various buildings in the total construction area can be appropriately adjusted according to the actual needs of different regions and hospitals. The distribution of usable area shall conform to the provisions of Table 1, and the building parameters shall conform to the provisions of Table 2.

Third, the building requirements

Eighth implement the principle of applicability, economy and beauty, according to the local economic level and regional conditions, reasonably determine the scientific design, rational layout, overall planning, improve the function, highlight the characteristics of traditional Chinese medicine.

Article 9 The selection of building materials and structural forms shall meet the requirements of building durability, fire prevention, earthquake resistance, flood control, building energy conservation, thermal insulation and construction.

Article 10 The building of the project unit shall adopt a frame structure, and the safety level of the building structure of the main business premises shall not be lower than Grade II.

Article 11 Under the condition of natural ventilation, the indoor clear height shall meet the following requirements: examination room 2.8—3.0m, ward 3.0—3.2m, and the medical department shall determine it according to the equipment requirements.

Twelfth first floor business premises indoor and outdoor ground elevation difference, should be not less than 0.45 meters. ..

Thirteenth building decoration and protection shall meet the following requirements:

First, the walls and ceilings of the medical room should be easy to clean, dust-free and easy to maintain; The walls of the operating room and delivery room can be made of tiles or other materials that are easy to clean.

Second, the ground material should be non-slip and clean; The floor materials of the inspection room should also be corrosion-resistant and clean; According to the equipment requirements, some medical equipment rooms need anti-static.

Three, the experimental table, operating table and other countertops should be clean, corrosion-resistant, easy to clean, and the surface is fire-resistant. The related washing pool and drainage pipe should also be made of corrosion-resistant materials.

Four, radiology, functional inspection and other buildings should have corresponding moistureproof, radiation protection, heat insulation and leakage prevention facilities.

Five, supply room, pharmacy (library), morgue and other facilities should be insect-proof, fly-proof, bird-proof, rat-proof and other animals.

Article 14

Prevention and health care, outpatient service, ward, administrative office and other rooms should make full use of natural lighting and natural ventilation, and rooms that are not suitable for direct sunlight should have sunshade facilities. The ratio of the opening area of the main building lighting window to the building floor area should not be less than that specified in Table 3.

Fifteenth water supply should comply with the "Hygienic Standard for Drinking Water", and standby water supply facilities should be set up in areas with tight water supply. Sewage discharge should meet the national sewage treatment standards.

Article 16 The project unit located in the heating area specified by the state shall have heating facilities, and the indoor heating temperature shall meet the needs of medical treatment and patients.

Seventeenth power supply shall meet the following requirements:

First, it is suggested that the project unit adopt dual power supply, and in areas where continuous power supply cannot be guaranteed, emergency standby power supply facilities or self-provided power supply should be set up.

Second, the power supply assembly capacity should meet the requirements of existing equipment and recent capacity.

Three, radiology power supply should have a separate line.

Eighteenth project units should set up an emergency call communication system.

Article 19 The treatment and temporary storage of medical wastes shall be carried out in accordance with the relevant national standards.

Twentieth hospital site selection shall meet the following requirements:

First, it is convenient for the masses, with eye-catching location and convenient transportation.

Two, high terrain, stable foundation, flat terrain, there are necessary flood control and drainage facilities.

Third, it is convenient to use local infrastructure such as water, electricity and roads.

Four, the environment is quiet, away from pollution sources, and located in the downwind position near residential areas.

Five, away from the production and storage areas of flammable and explosive materials, away from high-voltage lines and their facilities.

Article 21

The general layout of the project unit shall conform to the local urban construction planning, and the building plane, roads, pipelines, greening and environment shall be comprehensively designed according to the requirements of use, management, sanitation and construction.

Article 22 The internal plane layout of a project unit shall meet the following requirements:

First, the functional zoning is reasonable, and clear cleaning and pollution routes are set respectively to avoid or reduce cross-infection.

Second, the layout is compact, the transportation is convenient and the management is convenient.

Three, hospitalization, surgery, functional examination and other business premises should consider the quiet environment.

Four, is conducive to good natural ventilation, moisture-proof, mildew-proof facilities and measures, there are measures to prevent wind damage.

Five, waste disposal, should make proper arrangements according to the relevant provisions.

Twenty-third project units should generally not be less than two entrances and exits.

Article 24

For special project units with infectious disease clinics, the business rooms with corresponding functions should be located at the edge of the hospital area, the mortuary and combustion furnace should be located in underground or hidden places as far as possible, and there should be appropriate isolation zones from the main buildings, and the exits leading to the outside of the hospital should be set separately.

Four, function setting and equipment standards

Twenty-fifth county-level Chinese medicine hospital functions and basic business technology projects should meet the requirements of Table 4 and Table 5.

Twenty-sixth medical equipment configuration should be adapted to the technical level, business items and workload of medical technicians, which is conducive to giving play to the characteristics and advantages of traditional Chinese medicine. The main equipment configuration is selected according to Table 6.

Table 1 reference table of the use area of each department

Comparison between departments and doors (%)

1, emergency department 3

2. Out-patient department 25

3. Inpatient department 35

4, medical department 20.

5. Safeguard system 8

6, administrative management (including rural Chinese medicine personnel training center) 4

7. Hospital life 5

Table 2 Reference coefficient of various buildings

Suggested dimensions of building materials.

(medium-medium) ≥m

Corridor ward 3

Outpatient 2.5 (unilateral waiting)

3.5 (Bilateral Waiting)

Operating room 3

Ward large ward (4-6 persons) 6.0×6.0

Small ward (1-3 people) 3.6×6.0

Auxiliary room 3.6×4.5

Outpatient service 3.3×4.2

Clinic 3.3×4.5

Operating room big room 6.0×6.0

Intermediate 4.5×6.0

Small room 4.2×4.8

X-ray room 6.0×6.0

Laboratory 4.5×6.0

Table 3 Daylighting Table of Main Houses

Nominal ratio

Clinic, examination room, prevention and health care room, infirmary 1/7

Waiting room, ward and tea room 1/8

Dressing room, bathroom and toilet 1/9

Table 4 Basic service functions of county-level Chinese medicine hospitals

Specific contents of basic functions

Medical treatment 1, carry out pre-hospital first aid, skillfully apply the methods and skills of traditional Chinese medicine and integrated traditional Chinese and western medicine, conduct 24-hour consultation, home visit, rescue, treatment and organize referral for emergency cases.

2, have the ability to deal with emergencies, and accept the emergency medical team sent by the administrative department of traditional Chinese medicine and the administrative department of health.

3. There are at least 10 clinical departments of internal medicine, surgery, acupuncture, massage and anorectal surgery, and at least 3 specialties (special diseases) with Chinese medicine characteristics.

4. The supply of Chinese herbal pieces and Chinese patent medicines can meet the clinical needs.

5, to carry out routine blood, urine, stool and biochemical bacteria test; X-ray examination; Electrocardiogram, ultrasound, endoscope, etc.

Preventive health care and family planning 1. Carry out disease prevention, immunization, epidemic report of infectious diseases, health education and maternal and child health care according to regulations.

2. Carry out common family planning operations.

Business guidance 1, entrusted by the administrative department of traditional Chinese medicine and the administrative department of health, is responsible for training the medical staff of township (town) hospitals and village-level health organizations on traditional Chinese medicine knowledge.

2, entrusted by the administrative department of traditional Chinese medicine, health administrative department, responsible for the township (town) hospitals and village health organizations to carry out Chinese medicine business guidance and technical support.

Table 5 Basic Settings and Composition

Outpatient and inpatient medical technology prevention and health care supplies

Auxiliary administrative auxiliary room

1, wait, register,

Fees and customs duties

2. Emergency Department (room)

And observation room

3, internal medicine, children, acupuncture,

Massage Deng Ke consulting room

4. Orthopedic Surgery and Dermatology

And dressing change treatment.

5. Gynecology (Obstetrics) and

Its inspection

6. Specialized outpatient service

7, infectious disease clinic

8. Comprehensive treatment of traditional Chinese medicine

Area (physical therapy, fumigation)

Steam, rehabilitation, etc. )

9. Injection room

10, Chinese and Western Pharmacy 1, Ward

2. Operating room

3. Delivery room

4, medical staff office 1, check

2.X-rays

3. ECG

4. Ultrasound

5. Pathology

6, speculum

7. Other 1, prevention

2. Maternal and child health care

3. Health education

1 room, supply

2. Nutrition canteen 1, administrative office

2. Training 1, Chinese herbal medicine, Chinese patent medicine, western medicine and spare parts warehouse.

2, decocting room

3. Boiler room

4. Bathrooms and public toilets

5, sewage, medical waste treatment facilities

6, laundry room

7, motor, transformer room

8. mortuary

9. Others

Table 6 Main Equipment Selection Table of County-level Chinese Medicine Hospital

Name of equipment unit serial number County-level traditional Chinese medicine hospital

Specification quantity

1 X-ray table 500MA 1

2 bedside x-ray table high frequency 1

3 color ultrasound diagnostic table 1

4 ECG console six leads 1

5 ECG monitoring station 1

6 cardiac defibrillator table 1

7 ECG monitoring defibrillator table 1

8 semi-automatic biochemical analyzer 1

9 automatic gastric lavage machine 1

10 invasive ventilator table 1

1 1 operator station tensioning hydraulic pressure 2

12 anesthesia console 2

13 ambulance 1

14 defibrillator table 2

15 hematology analyzer 1

16 Orthopedics traction bed Station 1

17 surgical instrument set 1

18 fiber gastroscope cover 1

19 electronic gastroscope 1

20 sigmoid colonoscopy cannula 1

2 1 colonoscopy cannula 1

22 Chinese medicine decocting equipment platform 2

23 Slit lamp bracket 1

24 fumigation bed Station of Traditional Chinese Medicine 1

25 3D Computer traction bed Station 1

26 high frequency microwave therapeutic instrument 1

27 Acupuncture Treatment Table 2

28 pain therapy instrument 1

29 anorectal computer comprehensive treatment instrument 1

30 Urine analyzer 1