Pre-Hospital Medical Emergency Management

Original Language Title: 院前医疗急救管理办法

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Read the untranslated law here: http://www.chinalaw.gov.cn/article/fgkd/xfg/gwybmgz/201503/20150300398617.shtml

Pre-hospital medical emergency management

    (November 29, 2013 announcement 3rd national health and family-planning Committee February 1, 2014) Chapter I General provisions

    First to strengthen pre-hospital medical emergency management, standardizing pre-hospital medical emergency, raise the level of prehospital emergency medical services, promote the development of pre-hospital first-aid, under the medical practitioners Act, the medical institution Management Ordinance, nurses regulations and other laws and regulations, these measures are formulated.

Second approach applied in pre-hospital emergency medical care institutions and personnel.

    Pre-hospital medical emergency in these measures refers to first aid centers (stations) and assume control of prehospital emergency medical network hospitals (hereinafter referred to as hospital emergency network) under unified command and control, served in patients before treatment in medical institutions, medical institutions to the scene, a transit emergency treatment and care-oriented health activities. Article pre-hospital medical emergency is part of the Government's undertaking, shall encourage and support social forces to participate in.

Health family planning administrative departments in accordance with the "overall planning, rational allocation of resources, and improving efficiency" principle, organization, management and implementation.

    Family planning administrative departments for public health shall establish a stable funding mechanism, ensure the pre-hospital medical emergency with local social, economic development and health services adapted to demand.

Fourth State Health Commission is responsible for planning and guiding the national pre-hospital medical emergency system construction, supervision and management of the national pre-hospital emergency medical treatment.

    Health family planning administrative departments at and above the county level shall be responsible for planning and implementing this area pre hospital emergency medical system, supervision and management of the area of prehospital emergency medical treatment.

    Chapter II sets

    Article fifth pre-hospital medical emergency first aid centers (stations) as the main network hospitals and first aid pre-hospital medical emergency network implementation.

    Article sixth health family planning administrative departments at and above the county level shall pre-hospital medical emergency planning network into local medical institutions, in accordance with principles established, safe, fast, effective, unified planning, unified, unified management.

    Seventh emergency centres (stations), the Administrative Department of health and family planning in accordance with the regulations on the administration of medical institution set up, approval and registration. Eighth District, set up a first aid center.

Due to geographical or transport reasons, pre-hospital medical emergency network is not divided into districts covering counties (county-level cities), you can rely on the county level hospitals or independent set a first-aid Center (station).

    District municipal first aid center of unified command and control the County Emergency Center (station) and operational guidance. Nineth first aid centers (stations) shall comply with the basic standards of health care. Health family planning administrative departments at and above the county level based on prehospital emergency medical network, hospital specialists and other designated emergency network in hospitals, hospital and first aid network list is announced to the public.

Emergency network in the hospital, in accordance with its mandate to achieve first-aid Center (station) basic requirements.

    Approval of the Administrative Department of public health and family planning, any unit and its internal institutions, individuals may use the Emergency Center (station) name of prehospital emergency medical treatment. Tenth emergency centres (stations) command and responsible for pre-hospital emergency medical dispatch, in accordance with the pre-hospital emergency medical needs, ambulances and medical personnel equipped with communications systems, rescuing and transit management, guardianship.

    Emergency network in hospital according to the Emergency Center (station) command and dispatch of prehospital emergency medical treatment.

11th health family planning administrative departments at and above the county level shall according to the regional population, RADIUS service, environment, traffic, and other factors, the rational allocation of ambulances.

    Ambulance shall comply with the health industry standard for ambulances, signs and signal lights and sirens should be consistent with national and industry standards and regulations.

    12th first-aid Centre (stations), emergency network in hospital ambulances and pre-hospital emergency medical personnel shall wear uniform logos, uniform marked first-aid Center (station) pre-hospital medical emergency call number and name.

13th national pre-hospital medical emergency call number "120".

    First aid Centre (station) set the "120" call-processing systems and command centers, other units and individuals shall not be set "120" calls or any other form of pre-hospital medical emergency calls.

    14th first-aid Centre (station) communications systems should have systems integration, ambulance position tracking, call number and location, computer-aided command, mobile data transmission, wireless trunking features such as voice communications.

    15th health family planning administrative departments at and above the county level shall strengthen the training of pre-hospital emergency medical professionals, regularly organizes first aid centers (stations) hospital walkthrough and first aid network, promote new knowledge and advanced technologies, improve pre-hospital medical emergency first aid and emergency medical rescue capabilities and levels.

    16th health family planning administrative departments at and above the county level shall be in accordance with relevant regulations, according to administrative area population, geographic scope, economic conditions and other factors, strengthening the Emergency Center (station) of contingency reserves.

    Chapter practice management

    17th first-aid Centre (station) pre-hospital emergency medical and first-aid network hospital shall comply with the health care management laws, rules, regulations and technical specifications, guidelines for diagnosis and treatment.

    18th first-aid Center (centers) shall establish pre-hospital emergency medical regulations and personnel responsibilities, guarantee the health of prehospital emergency medical quality, medical safety, standard and rapid treatment.

Article 19th of prehospital emergency medical professionals including physicians, nurses and health care workers.

Doctors and nurses should be made in accordance with relevant laws and regulations of the appropriate practising certificate.

Shall be in accordance with the relevant provisions of the State to the training of medical examination for national vocational qualifications certificate beforehand, should be divided into districts, the municipal Centre for first aid training examinations.

    In professional and technical positions review, assessment, employment and other aspects of such persons should be tilted.

20th medical ambulance paramedic ambulance work can engage in include:

(A) the initial common emergency treatment;

(B) ventilation of patients, bleeding, bandaging, fractures and other preliminary treatment;

(C) transportation and escort patients;

(Iv) cardiopulmonary resuscitation;

    (E) instruct the masses themselves, mutually. 21st first-aid Centre (stations) shall be equipped with someone 24 hours a day, accepting the "120" pre-hospital medical emergency calls.

    "120" pre-hospital medical emergency call acceptance personnel should be divided into districts, the municipal Centre for first aid training. 22nd first-aid centers (stations) should be received "120" pre-hospital medical emergency call, according to the pre hospital emergency medical needs quickly sent or from the hospital dispatched ambulances and emergency network in pre-hospital emergency medical professionals.

    May not command refused, prevarication or delay of prehospital emergency medical services.

    Article 23rd first-aid centers (stations) and emergency network hospitals should follow nearby, anxious, to meet professional needs, taking into account the principle of the patient's will, the patients were transported to hospitals for medical treatment.

    24th first-aid Centre (station) and emergency network in hospitals should do "120" pre-hospital medical emergency call reception, command and control and custody of such records, and in accordance with the relevant provisions of medical record management in medical institutions, rescuing, care delivery, on the treatment receives and custody of such records and hospital work.

    25th first-aid centers (stations) and emergency network in the hospital in accordance with the relevant stipulations concerning collection of pre-hospital emergency medical services shall not be due to the cost of rejection or delay in pre-hospital emergency medical services.

    Article 26th first-aid centers (stations) shall, in accordance with the relevant provisions of emergency emergency medical rescue rescue and information reporting.

27th first-aid Centre (station) and first-aid ambulances shall not be used for non-network hospitals prehospital emergency medical services.

    In addition to first aid centers (stations) and first-aid network hospitals, no unit or individual may use ambulance pre-hospital emergency medical treatment.

    28th first aid centers (stations) shall be made in accordance with the relevant provisions of emergency reserve stocks management and other related work.

    Article 29th first-aid centers (stations) and emergency network in the hospital shall provide first aid to the public knowledge and skills of popularization and training, improving public awareness and first aid.

    Supervision and administration of the fourth chapter

    Article 30th health family planning administrative departments at and above the county level shall strengthen the pre hospital emergency medical supervision and management.

    31st health family planning administrative departments at and above the county level shall strengthen the Emergency Center (station) and emergency network in hospital settings management, to examine their professional activities Guide.

    32nd health family planning administrative departments at and above the county level shall find that any unit of this area and its internal institutions, unauthorized personal use of first aid centers (stations) or the name of pre-hospital medical emergency ambulance work of, shall, in accordance with regulation dealt with and briefings to the public security organs at the same level.

    Article 33rd superior health family planning administrative departments should strengthen supervision and inspection of child health family planning administrative unit, found that child health family planning administrative departments did not perform his duties, shall be ordered to correct or redress directly.

    Article 34th first aid centers (stations) hospital and first aid network of practitioners of this body should be level, performance and ethics in management, training and evaluation, and law and regulation to give appropriate recognition and reward, and so on.

    The fifth chapter legal liability

    35th article of any entity or individual without the approval of the health and family planning administration arbitrarily pre-hospital emergency medical services, health family planning administrative departments at and above the county level in accordance with the regulations on the administration of medical institution and other relevant provisions to deal with it.

    Article 36th emergency centres (stations) and emergency network in hospital use of non-health professionals engaged in pre-hospital emergency medical services, health family planning administrative departments at and above the county level shall, in accordance with the medical practitioners Act, the medical institution Management Ordinance and the provisions of the nurses and other relevant laws and regulations to deal with it.
37th medical institution has any of the following circumstances, health family planning administrative departments at and above the county level shall be ordered to correct, informed criticism, warning managers directly responsible and other persons directly responsible, according to the circumstances, shall be given a warning, demerit, reducing the grade, dismissal, expulsion and other disciplinary action:

(A) the unauthorized use of "120" pre-hospital medical emergency call number or other nature with pre-hospital medical emergency call number;

(B) without prior approval of using ambulances to carry out pre hospital emergency medical services;

(C) Emergency Center (station) for command and control, or costs, declined, prevarication or delay of pre-hospital emergency medical services;

    (D) violations of other provisions of this approach.

    The sixth chapter supplementary articles

    Medical ambulance in 38th article of the rules refers to the fourth instalment of the Department of human resources and social security of new professional status as defined in the note, the use of first aid knowledge and skills, on a variety of emergency, accidents, trauma and emergency public health events the purpose of initial emergency ambulance personnel.

    39th ambulance in these measures refers to meet ambulances and health industry standards, special vehicle used for pre-hospital medical emergency.

    In emergencies, the 40th, health care of the citizens, legal persons and other entities shall not apply to this method. 41st these measures come into force February 1, 2014.