Regulation of the quality of medical care
Basic conditions for escorts
The following basic conditions shall be met:
(a) legally qualified to work, ethically and legally。
(b) a high school degree and above, who speaks mandarin, can understand local languages, speak languages and communicate。
(c) there is no history of mental illness and all types of infectious diseases, medical certificates are issued, and health examinations are conducted for one year。
(d) participated in systematic training and obtained a certificate of qualification for the training of health-care attendants issued by qualified training units。
(e) distinguished, gentle and kind, well-identified and well-documented。
1. 2 job skills
The accompanying staff shall have the following skills:
A) is familiar with the procedures and requirements of this standard。
(b) knowledge of the relevant laws and regulations, basic knowledge of the provisions and the standards。
(c) to have basic medical knowledge, knowledge of medical infections and medical care, and the ability to exercise them, commensurate with their level。
1. 3 capabilities
The placards of the escort shall meet the following requirements:
(a) handy and generous。
(b) uniform, standardized and clean dress。
(c) uniform wearing of work plates to facilitate their identification。
D) the expression is natural, friendly and promotes smiling services。
1. 4 conduct
The conduct and behaviour of the escort shall meet the following requirements:
(a) promote the use of mandarin and greet clients with courtesy and kindness。
B) active service, in accordance with the rules governing the manner in which the service is performed at the post concerned, and in such a way that the client is treated with respect and comfort。
(c) respect for clients, love and communication。
(d) to refrain from talking about matters that are detrimental to the health of the clients and affect their emotions。
E) do not participate in the daily consultations of clients。
2 service content
2. 1 daily residential care, consisting mainly of:
(a) help clients to get up, wash their faces, brush their teeth, wash their mouths, comb their hair, etc.
(b) assisting clients in excrement and cleaning, keeping dry and keeping records
C) washing the feet or bubbles before the clients sleep at night。
2. 2 medical care assistance, consisting mainly of:
(a) assistance to medical personnel in observing the condition of the clients
(b) assisting clients to take medication on time and on a scale
(c) assisting clients in their functional rehabilitation exercise
(d) examination of clients
E) providing the necessary psychological guidance to the clients;
(f) assisting medical personnel in the care of clients with intravenous fluids。
2. 3 dietary care, consisting mainly of:
(a) to assist clients with meals, drinking water and supplementary food
(b) open water for clients
(c) cleaning of utensils used by clients。
2. 4 sanitary clean-up, consisting mainly of:
(a) assisting clients in cleaning up personal hygiene
(b) cleaning up of beds, bed tables
(c) cleaning of client supplies
(d) laundry of clothing for clients。
2. 5 other, mainly:
(a) the purchase and recording of supplies for the client, with the written authorization of the client or his/her family, including the guardian。
(b) psychological comfort to clients。
3 service flow
3. 1 service providers shall establish customer reception platforms, such as micro-mails, service calls, etc., and receive client counselling and appointment services in a timely manner. The reception platform should keep a record of the client's scheduled information and provide feedback within the specified time frame。
3. 2 the service shall establish a human resources management system for the registration and verification of the originals of the identity card, household register, vocational training certificate or qualification, health certificate, etc. Of the accompanying person and for the filing or electronic filing of copies。
3. 3 the service shall explain to the caregiver the duties of the medical escort service, its management requirements, business culture, etc。
3. 4 the service should carefully verify the health status of the escort. Hepatitis b, tuberculosis, dysentery, typhoid, skin and other infectious diseases cannot be placed in the workplace。
3. 5 the service should carefully verify the professional qualifications of the accompanying staff. A person may not be placed in employment without a certificate of qualification for medical assistance training or vocational qualification of a primary and above domestic worker (or a nursing nurse)。
3. 6 when a client orders, the service provider shall record the client's service demand information, verify the basics of the client's identification and arrange for the induction of suitable escorts according to the actual situation of the client。
3. 7 the service provider shall arrange meetings between the client and the medical attendant, and shall conclude a service contract by consensus between the three parties on the matter of medical escort services, specifying their respective responsibilities and obligations。
3. 8 services should agree with clients on the treatment of changes that may arise during the contract period (e. G., the inability of the accompanying person to continue to provide services for personal or family reasons, the fact that the client is no longer in need of services due to special circumstances, etc.)。
3. 9 if the client has specific requirements, the service provider shall develop a targeted programme of medical escort services. The programme should include: the specific content of the service, the mode of service, the protocols/norms of operation, the equipment and tools of the facility required for the service process, and care。
3. 10 upon the arrival of the escort, the service should regularly return, inspect and supervise, listen to the client and keep a record of the visit. Appendix d to this standard gives the basic format and content of the medical assistance quality return log。
(c) more complex questions should be answered or resolved within 12 hours; and substantiated complaints should be answered or resolved within 48 hours. Appendix g to this standard gives the basic format and content of the " recording of complaints by clients of medical assistance services " 。
4. Service implementation
4. 1 the service provider shall harmonize the service badges of the escort (the name of the service provider, the name of the escort, photographs, etc.) and the work clothes (the name and identification of the service provider should be printed on the work clothes)。
4. 2 on entering the workplace for the first time or at the request of the client, the accompanying person shall, on his or her own initiative, present to the client his or her identity document, professional qualification document, health certificate, etc。
4. 3 in the course of their service, the caregiver shall comply with the relevant laws and regulations and with the regulations of the health-care institution in which he or she is employed, with emphasis on public health and environmental protection。
4. 4 as required by the service contract, the service programme and this standard, the accompanying staff shall provide the service in a timely manner, taking into account the specific circumstances of the client, and keep a record of the service process。
4. 5 supplies provided to clients by escorts shall be purchased with the consent of the client and recorded for use。
4. 6 the services shall be provided without interruption for the duration of the services contracted, and the clients shall be accompanied by them in the ward. With the consent of the client or the family member, the person may temporarily go out to eat or purchase routine supplies。
4. 7 the caregiver shall establish good relations with the client and his/her family and shall give warmth to the client。
4. 8 the caregiver shall carefully observe the changes in the condition and mental condition of the client and shall immediately report the anomalies to the doctor, nurse and guardian。
4. 9 the caregiver shall be aware of the condition of the client, his/her habits, his/her habits and religious beliefs。
4. 10 upon expiry of service or termination of service for other reasons, the service provider, the escort, the client and the replacement companion shall perform the handover and the service provider shall file the handover records。
5. Quality assurance
5. 1 the service shall establish a system of supervision and evaluation of the medical assistance process, which shall provide for frequency, manner and method of evaluation:
(a) the services may monitor the process of medical assistance through telephone visits, management visits and unannounced visits。
(b) the service should keep a record of the monitoring and maintain it as an important basis for determining the professional grade of the caregiver。
5. 2 service providers should establish an unqualified service management system. Inadequacy of services is mainly:
(a) attitude of service
(b) untimely service delivery
(c) lack of services
(d) irregular services。
5. 3 service providers should take timely measures to eliminate or mitigate the adverse effects of unsatisfactory services on clients。
5. 4 service providers should explain and reach consensus on their own system of service supervision and appraisal to their accompanying staff。
5. 5 service providers should analyse the causes of unsatisfactory services, develop corrective measures and follow up on their implementation。
5. 6 service providers should re-train the escorts who have been the subject of numerous complaints and must not be placed on duty after training has not met the standards。
6. Career classification of escorts
Depending on the qualifications and skill requirements available to the caregiver, they are divided into the junior and star levels。
6. 2 primary care staff
6. 2. 1 conditions of service
(a) training to develop basic knowledge of patient care。
(b) a certificate of vocational qualification for a primary domestic worker (or an old-age nurse) or a certificate of qualification for training in medical support services issued by a training unit with training qualifications。
(c) have a professional experience in medical care for more than three months。
6. 2. 2 skills requirements
(a) daily residential care
- morning care, including assistance to clients in getting up, washing their faces, washing their hands, oral care (brushing their teeth, shampooing their heads)。
- night care, including assistance to clients to wash their faces, wash their mouths, wash their feet or bubble their feet, and assistance to clients to sleep。
- to assist clients in defecation。
— assisting clients, at the request of medical personnel, to move out of bed or walk。
• use the right methods to wash, clothe and effectively prevent scabies。
(b) medical assistance
- to understand the general knowledge of patient care and the main points of care for internal and external patients, to be able to observe and detect anomalies in the clients and to inform medical personnel in a timely manner。
• assist clients to take medication on time, as required by medical personnel。
• to understand the basics of drug drops and contact medical personnel in a timely manner, depending on their progress。
• knowledge of methods for collecting two-ton samples and assistance to clients in collecting them correctly, as requested by medical personnel。
• to accompany clients for medical examination。
C) dietary care
- having access to the general characteristics of the patient's diet, it is possible to purchase suitable food and open water for the client in accordance with his or her dietary requirements。
- helping clients with meals, drinking water。
- cleaning up the utensils。
(d) sanitation
• knowledge of patient supplies, cleaning and disinfection methods, cleaning of clients, cleaning and decontaminators, etc., and safekeeping。
- to help clients trim their fingernails, wash their hair, wash their baths, etc。
E) other
— purchase and record-keeping of supplies required by the client or his or her family。
- spiritual consolation。
6. 3 star escorts
6. 3. 1 conditions of service
(a) working in a medical assistant post for more than one year。
B) certificate of vocational qualification for a middle-level domestic worker or a middle-level nursing nurse。
(c) user evaluation: client satisfaction of more than 80 per cent in one-year medical companion service。
(d) qualified by the service provider。
Note: a person with a secondary school degree or higher in the nursing profession or another professional college or higher, who has worked in a medical auxiliary position for more than six months, may be promoted directly to a medical escort service provider after being evaluated by the service provider。
6. 3. 2 skills requirements
In addition to the day-to-day residential care, medical assistance, dietary care and sanitary cleaning skills required for primary care staff, the following skills are required:
(a) daily residential care
- mastery of the methods of care for bed-bed patients' hair and body, wash of their heads and baths in their beds。
• have general knowledge of health massages and can provide simple health massages to clients。
(b) medical assistance
— knowledge of scabies care can assist health workers to provide proper care to clients with scabies。
- the ability to examine the body, walk, etc. With the consent of the doctor。
- be able to assist clients with functional rehabilitation training under the guidance of a doctor。
C) dietary care
- provide reasonable advice on nutritional diets depending on the client。
— mastery of the patient's feeding methods enables the client to be properly fed fluid and other foods。
(d) psychological guidance
- an understanding of the basic psychological characteristics of the patient, the ability to observe the psychological and physical changes of the client and to communicate with him or her as necessary。
— discrepancies are detected and medical personnel are reported in a timely manner。
