2022年医院等级评审脑电图室工作制度汇编 .pdf

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1、医院等级评审脑电图室工作制度汇编目录一、脑电图室工作制度.二、脑电图室医师职责.三、脑电图室业务学习制度.四、脑电图室文件保管制度.五、脑电图室劳动纪律和考勤制度.六、脑电图室设备管理制度.七、脑电图室会议制度.八、脑电图室查对制度.九、脑电图室质量与安全管理制度一、脑电图室工作制度1、需做检查的病员，由临床医师填写申请单，必要时经有关医师检诊同意，检查危重病人、残废军人优先。2、及时准确报告检查结果，遇疑难问题与临床医师或门诊医师联系，共同研究解决。3、严格遵守操作规程，认真执行医疗器械管理制度，注意安全，定期保养、维修，并对机器进行检测。4、各种检查记录保管好，建立档案。5、保持室内清洁卫

2、生，上下班前清扫，保管好水电，保持良好的工作状态。6、严格遵守医院各项规章制度，防止差错事故发生。二、脑电图室医师职责1、在科主任领导下进行工作。2、认真执行查对制度，按时完成诊断报告，遇疑难问题及时请示上级医师。3、积极钻研业务，不断提高业务水平。4、加强与临床科室密切联系，不断提高诊断合格率5、爱护仪器设备，经常维护保养，保持室内清洁卫生文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7

3、L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5

4、 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N

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7、I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5

8、文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2

9、I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5三、脑电图室业务学习制度1科室坚持每月一次业务学习，具体时间及内容制定计划。2业务学习计划及执行情况（包括学习内容、地点、主持人），要设专本登记，要有专人负责。3业务学习实行签到制度，以此作为继续教育学分的依据。4全科医务人员应积极

10、学习，科室将其列为业务考核内容之一；要求每人进行自学。5实行学习考核制度，考核结果与评优、奖惩、经济分配等挂钩。四、脑电图室文件保管制度1凡医院下发的文件、规定、通知应分类保管。2值班人员接到上述文件后，应及时通知科主任，并妥善保管于临时文件夹内。3科主任应及时组织科内职工认真学习、贯彻落实。4定期整理文件，凡与现行文件冲突的，及时清理。文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4

11、I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 Z

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15、0S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档

16、编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1

17、R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5五、脑电图室劳动纪律和考勤制度1严禁科室职工私收治疗费、检查费，违者按院部规定处理。2工作时间严禁干私活、办私事、带孩子，违者罚款50元。3工作时间坚守岗位，不准乱串科室、私自外出、空岗、脱岗或带酒意上岗，违者一次罚款50 元；空岗、脱

18、岗半小时以上按矿工处理。4不服从院领导安排，或布置的任务不能很好的完成，处以 100 元罚款；情节严重者，加重处罚。5科室职工应积极参加院部组织的各类活动，无故不参加者罚款 50 元。6科室职工要严格遵守作息时间，按时上下班，严禁迟到、早退，违者每次罚款10 元；迟到或早退30 分钟以上者按矿工处理。文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D1

19、0 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I

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21、档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I

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23、5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM

24、10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9

25、X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5六、脑电图室设备管理制度1脑电图室大型设备均有严格的操作规程，建立维修档案和故障记录簿，供维修保养时参考。对于设备的非正常耗损或故障，组织有关人员查找原因，对于违反操作规程所造成的损害应追究责任，视情节给予处理。2每台设备要有开、关机记录，注明时间并签名。3一般半年小检修一

26、次、一年大检修一次，除定期检修外，每日工作开始，操作人员应对每台运行的设备巡回检查，以了解设备有无异常。七、脑电图室会议制度1科室每月召开一次科务会，主要传达医院文件和部署医院布置的任务以及科室每月的工作安排。每月开展一次医疗质量及医德医风教育活动。2会议内容由当天值班人员进行记录。3对上月的工作在科务会上进行分析、总结，有差错问题要进行纠正、弥补。4要求科室全体人员都要参加，并进行签字。文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D

27、10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7

28、I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5

29、文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2

30、I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4

31、S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 H

32、M10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S

33、9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5八、脑电图室查对制度1、检查时，查对科别、床号、姓名、性别、检查目的。2、诊断时，查对姓名、编号、临床诊断、检查结果。3、发报告时查对科别、病房。九、脑电图室质量与安全管理制度1、进行

34、专业质控技术管理，认真做好调查质量分析，发现医疗质量管理上的问题及时提出整改措施。2、结合本科室专业特点及发展趋势，制定及修订本科室各项操作规程。3、定期组织学习，强化医疗质量意识。4、科室质控员负责对科室的医疗质量进行督查，每月召开一次全科的质控会议。文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L

35、4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5

36、ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N1

37、0N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D1

38、0 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I

39、10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文

40、档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5文档编码:CQ7I10S9X2D10 HM10N10N4S5G5 ZN2I1R7L4I5