入院、出院、转院、转科制度.doc

入院、出院、转院、转科制度 入院、出院、转院、转科制度 三、入院、出院、转院、转科制度（一）入院1.伤病员住院，由门（急）诊医师检查确定，填写住院证。 急症、危重伤病员先收拾，无床位时，应加床收治。 2.伤病员入院，医保病人带社会保障卡，医保和自费者均应按规定预交住院费，急症、危重和传染病以及远途伤病员，如手续不全，应先收治，以后补办手续。 3.伤病员入院，应进行必要的卫生处理，由住院处通知病区，病区做好准备，及时收治。 危重伤病员应由医护人员护送，并交接好病情。 4.对入院伤病员应热情接待，由临床护士介绍住院须知和有关制度，并请患者家属或法定代理人签署。 尽快通知医师，及时进行检查处理。 （二）出院1.伤病员出院，须经主治医师或主任医师检查决定后，方可出院。 2.伤病员出院前，医师应写出院小结，并于前一日填写出院通知，由护理人员将结账单（或病例）送出院结账处，办理出院手续，伤病员交点清公物，方可离院。 3.病情不宜出院，而伤病员和家属要求出院者，医师应加以劝阻，如说服无效应报告主任医师或医教部批准，并由伤病员或其家属出具手续。 疾病痊愈或病情允许可以出院而不愿出院者，要耐心做思想工作，必要时通知其所在单位，共同协助做好出院工作。 4.伤病员出院，医护人员应交代注意事项，征求意见，热情欢送。 伤病员用过的物品，要及时换洗、消毒。 （三）转院1.因专业限制，治疗有困难，需转他院者，由科室提出，经医教部批准、并征得转入院同意时，才可转院。 2.转院之前经治医师要与患者或代理人谈话，说明途中可能发生的危险及意外，并将谈话内容详细记录在病程记录中，并由患者或代理人签字。 3.患者转院，应由经治医生书写在院期间病历摘要，交患者或代理人。 4.病情较重的伤病员转院时，科室应拍医护人员护送冰袋急救药材；如估计转院途中病情会有变化者，应待病情稳定后再行转院。 5.转入我院的患者，须经我院医师会诊（或书面会诊）同意，填写住院证，交住院处安排床位住院。 （四）转科1.伤病员转科，须经转入科会诊同意。 2.转出科写转出记录，派人陪送到转入科、向值班人员交接有关情况。 3.转入科应按新入院伤病员进行检查，写转入记录（原则上按入院记录格式），并通知住院处和营养科。 ZoYnXmWmVlUkTjSiR 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