介宁科室会171020版本
医务科周会课件(精)
2013.1.17
创三甲准备
有两个方面印象深刻。
首先是知识准备
涉及到全员，法律法规、制度流程、评审标
准、技术操作，要求全员掌握。科主任、护 士长首当其冲，更要掌握。因涉及面广、内 容多，故称为大培训。
要求
1.各临床、医技科室人员从现在开始，每天
有计划利用早会、下午、晚上时间集中培训 （医护可分开）。单人心肺复苏每人必会。 2.行业内的法律、法规，院内有关医疗的制 度、流程三甲网上有，可从医疗规章栏、制 度通知规定、流程栏找到。有医疗安全制度 汇编，核心制度汇编。 3.每次培训均要有签到、课件、记录、影像 资料、考试。
其次是文档准备： 安全标准化---规范化---统一化
1.现已规范了26个文档盒，18个记录本，统
一了一级质控内容、标准。 2.有些细节进一步统一。 3.体会：资料可以补，但切记造假，假资料 经不起追踪，而且给专家造成非常差印象， 造成严重后果，甚至停止评审。可以说这块 我们没做好，再改进。
火了，3个人怎么做？要求做，先不要说。报 告、拿灭火器、疏散病人。专家先看再听。
第三：应急管理称之大应急
涉及面广、提高率高，随时、随地、随机
提问，如问接专家的司机、清洁工等。
涉及临床、医技科室的应急预案，科室组织
演练，人人参与。演练首先有演练脚本，科 室组织，需部门院领导参加的可通知参加。 演练后有记录、总结、评估。不足的可再演 练。
专家到科室会要求情景模拟演练，如PICU着
Medibus_IFU_Draeger_RS232_Medibus_Protocol_Definition_11th_edition_09_2010_9028258_D
Protocol DefinitionDräger RS 232 MEDIBUSRevision Level 6.00 WARNING!Strictly follow the Instructions for Use.Any use of the software protocolrequires full understanding and strictobservation of these instructions. Thesoftware protocol is only to be used forpurposes specified here.Contents2Dräger RS 232MEDIBUSContentsIntended Use . . . . . . . . . . . . . . . . . . . . . . . . . .3MEDIBUS Introduction . . . . . . . . . . . . . . . . . .4Initializing Communication . . . . . . . . . . . . . . . .4Terminating Communication. . . . . . . . . . . . . . .5Time-Out. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5Allowable Characters . . . . . . . . . . . . . . . . . . . .5Software Handshaking. . . . . . . . . . . . . . . . . . .6Suspending data transmission. . . . . . . . . . . . .6Resuming data transmission . . . . . . . . . . . . . .6Aborting data transmission. . . . . . . . . . . . . . . .6MEDIBUS Commands . . . . . . . . . . . . . . . . . .7Structure of Commands . . . . . . . . . . . . . . . . . .7Command Codes . . . . . . . . . . . . . . . . . . . . . . .8Request Trend Data Command . . . . . . . . . . . .11MEDIBUS Responses . . . . . . . . . . . . . . . . . . .12Structure of Responses . . . . . . . . . . . . . . . . . .12Responding to Control Commands and unknown Commands. . . . . . . . . . . . . . . . . . . . . . . . . . . .13Responding to corrupt Commands. . . . . . . . . .13Responding to Data Request Commands . . . .14MEDIBUS Device Extension forInfusion Pumps . . . . . . . . . . . . . . . . . . . . . . . .22Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . .22MEDIBUS Device Extension Protocol Concept 22Infusion Pump Commands. . . . . . . . . . . . . . . .23Infusion Pump Communication Life Cycle . . . .24Request Infusion Pump Configuration . . . . . . .25Infusion Pump Configuration ChangedCommand. . . . . . . . . . . . . . . . . . . . . . . . . . . . .26Infusion Pump Data Update Commands . . . . .27MEDIBUS Realtime-Extension Introduction30Time-Out. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30Allowable Characters for RealtimeTransmission . . . . . . . . . . . . . . . . . . . . . . . . . .31MEDIBUS Realtime-Extension Commands .33Command Codes . . . . . . . . . . . . . . . . . . . . . . .33Request Realtime Configuration Command. . .33Configure Realtime Transmission Command . 34Realtime Configuration Changed Command. . 34MEDIBUS Realtime-Extension Responses . 35Realtime Configuration Response. . . . . . . . . . 35MEDIBUS Realtime-Extension Realtime-Data Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36Structure of Realtime-Data Records . . . . . . . . 36Sync-Commands. . . . . . . . . . . . . . . . . . . . . . . 38Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40MEDIBUS-Life-Cycle. . . . . . . . . . . . . . . . . . . . 40MEDIBUS Realtime-Extension Life-Cycle. . . . 42ASCII HEX Format . . . . . . . . . . . . . . . . . . . . . 45MEDIBUS example 1 . . . . . . . . . . . . . . . . . . . 46MEDIBUS example 2 . . . . . . . . . . . . . . . . . . . 47MEDIBUS example 3 . . . . . . . . . . . . . . . . . . . 48MEDIBUS example 4 . . . . . . . . . . . . . . . . . . . 49MEDIBUS example 5 . . . . . . . . . . . . . . . . . . . 50MEDIBUS example 6 . . . . . . . . . . . . . . . . . . . 51Frequently Asked Questions. . . . . . . . . . . . . . 55Logbook of Changes. . . . . . . . . . . . . . . . . . . . 58Table of used ASCII-Codes. . . . . . . . . . . . . . .59Intended Use Intended UseMEDIBUS is a software protocol intended to beused for exchanging data between a Dräger medi-cal device and external medical or non-medicaldevices via RS 232 interfaces.WARNINGData transferred via MEDIBUS interfaces are forinformation only and are not intended as a basisfor diagnosis or therapy decisions.MEDIBUS consists of two independent softwareprotocols one for the transmission of "slow" andone for the transmission of "fast" data."Slow" data:Generated or updated in intervals of the magnitudeof seconds. This part is called MEDIBUS."Fast" data:Intended for the transmission of e. g. realtimecurves. This part of MEDIBUS is called the "Real-time-Extension".This manual contains a general description of theprotocol including formats of commands andresponses.For device dependent descriptions of supportedcommands and data sets, port hardware and con-figurations for Dräger devices please refer to theindividual device-specific MEDIBUS documenta-tion.Dräger RS232MEDIBUS3MEDIBUS IntroductionMEDIBUS IntroductionThe MEDIBUS protocol distinguishes two basictypes of messages:–commands–responses.A command is transmitted by one device to requestdata from the other device or to control its function.A response is transmitted by one device uponreceipt of a command from the other device.Responses may contain embedded commands.Initializing Communication(refer to MEDIBUS-life-cyle-diagram, see page40)–To initialize communication or to restart commu-nication after a time-out, a device must send the"Initialize Communications Command" ICC.Refer to section "Control commands" for the for-mat of commands.– A device considers communication initializedafter having received either a response to atransmitted ICC or an ICC from the otherdevice. Refer to section "Responding to com-mands" for the format of responses.–Commands embedded in a response to an ICCare disregarded.4Dräger RS232MEDIBUSMEDIBUS Introduction Terminating Communication–To stop the communication the "STOP" com-mand has to be sent.–The command echo has to be checked to makesure the "Stop Communication" command hasbeen received correctly. Further commandsfrom the linked device may be ignored until thecommunication has been reinitialized.Time-Out–Any pause in the data flow exceeding 3 sec-onds leads to a time-out, terminating the com-munication link. To resume communication aftera time-out, the device must re-initialize commu-nication by transmitting an ICC command (seesection "Initializing communication", page4).Whenever a device receives an ICC command,it must send a response to it (see section"Responses", page12).–After receiving a command the device has tosend a complete response within 10 seconds.–If there is no need for sending commands orresponses the "NOP"–command has to be sentin 2-second-intervals to keep the communica-tion alive.Allowable Characters–Printable ASCII characters.–Control characters defined in this Instructionsfor Use.Dräger RS232MEDIBUS5MEDIBUS Introduction6Dräger RS 232MEDIBUSSoftware HandshakingSome control characters can be sent at any time to control the flow of data. They do not require responses.Suspending data transmission–If a receiving device wants the transmitting device to suspend transmission, the ASCII "DC1" character (11H) must be sent.–Upon receipt of this character, the sending device will suspend any transmission immedi-ately until it receives the ASCII "DC3" character.Resuming data transmission–To request the transmitting device to resume data transmission, the ASCII "DC3" character (13H) must be sent within 3 seconds. Else com-munication will be reinizialized with an ICCcom-mand.Aborting data transmission–To request the other device to abort sending a response or a command, the ASCII "CAN" character (18H) must be sent.–Upon receipt of this character, any transmission in progress will be immediately aborted. Com-munication may be restarted by repetition of the last sent command immediately.Dräger RS 232MEDIBUS7MEDIBUS CommandsMEDIBUS CommandsStructure of Commands–A command is a string of ASCII characters transmitted by one device to request data from the other device or to control its function.–A command may be embedded in the response to another command, but a new command must not be transmitted until the response to the pre-vious command has been received.–If, however, the response to a command has not been received in full within 10 seconds since the transmission of the last command byte, the command may be repeated or a new command may be transmitted.Commands have one of the following formats:ESC ASCII "escape" character (1BH)Command-Code Single byte code specifying the command.ARGUMENTThe argument string is of variable length n, but n must not exceed 251(0FBH) bytes. The string consists of printable ASCII characters, either text or ASCII HEX numbers. The for-mat of the different arguments are specified in the following sections.CHECKSUM Least significant 8-bit sum of all preceding bytes beginning with "ESC" in ASCII HEX format (see section "ASCII HEX Format", page 45). CRASCII "carriage return" character (0DH)010NOTETo avoid communication breakdown, commands with arguments must not be sent to devices with a MEDIBUS version less than 3.00.MEDIBUS CommandsCommand CodesControl CommandsControl commands are used to initialize, controland stop communication.Command CodeNo Operation (NOP)30HInitialize Communication (ICC)51HStop Communication (STOP)55HData Request CommandsData request commands are used to request data.Command CodeRequest current Alarms (Codepage 3)23HRequest current measured Data (Codepage 1) 24HRequest current low Alarm Limits (Codepage 1) 25HRequest current high Alarm Limits (Codepage 1) 26HRequest current Alarms (Codepage 1) 27HRequest current Date and Time 28HRequest current Device Setting 29HRequest current Text Messages 2AHRequest current measured Data (Codepage 2) 2BHRequest current low Alarm Limits (Codepage 2) 2CHRequest current high Alarm Limits (Codepage 2) 2DHRequest current Alarms (Codepage 2) 2EHRequest Device Identification 52HRequest Trend Data Status6CHRequest Trend Data6DH8Dräger RS232MEDIBUSMEDIBUS CommandsMiscellaneous CommandsCommand CodeTime changed49HConfigure Data Response Command4AHTime Changed CommandThe "Time changed" command is sent if duringruntime the time or date of the device has beenchanged. The receiving device can now ask for cur-rent date and time. Because of the "Time changed"command there is no need for sending periodicallythe "Request Current Date and Time" command.Dräger RS232MEDIBUS9MEDIBUS Commands10Dräger RS 232MEDIBUSConfigure Data Response CommandThe "Configure Data Response" command is used to limit the number of data responded by a data source on a data request command. On receipt of any of these data request commands the receiver has to send all actual valid data. In cases where only a few of the possible data are used, the requesting device may configure the responding device to send only these used data by sending a "Configure Data Response" command. The codes of useful data are given in the argument as follows:DATA TYPE:One byte identifying the data type to configure.This may be:DATA CODE:Two byte ASCII HEX data code. See appendices for code numbers.The configuration stays valid until receipt of a new "Configure Data Response" command. After re-ini-tializiation of communication (ICC) and if the "Con-figure Data Response" is send without data codes, the configuration is set to its default state, where internal programmed configuration is used. An example is given in Appendix.01124H for current Data, low Alarm Limits and high Alarm Limits (codepage 1)27H for current Alarms (codepage 1)29H for current Device Settings 2AH for current Textmessages2BH for current Data, low Alarm Limits and high Alarm Limits (codepage 2)2EHfor current Alarms (codepage 2)MEDIBUS Commands Request Trend Data CommandThe “Request Trend Data” command (6DH) is usedto request a sequence of samples of one trendparameter.The command argument has the following format:CODE PAGE DATA CODE COUNT BEGIN0+2+4+6+14CODE PAGE:Two byte ASCII HEX number identifying the code page of the trend parameter: 24H for data code page 12BH for data code page 2DATA CODE:Two byte ASCII HEX number containing the data code of the trend parameter. A param-eter's data code is the same as used for the "Request current measured data" response. COUNT:Two byte ASCII HEX number defining the maximal number of trend samples allowed in the response.BEGIN:Eight byte ASCII HEX number specifying the time stamp of the eldest requested trend sample. (Note: BEGIN is undefined if COUNT is 0.)The time stamp is packed in accordance to the Microsoft Windows™ 32-bit date andtime format:NOTEBEGIN ist undefined if COUNT is 0.YYYYYYYMMMMDDDDDhhhhhmmmmmmsssssMSB LSBwithYYYYYYY year relative to 1980 (range 0 - 119)MMMM month (range 1 - 12)DDDDD day (range 1 - 31)hhhhh hour (range 0 - 23)mmmmmm minute (range 0 - 59)sssss second (range 0 - 29 in 2-second intervals)NOTEPrior to the "Trend Data Request" the device shouldrequest the trend data status in order to know theavailability of trend data (refer to chapter "Trend DataStatus Response" for the respective response).Dräger RS232MEDIBUS11MEDIBUS Responses12Dräger RS 232MEDIBUSMEDIBUS ResponsesStructure of ResponsesUpon receipt of a command, a device must respond to it within 10 seconds. A command may be embed-ded within the response. The following format has to be used:The response is of variable length, but must not exceed 3845 bytes.012SOHASCII "Start of Header" character (01H) Command ECHO Echo of the command code being responded to.RESPONSE Data as requested by the command, see sections "MEDIBUS Specification"CHECKSUM Least significant 8-bit sum of all preceeding bytes beginning with "SOH" in ASCII HEX format (see section "ASCII HEX Format", page 45).CRASCII "carriage return" character (0DH)Dräger RS 232MEDIBUS 13MEDIBUS ResponsesResponding to Control Commands and unknown CommandsA response to a control command or unknown com-mand acknowledges receipt of the command, but contains no data:–Refer to section "Control commands" for cur-rently defined control commands.Responding to corrupt CommandsIf the received command is corrupt (bad check-sum), the command echo field must consist of an ASCII "NAK" character (15H) and there must be no response field:013SOHASCII "Start of Header" character (01H).Command ECHO Echo of control command being responded to.CHECKSUM Least significant 8-bit sum of all preceeding bytes beginning with "SOH" in ASCII HEX format (see section "ASCII Hex format", see page 45).CR ASCII "carriage return" character (0DH).014MEDIBUS Responses14Dräger RS 232MEDIBUSResponding to Data Request CommandsResponses to data request commands contain the current values of a device. In case a value isn't available at a certain time (for example caused by temporary measurement problems) nothing must be sent for this value. Vice versa this means, that a value is invalid if it is not included in a data request responseCurrent Measured Data and Alarm Limit ResponseThis response must be sent in reply to the "Request current measured Data (codepage 1)" command (24H), "Request current low Alarm Limits (codep-age 1)" command (25H), "Request current high Alarm Limits (codepage 1)" command (26H), "Request current measured Data (codepage 2)" command (2BH), "Request current low Alarm Lim-its (codepage 2)" command (2CH) or "Request cur-rent high Alarm Limits (codepage 2)" command (2DH). It contains the current values of all mea-sured parameters or alarm limits available on the responding device. The response field has the fol-lowing format:.015DATA CODE Two byte ASCII HEX number identifying the parameter or alarm limit.DATAFour byte ASCII field containing the current value of the parameter or alarm limit. See appendix for data formats. Surplus character positions and leading zeros must be replaced by an ASCII "Space" (20H).Dräger RS 232MEDIBUS 15MEDIBUS ResponsesAlarm Status ResponseThis response must be sent in reply to the "Request current Alarms (codepage 1)" command (27H) or "Request current Alarms (codepage 2)" command (2EH). It contains the alarm priority, alarm code, and alarm message for all currently active alarms on the responding device. The response field has the following format:ALARM PriorityOne byte field specifying the alarm priority (number in the range of 1 to 31),31 being the highest priority. The priority is encoded by adding 30H. The pri-orities, therefore, lie in the range from ASCII "1" (31H) to ASCII character "O" (4FH).ALARM CODE Two byte ASCII HEX number identifying the alarm.ALARM PHRASETwelve byte ASCII character string describing the alarm.016MEDIBUS Responses16Dräger RS 232MEDIBUSTime & Date Update ResponseThis response is sent in reply to the "Request Cur-rent Date & Time" command (28H). It contains the current date and time from the responding device. The response field has the following format:German month representation in time & Date update responses 017TIME:Eight byte field containing ASCII numeric characters representing the current time in hours (HH), minutes (MM), and seconds (SS). Leading zeroes shall not be sup-pressed.1)DATE:Nine byte field containing ASCII alpha-numeric characters representing the current day (DD), month (MMM), and year (YY). The first three letters for each month are sent in ASCII. Leading zeroes shall not be suppressed.1)1)The PM 8040 substitudes leading zeros in the hours, day and year field with ASCII spaces (20H), e.g. ' 8:06:05 4-MAR 2'.NOTEThe month representing letters (MMM) has to be sent in German language.MONTH REPRESENTIVE January JAN February FEB March MAR April APR May MAI June JUN July JUL August AUG September SEP October OKT November NOV DecemberDEZDräger RS 232MEDIBUS 17MEDIBUS ResponsesDevice Setting ResponsesThis response must be sent in reply to the "Request Current Device Settings" command (29H). It con-tains the current values of all device settings appli-cable with the responding device. The response field has the following format:018SETTING CODE Two Byte ASCII HEX number identifying the parameter.SETTINGFive byte ASCII field containing the current value of the specified parameter. Referto appendix for the specific formats of the parameters. Surplus character positions and leading zeros must be filled up with ASCII "SPACE" (20H).MEDIBUS Responses18Dräger RS 232MEDIBUSText Message ResponseThis response must be sent in reply to the "Request Text Messages" command (2AH). It contains all the text messages the requested device currently holds for user information, along with the text code, text length and an end-of-text marker. The response field has the following format:019TEXT CODE Two byte ASCII HEX number identifying the text messages.LENGTHOne byte field specifying the text length, a number in the range from 1 to 32. A text must not be longer than 32 characters. The length is encoded to ASCII format by adding 30H to the decimal length value. Thus, the text length ranges from ASCII "1" (31H) to ASCII "P" (50H).TEXT ASCII character string. Refer to appendix for text messages.ETXEnd-of-text marker (ASCII-Code 03H).NOTEThe length of the response field is limited to 3840 bytes. Due to different lengths of text messages, the maximum number of text messages in a response field depends on the length of the indi-vidual text messages.MEDIBUS ResponsesDevice Identification ResponseThis response must be sent in reply to the "RequestDevice Identification" command (52H). It containsthe identification number, name and release num-ber of the responding device and the MEDIBUSrelease number. The response field has the follow-ing format:All identification numbers will be defined by, Lübeck.0 2 0ID NUMBER Four byte field containing the ASCII device identification number NNNN.NAME ASCII character string delimited by apostrophes (ASCII Code 27H). Therefore, the device name itself must not contain apostrophes. The length of the device namemay range from 1 to 32 characters.REVISION Eleven byte field containing ASCII characters representing the device revision level (DD.DD) and the MEDIBUS revision level (MM.MM).Dräger Medical GmbHDräger RS232MEDIBUS19MEDIBUS ResponsesTrend Data Status ResponseThis response sends information about the avail-able trend samples for each trend parameter. It issent on reply to the “Request Trend Data Status”command (6CH). The response field has the follow-ing format:PARAMETER 1PARAMETER 2CODE PAGE DATA CODE COUNT BEGIN CODE PAGE DATA CODE COUNT BEGIN 0+2+4+10+18+20+22+28+36CODE PAGE:Two byte ASCII HEX number identifying the code page of the trend parameter: 24H for data code page 12BH for data code page 2DATA CODE:Two byte ASCII HEX number containing the data code of the trend parameter. A pa-rameter's data code is the same as used for the "Request current measured data"response.COUNT:Six byte ASCII HEX number defining the number of trend samples available for the respective parameter.Leading zeros may be replaced by ASCII spaces (20H).BEGIN:Eight byte ASCII HEX number containing the time stamp of the eldest available trend sample of the respective parameter.For the format of the time stamp refer to chapter "Request Trend Data Command". 20Dräger RS232MEDIBUSMEDIBUS ResponsesTrend Data ResponseThis response is sent in reply to the "Request TrendData" command (6DH). It contains a sequence ofsamples of one parameter with the respective timestamps.The response field has the following format:CODE PAGE DATACODECOUNT= NVALUE1TIME1VALUE2TIME2...VALUENTIMEN N d2550+2+4+6+10+18+22+30+n-12+n-8+n n < 3066CODE PAGE:Two byte ASCII HEX number identifying the code page of the trend parameter: 24H for data code page 12BH for data code page 2DATA CODE:Two byte ASCII HEX number containing the data code of the trend parameter. A parameter's data code is the same as used for the "Request current measured data"response.COUNT:Two byte ASCII HEX number defining the number of trend samples contained in the response.VALUE:Four byte ASCII field containing the value of the trend sample. The format for each parameter is the same as used for the "Request current measured data" response. TIME:Eight byte ASCII HEX number containing the time stamp of the trend sample.For the format of the time stamp refer to chapter "Request Trend Data Command".Dräger RS232MEDIBUS21MEDIBUS Device Extension for Infusion PumpsMEDIBUS Device Extension for Infusion PumpsIntroductionThe standard MEDIBUS protocol is designed fordata exchange between two medical devices,where each of the devices can support only onesource of a certain data item. In opposite to thestandard protocol the MEDIBUS device extensionfor infusion pumps is meant to support severalpumps on one communication port, all pumpssourcing identical data items, e.g. the same mea-sured data, alarms, settings etc.MEDIBUS Device Extension Protocol ConceptThe basic concept of the MEDIBUS device exten-sion is stacking the MEDIBUS Device Extensioncommand 59H with sub-command codes andaddressing a specific pump by a channel number.Stacking of command codes means that a deviceextension telegram always uses the leading com-mand code 59H to indicate that the telegram is aMEDIBUS Device Extension command orresponse for infusion pumps. The leading com-mand is followed by a sub-command code, e.g.specifying the actual data update request. If appli-cable the sub-command is followed by a channelnumber, defining to which device the telegram isrelated.22Dräger RS232MEDIBUSMEDIBUS Device Extension for Infusion Pumps Infusion Pump CommandsLeading Command Code Device Extension Command for Infusion Pumps59HSub-Commands Code Request current measured data24H Request current low alarm limits25H Request current high alarm limits26H Request current alarms27H Request current device settings29H Request current text messages2AH Request infusion pump configuration41H Infusion pump configuration changed42HDräger RS232MEDIBUS23MEDIBUS Device Extension for Infusion PumpsInfusion Pump Communication Life CycleThe following diagram shows a typical communica-tion life cycle for a device being connected to aninfusion pump device.324Dräger RS232MEDIBUSDräger RS 232MEDIBUS 25MEDIBUS Device Extension for Infusion PumpsRequest Infusion Pump ConfigurationAfter communication has initialized the requesting device first has to ask the pump device for available pumps using the Request Infusion Pump Configu-ration sub-command (41H).The pump device will respond with a list of identifier for available pump channels.Later these pump channel identifier have to be used by the requesting device to request data from a specific pump.Request Infusion Pump Configuration Command:Infusion Pump Configuration Response:ESC Lead-CommandSub-Command 41H Checksum D9H CR 1BH59H34H31H44H39H0DHESCLead-Com-mand Sub-Command 41H Pump channel01H ….Pump channelxyH ChecksumCR01H 59H34H31H30H31H….xxHyyHCS1CS20DHSub-Command: 2 bytes ASCII-Hex field.Pump channel:2 bytes ASCII-Hex field specifying the identifier of available infusion pump channels within the range of 0 to 255 (00H to FFH).MEDIBUS Device Extension for Infusion PumpsInfusion Pump Configuration Changed CommandIf an infusion pump has been added to or removedfrom the pump device and the pump device hasbeen asked for its configuration before, the pumpdevice will issue an Infusion Pump ConfigurationChanged sub-command (42H).After receiving the Infusion Pump ConfigurationChanged sub-command the requesting device hasto restart the infusion pump communication againby sending the Request Infusion Pump Configura-tion sub-command.Infusion Pump Configuration ChangedCommand:ESC Lead-Command Sub-Command 42H Checksum DAH CR 1BH59H34H32H44H41H0DHInfusion Pump Configuration ChangedResponse:SOH Lead-Command Sub-Command 42H Checksum C0H CR 01H59H34H32H43H30H0DHSub-Command: 2 bytes ASCII-Hex field.26Dräger RS232MEDIBUS。
介入室台账
完成时间
评审标准
评审要点
检查方法
科室负责人
.21.2.2
医师、医技和护理人员经介入治疗专业技术培训合格。
【C】
胡婉玲
莫静金
12月30日前
1．有各级各类人员岗位职责，相关人员知晓，并能遵循。
5.介入科室人员名单及基本信息。
12月30号前
【Ｂ】符合“Ｃ”，并
1．主管部门对人员上岗情况有定期检查，对存在问题有整改措施。
2．有对相关人员培训后上岗能力的评价，并有相关资料。
【Ａ】符合“Ｂ”，并
持续改进有成效，所有介入诊疗人员资质与能力符合上岗要求。
2．医师、医技和护理人员经介入治疗专业技术培训合格。
3．人员资质符合介入诊疗项目执业要求。
4．具有与开展的介入诊疗项目相适应的其他专业技术人员。
1.控制输血严重危害的预案及实施记录。内容包括：
1.查看介入相关各级各类相关人员岗位职责，随机访谈2名医务人员对职责的知晓度。2.查看医护技人员技术培训合格证。3.随机检查心血管介入病历3份，对照卫生行政部门准入文件、本单位介入诊疗操作分级准入目录查看相关人员的资质是否符合执业要求。4.检查医务处对人员资质、培训考核、准入、取消资质等相关监控资料，对存在问题原因分析，整改措施和改进成效。
内科医生科务会记录内容范文
内科医生科务会记录内容范文英文回答：Internal Medicine Department Business Meeting Notes. Date: [Date]Time: [Time]Location: [Location]Attendees:[Name][Name][Name][Name][Name]Agenda Items:1. Review of previous meeting minutes.2. Patient care update.3. Quality improvement initiatives.4. Staff development and recruitment.5. Financial performance.6. Other business.Meeting Minutes:1. Review of Previous Meeting Minutes.The minutes from the previous meeting were reviewed andapproved without any changes.2. Patient Care Update.The department has seen a slight increase in patient volume in the past month.The average length of stay has remained stable.There have been no major patient safety events.3. Quality Improvement Initiatives.The department has implemented a new electronic health record system.The staff is currently undergoing training on the new system.The department is participating in a clinical trialfor a new medication for diabetes.4. Staff Development and Recruitment.The department is currently recruiting for two new physicians.The department is offering a tuition reimbursement program for staff members who want to pursue further education.The department is hosting a monthly seminar series on current topics in internal medicine.5. Financial Performance.The department is currently on track to meet its budget for the year.The department is working to reduce expenses and increase revenue.6. Other Business.The department is planning a retreat for next month to discuss strategic planning.The department is working on a new marketing campaign to increase awareness of its services.Next Meeting:The next meeting will be held on [Date] at [Time] in [Location].Additional Notes:The meeting was adjourned at [Time].The meeting notes were prepared by [Name].中文回答：内科科务会记录。
舒血宁(科室会)
用法用量
用法用量
肌内注射：一次10ml，一日1～2次 静脉滴注：每日20ml，用5％葡萄糖注 射液250ml或500ml稀释后使用 或遵医嘱
结束。谢谢！
银杏酸
银杏叶提取物中的潜在过敏物质
可引起严重的过敏反应，还会引起基因突变、神 经损伤等 已经有过敏性休克、过敏性紫癜、剥脱性皮炎、 消化道粘膜过敏、痉挛和神经麻痹等数例不良反 应的报道
国际植物药药典标准要求银杏酸含量不 得超过5ppm
成分来源
优质优价
药理作用 临床应用 用法用量
神威药业 ——中国中药注射液的领航企业
8.4 14 11.2 15 10
20
22 38 37 35
p<0.05
对照组 4.3 0
10
30
40
50
60
70
FBG(mmol/L)
PBG(mmol/L)
FINS(Mu/L)
FBG：空腹血糖；PBG：餐后2h血糖；FINS：空腹胰岛素；
治疗前后患者PAI-1及TXB-2水平明显降低
76 149
TXB-2(ng/L)
73 63
137 158
p<0.05
96 91 92
PAI-1(μg/L)
59
0 对照组
20 常规治疗前
40
60
80
100
120
140
160
180
常规治疗后
舒血宁治疗前
舒血宁治疗后
PAI-1：纤溶酶原激活物抑制物1；TXB-2：凝血噁烷B2。
成分来源 优质优价 药理作用 临床应用
舒血宁治疗后，经多普勒超声检查发现，患者颈动脉内膜-中层厚度比治疗 前改善，且明显优于对照组（p<0.05)。提示舒血宁治疗粥样硬化斑块有临 床应用前景。
医疗设备管理委员会会议记录
医疗设备管理委员会会议记录会议时间: 2023年4月10日上午9:00 - 10:30会议地点: 医院会议室与会人员:- 张院长（主席）- 李副院长- 王设备科科长- 张设备科科员- 赵护士长- 刘财务科科长- 陈信息科科长会议议程:1. 讨论医院新引进的医疗设备使用情况2. 评估现有医疗设备的使用效率3. 讨论医疗设备维护和更新计划4. 讨论医疗设备采购预算会议内容:第一项: 讨论医院新引进的医疗设备使用情况- 张院长介绍了医院近期新引进的医疗设备，包括CT扫描仪、超声波仪等。
- 王设备科科长汇报了这些设备的使用情况，指出CT扫描仪的使用率较高，而超声波仪的使用率较低。
- 李副院长建议加强对超声波仪的宣传和推广，提高其使用率。
第二项: 评估现有医疗设备的使用效率- 王设备科科长提供了现有医疗设备的使用统计数据，包括使用次数、使用率等。
- 张设备科科员提出了一些设备的使用率较低，建议进行评估和调整。
- 赵护士长表示，部分设备的使用率低可能是由于操作复杂，需要加强培训。
第三项: 讨论医疗设备维护和更新计划- 王设备科科长汇报了医疗设备的维护情况，指出需要定期进行维护和检修，以保证设备的正常运行。
- 张设备科科员提出，对于一些老旧设备，需要考虑更新换代，以提高医疗质量。
- 陈信息科科长建议，可以使用信息化手段，如建立设备管理信息系统，提高设备维护和更新的效率。
第四项: 讨论医疗设备采购预算- 刘财务科科长介绍了医院设备采购的预算情况，指出需要根据医院财务状况和设备需求，合理分配采购预算。
- 李副院长强调，采购设备需要综合考虑价格、质量、服务等因素，选择性价比高的设备。
会议结论:- 张院长对本次会议的内容进行了总结，并要求相关部门根据会议讨论结果，制定具体的行动计划。
- 张院长强调，医疗设备管理是医院运营的重要环节，需要各部门共同努力，提高医疗设备的使用效率，保障医疗质量。
会议记录人:- 王设备科科员会议记录日期:- 2023年4月10日。
(完整版)介入科制度汇编
介入手术室管理制度一、凡在介入手术室的工作人员，必须严格遵守无菌原则，保持室内肃静和整洁。
进入手术间时必须穿戴手术室的鞋、帽、口罩、隔离衣、防护铅衣及铅围脖等。
二、进入介入手术室见习、参观二人以内的需经科室负责人和介入手术室护士长同意，三人以上的需报医务科经业务副院长批准。
参观和见习手术者，应接受院方医务人员的指导，不得任意游走及出入。
三、介入手术室的药品、器材、辅料均应有专人负责保管，放在固定位置。
各项急救药品及器械应该常规检查，以保证手术正常进行。
介入手术室器械一般不得外借，如外借时必须经介入手术室主管副院长同意，根据医嘱并经过仔细查对方可使用。
四、无菌手术与有菌手术应该分开进行，先做无菌手术，后做有菌手术。
手术前后手术室护士应详细清点手术器械、材料、药品、辅料等数目，并应及时收拾干净被血液污染的器械和辅料。
五、介入手术室在夜间及假日应该安排专人听班，以便随时进行各种紧急手术。
六、介入手术室对施行手术的病员应作详细登记，按月统计上报，协同有关科室预防医院感染和研究感染原因，及时纠正。
七、介入手术室应每天术后使用1:500的含氯泡腾片或84消毒剂拖地，定时开启空气消毒净化器进行消毒，每周大清扫消毒，每季度作细菌培养（包括空气、医务人员的手和消毒剂等）。
八、手术通知单必须手术前一日交手术室以便准备，急症手术通知必须主治医师或值班医师签字。
九、接手术病人时，病人进入介入手术室，要带病历核对病人姓名、年龄、床位、手术名称和部位，防止差错。
介入诊疗工作制度一、操作室、手术室保持清洁、整齐，电脑设备要求更高，要保持恒温、无尘。
二、非介入工作人员，未经许可不能进入，入室要换鞋；手术室使用等离子体空气消毒净化器进行消毒净化，或用紫外线照射消毒，术后用500mg/L含氯泡腾片或1:500的84消毒剂拖地。
三．电脑软件仪器由专人负责使用操作。
四．操作室内禁止吸烟，不准大声谈笑，保持空气清鲜。
五．手术前按临床需要和要求，认真细致阅读申请单全部资料，拟定好造影或治疗计划程序，造影剂、治疗用药的剂量及材料等。
医院检验管理(二级171-177)
171 河南省第二周期医院评审暨综合评价标准（临床检验管理 40分） 评 价 项 目 及 指 标 分值 评 价 要 点 判定方法 得分 1、贯彻落实卫生部《医疗机构临床实验室管理办法》等有关规定，临床实验室设置符合要求，制度健全 （4分） 1 1 1 1 1、按照卫生行政部门核准登记的医学检验科下设专业设定临床检验项目，临床实验室的设置与医院的等级、临床需求相匹配，开展检验项目与医院规模和核准执业科目相适应 查看实验室设置与核准执业科目是否相符 2、按照集中、统一的原则，根据医院实际建立临床实验室各项规章制度和标准 重点考核各级人员的岗位职责、传染病疫情报告、急诊检验、标本接收、管理及处理、医院感染管理、检验质量管理、仪器使用、校准及维护保养、试剂管理、危险品管理、信息反馈、检验报告审核、复检与发放、实验室记录、急诊及危急值处理和记录、不良事件登记、投诉处理、教育培训等制度的建立与执行情况 3、认真贯彻执行卫生部《全国临床检验操作规程（第3版）》和HIV检测工作规范，有临床检验项目标准操作规程和检验仪器的标准操作、维护规程 4、依据《河南省实施细则》要求，查看临床实验室用房和仪器设备 一个实验室与核准执业科目不相符不得分 无职责、标准或一项制度未建立、未落实均不得分 每缺一项或执行有缺陷各扣0.5分 实验室面积、仪器设备不达标均不得分 172 河南省第二周期医院评审暨综合评价标准（临床检验管理 40分） 评 价 项 目 及 指 标 分值 评 价 要 点 判定方法 得分 2、开展检验项目符合卫生行政部门公布的目录和收费标准，不开展淘汰和未经批准的项目。特殊实验室取得审 批许可 （4分） 3、临床检验实验室集中设置，资源共享，统一标准，统一质控，保证质量 （4分） 2 2 2 2 1、能开展临床血液学、体液学、临床化学、临床免疫学、临床微生物学检验，开展项目数超过200项。每年新增检验项目的比率应达到1％以上；开展的项目和检验方法未超出卫生部公布的检验项目目录的项目、方法及物价部门批准的收费标准；不开展卫生部规定淘汰的项目和超范围检验 随机查看项目清单及备案表，核查开展的检验项目数、收费标准是否达到要求；所有开展的检验项目是否超出卫生部公布的检验项目目录 2、对卫生部要求验收的实验室，必须通过验收后才能开展有关检验工作；检验操作人员须经省级以上专业技术培训并具有“专业技术培训合格证书” 重点核查PCR实验室、HIV初筛实验室和放免实验室技术验收合格证书和批准文件 1、临床检验实验室集中设置，统一管理，资源共享; 同一医疗机构同一检验项目只能由一个实验室出具报告 核查检验部门设置与检验报告项目是否重复 2、各病区建立检验前质量保证体系，包括患者准备、标本采集、标本储存、标本运送、标本接收等程序 随机抽查病区标本留取、送检情况；抽查3个病区各一名护士，以提问方式了解如何规范留取标本及注意事项 开展基本常规项目数每减少5％扣1分，有超出卫生部检验项目目录的项目、方法及收费标准每项扣1分，可以倒扣分 未经准入违规开展PCR、HIV检测工作各倒扣5分；检验操作人员一人无“专业技术培训合格证书”扣0.5分 达不到要求不得分 病房留取、送检标本操作技术和程序不规范各扣1分；一名护理人员掌握不准确扣0.5分，扣完为止 173 河南省第二周期医院评审暨综合评价标准（临床检验管理 40分） 评 价 项 目 及 指 标 分值 评 价 要 点 判定方法 得分 4、临床检验实验室制度健全，布局与流程安全、合理，并符合医院感染管理和生物安全要求 （8分） 1 0.5 1 1 1、建立实验室生物安全管理责任制，设有生物安全委员会，职责明确。依照《病原微生物实验室生物安全管理条例》制定相关制度及安全操作规程，并组织实施。主要包括： —— 实验室人员准入制度 —— 感染性材料管理制度 —— 员工健康管理制度 —— 生物安全工作自查制度 —— 实验室资料档案管理制度 —— 生物安全管理及实验人员培训和考核制度 —— 意外事件处理与报告制度 ——实验室安全保卫制度 现场核查病原微生物的标本采集、运送、储存、使用、消毒灭菌规程及处理流程和菌、毒株、培养物的规范管理及制度的执行情况 2、实验室有相关的生物危险警示标志，配置非手触式流动水洗手、干手和手消毒设施，有温控设施，温湿度符合要求 3、实验室须按生物防护级别配置必要的安全设备（二级生物安全柜等）及个人防护用品（工作服、手套、口罩、护目镜、洗眼装置等） 4、实验室生物安全防护到位、记录完整（包括废弃物交接，菌、毒株保管、应急事故处理、持续改进、工作人员生物安全培训、体检等记录）。现场核查并查看相关工作记录 未成立生物安全管理小组或制度不健全均不得分，一项制度未执行扣0.5分 达不到要求不得分 未达到规定要求不得分 记录不全或无记录各扣0.3分 174 河南省第二周期医院评审暨综合评价标准（临床检验管理 40分） 评 价 项 目 及 指 标 分值 评 价 要 点 判定方法 得分 1 0.5 0.5 0.5 1 1 5、实验室生活区和实验区有实际隔断，不得将食物、饮用水等带进实验区；有保证工作人员不受感染、样本间不发生交叉污染，不发生由实验室引起的感染扩散的具体措施 6、结合实际建立健全并执行医院感染管理制度和消毒隔离制度，有危险品、危险设施等意外事故应急预案及处理程序。现场查看 7、严格执行标准预防，操作时戴帽子、口罩；可能接触血液、体液时戴手套；可能发生喷溅时戴护目镜。手套一人一用一废弃 现场查看工作人员操作并提问职业暴露后处理程序 8、严格执行无菌技术操作规程，操作前、后应规范洗手或手消毒。静脉采血做到一人一针一管一带一巾；微量采血做到一人一针一管一片；操作时若戴乳胶手套须做到一人一用一废弃 现场查看静脉采血及微量采血操作 9、检验报告单须在清洁区打印或消毒后再登记、发放 ；压力蒸气灭菌器定期进行灭菌效果监测，有记录。现场查看检验报告单消毒及压力蒸气灭菌器灭菌效果监测记录（物理、化学或生物监测记录及报告单） 10、废物及废弃标本管理符合要求 医疗废物分类放置，配置并规范使用符合要求的专用利器盒；含有病原体的标本、培养基、菌种、毒种须采用压力蒸气灭菌或化学消毒剂浸泡消毒后，按感染性废物初步处理 未达到规定要求、无具体措施均不得分 未设生活区扣0.5分
介入科制度
介入科制度篇一：介入科规章制度介入科工作制度本制度在河南省省范围内实行，如卫生部将来颁发有关相应规定，则按卫生部规定执行。
第一部分：介入科的基本配备一、介入科设置介入科是影像学科的重要组成部分，按照卫生部规定属于临床科室，科室管理上可以隶属于放射科，也可以成为独立科室。
在科室设置上应包括介入科门诊、导管室和病房三部分。
二、介入科人员1、医务人员⑴ 正规医学院校毕业，获得“医师资格证书”和“医师聘任证书”。
⑵ 来源于影像科、血管外科、神经内外科及其他临床科室的医师均可从事介入治疗工作，但必须经过相应介入放射学科专业培训3年以上，取得介入放射学专科证书。
⑶身体适应X线环境下工作。
2、护理人员⑴正规护理院校毕业，取得“护士资格证书”。
⑵介入诊断和治疗涉及临床医学的各个系统的多种疾病，介入科导管室和病房护士必须具备扎实的内外科和急症护理学技能，熟悉各种临床急重症的围手术期处理。
⑶导管室护士身体须适应X线环境下工作。
3、技师与工程师⑴ 介入放射学的专科性和特殊性要求技术人员既要有一定的医学知识又要有全面的影像设备知识和一定的计算机基础。
⑵ 正规院校医学影像技术专业、或生物医学工程技术专业、或临床医学专业毕业，经过常规X线、CT和MRI专科培训，并取得DSA上岗证书。
⑶ 综合性介入放射学手术室专科培训2-3年，可以单独熟练配合医师开展血管内和血管外各种介入放射学技术，可以处理常见的影像设备技术故障和技术问题。
⑷ 身体适应X线环境下工作。
第二部分：导管室管理制度一、导管室的基本要求导管室是实施介入诊疗的重要场所，是医务人员在X线引导下进行有创性操作的手术室，它兼有手术室及放射科的特点。
因此，合理设计和科学布局是对导管室建设的基本要求，也是开展介入手术所必需的设施条件。
（一）导管室的建筑结构与布局1、导管室的设置布局导管室应尽量与介入病房设在同一幢建筑物内，并自成一区。
导管室应保证安静、清洁，人员走动少。
所在区门口设置门铃及对讲设备，减少无关人员进入。
介入室管理制度模板
介入室管理制度模板一、目的与适用范围1. 目的：确保介入室的安全、高效运行，保障医疗质量和患者安全。
2. 适用范围：本制度适用于医院内所有介入诊疗室及相关工作人员。
二、组织结构与职责1. 成立介入室管理委员会，负责制定和修订管理制度。
2. 介入室主任负责日常管理工作，确保制度的执行。
3. 医护人员需熟悉并遵守介入室的各项规章制度。
三、人员管理1. 介入室工作人员应具备相应的专业资格和执业证书。
2. 定期进行专业培训和考核，提升业务技能和应急处理能力。
3. 实行24小时值班制度，确保随时有专业人员在岗。
四、设备与环境管理1. 定期对介入室设备进行检查和维护，确保设备正常运行。
2. 保持介入室环境清洁，遵守消毒隔离制度，防止交叉感染。
3. 介入室内禁止吸烟、饮食，严格执行无菌操作规程。
五、操作规程1. 严格执行无菌操作规程，所有介入操作前应进行严格的消毒和隔离措施。
2. 介入操作应由具有相应资质的医师执行，并有护士协助。
3. 建立患者介入操作前的评估制度，确保患者适应症明确。
六、应急管理1. 制定介入室应急预案，包括设备故障、突发停电、医疗事故等。
2. 定期组织应急演练，提高医护人员的应急处置能力。
3. 紧急情况下，应迅速启动应急预案，确保患者安全。
七、感染控制1. 严格执行医院感染管理规定，定期对介入室进行空气、物表、手卫生等感染监测。
2. 医护人员在操作前后应进行手卫生，使用个人防护用品。
3. 对使用后的介入诊疗器械进行严格的清洗、消毒和灭菌处理。
八、记录与档案管理1. 建立介入诊疗操作记录，详细记录患者信息、操作过程、使用材料等。
2. 定期对介入诊疗记录进行审核，确保记录的准确性和完整性。
3. 建立患者档案，包括病历、影像资料、介入诊疗资料等，便于追踪和质量控制。
九、监督检查1. 定期对介入室的运行情况进行监督检查，确保各项制度得到有效执行。
2. 对监督检查中发现的问题，应及时整改，并进行效果评估。