1. Purpose
1.1 To strengthen the safety management of our hospital, fully implement the principle of "Safety First, Prevention Foremost," specifically implement the "Whoever is in Charge is Responsible" and "Dual Responsibilities for One Position" work safety responsibility system, ensure the safety of lives and property of staff and the public, and formulate our hospital's Work Safety Responsibility Document based on our actual situation.
2. Scope
2.1 Conscientiously implement health, safety, and environmental regulations and standards, and integrate health, safety, and environmental management into hospital management.
2.2 Include work safety content and objectives when formulating production and operation plans and strategic development plans.
2.3 Ensure sufficient funds are allocated for the safety, integrity, and reliability of safety facilities and equipment in various engineering projects.
2.4 Participate in safety inspections during the construction and renovation processes of capital construction projects and production maintenance projects.
2.5 Prioritize work safety as the primary evaluation criterion during compliance assessments.
3. Responsibilities
3.1 Hospital Council Responsibilities
3.1.1 According to the safety management regulations and the principle of "whoever is in charge is responsible," bear the primary responsibility for the work safety of the unit.
3.1.2 Organize the formulation, revision, and approval of safety rules and regulations, safety technical procedures, and safety measure plans, and organize their implementation.
3.1.3 Supervise and inspect the performance of safety duties by functional departments and the implementation of various work safety rules and regulations, promptly correct dereliction of duty and violations in medical activities.
3.1.4 Organize functional departments to investigate and handle accidents, and promptly report to the superior work safety regulatory department.
3.1.5 Organize comprehensive work safety inspections and implement rectification of major safety hazards.
3.1.6 Be responsible for safety education, training, and assessment.
3.1.7 Regularly convene work safety meetings, analyze the dynamics of hospital work safety, and promptly resolve existing problems in safety work.
3.1.8 Organize work safety competitions, summarize and promote advanced experiences in work safety, and reward advanced units and individuals.
3.1.9 Based on the above responsibilities, formulate an annual work safety plan and implement it item by item in the current year's work safety efforts.
3.2 Legal Representative Responsibilities
3.2.1 Is the primary person responsible for work safety and bears overall responsibility for the work safety of the unit.
3.2.2 Strengthen work safety management, responsible for establishing and implementing the work safety responsibility system for safety officers.
3.2.3 Strictly implement national policies, laws, and regulations related to work safety, strengthen safety education and training for staff, and undergo safety training and assessment.
3.2.4 Responsible for strengthening the work safety management organization, staffing full-time safety management personnel, listening to work safety reports, and making decisions regarding the conduct of safety work.
3.2.5 Convene work safety meetings to study and resolve major issues in work safety.
3.2.6 Organize the investigation and handling of major accidents, implement the principle of not letting accidents go unaddressed, and adhere to the reporting system for major accidents.
3.3 Hospital President Responsibilities
3.3.1 The Hospital President is the primary person responsible for work safety and bears overall responsibility for the work safety of the unit.
3.3.2 Strengthen work safety management, responsible for establishing and implementing the hospital-wide work safety responsibility system.
3.3.3 Strictly implement national laws, regulations, and rules related to work safety, strengthen safety education and training for staff, and undergo safety training and assessment.
3.3.4 Responsible for strengthening the work safety management organization, staffing full-time safety management personnel, listening to work safety reports, and making decisions regarding the conduct of safety work.
3.3.5 Convene work safety meetings to study and resolve major issues in work safety.
3.3.6 Organize the investigation and handling of major accidents, adhering to the principle of reporting major accidents.
3.4 Hospital Work Safety Lead Responsibilities
3.4.1 According to the safety management regulations and the principle of "whoever is in charge is responsible," bear the primary responsibility for the work safety of the unit.
3.4.2 Organize the formulation, approval, and revision of work safety rules and regulations, safety technical procedures, and safety technical measure plans, and organize their implementation.
3.4.3 Supervise and inspect the performance of safety duties by functional departments and the implementation of various work safety rules and regulations, promptly correct violations and dereliction of duty in medical activities.
3.4.4 Organize functional departments to investigate and handle accidents, and promptly report to the superior safety authority.
3.4.5 Organize comprehensive work safety inspections, implement the identification and rectification of major safety hazards.
3.4.6 Regularly convene work safety meetings, analyze the dynamics of unit work safety, and promptly resolve existing problems in safety work.
3.4.7 Organize work safety competitions, summarize and promote advanced work safety experiences, and reward advanced units and individuals.
3.4.8 Based on the above responsibilities, formulate an annual work safety plan and implement it item by item in the current year's work safety efforts.
3.5 Hospital General Office Responsibilities
3.5.1 Responsible for secretarial and administrative management of the entire hospital.
3.5.2 Responsible for drafting hospital work plans, summaries, request reports, etc.; responsible for reviewing documents and ensuring proper distribution to superiors and subordinates.
3.5.3 Manage the receipt, registration, transmission, circulation, filing, and utilization of leadership administrative documents, and maintain confidentiality.
3.5.4 Handle seals, printing, external tasks, liaison, incoming calls and correspondence from superiors, and reception of visiting guests.
3.5.5 Strengthen the department's self-construction and enhance safety knowledge through study, training, and education.
3.6 Hospital Finance Department Responsibilities
3.6.1 Responsible for the financial work of the entire hospital under the leadership of the Finance Department Head.
3.6.2 Conscientiously implement national laws, regulations, and systems related to finance.
3.6.3 Formulate and supervise the implementation of various financial and accounting rules and management systems for the unit; promptly stop and correct violations of financial discipline and accounting systems; report major issues to leadership and relevant departments.
3.6.4 Based on the targets assigned by superiors, conscientiously prepare the hospital's budget plan, analyze the execution and completion of the hospital's plan, monitor and reflect on the hospital's budget execution process, and perform financial final accounts on schedule.
3.6.5 Conduct economic activity analysis of the hospital, identify problems in management, propose suggestions and measures for improving operations and management, and further enhance the hospital's economic efficiency.
3.6.6 Review or participate in drafting economic contracts, agreements, and other economic documents; refuse to execute economic contracts detrimental to national or hospital interests and report to relevant leaders.
3.6.7 Ensure the authenticity and reliability of accounting materials; accounting statements and other accounting materials to be submitted according to accounting systems and superior regulations must be carefully reviewed and signed or sealed.
3.6.8 Actively participate in the hospital's economic management and decision-making, fully utilize accounting data to analyze economic situations, predict economic prospects, and serve as an advisor for hospital development and leadership decision-making.
3.6.9 Strengthen political and professional study, participate in professional assessments, and continuously improve professional skills.
3.6.10 Responsible for managing the charging activities of all fee-charging departments in the hospital.
3.7 Driver Safety Management Responsibilities
3.7.1 Under the leadership of the Hospital President, remain at post, complete all preparatory work before driving, and depart promptly upon assignment.
3.7.2 Regularly perform vehicle maintenance, servicing, cleaning, and disinfection; maintain good vehicle condition, save fuel, ensure safe driving; record vehicle operation details accurately; fill out the vehicle dispatch form conscientiously.
3.7.3 Obey traffic rules, drive safely; return immediately after task completion; do not use the vehicle for private purposes.
3.7.4 Protect public property, manage materials and tools properly, and implement fire prevention measures.
3.7.5 Drivers are on 24-hour standby; must be available upon call when situations arise; must inform the duty personnel of their whereabouts when leaving.
3.8 Logistics Safety Management Responsibilities
3.8.1 Must check that various protective equipment and tools are in good and reliable condition before work.
3.8.2 Before working on electrical circuits, always test for electricity with a test pen; any circuit that has not been tested for electricity is deemed live; strictly prohibit working on live circuits.
3.8.3 When working at heights or on poles, must concentrate mentally; if feeling unwell, dizzy, etc., prohibit working at heights or on poles.
3.8.4 When ascending a ladder, first check if the ladder is safe and reliable; the placement angle should be appropriate; pay attention to anti-slip measures.
3.8.5 Work on overhead lines is strictly prohibited during thunderstorms or high winds.
3.9 Medical Department Responsibilities
3.9.1 The Medical Department includes all department physicians and technicians.
3.9.2 Under the leadership of the Head of the Medical Department and physicians, responsible for the medical treatment of patients and undertaking daily hospital duty work.
3.9.3 Strictly diagnose and treat patients according to standardized medical principles, prescribe orders, and check their execution.
3.9.4 Responsible for writing medical records and progress notes during the patient's hospitalization, and promptly complete the medical record summary for discharged patients.
3.9.5 Promptly report diagnostically challenging problems to the attending physician. Propose transfer or discharge opinions for managed patients.
3.9.6 Resident physicians are fully responsible for their assigned patients; hand over work before off-duty; hand over critically ill patients orally or in writing to the on-duty doctor.
3.9.7 Participate in departmental rounds; visit assigned patients at least once each in the morning and afternoon to understand their diet, daily life, emotional changes, treatment effects, etc. Accompany and report the condition and treatment during superior physician rounds or consultations from other departments; accurately record the consultation opinions of superior physicians.
3.9.8 Conscientiously implement various rules and regulations and technical operating procedures, strictly prevent errors and accidents. Guide nurses in implementing syndrome-based nursing.
3.9.9 Study basic theories, strive to enhance professional skills, improve clinical treatment effectiveness, participate in scientific research, and promptly summarize experiences.
3.9.10 Solicit patients' opinions on medical and nursing work at any time.
3.10 Pharmacy Department Responsibilities
3.10.1 Carry out all tasks of the pharmacy under the leadership of the Hospital President, formulate work plans and organize their implementation, ensuring the completion of clinical medication work.
3.10.2 Formulate and review drug procurement plans, strictly implement rules and regulations related to drug procurement, combine main supply channels with market adjustments in procurement, and meet clinical treatment medication needs.
3.10.3 Supervise and inspect the drug use and management situation in various departments.
3.10.4 Conscientiously implement various rules and regulations, strengthen the use and management of toxic and narcotic drugs, ensure safety, and strictly prevent errors and accidents.
3.10.5 Formulate job responsibilities for departmental personnel and develop personnel training plans.
3.10.6 Strengthen the spiritual civilization construction within the department, conduct ideological and political work for all staff, enforce discipline and professional skill assessments, and propose rewards and punishments.
3.11 Nursing Department Responsibilities
3.11.1 Responsible for comprehensive nursing work under the leadership of the Head Nurse, formulate hospital-wide nursing work plans and implement them, inspect nursing work quality, and report periodically.
3.11.2 Responsible for drafting routines and organizing the revision of the graded nursing system, and strictly guide and supervise its implementation.
3.11.3 Provide technical guidance for the nursing work of critically ill patients in departments.
3.11.4 Responsible for formulating training plans and implementation measures for in-service nurses, organize professional technical training for all nursing staff, and conduct regular professional technical assessments.
3.11.5 Keep abreast of the work, thoughts, and study situation of all nursing staff; jointly study and handle errors and accidents involving nursing staff with relevant departments.
3.11.6 Request relevant hospital departments to address issues related to nurses' living conditions.
3.11.7 Inspect and guide the management of outpatient, emergency, wards, operating rooms, and supply rooms, gradually achieving institutionalization, standardization, and specification.
3.11.8 Convene hospital-wide nurse meetings, analyze nursing work situations, regularly organize nurses to inspect, learn, and exchange experiences, and continuously improve nursing quality.
3.11.9 Lead and organize hospital-wide nursing research and the promotion of new nursing technologies.
4. Content
4.1 Safety Officer Hazard Identification Operations
4.1.1 Safety officer patrols are conducted daily, and complete patrol records must be filled out.
4.1.2 Safety specialists conduct patrols quarterly and fill out patrol records.
4.1.3 Findings from patrols require rectification and recording.
4.2 Open Flame Operations
4.2.1 Open flame operations require filling out an application form within the hospital and obtaining authorization before proceeding.
4.2.2 Open flame operations must be accompanied by safety personnel and conducted with fire extinguishing equipment available.
4.2.3 Thorough cleanup must be performed after operations to ensure safety.
4.3 Infection Control and Environmental Safety
4.3.1 Infection control and environmental safety must strictly comply with national laws and regulations.
4.3.2 Promptly investigate and address potential safety hazards.
4.3.3 Manage accident situations according to emergency response plans.
