In the after -alcoholic refusal incident, why is the Director of the Department of Pathology on the clinical outpatient on duty?Is the hospital responsible?
Writing | Guo Xuemei
Responsible editor 丨Wang Hang
Due to the duty after drinking and refused to take the consultation, Cao Guangjin, the Third Peoples Hospital of Yichunfeng City, Jiangxi, was removed from the position of the pathology department.Recently, this incident has caused heated discussions in the medical industry.
According to the report released by the hospital, at 9 pm on November 10, the family brought a child to the hospital for treatment.Family members communicated with improper words.After the hospital was informed, he sent a chief physician to replace Cao Guangjin on duty as soon as possible, and properly accepted the child.
Report
Earlier videos show that some people ask the doctor why drinking during work during work.The doctor said, "What about that? I know Im wrong, okay?" The doctor went away.In addition to removal, the hospital instructed the doctors involved to make in -depth reviews and held the staff meeting of the hospital to conduct criticism of the hospital.
Although the incident has been properly handled, there are still multiple problems to be solved except for criticism and punishment doctors.
Why is the Director of the Department of Pathology?
The hospital notification shows that the duty doctor who was diagnosed after the wine was the director of the pathology department of the Third Peoples Hospital of Fengcheng City.
In fact, the main task of the pathology department is to undertake pathological diagnosis in the medical process and almost do not directly contact the patient. Thereforedoctor".
After the incident, the hospital sent a chief physician to replace the director of the pathology department for duty and properly cured the child.This means that without this accident, the Director Directors Destrement is likely to be responsible for the diagnosis and treatment of the night.
Can the pathologist be arranged in clinical outpatient posts?
According to the "Key Points of the Medical Quality and Safety Core System" released by the National Health and Health Commission in 2018, medical institutions should establish a system of medical treatment on the hospital, including clinical, medical technology, nursing departments and nursing departments and nursing departments and nursing departments and nursing departments and nursing departments and nursing departments and nursing departments and nursing departments and nursing departments and nursing departmentsProvide logistics departments that support the diagnosis and treatment, clarify the duties of duty positions and ensure normal operation.In addition, medical institutions and departments should clarify their duties of duty, qualifications and number of personnel on duty.
Professor Wang Yue of the School of Medicine Humanities, Peking University told the "medical community" that in addition to emergency situations, doctors on duty should generally engage in medical activities within the scope of administrative license practitioners. "If soObviously, the scope of his practice does not include the treatment services of our usual emergency or outpatient clinics.After registration, you can practice in accordance with the registered practice location, practice category, and scope of practice in the medical and health institutions to engage in the corresponding medical and health services.Only after training and inspection can the physician increase the scope of practice.
Fengcheng Third Peoples Hospital/Photo Source: Hospital Officer
The pathology department will not arrange outpatient clinics, and the director of the department is relatively rare.For example, a three hospital in the north once pointed out in the "physician duty and handover system" that the director of the department is usually responsible for arranging the duty work of the night, weekends and holidays of the undergraduate physician.Some experts have analyzed that some hospitals with insufficient hands may have cross -duty.According to the official micro -micro -officials of Fengcheng Third Peoples Hospital, the hospital is a direct public hospital of skin diseases and sexually transmitted diseases. The "2023 unit final account" shows that at the end of 2023, the hospital was 66 employees.
According to the announcement released by the hospital, from August 2023, the hospital decided to conduct a 24 -hour (all -day) outpatient clinic to extend the outpatient clinic.The hospital specifically pointed out that the hospital will work throughout the year, and there are duty doctors on duty during the holidays, and the hospital arranges a doctor at noon at noon.
The hospitals previous announcement
Is the hospital responsible for the doctor?
This is not the first time that a doctor has an incident after drinking.
In January 2022, the toilet of Xitou Village, Changcheng Town, Lanling County, Linyi City, Shandong Province was reported by the masses.On the month, Wei County Traditional Chinese Medicine Hospital announced that the hospitals gastroscopy room doctor Yuan Feng had a physical conflict with patients after drinking, causing major public opinion and serious circumstances.
In this regard, "Red Net" commented that the behavior seriously violated the professional ethics of the doctor.The doctors duty is to save the wounded, and it needs to be rational, professional and patience at all times. After drinking, not only can it affect the accuracy of the diagnosis, but its improper speech also hurts the feelings of the patients family and the trust of the doctor.
At present, the official documents such as duty specifications are not yet available, but some hospitals will formulate relevant rules internally internally to better manage duty personnel.
For example, a three -hospital hospital has clearly stated in the regulations that the doctor on duty is not allowed to conduct activities and entertainment inconsistent with occupational status during the duty.
"From the perspective of ethics or law, there is a problem with the medical behavior of doctors to provide medical care because he cannot ensure the safety of medical treatment." Wang Yue told the "medical community".
He also pointed out that from the perspective of the education and rectification of medical ethics, the key is not the strength of punishment, but that all illegal acts can be discovered and punished.
In addition, the incident also exposed the hospitals management loopholes."Guangming.com" reported that some netizens feedback that at that time, the hospital had only this pathology doctor on duty and admission.
"From the perspective of hospital management, it is more important to punish the doctor of the doctor, but the hospital should be punished, because as a doctor as an internal personnel, it is often necessary to obey the relevant deployment system of the hospital."Wang Yue said.
Source: Medical Community
School Division: Zang Hengjia
Editor: Zhao Jing
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