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1、手术分级管理制度(试行)1、根据国务院《医疗机构管理条例》和卫生部《医院分级管理办法》要求,根据医院功能制订手术分级管理制度。2.各科室要认真组织全科人员进行讨论,根据科室各级人员技术状况,科学界定各级人员手术范围。3.科室根据科内人员晋升及个人技术水平提高状况,定期调整其手术范围。所称"手术范围",系指卫生行政部门核准的诊疗科目内开展的手术。4、科室应严格监督落实《各级医师手术范围》要求,任何科室和个人不得擅自开展超出相应范围的手术治疗活动。5.若遇特殊情况(例如:急诊、病情不允许等),医师可超范围开展与其职、级不相称的手术,但应及时报请上级医师,给予指导或协助诊治。附:各级医师手术范
2、围1.主任医师按"各专业手术分类"完成甲、乙、丙、丁各类手术,但应侧重甲类手术质量、水平的提高。2.副主任医师按"各专业手术分类"完成乙、丙、丁类手术,但应侧重乙类手术质量、水平的提高。3.主治医师按"各专业手术分类"参与甲、乙类手术,做助手;可完成丙、丁类手术。4.医师按"各专业手术分类"参与乙类手术,做助手;可完成丙、丁类手术.5.助理医师(医士)按"各专业手术分类"参与丙类手术,做助手,可完成丁类手术。考虑到人才梯队建设和后备力量培养问题,高年资医师(取得现有职称3年以上)可在上级医师的指导下完成高一类手术。对无主任医师的专业,科室可根据副主任医师技术水平状况,andmasonry
3、onthecorneroffice,inprinciple.Staggered,two-storeybrickverticalseamson25mm.Halfabrickusedseparately.(3)infrontofthewall,firstinstallcounting,countingpolesmarkthebrickthicknessofmortarjointthickness,doorandwindowelements,suchasdeepposition,countingpolesstandonthecorner.Statelevelwhencopyingflat,fl
4、oorelevationsinleatherbardesignelevationposition.(4)whenbricksfirstalignment,masonrybricksaccordingtoguidelines.Apartfromhalfabrickwall,anddouble,tobettercontrolthewallflatness.(5)whenbuilt,the"31"masonrymethod,thatis,"anashshovel,brick,kneadandknead"methodofoperation.Verticalrollmethodisused.Ver
5、ticalseamsofthemortarasfullaspossible,ventilationarenotallowed.Brickwallsofhorizontalmortarjointthicknessandverticalmortarjointwidthcontrolinthe8~12mmrange.Horizontalmortarjointmortarfullsizemustbegreaterthan80%.(6)fromcornerorpositioningatbegan,bothinsideandoutsidewallwhilemasonry,aspectwallstag
6、geredtakereceived;outsidewallcorneratisstrictlyprohibitedleftstraightrub,shouldbefromtwoaaspectswhilemasonry;wallbodytemporarycontinuousatshouldmasonryintoobliqueCha,obliqueChalengthnotshouldislessthanheightof2/3(Generalbyastepscaffoldingheightcontrol);asleftobliqueChahasdifficult,exceptwallcorne
7、ratandtheseismicfortificationarea,wallbodytemporarycontinuousatnotshouldleftstraightChaoutside,canfromwallsurfaceout200mmmasonryintoyinandYangCha,andalongwallhigheachthreeskinblock(600mm),Atiebarorsteelmesh.Chasiteshou