篇一：二级库管理制度
二级库管理制度
本着全面贯彻医院医用耗材精细化管理工作的精神，根据《泰山医学院医用耗材管理制度》等相关管理的规定，针对高值耗材、植入类产品管理中凸显问题，现制定医学装备部二级库制度如下：
一、 二级库的建立
随着医院业务量的迅速增长，医用耗材特别是高值耗材溯源化管理要求的加强。原有仓库管理模式不能满足实际工作需要。
（一） 二级库针对的是高值类耗材：骨科植入类、介入类。人工晶体等。
（二） 二级库设立专职管理人员，产品分类存放、管理。
（三） 原则上，由医学装备部人员管理二级库，与此有关的岗位人员编制归属医学装备部。
二、 二级库的工作流程
（一） 二级库管根据临床科室计划、业务量以及库存实际情况，编制二级库需求计划，并提交医学装备部。
（二） 医用耗材送达二级库，库管根据发票或随货同行点火验收，签字确认后妥善保管医用耗材。
（三） 设备仓库根据二级库管签字确认的票据，办理耗材入库、移库手续，将医用耗材自设备仓库移入相对应的二级库。
（四） 二级库管根据二级库签字确认的票据，办理耗材入库、移库手续，将医用耗材自设备仓库移入相对应的二级库。
目前二级库暂由各使用科室专职人员兼职管理。
三、 二级库的工作职责
（一） 保证库房在正常工作时间开房，以满足临床科室领用以及接受厂商送达的医用耗材。
（二） 严格遵守医院医用耗材管理制度，对无需求计划的医用耗材，拒绝验收入库，合理制定医用耗材储备定额，防止积压浪费。
（三） 严格按照医院仓库规定，验收货物，科学码放，分类保管。保证医用耗材在有效期内使用或替换。
（四） 二级库管按月向医学装备部仓库提交本仓库领用、发放医用耗材清单。
（五） 定期配合医学装备部会同财务处、审计科盘查库存，保证账实相符。
（六） 二级库管监管相关临床医用耗材不良反应上报工作。
（七） 做好溯源登记（病人信息、手术信息、产品信息等），妥善保管相关有效资质证明和合格证。
篇二：医院库房管理制度及流程
库房管理制度及流程
一、目的
? 通过制定库房的管理制度及操作流程规定，指导和规范库房人员的日常工作行为，对有效提高工作效率起到激励作用。
二、适用范围
? 库房的所用工作人员
三、职责
? 库房管理人员每月查看库房中物资，协调科室需求，将缺少的物资报给采购员，采购员将采购申请给予领导签字批准，即可采购。
? 库房管理人员负责物料的收料、入库、发料、储存、单据追查、保管、入帐、盘点、防护工作。
四、仓储管理规定
1、货品收货及入库
? 需严格按照 “收货入库单”的流程进行作业。
? 采购员将“客户送货单”给到库房后，库房负责清点完货物的货品名称、数量。
? 库房收货时需要求采购人员给到“客户送货单”，没有时需追查，直到拿到单据为止，库房人员有追查和保管单据的责任。
? 库房人员与采购共同确认送货单的数量和实物，如不符由采购人员联系供货商处理，并由采购人员在送货单签字确认实收数量。
? 库房人员对已验收的货品，开出“物料入库单”，标明货品种类，并签字确认。 ? 将入库货品按照类别分类存放。
2、货品出库
? 每周各科室按照实际科室需求上报需领物资。
? 库房管理人员按照科室上报物资取出货品，并按照货品的品名、规格、数量填好“物料领料单”后，由科室相关人员签字确认，并由领料科室负责人签名确认后方可让货品出库。
? 库房任何人员都无权给没有办理相关手续的货品出库。
3、 货品报废
? 严格执行 “报废单”进行操作
? 发现库房库存物料不良时及时处理或通知上级领导处理。
? 经过领导确认后，填写报废单，写清报废物品名称及报废原因，由各级领导签字确认，才可以提交报废单至上级主管部门。
五、货物管理
? 货物的品质维护：物料在收货、点数、入库、搬运、摆放、归位、存放、储存过程中遵守安全原则，做
到防损、防水、防蛀、防晒等安全措施。
? 每天检查货物信息，如发现储位不对、帐物不符、品质问题及时反馈和处理。
? 保持货物的正确标示，由仓管负责，对于错误标示及时更正。
? 货物的单据、报表、盘点表由库房管理人员把电子档和手工单据一同交到财务。每月的单据、报表、盘
点表需由采购员、库房管理员、库房采购分管领导及一把手领导签字确认。
六、货物的盘点
? 库房货物盘点由财务、库房以及主管部门每月拟定盘点计划时间表和盘点流程。
? 盘点时保证做到盘点数量的准确性、公正性，严禁弄虚作假、虚报数据。盘点过程中严禁更换不同的盘
点人员，以免少盘、多盘、漏盘等。
? 所有的盘点数据都需盘点人员签名确认。
七、库房的安全、卫生管理
? 库房每天都对库房区域进行清洁整理工作，清理掉不要、不用的东西和坏的东西，并将库房内的物料整
理到提定的区域内，达到整洁、整齐、干净、卫生、合理的摆放要求。
? 对库房内货物摆放做出合理的摆放和规划。
? 库房卫生可以在库房空闲的时间进行。
? 上下班关闭窗户及锁上库房门。
? 做好及时检查物货，如有异常或者安全隐患及时处理和上报。
八、库房人员的工作态度及作风
? 库房工作人员应该培养良好的工作态度和作风，形成良好的工作习惯。
? 库房工作人员要求做事细心，认真，负责，诚实，有良好的团队意识及职业道德。
? 对于上级下达的任务要按时按质完成。
篇三：二级医院规章制度汇编
医院规章制度汇编
前言
为了保证医院工作的正常运行，提高工作效率和医疗质量，使管理上台阶，服务上档次，增进医院的社会效益，必须建立和健全医院的各项规章制度，使医院各部门、各科室、各级各类人员在工作中有章可循，循章必严、违章必究。为此，我们吸取社会医院的经验，结合高校特点和本院实际情况，制订了一系列规章制度，汇编成册，发给各科室，人手一册。要求广大医护人员认真组织学习，务必使每个工作人员熟练掌握和严格执行。
规章制度的条款是协调和处理医疗及其它各项工作的依据。在规章制度面前人人平等，任何人在工作中不得超越和违反。
这套规章制度，整理编写时间仓促，加之水平有限，难免涉及的范围和条款不全面。望各科室在执行中，本着认真负责、实事求是、有利工作的态度，及时提出意见，由院委会及编
辑小组负责修订或增补，使之日臻完善。
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目录
医院职业道德规范 ································································· 1 医务人员医德规范 ································································· 2
一、岗位职责 ········································································· 3
（一）医院职责范围 ······························································ 3
（二）行政管理人员岗位职责 ·············································· 4
1. 院长职责 ···································································· 4
2. 业务副院长职责 ························································· 5
3. 行政副院长职责 ························································· 5
4. 门诊部主任职责 ························································· 6
5. 医疗科科长职责 ························································· 6
6. 护理部主任职责 ························································· 7
7. 预防保健科长职责 ····················································· 8
8. 药械科科长职责 ························································· 9
9. 计划生育办公室主任职责 ·········································· 9
（三）各级各类医疗技术人员岗位职责 ····························· 10 临床医师岗位职责 ························································ 10
1. 副主任医师职责 ······················································· 10
2. 主治医师职责 ··························································· 11
3. 住院医师职责 ··························································· 11 临床护理岗位职责 ························································ 13
1. 主管护师职责 ··························································· 13
2. 护师职责 ·································································· 13
3. 急诊室观察室护士职责 ··········································· 14
4. 注射室护士职责 ······················································· 14
5. 换药室护士职责 ······················································· 15
6. 病房护士职责 ··························································· 152
7. 主班护士职责 ··························································· 16
8. 治疗护士职责 ··························································· 16
9. 临床护理护士职责 ··················································· 17
10. 供应室护士职责 ····················································· 17
11. 手术室护士职责 ····················································· 18 医技、药、卫人员岗位职责········································· 19
1. 检验科医师职责 ······················································· 19
2. 放射科医师职责 ······················································· 20
3. “B”超、心电图室医师职责 ································· 20
4. 药房工作人员职责 ··················································· 21
5. 预防保健科医师职责 ··············································· 21
6. 挂号、收费员职责 ··················································· 21
7. 电脑操作人员职责 ··················································· 22
8. 卫生员、清洁工职责 ··············································· 22
二、规章制度 ······································································· 23
（一）行政管理制度 ···························································· 23
1. 院委员会办公制度 ··················································· 23
2. 请示报告制度 ··························································· 23
3. 会议制度 ·································································· 24
4. 考勤制度 ·································································· 24
5. 聘用制度 ·································································· 25
6. 奖惩制度 ·································································· 28
7. 经费使用制度 ··························································· 29
8. 休假制度 ·································································· 31
9. 安全工作制度 ··························································· 32
10. 清洁卫生工作制度 ················································· 32
11. 物资丢失、损坏赔偿的管理办法 ·························· 33
（二）医疗管理工作制度 ···················································· 34
1. 门诊工作制度 ··························································· 34
2. 肠道门诊工作制度 ··················································· 35 3
3. 首诊负责制度 ··························································· 36
4. 病历书写制度 ··························································· 37
5. 医嘱制度 ·································································· 39
6. 处方制度 ·································································· 40
7. 查房制度 ·································································· 41
8. 值班、交接班制度 ··················································· 41
9. 会诊制度 ·································································· 42
10. 病例讨论制度 ························································· 43
11. 查对制度 ································································ 44
12. 转、出诊制度 ························································· 45
13. 医疗质量管理工作制度 ········································· 46
14. 检验科工作制度 ····················································· 47
15. 放射科工作制度 ····················································· 48
16. 口腔科工作制度 ····················································· 48
17. 理疗室工作制度 ····················································· 49
18. 心理咨询室工作制度 ············································· 49
19. 挂号室工作制度 ····················································· 50
20. 收费处工作制度 ····················································· 50
21. 病案管理工作制度 ················································· 51
22. 医疗登记统计工作制度 ········································· 51
23. 医疗事故预防及管理工作制度 ······························ 52
（三）护理工作制度 ···························································· 54
1. 护理部工作制度 ······················································· 54
2. 治疗室工作制度 ······················································· 55
3. 观察室工作制度 ······················································· 55
（四）抢救室工作制度 ························································ 56
（五）换药室工作制度 ························································ 57
（六）注射室工作制度 ························································ 58
（七）供应室工作制度 ························································ 58
（八）手术室工作制度 ························································ 59
4
（九）病房工作制度 ···························································· 60
（十）值班、交接班制度 ···················································· 61 （十一）查对制度 ······························································· 62 （十二）物品、药品、器械管理制度 ································· 62
1. 物品管理制度 ·························································· 62
2. 药品管理制度 ·························································· 63
3. 器械管理制度 ·························································· 63 （十三）消毒隔离制度 ························································ 64 （十四）病房管理制度附件 ················································ 65
1. 病房工作人员守则（附件1） ································· 65
2. 住院规则（附件2） ················································ 66 （十五）药房管理制度 ························································ 67
1. 药房工作制度 ··························································· 67
2. 西药房工作制度 ······················································· 67
3. 中药房工作制度 ······················································· 68
4. 药库工作制度 ··························································· 68 （十六）预防保健科管理工作制度 ····································· 69
1. 预防保健科工作制度 ··············································· 69
2. 健康教育制度 ··························································· 69
3. 传染病管理制度 ······················································· 70
4. 疾病证明书管理制度 ··············································· 70 （十七）计划生育工作制度 ················································ 71 （十八）非典型肺炎防治工作预案 ····································· 72 （十九）突发人间禽流感疫情应急处理预案······················ 77 （二十）霍乱防治工作预案 ·················································80 （二十一）食物中毒防治工作预案 ····································· 82 （二十二）突发公共卫生事件应急处理工作预案 ···············84 （二十三）医院行政医疗管理工作评估表 ························· 87 （二十四）医院各岗位人员考核标准 ································· 88
5
《医院二级库管理制度》
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