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  1. <br>"You help me further analysis, what can be done." April 19, netizen "nurse Xiaoqian," Post said, he is a nurse, would like to help people free home infusion linked to the water,scarpe hogan outlet, but afraid that they are illegal to practice medicine. Modern Express survey found that, although the need for home health care services a lot of people, but for security reasons due to the restrictions and other laws and regulations, the hospital has been unable to provide on-site service to normal. Experts told reporters, although proposed legislation may apply for "family bed" to solve this problem, but the application of beds Nanjing is almost zero. Modern Express reporter intern Tang Xin Ran Liu Jun<br> <br>Controversial topic<br> <br>Nurse post:<br> <br>I want to help people free home infusion<br> <br>April 19, "the nurse Xiaoqian," Post said,xG2nKTsDe5, it was a hospital nurse, working for seven years, working three shifts, morning shift, then 14:00 on the right. Small night when work 14:00, 20:00 to work, so in the morning there is time.<br> <br>"Nurses Xiaoqian" want to do something with his spare time. If someone at home with perennial bed or mobility of the elderly, need transfusion and inconvenient to go out, she can come to help the infusion and is free of charge.<br> <br>Despite the fear that this might be an illegal medical practice act, but "the nurse Xiaoqian," he said his services are not all the charges.<br> <br>Health department:<br> <br>Not recommended not allowed<br> <br>Health departments, and non-collection of unrelated charges, on-site service if it is a problem, then indeed the alleged illegal practice.<br> <br>Nanjing Health Bureau official told reporters that the nurse, though well-intentioned, but for now, the hospital is not allowed, the health sector is not recommended. First, the legal and regulatory requirements,moncler femme, unless emergency, clinic, etc., behavioral health care clinics must be carried out within the medical institutions. Secondly, the incidence of infusion reactions is not high, but once there, it is necessary to use rescue equipment, which generally do not have families. Third, some specific drugs, requires a certain temperature preservation, and some also require ultraviolet disinfection, from the perspective of drug safety, is not recommended to carry out at home infusion.<br> <br>Express survey<br> <br>Miscarriage bedridden elderly and women, home needs a lot<br> <br>80-year-old Yin master, cancer has been a year, he also suffers from diabetes and other chronic diseases. We did a major cancer surgery, went home at ease in bed recuperating.<br> <br>After returning home, relatively weak constitution, recurrent fever after a cold, pneumonia. Yin master too old, and is recovering from surgery. Family to go the hospital to open some medicine, then please nurse home infusion. Unexpectedly, called in the past consultation, the door of the community hospitals can not take this "live",20E598ca3f, even more of the family members of a "medical expenses."<br> <br>Community Hospital official told the Modern Express reporter, the doctor can come to the service, you can also prescribe some medicine, but the infusion linked to the water is not.<br> <br>Nanjing, a community health service center experts told reporters that, for now, the old man confined to bed and miscarriage women, home is a lot of demand.<br> <br>"Some pregnant women take some time to play progesterone miscarriage, go to the hospital many people queuing, wanted to play at home, in fact, very simple, some people fight their own at home, but some people do not, on the phone, like allow community doctors home. "Experts say, but for the injection fluid, community hospitals are not the door.<br> <br>Nanjing has been carried out on-site infusion service,i0VF25iLwJ, after ban<br> <br>It is understood that eight years ago, Nanjing and Huaihai Road and other community health service centers have been carried out on-site infusion injections service. By 2011, it has quietly stopped.<br> <br>The current laws and regulations on community health care on-site service is required. Jiangsu Province in 2010 issued "on the strengthening of community health services on-site service work notice" clearly define the content of on-site service, including the opening of the family bed, home visits bedridden patients, patients with chronic diseases to guide rehabilitation training 7,zKD9XKJjCo, shall Easy to use sensitizing drugs, may not provide the injection, infusion and other medical and health services.<br> <br>Nanjing Health Bureau said Liu Qizhi group Women at the on-site service, you can provide some non-invasive services such as dressing, changing catheters and prescription and so on. But the infusion injections, is more complicated, it is an invasive, high-risk. Sometimes such as allergies and other adverse reactions. The Ministry of Health regulations require infusion in medical institutions.<br> <br>If the infusion at the hospital, in the event of adverse reactions, the hospital can be treated in time, while at home infusion obviously do not have this situation, from the medical safety is concerned, the door hanging unsafe water, it is best to go to the hospital.<br> <br>"Family bed" to provide on-site service, but can not execute<br> <br>Life, there are many elderly, bedridden, unable to move to the hospital, the medical needs of these people,tn requin pas cher, how to do it? Currently, the regulations also leave a "hole", that is, the family can apply for open beds in service.<br> <br>"The patient's bed at home, as a hospital bed, into the medical management areas, need-to-door to check the bed once a week. Provide on-site service by a doctor." Experts told reporters, Nanjing provisions to ensure the safety,9v560hXRgv, based on the infusion may be properly carried out injections and other services.<br> <br>However, the family of Community Hospital beds, almost zero. "It is an impossible task." A community health service center official said. Family bed different from ordinary home infusion, which requires doctors and nurses must be on-site, a professional nurse, with the necessary first aid equipment.<br> <br>"We need to bring an oxygen bottle,H74GGUrQkR, first aid kits, but also linked to the water accompanied, not the end of the infusion, the medical staff can not leave." Responsible person said, takes a lot of people, but also nervous, worrying about what the accident. "Someone to apply, also declined, because community hospitals simply not drawn so many people."<br> <br>"Normal day shift, hospital infusion rooms on two people, if you want to deploy a home nurse, it is very troublesome, let alone then transferred to a doctor." The official said. A community physician in charge of the people, simply too busy to attend. Despite the family bed this policy, but the actual operation of community hospitals is not much.<br> <br>The most surprising is that,FBVrbP3het, if we really want to carry the family bed, home health care, a person can only be charged 10 dollars.<br> <br>"Common medical staff, a charge of 5 dollars, senior staff, a fee of 10 dollars." Nanjing Health Bureau said Liu Qizhi group women at the present site service, price standards, or the 1980s.<br> <br>Inquiry<br> <br>How to solve this dilemma?<br> <br>Strengthening primary health care<br> <br>Experts told reporters that the current lack of supporting policies,BaLE452rbq, lack of manpower, there is no way to fully open the door infusion business. But the strong grass-roots,tiffany italia, we can really start from now.<br> <br>At present, Jiangsu new medical reform policy has been very clear, somewhat inclined to the primary level. 2015 Jiangsu comprehensive open classification treatment system construction, promote the formation of "grassroots first diagnosis, classification clinics, two-way referral," the doctor order. Strive to 2017, the province's medical classification system has achieved a breakthrough, the formation of acute, sub-acute and chronic treatment of Classification treatment mode.<br> <br>Pilot program proposed Medicare payment policy tilt to the grassroots. According to reports, according to specifications from the grassroots to handle the referral, the implementation of differentiated insurance settlement policies; go to meet the next turn indication for primary medical, rehabilitation, and improve reimbursement; procedures for failure to seek medical treatment, reducing reimbursement or not to reimbursement of medical expenses.<br> <br>Experts told reporters, when grassroots increasingly important, a number of supporting policies, including the problem of insufficient manpower, there is likely to be resolved. Wait until conditions are ripe, home infusion can really solve the problem.<br> <br>I am a hospital nurse, has been seven years since work three shifts, morning shift 14:00 work on the right, on a small night 14:00 20:00 next morning there is time, I would like to do with spare time And so I think as good as home infusion injections free of charge for everyone, if the family has perennial bed or mobility of the elderly require transfusion and inconvenient I can come out of the infusion, no charge,moncler outlet online, but asked the department's comments, they said I was crazy ! I do not charge, is it not a public service it? If the fee, then that is the illegal practice, but I was not ah! I would like to ask everyone's opinion, can I do, if there is a problem I have much responsibility.<br><br>

    Posted 10 years ago #

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