学习“保柏认证－员工部分”，职业安全在这里！

icchina

7a.	Human Resources and Occupational Health人力资源和职业健康	Yes/No/Other 是/否/其他	Reason原因
	The following questions apply to all staff that work in the hospital on either a permanent or temporary basis.下述问题适用于所有在医院工作的员工，不论是长期还是临时雇员。	y
7a.1	Is there a human resource strategy aligned to the overall hospital business plan?有符合医院整体发展的人力资源战略吗？
7a.2	Is there an organisational chart? 有组织结构图吗？
7a.3	Are there written and dated policies regarding: 是否有关于以下各项的书面的且标明日期的制度：	y
	·        Ensuring sufficient numbers of qualified staff are available at all times 确保始终有足够数量的、具有资格的员工可用
	·        Pre-employment checks including criminal convictions and qualifications 入职前检查，包括犯罪记录审查和资格证明
	·        Staff recruitment 员工招聘
	·        Staff retention 员工保留
	·        Staff induction 员工入职培训
	·       Ongoing staff evaluation/appraisal员工持续考核
	·        Continuous training of staff 员工的继续教育
	·        Safety and security of staff 员工安全和保卫
	·        Managing employee absenteeism 员工考勤管理
7a.4	Is there a formal mechanism by which a member of staff may confidentially raise a professional concern about a colleague (whistle-blowing)?
7a.5	Does each job advertised specify job title, grade and objectives?招聘广告中的每个职位是否注明职务名称、级别和责任？
7a.5a	Does each job advertised specify previous experience required? 每个招聘的职位是否对申请人之前的工作经历做明确要求？
7a.5b	Does the hospital have a defined process / written policy to ensure that all clinical staff recruited have the knowledge and skills to meet patient needs 医院是否有明确的流程/书面的制度以确保所有招入的医护人员具备适当的知识技能以满足患者的要求？
7a.5c	Does the hospital have a defined process (eg written policy) to ensure that all non-clinical staff recruited have the skills and experience to meet the needs of the hospital? 医院是否有明确的流程（书面的制度）以确保所有招入的非临床人员具备适当的知识及经验以满足患者的要求？
7a.5d	Does the hospital have written policies to ensure:医院是否有书面规定以确保
	·       clinical responsibility is given on the basis of experience and ability 临床的责任是基于经验以及能力
	·        non-clinical responsibilities are given on the basis of experience and ability 非临床的责任是基于经验以及能力
7a.6	Is there a central register of all staff employed? 有所雇全体员工的中央登记册吗？
7a.6a	Do all staff have a personnel file that includes: 是否所有员工都有个人档案并包括以下文档	y
	·       a copy of their employment contract 工作合同
	· a copy of their job description 岗位职责
	·       details of their ongoing training and personal development 在职培训及个人发展规划
	·        a pre-employment health check 入职前体检
	·       a copy of their references or employment resume 推荐人或者工作简历
7a.6b	Is all personnel information kept securely and confidentially? 是否所有的个人信息都被安全保密的保存
7a.6c	Is a copy of a staff members personnel file available to them on request? 员工的档案是否在其需要时可以得到一份复印件？
7a.7	Are all employees issued with a written contract covering the terms and conditions of employment?所有员工都持有一份包括聘用条款和条件的书面合同吗？
7a.8	Are there dedicated smoking areas, away from patient and clinical areas, for staff? 是否为员工提供远离病人及临床区域的指定吸烟处？

icchina

	Induction of Staff员工入职	y
7a.8	Do all staff, including temporary staff, participate in a formal induction programme within one month of taking up appointment? 是否所有员工，包括临时员工，在就职后一个月内都参加正式的新员工入职培训计划？
7a.9	Is completion of this induction programme noted in individual staff records? 是否完成新员工入职培训被记入员工个人记录中？
7a.10	Does the induction programme include: 新员工入职培训是否包括：	y
	·        Organisation of the hospital 医院的组织结构
	·        Fire safety 消防安全
	·        Security arrangements 安全保卫安排
	·        Health and safety training 健康和安全培训
	·        Manual handling training 人工操作培训
	·        Customer service training 客服培训
	·        Infection control training 感染控制培训
	·        Occupational health 职业健康
	·        Patient confidentiality 为患者保密
	·        Incident reporting 意外事件报告
	·        Basic IT skills for hospital systems 医院系统方面的基本IT技能
	·        Pay arrangements 薪资安排
	·        Formal appraisal arrangements 正式考核安排

icchina

	Occupational Health职业健康	y
7a.11	Is there a dedicated occupational health service available to all members of staff? 有面向全体员工的专门的职业健康服务吗？
7a.12	Is the service located in an area which maintains confidentiality of staff? 服务区是否设在能够为员工保密的区域？
7a.13	Are there adequate measures to ensure all notes are kept segregated from the main clinical records department? 有适当的措施确保所有病历的保存与医院病案室是分开的？
7a.14	Are all clinical staff employed in the service specifically trained in occupational health? 提供此项服务的所有临床员工是否都经过职业健康方面的专门培训？
7a.15	Has the occupational service: 职业健康服务是否具有：
	A system for pre-employment health questionnaires for each member of staff? 每名职员入职前的健康调查问卷系统？
	A policy for management of sharps injuries? 锐器伤管理制度？
	A well established line of communication with the infection control team? 与感染控制小组有效联络的渠道？
	A policy to provide staff immunisation to prevent infection? A policy regarding hepatitis B immunisation for clinical staff in exposure-prone procedures? 为预防感染向员工提供免疫措施的制度？向有暴露危险员工提供乙型肝炎疫苗的制度？
	An executive that reports into the main hospital management board? 一名向医院的管理委员会报告的高级管理人员？
	A confidential psychiatric/counselling service? 保密的心理咨询服务？
	Arrangements for continued support of staff who are absent from work to aid early return to work? 对缺勤员工的持续支持工作，以帮助他们早日返回工作岗位？

icchina

7b.	Medical department: Education and Appraisal医务处：培训与考核	Yes/No/Other 是/否/其他	Reason原因
7b.1	Does the hospital have a policy defining the criteria a doctor must meet before they can practice within the unit?有关于医师在科室任职所需达到标准的相应规定吗？
7b.2	Does this policy cover: 此规定是否涵盖：	y
	·        Relevant previous experience 以前的相关经验
	·        Basic and specialist qualifications 基本和专业资格
	·        Documented registration with the relevant professional body 专业机构的登记证明
	·        Criminal convictions 刑事犯罪记录
	·        Evidence of regular appraisal 定期考核记录
	·        Evidence of audit of personal practice 个人从业稽查证据
	·        Is there a medical advisory committee or equivalent that can deal with concerns about doctors 是否设有处理医师问题的医疗咨询委员会或同等机构
	Free text: please give details:请提供详情：	y
7b.2a	Does the hospital use primary source verification to ensure the qualifications and experience of the doctors and nurses working in the facility? 医院是否对在职医护人员的学历及经验进行第一手的入职调查？
	If primary source verification is not used please give details of how qualifications are verified: 如果第一手资料入职调查没有被采用，请解释如何确保医护人员学历的真实性	y
7b.3	Is there a system to revoke practicing privileges in appropriate circumstances? 是否有在适当情况下取消医师从业资格的体系？
	Continuing Professional Development专业持续发展	y
7b.4	Does each doctor have access to a programme of continuous professional development hosted by an appropriate authority? 是否每名医师都有机会参加适当的管理机构举办的专业持续发展计划？
7b.5	Does each doctor have access to sufficient study leave and funds to undergo necessary training? 是否每名医师都可获得足够的学习假期和资金，以接受必要的培训？
7b.6	Does each doctor undergo formal appraisal on an annual basis? Please provide details 是否每名医师都接受正式的年度考核？请提供详情
7b.7	Does each doctor have access to administrative support to aid in audit of practice? 是否每名医师都可在从业稽查中获得行政支持？

icchina

7c.	Nursing department: Education and Appraisal护理部：培训和考核	Yes/No/Other 是/否/其他	Reason原因
7c.1	When appointing nursing staff does the hospital request evidence of:聘用护士时，医院是否要求提供下列各项的证据：	y
	·        Relevant previous experience以前的相关经验
	·        Basic and specialist qualifications基本和专业资格
	·        Documented registration with the relevant professional body专业机构的登记证明
	·        Criminal convictions刑事犯罪记录
	·        Evidence of regular appraisal定期考核记录
	·        References 推荐信
	Continuous Professional Development专业持续发展	y
7c.2	Is there a named senior nurse responsible for the continuous professional development of nursing staff? 是否有一名指定的资深护士负责护理人员的专业持续发展？
7c.3	Does each nurse have a personal development plan reviewed with a named senior colleague on an annual basis? 每名护士是否都有一份由指定的高级护士评估过的个人发展计划？
7c.4	Does each nurse undergo formal appraisal on an annual basis? 每名护士都接受正式的年度考核吗？
	Free text: please give details:请提供详情：	y
7c.5	Does the hospital provide a comprehensive nurse training programme to ensure nurses can maintain and update skills as required? 医院是否提供综合的护士培训，以确保护士能够保持并更新所必需的职业技能？
7c.6	Does each nurse have access to administrative support to aid in departmental audit? 每名护士是否都可获得部门稽查中所需的行政支持？

icchina

7d.	Communication 沟通	Yes/No/Other 是/否/其他	Reason原因
7d.1	Does the hospital management communicate with staff to inform of: 医院的管理层是否就如下内容与员工沟通	y
	·        Changes in organisational structure 医院组织结构的变化
	·        Changes in hospital policy/services 医院制度/服务的变化
	·        Outcomes of patient satisfaction/complaints 病人满意度/投诉信息
7d.2	Staff are trained in communication techniques to support patients and their families? 员工接受沟通技巧的培训以更好的服务病人及其家属
7d.3	Staff are trained to communicate within and across departments to share knowledge and experience? 员工接受培训以便更好的在科室内及科室间分享知识及经验

icchina

通过这几年的努力，大家对医务人员的职业安全的理念有了，但是执行得非常差。
需要加油呀！

无极紫晶

回复 7# icchina

很多人还是意识很差。比如我们帮他呼吁装洗眼器，可是人家就非在水龙头上装一个皮管说这样就可以了！我不知道这个皮管里如果长时间不用会是什么情况，真正需要冲眼的时候不知道又会把什么冲进眼睛里！

梦瑶

回复 7# icchina
从一开始员工职业暴露不知道要上报,到现在知道要上报了,知道哪种情况下需要预防用药了;从原来的暴露后预防用药完全自付到现在的医院支付部分,这段路走了快三年,是走得很慢很慢.