医院手术室各类规章制度.docx

目录 一、请示报告制度 ··4 二、手术室工作制度 ··4 三、麻醉科工作制度 ··5 四、麻醉恢复室管理制度 ··6 五、医嘱制度 ··7 六、差错、事故登记报告处理制度 ··8 七、病人知情同意签字制度 ··9 八、无菌操作制度 ···············································································11 九、消毒药械管理制度 ·········································································11 十、合理使用抗生素制度 ······································································12 十一、一次行使用灭菌医疗用品管理制度 ·················································15 十二、医疗废物管理制度 ······································································16 十三、输血科医院感染管理制度 ·····························································17 十四、消毒隔离制度 ············································································18 十五、医务人员职业防护工作制度 ··························································19 十六、毒性药品管理制度 ······································································21 十七、麻醉药品，第一类精神药品安全管理制度 ········································22 十八、危险性药品管理制度 ···································································23 十九、麻醉药品空安瓿管理制度 二十、药品不良反应报告制度 二十一、不合格药品管理制度 ·····························································23 ································································24 ································································25 二十二、输血工作制度 ·········································································26 二十三、临床用血管理制度 ···································································27 二十四、输血安全措施制度 ···································································29 二十五、手术室护理工作制度 ································································30 二十六、分级护理制度 ·········································································31 二十七、疑难 , 危重病例会诊讨论制度 ·······················································34 二十八、会诊制度 ···············································································34 二十九、危重病人抢救制度 ·········