In normal study, work and life, we sometimes face natural disasters, serious accidents, environmental hazards, man-made destruction and other emergencies. In order to control the development of accidents, it is very important to make emergency plans in advance. What formats should I pay attention to when writing emergency plans? The following is the emergency plan for drug management that I compiled for you, for reference only, and you are welcome to read it.
Emergency plan for drug management 1 In order to ensure the rapid handling of emergencies and the smooth completion of pharmaceutical service quality and medical rescue work, please follow the emergency plan for drug supply and pharmaceutical affairs management in this emergency.
First, the early warning system of emergencies.
1, emergency early warning system refers to all situations that need medical rescue in emergencies, including infectious diseases, poisoning rescue, floods, earthquakes, fires, etc. Start of early warning system: in case of sudden emergency, start emergency response according to its nature, category and severity. The personnel on duty shall immediately notify the director or deputy director and the person in charge of the pharmacy to coordinate the work, and the person in charge of the relevant department shall be responsible for organizing and assisting. According to the deployment of the hospital, the resources of the general department are used to assist the rescue work. Class A and Class B infectious diseases are started according to the county three-level early warning system or the standard of our hospital's plan.
2. Start the first-level emergency response: the director is responsible for coordinating the work, replacing the deputy director who assists the director in charge of the work.
Start the second-level emergency response: assist the director of pharmacy department and the deputy director in charge to coordinate their work.
Initiate three-level emergency response: the person in charge of pharmacy is responsible for coordination.
3. Emergency call for help: When rescuing patients, the personnel on duty should prepare emergency medicine and actively participate in the rescue work. When there is a shortage of drugs, you should take the initiative to contact pharmacies or other pharmacies to make up as soon as possible, and at the same time use professional knowledge to actively find alternatives to solve the problem.
Second, organization.
1. The main responsibilities of the Pharmaceutical Affairs Management Committee of Chinese Medicine Hospital in emergencies include:
(1) Formulating and reviewing treatment and preventive drug use plans: including preventive drug use plans and emergency drug use plans for front-line personnel, second-line personnel and other medical personnel; And formulate the corresponding emergency-related drug list and emergency rescue drug list.
(2) review the dosage form and quantity of first-aid drugs, and review the list of drugs for respiratory failure, circulatory failure, liver and renal insufficiency, poisoning rescue drugs, floods, fires, earthquakes and other rescue drugs.
⑶ Formulate and review the drug safety monitoring plan;
3. The Pharmacy Department exercises the duties of the Pharmacy Committee in emergencies, and sets up an emergency leading group in the Pharmacy Department, including the director, deputy director, heads of pharmacies and pharmacy warehouse personnel.
13. the pharmacy department has five professional functional groups, whose functions are:
⑴ Human resources group: led by the department head, responsible for personnel integration, staff emotional stability and life safety in emergencies. Other groups should regularly report the personnel situation (including attendance and infection) to the director of the department.
(1) Personnel integration includes post resetting, personnel deployment, personnel arrangement and scheduling of a new group of temporary posts for each group of personnel. Once entering the first-class emergency response state, the comprehensive department (group) should be announced to stop taking a rest, and all staff should reserve a 24-hour contact number and everyone's responsibilities, and make a form.
(2) Stabilize employees' emotions, motivate employees, establish corresponding restraint mechanisms, properly apply psychological knowledge, and understand employees' practical difficulties.
(3) Do a good job in ensuring the necessary daily necessities, such as ensuring the supply of food and daily necessities for the staff in the isolation area; Carry out work safety guarantee, such as formulating preventive measures, disinfection and isolation.
(4) Ensure smooth communication channels with superior leaders, state the particularity of pharmaceutical work to superior leaders, and coordinate various temporary problems.
⑵ Drug Security and Supply Group: Designate the staff of drug storeroom to concurrently serve as the group leader of drug storeroom, and their main responsibilities are as follows:
① Multi-channel access to drug information, tracking market information; And according to the treatment guidelines formulated by the hospital or the opinions of the expert group, the basic procurement plan is formulated, including the drugs in the treatment guidelines or the drug list designated by the expert group, indicating the name, course of treatment, dosage, dosage and expected number of people receiving treatment, and considering the mutual substitution between drug treatment schemes. Ensure the supply of drugs in short supply during the procurement process.
(2) Responsible for the procurement, storage and distribution of hospital drugs and disinfectants. The drug storehouse is responsible for delivering drugs to the ward, but it needs to be sent to the semi-polluted area of the fever clinic or isolation ward every time and handed over to the staff in the polluted area.
(3) Poisoning rescue, flood, earthquake, fire and other rescue drugs may not belong to the hospital's standing drugs, but we must know which pharmaceutical companies produce these drugs and their supply channels.
(4) Supply drugs in stock and coordinate the deployment of emergency drugs in pharmacies.
⑶ Dispensing Group: led by the Director of Pharmacy Department, whose main tasks are:
(1) to carry out the hospital's daily dispensing work, and perform other temporary tasks related to dispensing.
(2) Effective protection (considering that individual patients with fever may go to the outpatient clinic), prescriptions should be delivered through the hospital network system, and the prescriptions delivered manually should be disinfected and properly kept to avoid cross-infection in the hospital.
③ The daily work of fever clinic pharmacy includes: dispensing medicine, scheduling, ledger management and disinfection.
(4) provide clinical medication information, ensure drug supply, reserve medication consultation plan, prevent backlog, and do a good job in patient-oriented medication consultation and publicity.
⑷ Clinical Pharmacy Group: appointed by the deputy director concurrently or temporarily, responsible for drug information, clinical pharmacy and drug safety in emergencies.
① Collect and sort out the drug information in time, and deliver the rational drug use information to the clinic in an appropriate way.
②ADR monitoring, report collection, report and feedback.
(5) Drug quality control group: the director of drug storehouse is also the group leader, whose work includes:
① Quality control of drug purchase and donation.
(2) Drug inspection reports for inspecting purchased drugs and donated drugs.
③ Check the quality inspection report and expiration date of each batch of donated drugs.
Three, emergency pharmacy management matters needing attention
(1) When the above-mentioned emergencies occur, pharmaceutical personnel must take their positions according to the plan after the emergency response is started. In addition to the above division of labor, pharmacists should also take active and flexible measures to participate in the rescue work.
⑵ The aftermath of pharmaceutical work after infectious disease emergencies.
① Ward pharmacies providing drugs for patients with infectious diseases should be set in clean areas, and the post-treatment of drugs entering polluted areas and semi-polluted areas due to special needs should be handled in the following ways.
② Drugs used to treat inpatients with infectious diseases should be placed in clean areas. Drugs may not enter the polluted area or semi-polluted area by placing the whole package of drugs every day. However, when infectious diseases are effectively controlled and the contaminated area is ready to be cleared, the remaining drugs in the contaminated area should be disinfected because of special needs. Disinfection of residual drugs in polluted areas should be carried out after final disinfection of polluted environment and houses. The disinfection method of other drugs is to soak them in 0.2%-0.5% peracetic acid solution. After disinfection, the remaining drugs are regarded as medical waste, which can be put into double-layer yellow garbage bags and treated in designated areas, and may not be recycled. Before disinfection and destruction of drugs in polluted areas, account books should be registered and the quantity counted.
③ Drug treatment in semi-polluted areas. Try not to enter the semi-polluted area. Drugs with special needs to enter semi-polluted areas should be disinfected when infectious diseases are effectively controlled and semi-polluted areas are ready to be cleared. The disinfection of the remaining drugs entering the semi-polluted area should be carried out after the final disinfection of the environment and houses. The outer packaging or original packaging of drugs in semi-polluted areas should be wiped with 0.2%-0.5% peracetic acid solution. Oral drugs whose original packaging has been opened shall not be recycled. The rest of the drugs can only be used after being wiped and disinfected in the outer packaging and the original packaging and approved by the hospital infection department. After the drugs in semi-polluted areas are disinfected, the account books shall be registered and the quantity shall be counted.
④ Disposal of disinfectants after infectious diseases. The work of preventing infectious diseases needs to prepare enough disinfection drugs, mainly peracetic acid and products containing effective chlorine. After the phased prevention and control of infectious diseases, we should first contact other users to reduce waste and avoid environmental pollution. Disinfecting drugs shall not be sold after expiration.
⑤ Disposal of overstocked drugs. After the phased prevention and control of infectious diseases, in addition to ensuring the normal use of drugs within the validity period, if there is a drug backlog, it should be timely and comprehensively counted, and the drug backlog information should be reported to the supplier as soon as possible for timely feedback to avoid blind procurement. For the overstocked drugs to be handled in the warehouse, after recording the inventory, contact other users or negotiate with suppliers to help them contact and use. After the expiration, it shall not be used, and a ledger shall be established for statistics, and the loss shall be reported and destroyed according to relevant regulations.
⑶ The Emergency Plan for Emergency Pharmaceutical Affairs Management is also applicable to other emergency pharmaceutical affairs emergency plans, and should be handled flexibly according to the nature and category of environmental emergencies.
The second emergency plan for drug supervision is to do a good job in ensuring drug hygiene in kindergartens, effectively prevent, timely control and correctly handle drug hygiene emergencies in kindergartens, and ensure students' health and life safety. This plan is formulated according to the requirements of the Drug Administration Law of People's Republic of China (PRC), the Implementation Regulations of the Drug Administration Law of People's Republic of China (PRC) and the Regulations on Kindergarten Health Work.
I. Guiding ideology
Guided by "Scientific Outlook on Development", adhere to the policy of "safety first, prevention first", strive to minimize the hidden dangers of accidents, maintain the safety and stability of education, and ensure the normal order of kindergarten education and teaching.
Second, the scope of application of the emergency plan
This plan is applicable to the emergency of drug hygiene during the use of the kindergarten clinic (clinic).
Three, kindergarten drug health emergencies emergency leading group and responsibilities
1, leading group for emergency handling of drug hygiene emergencies in kindergartens
Team leader: Fu Qiang
Deputy team leader:
Members: Xu Yuancai, Rebecca, class teacher.
2. Responsibilities of the leading group for emergency treatment of drug hygiene emergencies in kindergartens
(1) Stop taking drugs immediately and report to the district health, education, food and drug administration and other departments as soon as possible;
(2) Understand the cause of the incident, the number of people, the drugs that caused the incident, and the symptoms of the patient;
(3) Send the sick teachers and students to the hospital immediately, and assist medical institutions to treat patients;
(four) to keep drugs, equipment and places that cause adverse drug reactions;
(five) actively cooperate with the investigation of health, food and drug supervision and management departments, and truthfully provide relevant information and samples according to their requirements;
(six) to implement other measures required by the health department, properly handle the aftermath, and maintain the normal order of education and teaching in kindergartens;
(7) Cooperate with the health department to analyze the causes of adverse drug reactions, sum up experiences and lessons, and put forward rectification opinions to prevent similar incidents from happening again.
Fourth, the emergency disposal process
1, event discovery
When the class teacher finds that a student has symptoms such as diarrhea, abdominal pain and vomiting after taking medicine in the kindergarten infirmary (health care room), he should immediately call the kindergarten school doctor or health care teacher and send the student to the infirmary or health care room. The school doctor or health care teacher, with the cooperation of the class teacher, makes a preliminary investigation on the number and situation of students.
2. Event reporting
(1) After investigation, it is known that the school doctor or health care teacher initially suspects that students have adverse drug reactions after taking drugs in the kindergarten clinic (health care room), and they should immediately call the kindergarten leaders and principals. Kindergarten leaders should immediately call the District Education Committee, the District Food and Drug Administration and the primary and secondary health centers of the District Health Bureau, and make detailed records. At the same time, the kindergarten infirmary (health room) should immediately stop using drugs and keep drugs that cause adverse drug reactions.
(2) After receiving the report, the District Primary and Secondary School Health Office immediately reported to the District Education Committee, and immediately rushed to the kindergarten for emergency treatment and investigation together with the staff of the US Food and Drug Administration and the District Health Bureau.
3. Medical treatment
(1) Students with mild illness should be treated nearby; Students with serious illness are transferred to medical institutions designated by the district health administrative department for treatment. At the same time, medical institutions should prepare for medical emergencies.
(2) The kindergarten will inform the parents of the sick students and inform them to visit and take care of the students in the relevant hospitals.
4. Field test
Kindergartens actively cooperate with health, food and drug administration and other departments to investigate the symptoms and signs of sick students, and investigate other kindergarten students who use the same medicine in the kindergarten clinic (clinic).
5. Sample detection
Kindergartens actively cooperate with health, food and drug supervision departments to sample the remaining drugs in the kindergarten infirmary (clinic).
6. Environmental improvement
Kindergartens actively cooperate with health, food and drug supervision departments to carry out drug hygiene inspection and environmental sanitation rectification in kindergarten infirmary (clinic), and further strengthen the awareness of drug hygiene and safety.
7. Public opinion guidance
Kindergartens should respect and satisfy teachers, students and parents' right to know, actively, timely and accurately inform relevant information about adverse drug reactions through various forms in accordance with relevant procedures, and positively publicize the disposal measures taken by relevant departments and kindergartens to avoid false public opinion disturbing the audio-visual and affecting the normal education and teaching order and social stability of kindergartens.
The third emergency plan for drug management further standardizes the storage, use and management procedures of drugs in chemical laboratories, ensures the safety of teachers and students' lives and school property, reduces the losses caused by criminal cases and catastrophic events in the use and storage of flammable, explosive, oxidized and highly toxic drugs, and makes timely remedial and aftercare work after accidents.
First, the basic situation of the laboratory
1. Laboratory distribution: Zone A of the main building of Changli Campus.
2. Distribution of hazardous chemicals in the laboratory:
The third, fourth and fifth floors of the drug warehouse.
Second, set up an emergency leading group.
Team leader: Qi Xiaobo
Deputy Team Leader: Zhou Csajak
Members:
Third, division of labor and responsibilities
Team leader:
Be fully responsible for leading, organizing, making decisions, coordinating and guiding all functional groups to implement prevention and control measures, and be responsible for the command of prevention and emergency work.
Deputy team leader:
Zhou: Be fully responsible for the training of relevant personnel, disaster relief drills and the rescue of teachers, students and property.
Qiao Yake: responsible for the inspection and duty of the laboratory; Formulate corresponding monitoring and management measures.
Member responsibilities:
Zhou Liyan: Responsible for disaster monitoring and reporting.
Qi Yanling: In charge of rescue work, responsible for organizing rescue team members to rescue students and property.
Du Cai: in charge of logistics services, responsible for internal and external communication and coordination, and providing materials needed for emergency rescue.
Zhang Fan: Responsible for appeasing and consoling the families of the dead and wounded, doing a good job in the ideological work of teachers and students, and maintaining the stability of the school.
Laboratory safety officer: responsible for organizing the safe transfer of students.
Iv. working procedures:
1, drugs are kept by special personnel, and irrelevant personnel are strictly prohibited from entering; Equipped with special fire fighting equipment.
2. In case of criminal cases and catastrophic accidents caused by chemicals, members of the emergency leading group quickly rushed to the scene, notified the health center and reported to the competent leader. In case of major accidents, call 1 10, 1 19 and 120 respectively.
3, organize relevant professional and technical personnel, take correct and effective methods, inhibit the spread of fire and harmful gases, evacuate people, to avoid causing greater harm.
4, to assist the doctor to transport the wounded out of the danger zone, emergency rescue work.
5. The logistics team is responsible for vehicle dispatching, equipment and material supply and sending seriously ill patients to the hospital for rescue;
6. Take effective measures to protect the site, cooperate with relevant departments to investigate, and start to analyze and study the obtained materials and physical evidence in detail to determine the cause of the accident.
7. After the accident is identified, a qualitative closing report shall be written, including the time, place, location and casualties of the accident, the economic losses caused, the investigation, the analysis of the obtained evidence, the identification and conclusion of the nature of the accident, and the handling opinions of the accident maker or responsible person.
Verb (abbreviation for verb) emergency plan:
(a) the scene fire emergency plan:
1. When a fire accident is discovered, the discoverer shall promptly report to the person in charge of the laboratory and the local public security fire department (1 19) and immediately cut off or notify the relevant departments to cut off the power supply. When giving an alarm, explain the place where the fire or explosion occurred, the type and quantity of burning substances, the fire situation, the name and telephone number of the alarm person, etc.
2. After receiving the report, the person in charge of the laboratory shall immediately notify the medical, security and safety firefighters to rush to the fire to start work.
3. Rescue should be carried out in accordance with the principle of "personnel first, materials later, key points first, and general ones later". To rescue trapped people and valuable materials, it is necessary to evacuate people in a planned and organized way, wear protective equipment together, pay attention to their own safety and prevent accidents.
4, according to the type of fire, use different fire fighting equipment.
According to different substances, fires can be roughly divided into four types:
Class A fire is the fire of solid combustible materials, including wood, cloth, paper, rubber and plastic.
Class B fires are chemical fires such as flammable liquids, flammable gases and grease.
Class C fire is a fire of live electrical equipment.
Class D fires are combustible metals, such as magnesium, sodium, potassium and their alloys.
Extinguishing Class A fire: Generally, water cooling can be used, but carbon dioxide, halon and dry powder fire extinguishing agent should be used to extinguish ancient books and archives.
Fighting Class B fire: firstly, cut off the source of combustible liquid, at the same time, discharge the combustible liquid in the container in the combustion area to a safe area, and use water to cool the container wall of combustible liquid in the combustion area to slow down the evaporation rate; Use high-dose foam fire extinguishing agent and dry powder fire extinguishing agent in time to put out liquid fires. For combustible gas, the combustible gas valve should be closed to prevent the explosion of combustible gas, and then dry powder, alkyl halide and carbon dioxide fire extinguisher should be used to extinguish the fire.
Extinguishing Class C fire: cut off the power supply before extinguishing the fire. Due to field conditions and other reasons, it is impossible to cut off the power supply. When it is necessary to use electricity to extinguish the fire, use sand or dry powder fire extinguisher instead of foam extinguisher or water.
Fighting Class D fire: Sodium and potassium fires cannot be put out with water. The reaction of water with sodium and potassium releases a lot of heat and hydrogen, which will promote the violent development of the fire. Use special fire extinguishing agent, such as dry sand or dry powder fire extinguisher.
5. Emergency treatment of burns
(1) The basic principles are: eliminating heat sources, extinguishing fires, and self-help and mutual rescue. When a burn occurs, the best treatment is to wash it with cold water, or the injured person can soak himself in a nearby pool to prevent the burn area from expanding further.
(2) When the clothes catch fire, you should immediately take off your clothes and douse them with water, or roll down and put out the fire. When wearing cotton-padded clothes in winter, sometimes the open fire goes out, but the dark fire is still burning. If clothes smoke, take them off or cut them off immediately to avoid further burns. Don't run in a hurry when there is a fire, so as not to help the fire, and don't stand on the phone, so as not to cause respiratory burns.
(3) After preliminary treatment, the injured should be sent to the nearest hospital for further treatment.
6. Emergency measures to eliminate various environmental impacts after fire.
(1) For non-oil fires, the site should be cleaned immediately after the fire is eliminated, and the residue and carbon ash should be cleaned up and put into the unrecoverable garbage place.
(2) For oil fires: clean up the site immediately after the fire is extinguished, collect the oil stains on the ground with yellow sand and rinse with water. Wipe the surface of the accessory with cotton yarn or rag, and then wipe it with detergent.
(2) Emergency plan for chemical burn accident
If acid, alkali or other corrosive drugs are accidentally spilled on your body during the experiment, please rinse it with plenty of water immediately, and then neutralize it with soda (acidic substance) or boric acid (alkaline substance) accordingly.
When concentrated acid spills into eyes or skin, it should be washed with plenty of water quickly, and then with 0.5% sodium bicarbonate solution. When strong alkali spills into eyes or skin, it should be washed quickly with plenty of water, then with 2% dilute boric acid solution, or with 1% acetic acid, and contact the school medical staff for assistance.
(3) the scene electric shock emergency plan:
1, the principle of electric shock first aid is to take active measures at the scene to protect the life safety of the wounded.
2, electric shock first aid, first of all, to make the electric shock quickly out of the power supply, the sooner the better, before the electric shock is not out of the power supply, ambulance personnel are not allowed to directly contact the wounded with their hands. How to disconnect the power supply of the injured person:
(1) cut off the power switch;
(2) If the power switch is far away, dry wooden skids and bamboo poles can be used. Pick up the wire or charged equipment on the person who gets an electric shock;
(3) Use several layers of dry clothes to wrap your hands, or stand on a dry board and pull the clothes of the person who gets an electric shock away from the power supply.
3, get an electric shock from the power supply, should see whether it is conscious, conscious, should make it lie flat, watch closely, don't stand or walk for the time being; If you are unconscious, you should lie flat and ensure the airway is unobstructed. Call the injured person or pat him on the shoulder every 5 seconds to determine whether the injured person is unconscious. Don't shake the head of the wounded and don't call the wounded.
4, rescue the wounded should immediately adhere to the correct rescue with artificial lung resuscitation method, and try to contact the medical department to take over the treatment.
(4) Emergency plan for chemical theft:
When the laboratory finds that chemicals are stolen, it should immediately protect the site, and the leading group should report the stolen drugs to relevant departments for on-site investigation. After the completion of the on-site investigation, the management personnel should carefully count, and the types and quantities of drugs are indeed lost.
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