What do you mean, neurosurgery is divided into one and two?

grading management system for neurosurgery (for trial implementation) 1. According to the requirements of the Regulations on the Management of Medical Institutions in the State Council and the Measures for the Graded Management of Hospitals of the Ministry of Health, the grading management system for neurosurgery is formulated according to the functions of hospitals. 2. Each department should seriously organize general practitioners to discuss, and scientifically define the operation scope of personnel at all levels according to the technical status of personnel at all levels in the department. 3. According to the promotion of staff in the department and the improvement of personal technical level, the department regularly adjusts the scope of operation. The so-called "scope of operation" refers to the operation carried out within the diagnosis and treatment subjects approved by the administrative department of health. 4, departments should strictly supervise the implementation of the requirements of the scope of surgery for doctors at all levels, any department or individual shall not carry out surgical treatment activities beyond the corresponding scope without authorization. 5. In case of special circumstances (for example, emergency, illness does not allow, etc.), doctors can carry out operations that are out of proportion to their duties and grades, but they should report to their superiors in time to give guidance or assist in diagnosis and treatment. Attachment: Scope of operations for doctors at all levels 1. The chief physician completes all kinds of operations of A, B, C and D according to the classification of various professional operations, but should focus on the improvement of the quality and level of Class A operations. 2. The deputy chief physician completes the B, C and D operations according to the classification of various professional operations, but should focus on the improvement of the quality and level of B operations.

3. The attending physician participates in Class A and Class B operations as an assistant according to the classification of various professional operations; Class C and D operations can be completed. 4. Doctors participate in Class B surgery according to "classification of various professional operations" and act as assistants; Class C and D operations can be completed. 5. Assistant doctors (healers) can participate in class C operations according to the classification of various professional operations, and can complete class D operations as assistants. Considering the problem of talent echelon construction and reserve force training, senior doctors (who have obtained the existing professional title for more than 3 years) can complete the first-class operation under the guidance of superior doctors. For the major without chief physician, the department can choose a deputy chief physician who can complete the operation scope of the chief physician to undertake the work of the chief physician according to the technical level of the deputy chief physician; If you can't choose, you can't carry out this kind of operation beyond the scope. Class A neurosurgery i (1) Resection of various tumors through supratentorial and infratentorial approaches; (2) clipping all kinds of aneurysms through supratentorial and infratentorial approaches; (3) Resection of abnormal blood vessels through supratentorial and infratentorial approaches; (4) Autologous (allogenic) adrenal medulla or substantia nigra transplantation in the brain; (5) New operations. Class b surgery

neurosurgery (1) all kinds of intracranial surgery except class a; (2) Various operations inside and outside the spinal canal; (3) All kinds of nerve anastomosis; (4) Open brain injury clearance; (5) all kinds of skull surgery; (6) all kinds of decompression, drainage and aspiration through skull drilling; (7) Total cerebral angiography by femoral artery catheterization; (8) Transcranial artery puncture cerebral angiography. Class C surgery. Neurosurgery (1) debridement and suture of various complicated scalp injuries; (2) Excision of various scalp tumors; (3) excision of various exostoses; (4) Transarterial puncture chemotherapy.

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