Can't enter the ICU, the guidance of my life will be said!Shenzhen Legislative River

Author:Guangdong Communist Youth Leag Time:2022.07.06

At 10 o'clock in the evening, I finally coaxed the two babies to sleep.

Kai Yin was lying on the bed, turned on the phone in the dark, ordered the "choice and dignity" website to make a major decision in life:

Standing "During the Daily Best".

Don't get me wrong, she is only 37 years old, her physical and mental health, children's doubles, and happy family, far from worrying about "the day of walking".

But one morning in October last year, there was an unexpected situation, and her father had an accident.

Half an hour ago, the father was also accompanied by two daughters, walking happily and basking in the sun.

Half an hour later, Kai Yin received the information of her sister: Dad suddenly bleeds brain bleeding, and you hurried to the hospital.

When her father was pushed out of the operating room, she couldn't believe it:

In the morning, the dad who lived a dragon and live tiger was full of tubes in his mouth and hands, and his back was covered with waist puncture. The urethra was inserted with a urethra, and there was no skin on the whole body.

Picture source: documentary "My Last Summer"

"He was unconscious, but his eyes were crying. I knew he was very painful."

After three operations, my father rescued, but never woke up. After 8 months in the hospital, his father was now returned to his hometown in Zhanjiang. He lived on the ventilator and sputum -absorbing machine every day. "He can't speak, but he will cry, and he can see that he is really better to die, but he can't say it."

In fact, before surgery, the doctor clearly told them a few brothers and sisters: the bleeding site was on the right hillbrain, which was very close to the brain and stem. Even if he rescued, he might not have consciousness, and it took a lot of cost.

The decision is in the hands of the family. "At that moment we didn't think about anything, we must save it!"

Picture source: "Emergency Doctor"

In retrospect, some of their brothers and sisters are very guilty:

"I knew that I didn't go to rescue at that time. Dad was painful, and we looked more painful."

Kai Yin himself worked in the hospital and witnessed the pain of many advanced tumor patients. After experiencing her father's affairs, she was suddenly cheerful:

When death is inevitable, excessive intervention is just extending the body's time, but it cannot extend the time of life.

When she saw Shenzhen legislation respecting the "During the Illustration" from the news, she decided not to decide:

Now let's make a statement that we must not suffer again in the future.

Her husband and sister have become her testimony witnesses.

Nationwide

Shenzhen legislation respects the patient's "life -free desire"

On the afternoon of June 23, the tenth meeting of the Standing Committee of the Seventh People's Congress of Shenzhen approved the revised draft of the "Shenzhen Special Economic Zone Medical Regulations". Come version 2.0.

We picked up ten highlights from it. The first one was:

At the last moment, you can listen to yourself.

Auntie Yu, patients with cranial pharynx tumor, talk before surgery. Image source: "Establishing Offer Season 3"

"Do you want to rescue, I have the final say"

The hospital is listening to the patient's "lifelong guidance"

The newly revised "Medical Regulations" in Shenzhen has made bold innovation. At the end of the incurable injury or at the end of the dying, if the patient sets up the aspiration "Do not do it without any rescue", the hospital must respect its will and let the patient walk calmly and finish the final final. Time.

As a result, Shenzhen became the first region in the country to legislate for the "During Origintes".

Picture source: network

How to stand for the "Daily Book" is valid? The "Medical Regulations" also stipulate.

Article 70

Those who receive patients with the following conditions with the following conditions will be received by patients or their close relatives. Medical institutions shall be performed in the end of the patient's irreparable injuries or at the end of life.

(1) There are clear intentions of adopting or traumatic rescue measures such as adopting or not taking intubation, cardiopulmonary resuscitation, and using or not using life support systems, and continuing the treatment of primary diseases.

(2) Witness by notarization or more than two witnesses, and witnesses must not be medical and health personnel who participated in the treatment of patients;

(3) In addition to notarization of written or recording and recording, if a written method is used in writing, it shall be signed and the witnesses shall be signed and the witnesses shall be signed and the time shall be indicated. Witnesses' names or portraits and time.

"During the During Life" schematic diagram

However, the bonus of life was never "euthanized."

Wang Yue, deputy dean of the School of Medicine Humanities of Peking University, pointed out that his life -free aspect was an important part of tranquility treatment, and it gave the dying patient a self -decision right.

"We call it a kind of help, a natural death order, neither accelerate nor delayed. Putting its starting point through medical will move forward, so that patients make choices when their consciousness is awake."

And euthanasia, whether it is active or passive, changes the process of death and accelerates death.

In Anning therapy, even if the patient's "life -free" choice does not take positive medical measures, medical institutions should also provide physical, psychological, mental, mental, mental, and mental for patients at the end of their dying. Sales such as care and humanistic care to improve the quality of life and help patients' comfortable, serene and dignified death.

Picture source: Shenzhen Health Commission

"Nurse can also open a prescription"

Shenzhen is the first to give specialized nurses in the country to "prescription rights"

In recent years, "specialized nurses" have begun to rise in China. They have an independent expertise in one aspect, and they can go out of the clinic independently like a doctor. For example, Nursing Nagato, a nurse at the Shenzhen People's Hospital, obtained the "International Stame Wound Therapist" and opened the first outpatient clinic in Shenzhen. However, they do not have "prescription rights". When they are out of the clinic, they need to dispose of drugs such as the external physiological saline and medicinal dressing for the change of drugs. The patient must also hang a doctor's number to open the prescription.

The newly revised "Medical Regulations" in Shenzhen draw on some developed countries. It is the first to give a certain prescription right to specialized nurses in the country. It can issue "prescriptions" for inspection, treatment, and external drugs in nursing specialist clinics or community health service institutions.

Picture: Netizen Comments

Specialist nurses are not "graduates of college graduates". In Shenzhen, they must have a bachelor's degree or above, more than 5 years of clinical experience, more than 2 years of related professional post experience, and intermediate or above.

Article 64

Establish a specialized nurse system. Encourage nurses to participate in professional training for specialist nurses according to the needs of discipline development and obtain specialist nurses.

Those who meet the following conditions, participate in professional training for specialist nurses, and pass the assessment of the municipal health department, can obtain a specialized nurse certificate:

(1) Have a bachelor's degree or above;

(2) Have more than five years of clinical care work experience, and work experience of more than two years of work;

(3) Obtain qualifications for professional and technical qualifications of intermediate levels or above.

Specialized training specifications and standards for specialty nurses are formulated by the municipal health department.

Article 65 Nurses who have obtained a specialist nurse certificate may conduct the following practice activities in the nursing specialist clinic or community health service agency:

(1) Turn on the application form, the treatment application form, etc.;

(2) Postering topical drugs.

The specific management methods of specialized nurses shall be formulated separately with the municipal medical security department.

Picture source: Shenzhen Health Commission

"Let the doctor speak freely"

The "discussion process" of the case is not made to the affected side

The revised "Medical Regulations" continued to protect the informed rights of the affected party, including consulting, copying, and replication of medical records.

However, the regulations are also clarified for the first time across the country. One type of information in medical records can not be discussed to the affected side -discussing sexual documents.

It means that the conclusion of the discussion should be made public, but the process of discussion can be disclosed. The purpose of this move is to allow medical staff to "dare to speak" during the discussion of the meeting, which is essentially for the treatment of patients. Because medicine is a scientific science, internal discussion needs to boldly assume and verify it carefully, eliminating the worries of the medical staff to say the wrong words by the "post -autumn account", they can speak freely and discuss the best treatment plan.

Article 100

Conclusion opinions such as discussion of difficult cases, pre -discussions, and death case discussions shall be recorded in the course of the disease. Discussion records and other discussion medical documents are preserved as attachments for medical records, and medical institutions may not be disclosed to the affected side.

Picture source: Shenzhen Health Commission

"Change the horse to open the black clinic" was blocked

Do not "come back" within 5 years of being suspended

There was a private clinic department in Xixiang Street, Baoan District, Shenzhen. In 2017 and 2018, there were 23 complaints on petitions for random charges and high charges. They were finally punished for penalties and fined 158,500 yuan.

On January 22, 2019, the clinic was canceled.

However, the boss immediately "changed his head" and asked someone to register a new clinic license, opened at the original site, and continued to "go to the dark"

One month later, on February 28, 2019, the new outpatient department was investigated and punished by the police for suspected forced transactions, extortion, and illegal medicine.

In the "sweeping crime and eliminating evil" storm, Shenzhen investigated and dealt with many such "black clinics" that constantly "replacing vests" to continue illegal medicine.

In order to block this vulnerability, the newly revised "Medical Regulations" stipulates that the medical institutions and the person in charge, the investor, and the medical business in charge of the suspended certificate cannot be "re -out of the mountain" within 5 years.

Article 149

If the medical institution is revoked the license of the medical institution, it is not allowed to apply for a practice registration again within five years. During the year, he must not be the person in charge of the medical institution or the person in charge of the medical business.

Picture source: Shenzhen Health Commission

"Chinese and Western medicine can be cross -border"

The scope of practice can be "Chinese and Western medicine" at the same time

Under the basic policy of "equal emphasis on traditional Chinese and western medicine" in my country, many doctors have begun to cross the border, follow the "combination of traditional Chinese and western medicine", and some "Western Medicine" obtains the "Chinese Medicine" qualification certificate, and some Chinese medicine has obtained the qualification certificate of clinical physicians, but When further registered physician practice certificates, they can only "choose one". Western medicine or Chinese medicine can only have one.

The revised Shenzhen "Medical Regulations" first opened in the country, allowing Chinese and Western medicine to "cross -border registration".

In other words--

Clinical practice certificate, you can add Chinese medicine major

Traditional Chinese medicine practice certificate, you can also add clinical majors

However, there can be only one practice certificate, which is not allowed to "dual certificates" of Chinese and western medicine.

Article 57

Clinical doctors obtain the qualification certificate of traditional Chinese medicine physicians, and can apply for an increase in the scope of the registered Chinese medicine category; if the Chinese medicine physician obtains a clinical physician qualification certificate, you can apply for the application of the registered clinical category as the scope of practice.

Picture source: Shenzhen Health Commission

Stop "Multi -point Hanging" crooked wind

Pharmacists, inspection technicians, etc. must also list "main practice institutions"

Which hospital do you work in? In the past, only doctors and nurses were required to fill in the "main practice institution" when they registered. Pharmacists and other medical and health personnel such as examination, inspection, rehabilitation therapy technicians did not need. This brings a loophole, and some technicians hang on the name of "full of people" (actually not working there) under the name of many hospitals, causing management confusion.

The newly revised "Medical Regulations" fixed this bug, stipulating that they also had to record: which "main practice institution" is.

Article 59

If medical and health personnel who are engaged in pharmacy, inspection, inspection, rehabilitation treatment, etc. who practice in the city's medical institutions, they shall obtain corresponding practice qualifications or professional title certificates in accordance with the law, and apply for practicing filing through the municipal health information platform to clarify their main practice institutions Essence

Picture source: Shenzhen Health Commission

"Let go of your feet"

Doctors in Hong Kong and Macao can also practice more in Shenzhen

At present, the doctors and nurses in Shenzhen can practice more after the filing, but it is not possible to do more in Hong Kong and Macao medical professional technicians.

The newly revised "Medical Regulations" liberalized their "hands and feet", allowing them to practice more in Shenzhen after filing to encourage and guide high -level Hong Kong and Macao doctors to practice in Shenzhen.

Article 61

After registering the Hong Kong and Macau Special Administrative Region, medical professional and technical personnel can carry out corresponding practice activities in the city's medical institutions other than their main practicing institutions. Those who belong to short -term practice shall also obtain the consent of their main practice agency.

Picture source: Shenzhen Health Commission

Prevent "abuse of charging"

Foreign doctors have to have an assessment for 3 years in Shenzhen

At present, mainland doctors and Hong Kong, Macau, and Taiwanese doctors must accept regular assessment in accordance with regulations in the Mainland, but there is no such requirement for foreign doctors.

Shenzhen's newly revised "Medical Regulations" uniformly stipulate that overseas doctors must regularly accept assessment to encourage and guide high -level overseas doctors to practice deeply.

Article 69

If a total of three years of practicing in the city for overseas doctors should participate in the regular assessment of the physician in their registered main practice institutions.

"Can't mess with gimmicks to cut leeks"

New medical service projects must be filed

A profitable hospital of the Social Affairs Office can set up medical service projects by themselves. But this will cause some chaos.

For example, Korean 4S line carving all-faced tattoos, South Korea TLVOG-LINE improvement ... Do you know what these unknown medical beauty surgery is?

In order to prevent some medical institutions from setting up a gimmick and "cut leeks", the revised "Medical Regulations" put on "patch" and clarified that it is possible to set up medical service projects by yourself, but it must be recorded.

Article 19

If a social office for profit -seeking medical institutions set up medical service projects outside the city's medical service project, it shall meet the technical specifications of medical services and report to the health department for record.

"Knowing consent" must fully respect

Practice "self -funded medicine" for medical insurance patients must first obtain consent

The advancement of clinical medicine cannot be separated from breakthroughs and innovation, but it must have a major premise to apply to patients: informed consent.

The revised "Medical Regulations" stipulates that if the drug instructions are not clearly used in the drug instructions; those who use the medicines outside the medical institution or prescribe their own expense medicines for medical insurance patients, shall obtain a clear consent of the affectedin.

Picture source: network