Chapter 2.
EXTRA-HOSPITAL EMERGENCY TREATMENT (1-1-5 EMERGENCY)
Article 3. Regulations on extra-hospital emergency system
1. Extra-hospital emergency centers (hereinafter referred to as 1-1-5 emergency centers) shall be established in provinces and central-affiliated cities (hereinafter referred to as provinces). These centers are public service providers with revenues affiliated to the Departments of Health of provinces. If a province is not able to establish a 1-1-5 emergency center, a 1-1-5 emergency team affiliated to the polyclinic of the province shall be established.
2. Every hospital of districts shall establish an extra-hospital emergency team (1-1-5 emergency team).
Article 4. Functions and tasks
Responsibilities of 1-1-5 emergency centers and 1-1-5 emergency teams:
1. Provide extra-hospital emergency treatment for patients and transport the patients to hospital for further treatment.
2. Strictly comply with the professional regulations according to the regulations of the Ministry of Health and other law provisions.
3. Provide medical staff with training and scientific researches in professional skills in extra-hospital emergency treatment.
4. 1-1-5 emergency centers shall counsel the Ministry of Health and the Departments of Health of provinces to build up and develop the extra-hospital emergency system satisfying the needs of people.
Article 5. Facilities, equipment, human resources
Any 1-1-5 emergency center shall satisfy the following conditions:
1. Facilities, equipment
There shall be sufficient equipment, drugs, communication media and emergency vehicles serving emergency treatment.
2. Human resources
There shall be a staff of doctors and nurses who have been provided with training in professional skills in extra-hospital emergency treatment.
3. Professional books and records
- There shall be professional books and medical records to note the situation of patients during emergency activities and transport of patients;
- There shall be instructional materials on diagnosis and emergency treatment;
- There shall be administrative maps and traffic maps of the area (GPS, if any).
Article 6. Organization of 1-1-5 emergency services
1. Responsibilities of the emergency medical dispatch:
a) Receive the emergency treatment requests via 1-1-5 system;
b) The call receiver shall fully record the information including time and place of emergency, quantity and situation of patients, phone number of the caller;
c) Dispatch the emergency team and tightly cooperate with the emergency teams of other hospitals in the same area where necessary;
d) Provide family of patients with guidance on giving first aid and care to patients while waiting for the ambulance.
2. Emergency teams
An emergency team shall include 01 doctor (or 01 physician assistant), 01 – 02 nurses, 01 ambulance driver.
3. Responsibilities of individuals participating in the emergency treatment
a) Responsibility of doctors (or physician assistants)
- Take the patient out of the dangerous areas;
- Provide on-site emergency treatment for the patient;
- Conduct assessment to classify the condition of the patient to provide emergency treatment;
- Make a medical record for the patient according to the regulations;
- After the patient has been provided with emergency treatment,
+ If the patient’s condition is not serious, the doctor shall provide the patient and his/her family with guidance on treatment and care at home;
+ If the patient is in serious condition, he/she shall be sent to the emergency ward of the nearest hospital appropriate to the illness condition.
- In case the patient dies:
+ Regarding the case the patient has died before the 1-1-5 emergency team arrives or died during the extra-hospital emergency treatment:
* If his/her family is present, physicians and doctors (hereinafter referred to as doctors) shall explain the condition of the patient to his/her family and make the death record. If the patient dies suddenly or murder is suspected, the doctors shall protect the scene and cooperate with the patient’s family in calling the police;
* If his/her family is not present, doctors shall cooperate with the local police authority in making death record and transfer the case to local administration for solution; the dead body shall be transported to hospital only at the request of the police department;
+ Regarding the case that the patient dies on the way to the hospital:
* If his/her family is present: the doctor shall explain the condition of the patient to his/her family and continue transporting him/her to the hospital, doctors of 1-1-5 emergency teams shall cooperate with emergency teams of the hospital and the patient’s family in making a death record and complete the medical record;
* If his/her family is not present, the doctor shall continue transporting the patient to the hospital, doctors of 1-1-5 emergency teams shall cooperate with emergency teams of the hospital in making death record and complete the medical record and send the dead body of the patient to the funeral parlor of the hospital for preservation and call the police.
- In case of mass emergency or emergency exceeding the capability of the emergency team, doctors shall expeditiously report the case to their director for direction and request the assistance of local medical facilities. While waiting for assistance, doctors shall put in their best efforts to provide emergency treatment, focusing on triage and treatment in order of priority;
b) Responsibilities of nurses
- Prepare sufficient drugs, equipment and emergency tools;
- Expeditiously comply with the direction of doctors, perform emergency treatment techniques according to technical procedures;
- Take the pulse, measure the blood pressure, temperature, breathing rate, assess the condition of the patient and report promptly to the doctors;
- Cooperate with doctors in operation;
- Take care of patients; report any abnormal signs of patients to doctors for prompt solution;
- Replenish drugs and equipment after they are used according to the regulation; preserve drugs and emergency tools, change shift properly;
- Comply with the regulations on antibacterial treatment for emergency equipment and vehicles.
c) Ambulance drivers
- Stay prepared, ensure that ambulances are launched as early as possible after the dispatches are received;
- Operate the ambulance safely;
- Cooperate with doctors and nurses in providing emergency treatment for patients;
- Preserve the medical equipment in the ambulance;
- Cleanse the ambulance regularly;
4. Transporting patients to hospitals
Responsibilities of a 1-1-5 emergency team:
a) Transport the patient to the nearest medical facility that is suitable for his/her condition after contacting with such facility for preparation.
b) Keep providing the emergency measures and treatment for the patient during the transport;
5. Transfer and admission of patients at hospitals
a) The transfer and admission of patient shall be performed between the doctors;
b) Contents of the transfer note:
- Conditions of the patients before and after emergency treatment and his/her condition by the time of transfer;
- The drugs (name, contents, quantity, instruction) and other emergency measures used;
c) Medical examination and treatment facilities must not reject patients transferred by the 1-1-5 emergency team and are obliged to admit patients promptly.
Tìm kiếm
Quyết định 01/2008/QĐ-BYT (Bản Word)