The patient takes the medicine infusion by oneself It needs to weigh with responsibility to believe in

The patient takes the medicine infusion by oneself It needs to weigh with responsibility to believe in
The patient takes the medicine infusion by oneself It needs to weigh with responsibility to believe in
The patient requires the infusion taking community's hospital from medicine which the hospital of higher level drives back to own gate by oneself, this kind of phenomenon is of common occurrence. By the look of angle convenient for people, community's hospital is difficult to refuse, this is an evidence of the patient believe in community's hospital too. However, once the accident happens at the time of the infusion, who undertakes responsibility? Not expressing regulations at present, the medical organization can refuse a patient and take the medicine infusion by oneself, but this has become the medical trade rule sanctified by usage, the purpose is for stopping the malpractice. In the treatment, the malpractice caused by prescription and medicines quality appears, it needs to bear responsibility to connect and examine the medical organization, basically every one is responsible for their own medicines and behavior of making a diagnosis. How to not only guarantee the patient's security but also minimize the medical risk of community's hospital? I propose it as follows. First, advise residents to go to community's hospital to fetch the medicine treatment. In which hospital infusion treatment generally speaking, in which hospital the patient goes to a doctor, the best, favorable to doctors and patients' self-protection of both sides like this. If for convenience, patient can also prescription of hospital take to community's hospital go to a doctor, fetch the medicine treatment. Without medicines on the prescription, can adjust the medicine with the same result of use to treat. Second, if the patient insists on requiring the infusion, should look at different situations to deal with respectively. The patient is taking the medicine infusion, community's doctor depends on first that there are case history, prescription and infusion form of the large hospital, then should find out about condition of patient, see medicines with condition he bring conform, or whether medicines have questions. If is problematic, should explain the reason to the patient, politely refuse. If the patient is medicinal solution bought from dispensary by oneself, generally admonish and refuse to infuse. To not needing infusion that make covers and try, if there is prescription signature of hospitals that is injected according to the circumstances, should advise the patient to try hard patiently few to bring medicinal solution to inject by oneself in the future at the same time. To apt irritated medicine, want, make peels, should make peels to try to try on according to the routine, and check the liquid to precipitate, muddy, if all infuse normally. Third, must shut the feeling to avoid the legal agreement of the responsibility legally to sign. In the real work, what some hospitals signed avoid the responsibility contract and is not admitted by the law circle, because has just written in the clause briefly " the patient is bringing the other institute medicinal solution, inject, hit, take place in the bad consequence hospital and bear any responsibility without exception " . Safer method is to sign avoiding the responsibility contract of legal recognition, if " the patient takes medicines by oneself, whether the doctor can't guarantee the security of this medicines or not, the patient needs to promise source of this medicine undertakes to use the consequence of this medicine legally and voluntarily, both sides signed the written agreement. If because employ this medicine to present the bad reaction, medicine can avoid the responsibility conditionally " . The same, internal preparation of the hospital can only be used in the hospital, can't sell outside the courtyard, but inconvenient in the infusion of the hospital because of the patient to take medicine back to the community without having illegal, it is all right for community's hospital to infuse after signing the agreement at this moment. Fourth, it should be to the accident that may take place in the infusion to make the prediction scheme of emergency processing. Even if the patient is legal bringing the other institute a source of medicinal solution, have signed and born the similar written agreement of the corresponding legal consequence by oneself taking medicinal solution, but if the accident appears in the infusion course, the hospital must adhere to the humanistic principle, maintain patient to be healthy, namely carry out, three check seven, it observes patients, conditions to be critical to rescue, punish and transfer from one hospital to another in time as soon as possible tightly use medicine, use medicine. Xu QingSong Wang YuMing ( The author is the second army medical university law teaching and research chief of the office, new director of community health Center of city spring of chrysanthemum of Baoshan District in Shanghai) respectively


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