【正文】 醫(yī)院及崗位的的需求一致 ? 每位員工的人事信息都有紀(jì)錄 ? 領(lǐng)導(dǎo)者合作制定的 員工計(jì)劃確定了醫(yī)院?jiǎn)T工數(shù)量、類型及資格要求 Staff Qualifications and Education (SQE) 員工資格與教育 ? All clinical and nonclinical staff members are oriented to the anization, the department, or unit to which they are assigned and to their specific job responsibilities at appointment to the staff. ? Each staff member receives ongoing inservice and other education and training to maintain or to advance his or her skills and knowledge. ? The anization has an effective process for gathering, verifying, and evaluating the credentials (license, education, training, petence, and experience) of those medical staff permitted to provide patient care without supervision. ? The anization has a standardized objective, evidencebased procedure to authorize all medical staff members to admit and to treat patients and to provide other clinical services consistent with their qualifications. ? The anization uses an ongoing standardized process to evaluate the quality and safety of the patient services provided by each medical staff member. ? The anization has an effective process to gather, to verify, and to evaluate the nursing staff’ s credentials (license, education, training, and experience). Staff Qualifications and Education (SQE) 員工資格與教育 ? 所有的臨床和非臨床員工適應(yīng)于指定的醫(yī)院、科室、部門，及任命職位的特定工作職責(zé)。 Staff Qualifications and Education (SQE) 員工資格與教育 ? Organization leaders define the desired education, skills, knowledge, and other requirements of all staff members. ? Organization leaders develop and implement processes for recruiting, evaluating, and appointing staff as well as other related procedures identified by the anization. ? The anization uses a defined process to ensure that clinical staff knowledge and skills are consistent with patient needs. ? The anization uses a defined process to ensure that nonclinical staff knowledge and skills are consistent with anization needs and the requirements of the position. ? There is documented personnel information for each staff member. ? A staffing plan for the anization, developed collaboratively by the leaders, identifies the number, types, and desired qualifications of staff. Staff Qualifications and Education (SQE) 員工資格與教育 ? 醫(yī)院 領(lǐng)導(dǎo)者使全體員工明確渴望得到的教育、技能、知識(shí)、和其他要求。 ? 通過常規(guī)或備用源，飲用水和電力一周 7天、一天24小時(shí)可用，以滿足基本患者的治療需求。 ? 醫(yī)院編寫和維護(hù)應(yīng)對(duì)可能的社區(qū)緊急事件、流行病、自然或其他災(zāi)害的緊急管理方案與程序 Facility Management and Safety (FMS) 設(shè)施管理和安全 ? The anization plans and implements a program to ensure that all occupants are safe from fire, smoke, or other emergencies in the facility. ? The anization plans and implements a program for inspecting, testing, and maintaining medical equipment and documenting the results. ? Potable water and electrical power are available 24 hours a day, seven days a week, through regular or alternate sources, to meet essential patient care needs. ? Electrical, water, waste, ventilation, medical gas, and other key systems are regularly inspected, maintained, and, when appropriate, improved. ? The anization educates and trains all staff members about their roles in providing a safe and effective patient care facility. Facility Management and Safety (FMS) 設(shè)施管理和安全 ? 醫(yī)院制定和實(shí)施了一個(gè)程序 ,確保所有住戶是遠(yuǎn)離設(shè)備意外發(fā)生的火災(zāi)、煙霧、或其他突發(fā)事件。 ? 一個(gè)或多個(gè)有資格的人員監(jiān)督管理治療環(huán)境風(fēng)險(xiǎn)程序的計(jì)劃和實(shí)施。 Facility Management and Safety (FMS) 設(shè)施管理和安全 ? The anization plies with relevant laws, regulations, and facility inspection requirements. ? The anization develops and maintains a written plan(s) describing the processes to manage risks to patients, families, visitors, and staff. ? One or more qualified individuals oversee the planning and implementation of the program to manage the risks in the care environment. ? The anization plans and implements a program to provide a safe and secure physical environment. ? The anization has a plan for the inventory, handling, storage, and use of hazardous materials and the control and disposal of hazardous materials and waste. ? The anization develops and maintains an emergency management plan and program to respond to likely munity emergencies, epidemics, and natural or other disasters. Facility Management and Safety (FMS) 設(shè)施管理和安全 ? 醫(yī)院遵守有關(guān)法律、法規(guī)和設(shè)備檢查要求。 ? 一個(gè)或多個(gè)有資質(zhì)的人員對(duì)醫(yī)院的每個(gè)科室或服務(wù)提供指導(dǎo)。 ? 醫(yī)院 領(lǐng)導(dǎo)人確定，并集體負(fù)責(zé)制定醫(yī)院使命 ,創(chuàng)建實(shí)現(xiàn)使命所需要的規(guī)劃和政策。 Governance, Leadership, and Direction (GLD) 政府、領(lǐng)導(dǎo)和指南 ? Governance responsibilities and accountabilities are described in bylaws, policies and procedures, or similar documents that guide how they are to be carried out. ? A senior manager or director is responsible for operating the anization and plying with applicable laws and regulations. ? The anization’ s leaders are identified and are collectively responsible for defining the anization’ s mission and creating the plans and policies needed to fulfill the mission. ? Medical, nursing, and other leaders of clinical services plan and implement an effective anizational structure to support their responsibilities and authority. ? One or more qualified individuals provide direction for each department or service in the an