First aid doctor gap eighty percent of capital 120 Personnel shrink seriously
Fire, traffic accident, collapsing They will get to the scene as soon as possible; The Olympic Games is ensured, first flows and prevents and controls, college entrance examination is grown and met and sent off They are never absent too. But a medical matters team of this first aid, badly paid, such factors as the working environment is dangerous, face personnel's shrinking seriously, the doctor gap about 80% of first aid of Beijing among them. On June 20, manage the branch and hold the meeting in Haikou in the whole country 120. At the meeting, it shows to come from more than 300 first aid systematic investigation results of city 120 in the whole country, at present, it is to limit the main bottleneck of the development of whole system that the first-aid personnel does not have special professional title that promote the mechanism. The personnel present call upon to Ministry of Public Health, set up the medical speciality of first aid to grade, meet job development of the first-aid personnel's needs. gt; gt; Before the 81% months such as gap such as doctor such as first aid such as predicament, section chief of Beijing First-Aid Station human resources department Liu HongMei went around every great job fair in the capital, and announced recruitment information to every large network, media and the whole city medical organization, but up to yesterday, Liu HongMei only received 14 job hunting resume. Since 2005, graduate's quantity of undergraduate course which Beijing First-Aid Station recruits every year presented the downward trend year by year. This year economic crisis of running into, red plum Liu think " harvest " originally Will be better, but through the relevant verification procedure, only 4 people are enrolled finally. "The people that employ every year are less than 20% of planning, the mean age that watched in the courtyard is already nearly 40 years old, once happen the situation or large-scale calamity accident to happen suddenly, institute's former doctor works extra shifts or extra hours without saying, administration and support crews should supplement to the front and support on a large scale " . Last Friday, because of first type the intersection of influenza and need of prevention and control, medical insurance run and the intersection of medical matters and the intersection of department, data analyzing room,etc. and department transfer 5 people add to command by 120 deployment, from centre. Before this, nearly 60 administrative personnels have joined in ensuring in the work group first emergency of flowing already. gt; gt; Most people withdrew from current situation since 2005 midway, according to the requirement of Beijing Municipal Health Bureau, the undergraduate course graduate that all graduating medical science is specialized needs to be trained by the 3 - year long resident first, could be engaged in a gleam of first aid work. Graduate from Xuzhou Li Bei with specialized emergency call of medical college of Jiangsu, is trained by resident in 3 in Friendship Hospital, get back to the first-aid centre of Beijing, the work of first aid at the beginning formally in July of 2008. It is reported, Li Bei is an only doctor liking to put into 120 first-aid centres that year. Like the height of Li Bei which is watched " story of the emergency ward " to exceed 1.80 meters when from the high school, the sunshine is handsome. See classmates are obviously higher than oneself in the incomes of the hospital, this big boy has original opinion on this. "The first aid system is from starting to just 20 years now in front of our courtyard, with the development of city, and the constant completion of first aid frame, the development space is very big, so I choose to stay here " . "While training in a hillock in 3, some graduates will be attracted by the comfortable working environment or treatment of the hospital, thus withdraw midway, does not get back to the centre again; Other graduate hear the intersection of senior apprentice and senior sister apprentice in whom first aid work of doing work hard, will not choose here either " . Liu HongMei says frankly, even the graduate that has already employed, the situation unavoidably run off in practice of sentry in 3. gt; gt; Go out with the car awkwardly and earn 2894 yuan 123 times See in the detailed statement of the bonus of April of personnel in the first-aid centre of the reporter, in 60 medical personnel, it is 2924 to be getting highest-income, it is 847 to be most getting low, distribute in bonus, come, say income between 1000 and 2000 yuan person most many, there are 40, 2000 yuan for more than about 15 people. The average bonus about 1500 yuans, but there is working content of high strength. The bonus is included in doctor Liu Yang of 2894 yuan as the example with that month, go out with the car and amount to 123 times (most that month) that month ,51 times of effective car among them, 46 times of night bus, 26 times of invalid car, according to offering the fare to use and calculate of per vehicle-time of different period, it is 1618 yuan that it should issue the bonus, in addition, including the risk is replenished, telephone rate, attendance bonus after 150 yuan and other reward inside, bonus take place 2894 yuan in fact that month. Besides bonus, on the basis of the personal professional title, every month even basic wage, the intermediate professional title person's basic wage is about 1800 yuan. Working so far in 1999, Liu Yang was still keeping working enthusiasm, saw it was bitter and tired because some colleagues could not stand, some has left the first-aid centre, but Liu Yang has not wavered. In 120 first-aid centres, there are more than 500 persons like Liu Yang, the working properties that low salary, high risk, development prospect are low though let everybody feel directly proportional to with the income far, from abandon, insist " can very much bear hardships, can very much devote, can very much fight " First aid faith. gt; gt; Visit, allocate funds because of government fresh to use for, rise firewood, " consider first aid doctor work hard, the centre has been already in distribution two times, inclined to the financial balance in the courtyard the first aid doctor " ,120 section chief of first-aid centre finance section Zeng Hong says, because the one that belong to and lie between allocating funds to allocate funds between the units in unit and difference fully allocates funds in the unit accurately fully, most finance support to come from the government to allocate funds, account for 80% of gross income in the courtyard, and the income of first aid part is only 20% in front of the courtyard. First-aid centre will follow of that year the intersection of operation and situation every year, present the government at the lower revenue and expenditure budget table in one, the government allocates funds by norm after examining and examining and approving strictly. " just the total amount of a pot of cooked rice of picture is fixed, just problem of how to assign " ,Zeng Hong claims, because the professional particularity of first aid, in the courtyard already in the distribution of awards, having improved the first aid doctor's standard by 50%, namely each doctor's bonus income is 1.5 times of other personnel's in the courtyard. With in recent years,government with degree for improvement,show a tendency to increase progressively annual financial allocations, but why has not first aid doctor's income increased accordingly? Zeng Hong says, the reason mainly has two points, at first, though the government has already done the best to meet all reasonable budgets for revenues and expenditures of its, but the increased year by year among them part relies mainly on hardware allocating, material stock, personnel's funds do not relatively have obvious change; Secondly, after SARS in 2003, Beijing First-Aid Station closed the ward that had certain commercial properties originally according to the whole job placement of Beijing Municipal Health Bureau, so one degree of increase of reliance financial to the city, so the money that can be controlled by oneself is very limited, "when perhaps everybody thinks that there are wards, the profit raising medicine with medicine will be very large, but because there were relatively less input proportions in the government at that time, so is too overall to get on very well, Compared with the situation that present personnel's income is basically fair " . Though had not revealed concrete financial appropriation amount, once showed, the funds of personnel in the first-aid centre were released according to equilibrium standards of the whole city red, not because the first aid work " Dirty, bitter, hard " The characteristic, have special subsidy appropriate to a particular job, charge going out with the car and make a diagnosis the price is 1999 expenses standard carried out too. Experience the intersection of first line and woman doctor personally, continue, lift will it be will it be 38 minute past 12 noon June 27 such as stretcher behind the infusion, the buzz of the guards' room inside the station of first aid of Dongcheng District sounded suddenly. Bell sound reach the third yet, Lee Soo-Young, doctor of first aid, answer telephone of blowing already, note basic situations executed the task rapidly. Though she transship first shed dense person who answer, the previous day, collapse because of wearing the airtight protective clothing for 5 hours continuously, the infusion just gets back to home after finishing until time of before dawn, but the half-time at 7 o'clock the morning, she appears on the post on duty on time. Less than two minutes, 3 people have already assembled and boarded the car, has gone to the destination of this task - -Anding Hospital, will faint the patient will transfer from one hospital to another. When the car drives to the emergency call of Anding Hospital, Lee Soo-Young goes down the car at a fast pace, entering emergency ward will pay and check the body to the patient. Afraid the patient suffers from spiritual disease at the same time, she exhorts counterpart's nurse to check carefully, and pay attention to the self-protection. Lee Soo-Young finds in checking, this patient's right forearm has pinpricks, and life physical sign is relatively weak, because this patient has a manic symptom before this, and check and has not discovered the problems through two hospitals, Lee Soo-Young suspected it was too poisonous that their inhale, and proposed passing on the closest general hospital of the Second Artillery Force. After being approved by relative, she and nurse stand on both sides of patient's sick bed respectively, mention the patient's waist of trousers on one hand, hold its shank on the other hand, transfer it to stretcher car deftly, immediately, with the help of driver, 3 people joined forces to just lift the stretcher car on the ambulance. When transported the patient to the destination hospital, and located in the emergency ward bedding, Lee Soo-Young has already oozed out the beads of sweet on the pale face. It lifts stretchers to be Lee Soo-Young have a headache most execute the task, each time unavoidable one job. It is fairly strong to take the advantage of the body, she lifts and puts and tries hard to exert all one's effort some more each time, nurse more modest than oneself and driver who has already had waist disease can be a little more relaxed so. Engaged in first aid for less than two years, Lee Soo-Young, the situation happen suddenly in various of experience: The mental patient goes mad suddenly after getting on the bus rash disease hits the person; The men of 100 kilograms are fine through checking, but insist on going to the hospital, and require she and nurse to lift; While examining blood pressure, checking the pupil for drunk persons, the other side's suddenly great anger, enclosed chasing to it, and sincere and naked block and does not release before the car; At night, in the residential building, see a shaggy-haired woman coated with blooding Because casual labour, 28 -year-old Lee Soo-Young 1000 only in every monthly salary, the intersection of bonus and 300, " the intersection of undergraduate course and tuition for 5 year want 50,000 more than, even this one is earned and does not go back a few years of work " ,Refer to the future, she says she has not decided yet. Talk with 120 first-aid centre director Zhang YongLi 120 much-needed professional evaluation of professional titles reporters: Why say that lacks the speciality and grades the development which has restricted the work of first aid? Zhang YongLi: Because has not graded the system, most first aid doctors can only participate in the title test of the complete, physician and evaluate, but because practical operation and some examination contents are not mixed, the first aid doctor will study in addition after working, have undoubtedly increased the difficulty. Reporter: How many grades is evaluation of professional titles divided? Zhang YongLi: Divide five grades together - -Operation assistant doctor, medical practitioner, attending physician, associate professor of treatment and chief physician. The personnel usually engaged in first aid of about 10 years will do in the test the third attending physician. Grading not only distinguish on the treatment, the more important thing is to reflect the value of personal achievement to some extent. Reporter: Does personnel's shortage influence the first aid work of the centre? Zhang YongLi: Have a certain influence, through work overtime and the intersection of rear and person supplement in time, so existing personnel's strength can still ensure the normal running of the first aid system of this city. But the problem such as being high, older, highly liquid of first-aid personnel's level exists, can not neglect. Reporter: What are the reasons in short of personnel? What does the centre have to solve the measure? Zhang YongLi: First aid is the question for the whole country, the first aid doctor is different from doctor in the hospital after all. The former large to can't meet the intersection of rescue and task of high strength age have, but the latter can because of increase of working experience, and the achievement in the professional field, always the more costly. How to solve, we have been communicating with medical university, hospital, health authority,etc. all the time, aim at setting up a set of intact in mechanism first aid systems, on one hand, pass the guarantee of the sources of personnel, raise the intersection of first aid and working efficiency of system, on the other hand, too can set up one a intact one and community, large mechanism of rotating of hospital, make the first-aid personnel's job quality improved. Reporter: At present, what expected to realize? Zhang YongLi: To the gap of personnel of the centre, we are having consultations with first medical university, hope and can set up the first aid department, ensure the quantity of the effective strength of the first aid undertaking, the education are that undergraduate courses or trainings also need to further canvass. But the development of first aid industry including factors in many aspects that the mechanism, system, personnel form,etc., we hope to set up the intact green life passway to the hospital finally from family to community to 120 of one set. Reporter: Most first-aid personnels say the first aid undertaking of this city is at the starting stage, there is very great development potentiality, this is that they choose one of the reasons that stay in the first-aid centre too, how do you see? Zhang YongLi: After experiencing the guarantee tasks of large-scale public health events such as the Olympic Games, Wen's Sichuan earthquake,etc., the system demand in such aspects as first aid goods and materials, vehicle of this city 120 has already been satisfied, but there are a lot of questions, include managing renewal, introducing and training, every interdepartmental connection and all kinds of security mechanism that need be sound of personnel of the idea,etc., having only really solved these problems, we could advance in big strides.
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