我院建立总值班制度已十几年,由院机关和职能部门参加值班.总值班是正常下班后开始接班,其主要目的是处理全院疑难问题,做好急诊的协调抢救和后勤工作.一、总值班要有急诊意识这些年来,凡是参加院总值班的人员,接班后一律到急诊科报到.急诊科在晚夜间就诊急诊病人多,所以,总值班人员要有急诊意识,因为急诊科是抢救病人的前哨,是医院医疗工作的第一线,且具有季节性,紧急抢救性,同步协作性,多学科综合性的特点.这就要求总值班统一协调,做好急救抢救工作.急诊病人抢救成功率,直接影响着医院的医疗水平,所以,总值班人员到急诊科报到后,就要突出一个“急”字,为抢救每个病人的生命时刻准备分秒必争.在几年的总值班中,发现了不少问题,也为急诊抢救病人做了大量工作.总值班的工作量主要 Our institute has established a total duty system for more than ten years. The institutions and functional departments participate in the duty shift. The total shift is started after the normal shift. Its main purpose is to handle difficult problems in the hospital and to perform emergency rescue coordination and logistics. Emergency attendance for all duty shifts In the past years, all those who have attended the hospital’s total shift have been reported to the emergency department after the shift. The emergency department sees many emergency patients at the late evening. Therefore, the total shift staff must have emergency awareness because the emergency department is Rescuing patients’ outposts is the first line of medical work in hospitals, and it is characterized by seasonality, emergency rescue, synchronous collaboration, and comprehensive multi-discipline. This requires that the overall duty is coordinated and coordinated, and emergency rescue operations are performed. The success rate of rescue has a direct impact on the medical level of the hospital. Therefore, after the total duty personnel report to the emergency department, they must highlight an “emergency” character and prepare every minute for the life time of each patient. During several years of total duty Found a lot of problems, but also did a lot of work for emergency patients to rescue patients. The total amount of work on duty is mainly