TRNG I HC NGUYN TT THNHKHOA DC
BO CO THC TP TT NGHIPBNH VIN QUN 4
Sinh vin thc hin: Leo Th MaiMSSV: 2111007381Lp: 11CDS04Kha: 2011
2014Ngi hng dn: DS. Bi Trng nh
Tp. H Ch Minh, nm 2014
BO CO THC TP TT NGHIPBNH VIN QUN 4
5
Li cm nSau mt thi gian thc tp ti BNH VIN QUN 4, ngoi vic p dng
cc kin thc hc trng, chng em cn c nhng kin thc rt b ch khi i thc t .
c kin thc v kt qu thc t ngy hm nay, trc ht em xin chn thnh cm n qu
thy c gio trong trng i hc Nguyn Tt Thnh cng vi tri thc v tm huyt ca
mnh truyn t vn kin thc qu bu cho chng em trong sut thi gian hc tp
ti trng, v tn tnh hng dn em trong qu trnh thc tp.Em xin gi li cm n
chn thnh n Ban gim c BNH VIN QUN 4 to iu kin cho em c thc tp ti
Khoa dc BNH VIN QUN 4. Trong thi gian thc tp ti bnh vin em c cc anh
ch c ch trong Khoa dc bnh vin to iu kin, gip tn tnh, p dng nhng kin
thc c hc trng vo thc t v cn c thc hin mt phn cng tc trong khoa dc
bnh vin nh cp pht thuc ni, ngoi tr, thuc k n, thuc bo him y tQua
thc t ca chuyn thc tp, em c cc anh ch c ch hng dn tn tnh hiu r hn v
tng loi thuc, liu thuc, cch dng, quy trnh cp pht thuc cho bnh nhn,
sp xp bo qun thuc trong kho, hng dn s dng thuc cho bnh nhn., l kin
thc b ch di vi em v s l hnh trang vng chc phc v cho cng vic sau
ny.Em xin gi li cm n chn thnh v s tri n su sc i vi cc thy c trong
trng i Hc Nguyn Tt Thnh, c bit l cc thy c khoa Dc to iu kin tt nht
cho em thc tp ti khoa hon thnh tt bi bo co tt nghip ny. V em xin
chn thnh bit n su sc n gio vin DS. Bi Trng nh v DS. H Chu Xun Bnh l
ngi trc tip hng dn, gip em hon thnh tt k thc tp tt nghip ny.Trong
sut thi gian thc tp ti bnh vin, n gip em c nhng kin thc v cng b ch
hon thnh bi bo co ny, nhng do thi gian thc hin cn hn ch nn khng
trnh s thiu st, em rt mong nhn c nhng kin ng gp qu bo ca thy c v cc
bn bi bo co ca em c hon thin hn.Cui cng em knh chc qu thy c B mn v
ton th cc c ch anh, ch trong bnh vin di do sc khe.
MC LCLI M UCHNG I: GII THIU CHUNG V N V THC TP1. Tn v a ch n v
thc tp2. Nhim v v quy m t chc bnh vin3. M t tng qut v khoa Dc4. K
hoch hot ng ca khoa dc:5. K hoch hot ng ca hi ng thuc v iu tr nm
20136. Nhim v ca tng b phn trong Khoa DcChng II: KT QU THC TP1. Sp
xp ,phn loi v bo qun thuc ti kho Dc bnh vin.2. kho thuc trong bnh
vin theo hng dn GSP3. hot ng thng tin gii thiu thuc trong bnh vin v
hi ng thuc v iu tr4. Cung ng v cp pht thuc trong bnh vin5. Nghip v
Dc bnh vinChng III: KT LUN
LI M U"o lm thuc l mt nhn thut chuyn bo v sinh mng con ngi, phi
lo ci lo ca ngi, vui ci vui ca ngi, ch ly vic cu sng mng ngi lm
nhim v ca mnh, khng nn cu li k cng". V Bc H tng nm ch vng cho cn b
nghnh Y-Dc : "Lng Y Nh T Mu".Cng vi i ng cn b, cng nhn vin giu kinh
nghim, giu nhit huyt, va hng va chuyn v h thng khoa, phng, c s vt
cht kin c khang trang. Hng nm bnh vin khm v cha bnh cho hng nghn lt
bnh nhn, p ng c phn ln nhu cu khm cha bnh ca nhn dn.Bn cnh cc khoa,
phng iu tr lm sng th khoa Dc l mt v tr quan trng vi chuyn mn nhim v
hu cn cho nghnh y ni chung v phn phi thuc tn dc, ng dc, ha cht, dng
c y t ..Khoa dc bnh vin lun hon thnh tt nhim v, p ng y mi nhu cu
thuc men, y c, phc v cho iu tr ni tr ngoi tr, gp phn khng nh trong
cng tc chm sc sc khe cho ngi dn.
1
CHNG I: GII THIU CHUNG V N V THC TP1. Tn v a ch n v thc tpTn Bnh
Vin: BNH VIN QUN 4 a ch: 63 65 Bn Vn n, Phng 12, Qun 4, Tp. H Ch
Minh in thoi: 8261568 Fax: 82672292. Nhim v v quy m t chc bnh vin
Bnh vin Qun 4 l n v s nghip cng lp thuc y Ban Nhn Dn Qun 4, bnh vin
chu s ch o, hng dn v chuyn mn, k thut, nghip v ca S Y T thnh ph H
Ch Minh v s qun l ton din ca y Ban Nhn Dn Qun 4.Bnh vin Qun 4 l bnh
vin theo tiu chun hng III, c 130 ging bnh ni tr v h thng phng khm
ngoi tr vi trang thit b hin i, p ng nhu cu khm cha bnh cho nhn dn a
phng v cc vng ln cn cng nh phc v cng tc nghin cu chuyn mn. Bnh vin
Qun 4 c 4 phng ban chc nng: Phng k hoch tng hp. Phng T chc Hnh chnh
Qun tr. Phng Ti chnh k ton. Phng iu dng.2.1 Tng s cc khoa lm sng, a
khoa, chuyn khoa gm 13 khoa:
68
Khoa khm bnh. Khoa cp cu. Khoa xt nghim. Khoa chun on hnh nh.
khoa ni. Khoa ngoi. Khoa sn. Lin chuyn khoa. Khoa Y hc c truyn.
Khoa chng nhim khun. Khoa dc. Khoa nhi. Khoa dinh dng.
2.2 Khu khm bnh. Khoa lm sng: Phng khm: Thc hin khm tm sot v iu
tr bnh nh: tim mch, tiu ng, bnh l v phi, tiu ha, tit niu, thn
kinhKhoa ni: iu tr ni tr v cc bnh tim mch, tiu ng, vim lot d dy t
trng, phong thp, bu c Khoa ngoi:Khm v iu tr cc bnh v c, xng khp,
bng da v cc bnh l ngoi khoa khc.Thc hin cp cu phu thut ngoi khoa
nh: vim rut tha, vim ti mt, u nang bung trng, thng d dy bng phng
php ni soi. Phu thut chng trnh nh: bu c, bu v, tr, d hu mn, ct
Amydales, thot v bn. Mt: m Phaco c thy tinh th. Khoa sn:Khm v iu tr
bnh ph khoa. Khm thai tm sot trc sinh, theo di thai k, sinh thng v
sinh kh, k hoch ha gia nh: t vng, trit sn, tm sot cc bnh ung th.
Khoa nhi: Khm v iu tr chuyn khoa nhi nh cc bnh l v h hp, tiu ha.iu
tr suy dinh dng, bnh bo ph v cc bnh ni nhi khc tr em. Khoa cn lm
sng: Xt nghim tng qut, huyt hc, sinh ha, vi sinh: thc hin xt nghim
tiu ng, tim mch, chc nng thn, chc nng tuyn gip, chc nng gan, xt
nghim vim gan B, vim gan C, xt nghim tm sot cc bnh ung th. Siu m:
siu m tng qut, siu m tim, siu m mu Doppler 3D 4D. X quang cao tn:
chp tim, phi, d dy, i trng, ct sng, khung chu, s no, xoang, t chi v
o khung chu. CT scan: u, ngc, bng, ct sng. Ni soi: thc qun, d dy, t
trng, ni soi c t cung. Thc hin o chc nng h hp, o in tim.3. M t tng
qut v khoa Dc: V tr: Khoa dc c b tr im thun tin, c iu kin lm vic, h
thng kho. Kho xy dng m bo v sinh sch s, cao ro thong mt v an ton, c
trang b phng tin thch hp: my iu ha nhit , t lnh Chc nng: Lp k hoch,
cung cp v bo m s lng, cht lng thuc, ha cht, vt dng y t tiu hao:
bng, bng, gccho iu tr ni tr v ngoi tr. Kim tra theo di vic s dng
thuc an ton, hp l trong ton bnh vin. Trng khoa dc v dc s ph khoa c
quyn thay th thuc cng chng loi. Tham gia qun l kinh ph thuc, thc
hin tit kim t hiu qu cao trong phc v ngi bnh. L c s thc hnh ca cc
trng i Hc Y Dc v cc trng trung hc y t. Tham gia nghin cu khoa hc,
thng tin v thuc. Nhim v: T chc hot ng ca khoa theo quy ch cng tc
khoa dc. Cn c vo k hoch chung ca bnh vin, lp k hoch v t chc thc hin
cung ng, bo qun v s dng thuc, ha cht v sinh phm trong bnh vin. T
chc xut, nhp, thng k, thanh quyt ton v theo di qun l kinh ph s dng
thuc, ha cht v sinh phm bo m chnh xc theo ng cc quy nh hin hnh. Kim
tra vic bo qun, xut, nhp thuc, ha cht v cc sinh phm m bo cht lng
theo ng quy ch cng tc khoa dc v quy nh ca nh nc.Thng tin kp thi cc
loi thuc, ha cht, cc sinh phm mi. Hng dn s dng an ton hp l c hiu qu
cc loi thuc, ha cht v cc sinh phm cho cc khoa trong bnh vi Nhim v
ca tng b phn trong Khoa Dc P.Trng Khoa Thc hin nhim v, quyn hn
chung ca Trng khoa trong bnh vin T chc hot ng ca kho theo quy nh
quy nh thng t 22/2011/TT-BYT. Chu trch nhim trc Gim c bnh vin v mi
hot ng ca khoa v cng tc chuyn mn v dc ti cc khoa lm sang, nh thuc
trong bnh vin. L Ph Ch tch thng trc Hi ng thuc v iu tr, tham mu cho
Gim c bnh vin, Ch tch Hi ng thuc v iu tr v la chn thuc s dng trong
bnh vin; lm u mi trong cng tc u thu thuc, kim tra, gim st vic k n,
s dng thuc nhm tng cng hiu qu s dng thuc v nng cao cht lng iu tr. L
thnh vin trong tiu ban xy dng danh mc thuc v gim st s dng trong bnh
vin Cn c vo k hoch chung ca bnh vin, lp k hoch v t chc thc hin vic
cung ng, bo qun v s dng thuc, ha cht, vt dng y t. T chc thc hin vic
nhp, xut, thng k, kim k, bo co, phi hp vi phng Ti chnh k ton thanh
quyt ton; theo di, qun l kinh ph s dng thuc m bo chnh xc, theo ng
cc quy nh hin hnh. Theo di, kim tra vic bo qun thuc, nhp, xut thuc,
ha cht, vt dng y t m bo cht lng theo ng quy nh hin hnh. Cp nhn thng
xuyn cc vn bn quy nh v qun l chuyn mn, tham mu cho Hi ng thuc - iu
tr trnh Gim c bnh vin k hoch ph bin, trin khai thc hin cc quy nh ny
ti cc khoa trong bnh vin. Thng tin, t vn, hng dn s dng thuc cho cn
b y t. Chu trch nhim tham gia hi chn hoc phn cng dc s trong khoa
tham gia hi chn khi c yu cu ca Lnh o bnh vin. Qun l hot ng chuyn mn
ca Nh thuc bnh vin theo Thng t s 15/2011/TT-BYT ngy 19.04.2011.
Tham gia nghin cu khoa hc, ging dy, o to chuyn mn dc cho ng nghip v
cn b tuyn di. Thnh vin T trang thit b bnh vin. Thc hin cc nhim v
khc khi c Gim c bnh vin giao. Dc s lm cng tc dc lm sng L trng tiu
ban gim st thng tin thuc. Chu trch nhim v thng tin thuc trong bnh
vin, trin khai mng li theo di, gim st, bo co tc dng khng mong mun
ca thuc v cng tc cnh gic dc. T vn v s dng thuc an ton, hp l cho Hi
ng thuc v iu tr, cn b y t v ngi bnh. Tham gia theo di, kim tra, gim
st vic k n thuc ni tr v ngoi tr nhm y mnh vic s dng thuc an ton, hp
l v hiu qu. Hng dn v kim tra vic s dng thuc trong bnh vin; chu trch
nhim tnh ton hiu chnh liu i vi ngi bnh cn iu chnh liu; c quyn xem
xt thay th thuc (nu pht hin thy c tng tc trong k n, k n cng hot
cht, thuc trong kho ca khoa Dc ht) bng thuc tng ng ng thi thng tin
li cho khoa lm sng bit v thng nht vic thay th thuc. Tham gia nghin
cu khoa hc v bi dng nghip v chuyn mn cho cc thnh vin trong khoa v
hc vin khc theo s phn cng. Thc hin mt s nhim v khc khi c Ph Trng
khoa Dc yu cu. Chu trch nhim trc Ph Trng khoa Dc v nhim v c phn
cng. Dc s lm cng tc nghip v dc L thnh vin trong tiu ban gim st ADR
v sai st trong iu tr. Thc hin cng tc kim tra quy nh chuyn mn dc ti
khoa Dc, lm sng v Nh thuc trong bnh vin. Cp nht thng xuyn cc vn bn
quy nh v qun l chuyn mn, tham mu cho Trng khoa trnh Gim c bnh vin k
hoch ph bin, trin khai thc hin cc quy nh ny ti cc khoa trong bnh
vin. m nhim vic cung ng thuc. nh k kim tra vic bo qun, qun l, cp
pht thuc ti khoa Dc. Kim tra vic s dng v bo qun thuc-vt t y t trong
t trc ti cc khoa lm sng 1 thng/ ln. Kim k trang thit b, y dng c 6
thng/ln. Lp bng trc, chm cng. Thng bo mi hp, kim k, kim nhp. Theo
di, cp nht vo s sch nhit , m trong t lnh vaccin 2 ln/ngy vo bui
sng/chiu. Bo co nhp-xut-tn thuc vaccin (dch v). Thc hin mt s nhim v
khc khi c Ph trng khoa Dc giao. Trch nhim trc Ph trng khoa Dc v
nhim v c phn. Dc s lm cng tc thng k dcTheo di, thng k chnh xc s liu
thuc - vt dng y t nhp v khoa Dc. Theo di, thng k chnh xc s liu thuc
- vt dng y t cp pht cho ni tr, ngoi tr v cho cc khu vc t xut khc. m
nhim vic cung ng vt dng y t - ha cht. Bo co nhp - xut - tn thuc st
rt, vitamin A. Cung cp mu cho cc khoa lm sng khi c yu cu. Bo co xut
- nhp - tn ca chng trnh ARV v vaccin. Thc hin bo co cng tc khoa Dc,
tnh hnh s dng thuc - ha cht - vt dng y t trong bnh vin nh k hng nm
(theo mu ph lc 3,4,5,6) gi v S y t, B y t (Cc qun l khm cha bnh) vo
ngy 15 thng 10 hng nm (s liu 1 nm c tnh t 01/10 n ht ngy 30/9 ca nm
k tip). Thc hin mu bo co thuc v vt dng y t theo qu trc ngy 10 ca qu
sau (mu s 10, 11) gi v bo him x hi. Bo co t xut khi c Ph trng khoa
Dc yu cu Theo di nhp xut thanh l trang thit b, dng c y t, vt t y t
Thc hin mt s nhim v khc khi c Ph trng khoa Dc giao. Chu trch nhim
trc Ph trng khoa Dc v nhim v c phn cng. Dc s ph trch kho cp pht
thuc kho chn: DSTC.- C trch nhim thc hin y nguyn tc v Thc hnh tt bo
qun thuc, m bo an ton ca kho. Hng dn, phn cng cc thnh vin lm vic ti
kho thc hin tt cc ni quy ca kho thuc, khoa Dc. Kim tra, gim st cht
ch vic xut, nhp thuc theo quy nh ca cng tc khoa Dc v bo co thng
xuyn hoc t xut cho Ph trng khoa v cng tc kho v cp pht: Thuc tn
t/khng s dng, thuc cn hn dng khong 6 thng, thuc c cht lng khng
tt,... Khi pht hin thuc gn ht hn s dng hoc thuc cn hn s dng nhng c
du hiu nt, v, bin mu, vn cphi khu vc ring bit ch x l. Nhp xut hng
ha ng quy trnh. Theo di, cp nht vo s sch nhit , m trong kho v t lnh
2 ln/ngy vo bui sng chiu. Theo di nhp xut tn hng ngy trn s sch v
thc t thuc gy nghin, thuc hng tm thn. Lun chuyn c s thuc t v, chng
bo lt v cc c s thuc khc nh k hiu chun cc thit b dng theo di iu kin
bo qun Theo di hn dng ca trang thit b phng chy, cha chy Tham gia
nghin cu khoa hc, hng dn v bi dng nghip v chuyn mn cho cc thnh vin
trong khoa v hc vin khc theo s phn cng. Thc hin mt s nhim v khc khi
c Ph trng khoa Dc giao. Chu trch nhim trc Ph trng khoa Dc v nhim v
c phn cng. Dc s ph trch kho cp pht thuc kho Vt dng y t- C trch nhim
thc hin y nguyn tc v Thc hnh tt bo qun thuc bo qun an ton ca kho.
Hng dn, phn cng cc thnh vin lm vic ti kho thc hin tt ni quy ca kho
thuc, khoa Dc. Kim tra, gim st cht ch vic xut, nhp Vt dng y t theo
quy nh ca cng tc khoa Dc v bo co thng xuyn hoc t xut cho Ph trng
khoa v cng tc kho v cp pht: Thuc tn t/khng s dng, vt dng y t cn hn
dng khong 6 thng, thuc cn cht lng khng tt, Khi pht hin vt dng y t
gn ht hn s dng hoc vt dng y t cn hn s dng nhng c du hiu nt, v, bin
mu, vn c,phi khu vc ring bit ch x l. Nhp xut hng ha ng quy trnh.
Theo di, cp nht vo s sch nhit , m trong kho v t lnh 2 ln/ngy vo bui
sng chiu Theo di nhp xut tn hng ngy trn s sch v thc t thuc gy
nghin, thuc hng tm thn. Lun chuyn c s vt cht y t t v, chng bo lt v
cc c s thuc khc nh k hiu chun cc thit b dng theo di iu kin bo qun
Theo di hn dng ca trang thit b phng chy cha chy Tham gia nghin cu
khoa hc, hng dn v bi dng nghip v chuyn mn cho cc thnh vin trong
khoa v hc vin khc theo s phn cng. Thc hin mt s nhim v khc khi c Ph
trng khoa Dc giao. Chu trch nhim trc Ph trng khoa Dc v nhim v c phn
cng. Dc s ph trch cp pht thuc kho l ni tr C trch nhim thc hin y
nguyn tc v Thc hnh tt bo qun thuc, m bo an ton ca kho. Hng dn, phn
cng cc thnh vin lm vic ti kho thc hin tt cc ni quy ca kho thuc,
khoa Dc. Kim tra, gim st cht ch vic xut, nhp thuc vt dng y t theo
quy nh ca cng tc khoa Dc v bo co thng xuyn hoc t xut cho Ph trng
khoa v cng tc kho v cp pht: Thuc vt dng y t tn t/khng s dng, thuc
vt dng y t cn hn dng khong 6 thng, thuc c cht lng khng tt,... Khi
pht hin thuc vt dng y t gn ht hn s dng hoc thuc vt dng y t cn hn s
dng nhng c du hiu nt, v, bin mu, vn cphi khu vc ring bit ch x l.
Nhp xut hng ha ng quy trnh. Theo di, cp nht vo s sch nhit , m trong
kho v t lnh 2 ln/ngy vo bui sng chiu Theo di nhp xut tn hng ngy trn
s sch v thc t thuc gy nghin, thuc hng tm thn. Theo di hn dng ca
trang thit b phng chy, cha chy. Tham gia nghin cu khoa hc, hng dn v
bi dng nghip v chuyn mn cho cc thnh vin trong khoa v hc vin khc
theo s phn cng. Thc hin mt s nhim v khc khi c Ph trng khoa Dc giao.
Chu trch nhim trc Ph trng khoa Dc v nhim v c phn cng. Dc s ph trch
kho cp pht thuc kho l ngoi tr- C trch nhim thc hin y nguyn tc v Thc
hnh tt bo qun thuc, m bo an ton ca kho. Hng dn, phn cng cc thnh vin
lm vic ti kho thc hin tt cc ni quy ca kho thuc, khoa Dc. Kim tra,
gim st cht ch vic xut, nhp thuc theo quy nh ca cng tc khoa Dc v bo
co thng xuyn hoc t xut cho Ph trng khoa v cng tc kho v cp pht: Thuc
tn t/khng s dng, thuc cn hn dng khong 6 thng, thuc c cht lng khng
tt,... Khi pht hin thuc gn ht hn s dng hoc thuc cn hn s dng nhng c
du hiu nt, v, bin mu, vn cphi khu vc ring bit ch x l. Nhp xut hng
ha ng quy trnh. Theo di, cp nht vo s sch nhit , m trong kho v t lnh
2 ln/ngy vo bui sng chiu. Theo di nhp xut tn hng ngy trn s sch v
thc t thuc gy nghin, thuc hng tm thn. Theo di hn dng ca trang thit
b phng chy, cha chy Tham gia nghin cu khoa hc, hng dn v bi dng
nghip v chuyn mn cho cc thnh vin trong khoa v hc vin khc theo s phn
cng. Thc hin mt s nhim v khc khi c Ph trng khoa Dc giao. Chu trch
nhim trc Ph trng khoa Dc v nhim v c phn cng. Nh thuc- Bn l thuc
thnh phm c php lu hnh. Bn l mt s loi thuc chuyn khoa phc v mt s yu
cu hng ngy ca bnh vin. Bn l dng c v vt t tiu hao y t thng thng. T
chc v hot ng Nh thuc theo thng t 15/2011/TT-BYT ngy 19/04/2011. Thc
hnh tt nh thuc ban hnh km theo quyt nh s 11/20027/Q-BYT ngy
24/01/2007. Thc hin nim yt gi thuc theo quy nh ti thng t lin tch s
11/2007/TTLT-BYT-BTC ngy 31/08/2007. Thc hin nghim chnh quyt nh s
04/2008/Q-BYT ngy 01/02/2008 v quy ch k n thuc trong iu tr ngoi tr
v thng t s 08/2009/TT-BYT ngy 01/07/2009 ban hnh Danh mc thuc khng
k n. Thc hin mt s nhim v khc khi c Ph trng khoa Dc yu cu. Chu trch
nhim trc Ph trng khoa Dc v nhim v c phn cng.4. K hoch hot ng ca
khoa dc:K hoch hot ng nm 2013: Kim k trang thit b, y dng c. Thc hin
u thu thuc, vt dng y t, ha cht, phim X quang d dng nm 2013. Thc hin
cng tc dc: mua, cung ng, kim k, bo co, bo qun, qun l hng ha. Theo
di vic s dng thuc. Gim st k n. Theo di cc phn ng c hi ca thuc. Thng
tin thuc. Bnh n thuc. Xy dng danh mc, s lng thuc, vt dng y t, ha
cht, phim X quang s dng nm 2011. 5.K hoch hot ng ca hi ng thuc v iu
tr nm 2013: m bo cung ng thuc cha bnh theo danh mc thuc ca Bnh Vin.
T chc u thu mua thuc ng quy nh. m bo mi hot ng ca nh thuc bnh vin
theo ng quy nh ca B Y T ban hnh. Gim st vic la chn thuc v s dng
thuc an ton, hp l. Tng cng cng tc kim tra vic thc hin quy ch lm h s
bnh n. Tng cng kim tra vic thc hin quy ch k n v bn thuc theo n. chc
cp pht ti cc khoa lm sng.Pht huy vai tr ca n v thng tin thuc.6.Nhim
v ca tng b phn trong Khoa Dc6.1.P.Trng Khoa: DS.Phm Ha An Thc hin
nhim v, quyn hn chung ca Trng khoa trong bnh vin T chc hot ng ca
kho theo quy nh quy nh thng t 22/2011/TT-BYT. Chu trch nhim trc Gim
c bnh vin v mi hot ng ca khoa v cng tc chuyn mn v dc ti cc khoa lm
sang, nh thuc trong bnh vin. L Ph Ch tch thng trc Hi ng thuc v iu
tr, tham mu cho Gim c bnh vin, Ch tch Hi ng thuc v iu tr v la chn
thuc s dng trong bnh vin; lm u mi trong cng tc u thu thuc, kim tra,
gim st vic k n, s dng thuc nhm tng cng hiu qu s dng thuc v nng cao
cht lng iu tr. L thnh vin trong tiu ban xy dng danh mc thuc v gim
st s dng trong bnh vin Cn c vo k hoch chung ca bnh vin, lp k hoch v
t chc thc hin vic cung ng, bo qun v s dng thuc, ha cht, vt dng y t.
T chc thc hin vic nhp, xut, thng k, kim k, bo co, phi hp vi phng Ti
chnh k ton thanh quyt ton; theo di, qun l kinh ph s dng thuc m bo
chnh xc, theo ng cc quy nh hin hnh. Theo di, kim tra vic bo qun
thuc, nhp, xut thuc, ha cht, vt dng y t m bo cht lng theo ng quy nh
hin hnh. Cp nhn thng xuyn cc vn bn quy nh v qun l chuyn mn, tham mu
cho Hi ng thuc - iu tr trnh Gim c bnh vin k hoch ph bin, trin khai
thc hin cc quy nh ny ti cc khoa trong bnh vin. Thng tin, t vn, hng
dn s dng thuc cho cn b y t. Chu trch nhim tham gia hi chn hoc phn
cng dc s trong khoa tham gia hi chn khi c yu cu ca Lnh o bnh vin.
Qun l hot ng chuyn mn ca Nh thuc bnh vin theo Thng t s
15/2011/TT-BYT ngy 19.04.2011. Tham gia nghin cu khoa hc, ging dy,
o to chuyn mn dc cho ng nghip v cn b tuyn di. Thnh vin T trang thit
b bnh vin. Thc hin cc nhim v khc khi c Gim c bnh vin giao.6.2.Dc s
lm cng tc dc lm sang: DS.ng Th Th Kiu L trng tiu ban gim st thng
tin thuc. Chu trch nhim v thng tin thuc trong bnh vin, trin khai
mng li theo di, gim st, bo co tc dng khng mong mun ca thuc v cng tc
cnh gic dc. T vn v s dng thuc an ton, hp l cho Hi ng thuc v iu tr,
cn b y t v ngi bnh. Tham gia theo di, kim tra, gim st vic k n thuc
ni tr v ngoi tr nhm y mnh vic s dng thuc an ton, hp l v hiu qu. Hng
dn v kim tra vic s dng thuc trong bnh vin; chu trch nhim tnh ton
hiu chnh liu i vi ngi bnh cn iu chnh liu; c quyn xem xt thay th
thuc (nu pht hin thy c tng tc trong k n, k n cng hot cht, thuc
trong kho ca khoa Dc ht) bng thuc tng ng ng thi thng tin li cho
khoa lm sng bit v thng nht vic thay th thuc. Tham gia nghin cu khoa
hc v bi dng nghip v chuyn mn cho cc thnh vin trong khoa v hc vin
khc theo s phn cng. Thc hin mt s nhim v khc khi c Ph Trng khoa Dc
yu cu. Chu trch nhim trc Ph Trng khoa Dc v nhim v c phn cng.6.3.Dc
s lm cng tc nghip v dc: DS.H Chu Xun Bnh L thnh vin trong tiu ban
gim st ADR v sai st trong iu tr. Thc hin cng tc kim tra quy nh
chuyn mn dc ti khoa Dc, lm sng v Nh thuc trong bnh vin. Cp nht thng
xuyn cc vn bn quy nh v qun l chuyn mn, tham mu cho Trng khoa trnh
Gim c bnh vin k hoch ph bin, trin khai thc hin cc quy nh ny ti cc
khoa trong bnh vin. m nhim vic cung ng thuc. nh k kim tra vic bo
qun, qun l, cp pht thuc ti khoa Dc. Kim tra vic s dng v bo qun
thuc-vt t y t trong t trc ti cc khoa lm sng 1 thng/ ln. Kim k trang
thit b, y dng c 6 thng/ln. Lp bng trc, chm cng. Thng bo mi hp, kim
k, kim nhp. Theo di, cp nht vo s sch nhit , m trong t lnh vaccin 2
ln/ngy vo bui sng/chiu. Bo co nhp-xut-tn thuc vaccin (dch v). Thc
hin mt s nhim v khc khi c Ph trng khoa Dc giao. Trch nhim trc Ph
trng khoa Dc v nhim v c phn.6.4.Dc s lm cng tc thng k dc:
DSTC.Nguyn Th Trang Theo di, thng k chnh xc s liu thuc - vt dng y t
nhp v khoa Dc. Theo di, thng k chnh xc s liu thuc - vt dng y t cp
pht cho ni tr, ngoi tr v cho cc khu vc t xut khc. m nhim vic cung
ng vt dng y t - ha cht. Bo co nhp - xut - tn thuc st rt, vitamin A.
Cung cp mu cho cc khoa lm sng khi c yu cu. Bo co xut - nhp - tn ca
chng trnh ARV v vaccin. Thc hin bo co cng tc khoa Dc, tnh hnh s dng
thuc - ha cht - vt dng y t trong bnh vin nh k hng nm (theo mu ph lc
3,4,5,6) gi v S y t, B y t (Cc qun l khm cha bnh) vo ngy 15 thng 10
hng nm (s liu 1 nm c tnh t 01/10 n ht ngy 30/9 ca nm k tip). Thc
hin mu bo co thuc v vt dng y t theo qu trc ngy 10 ca qu sau (mu s
10, 11) gi v bo him x hi. Bo co t xut khi c Ph trng khoa Dc yu cu
Theo di nhp xut thanh l trang thit b, dng c y t, vt t y t Thc hin
mt s nhim v khc khi c Ph trng khoa Dc giao. Chu trch nhim trc Ph
trng khoa Dc v nhim v c phn cng.6.5. Dc s ph trch kho cp pht thuc
kho chn: DS,TC.ng Th Ct Tng, DS,TC.Hunh c Phng C trch nhim thc hin
y nguyn tc v Thc hnh tt bo qun thuc, m bo an ton ca kho. Hng dn,
phn cng cc thnh vin lm vic ti kho thc hin tt cc ni quy ca kho thuc,
khoa Dc. Kim tra, gim st cht ch vic xut, nhp thuc theo quy nh ca
cng tc khoa Dc v bo co thng xuyn hoc t xut cho Ph trng khoa v cng
tc kho v cp pht: Thuc tn t/khng s dng, thuc cn hn dng khong 6 thng,
thuc c cht lng khng tt,... Khi pht hin thuc gn ht hn s dng hoc thuc
cn hn s dng nhng c du hiu nt, v, bin mu, vn cphi khu vc ring bit ch
x l. Nhp xut hng ha ng quy trnh.Theo di, cp nht vo s sch nhit , m
trong kho v t lnh 2 ln/ngy vo bui sng chiu.Theo di nhp xut tn hng
ngy trn s sch v thc t thuc gy nghin, thuc hng tm thn.Lun chuyn c s
thuc t v, chng bo lt v cc c s thuc khcnh k hiu chun cc thit b dng
theo di iu kin bo qunTheo di hn dng ca trang thit b phng chy cha
chyTham gia nghin cu khoa hc, hng dn v bi dng nghip v chuyn mn cho
cc thnh vin trong khoa v hc vin khc theo s phn cng.Thc hin mt s
nhim v khc khi c Ph trng khoa Dc giao.Chu trch nhim trc Ph trng
khoa Dc v nhim v c phn cng.6.6 Dc s ph trch kho cp pht thuc kho Vt
dng y t: DT.Trn Th M LC trch nhim thc hin y nguyn tc v Thc hnh tt
bo qun thuc bo qun an ton ca kho.Hng dn, phn cng cc thnh vin lm vic
ti kho thc hin tt ni quy ca kho thuc, khoa Dc.Kim tra, gim st cht
ch vic xut, nhp Vt dng y t theo quy nh ca cng tc khoa Dc v bo co
thng xuyn hoc t xut cho Ph trng khoa v cng tc kho v cp pht: Thuc tn
t/khng s dng, vt dng y t cn hn dng khong 6 thng, thuc cn cht lng
khng tt, Khi pht hin vt dng y t gn ht hn s dng hoc vt dng y t cn hn
s dng nhng c du hiu nt, v, bin mu, vn c,phi khu vc ring bit ch x l.
Nhp xut hng ha ng quy trnh.Theo di, cp nht vo s sch nhit , m trong
kho v t lnh 2 ln/ngy vo bui sng chiu Theo di nhp xut tn hng ngy trn
s sch v thc t thuc gy nghin, thuc hng tm thn.Lun chuyn c s vt cht y
t t v, chng bo lt v cc c s thuc khcnh k hiu chun cc thit b dng theo
di iu kin bo qunTheo di hn dng ca trang thit b phng chy cha chyTham
gia nghin cu khoa hc, hng dn v bi dng nghip v chuyn mn cho cc thnh
vin trong khoa v hc vin khc theo s phn cng.Thc hin mt s nhim v khc
khi c Ph trng khoa Dc giao.Chu trch nhim trc Ph trng khoa Dc v nhim
v c phn cng.6.7.Dc s ph trch cp pht thuc kho l ni tr: DSTC.Nguyn Th
Hu C trch nhim thc hin y nguyn tc v Thc hnh tt bo qun thuc, m bo an
ton ca kho. Hng dn, phn cng cc thnh vin lm vic ti kho thc hin tt cc
ni quy ca kho thuc, khoa Dc. Kim tra, gim st cht ch vic xut, nhp
thuc vt dng y t theo quy nh ca cng tc khoa Dc v bo co thng xuyn hoc
t xut cho Ph trng khoa v cng tc kho v cp pht: Thuc vt dng y t tn
t/khng s dng, thuc vt dng y t cn hn dng khong 6 thng, thuc c cht
lng khng tt,... Khi pht hin thuc vt dng y t gn ht hn s dng hoc thuc
vt dng y t cn hn s dng nhng c du hiu nt, v, bin mu, vn cphi khu vc
ring bit ch x l. Nhp xut hng ha ng quy trnh.Theo di, cp nht vo s
sch nhit , m trong kho v t lnh 2 ln/ngy vo bui sng chiuTheo di nhp
xut tn hng ngy trn s sch v thc t thuc gy nghin, thuc hng tm
thn.Theo di hn dng ca trang thit b phng chy, cha chyTham gia nghin
cu khoa hc, hng dn v bi dng nghip v chuyn mn cho cc thnh vin trong
khoa v hc vin khc theo s phn cng.Thc hin mt s nhim v khc khi c Ph
trng khoa Dc giao.Chu trch nhim trc Ph trng khoa Dc v nhim v c phn
cng.6.8.Dc s ph trch kho cp pht thuc kho l ngoi tr: DSTC.Trn Th Bch
Thu, DSTC.Trn Th Ngc Bch, DSTC.L Th Hng Oanh, DSTC.Nguyn Th Thm,
DSTC.Nguyn Th T Quyn, DT.Bi Th Hng Nhung, DT.Trn Th Kim Tm. C trch
nhim thc hin y nguyn tc v Thc hnh tt bo qun thuc, m bo an ton ca
kho. Hng dn, phn cng cc thnh vin lm vic ti kho thc hin tt cc ni quy
ca kho thuc, khoa Dc. Kim tra, gim st cht ch vic xut, nhp thuc theo
quy nh ca cng tc khoa Dc v bo co thng xuyn hoc t xut cho Ph trng
khoa v cng tc kho v cp pht: Thuc tn t/khng s dng, thuc cn hn dng
khong 6 thng, thuc c cht lng khng tt,... Khi pht hin thuc gn ht hn
s dng hoc thuc cn hn s dng nhng c du hiu nt, v, bin mu, vn cphi khu
vc ring bit ch x l. Nhp xut hng ha ng quy trnh.Theo di, cp nht vo s
sch nhit , m trong kho v t lnh 2 ln/ngy vo bui sng chiu.Theo di nhp
xut tn hng ngy trn s sch v thc t thuc gy nghin, thuc hng tm
thn.Theo di hn dng ca trang thit b phng chy, cha chyTham gia nghin
cu khoa hc, hng dn v bi dng nghip v chuyn mn cho cc thnh vin trong
khoa v hc vin khc theo s phn cng.Thc hin mt s nhim v khc khi c Ph
trng khoa Dc giao.Chu trch nhim trc Ph trng khoa Dc v nhim v c phn
cng.6.9.Nh thuc: DSTC.L Th Thy Dng, DSTC.Phm N Hong OanhBn l thuc
thnh phm c php lu hnh.Bn l mt s loi thuc chuyn khoa phc v mt s yu
cu hng ngy ca bnh vin.Bn l dng c v vt t tiu hao y t thng thng.T chc
v hot ng Nh thuc theo thng t 15/2011/TT-BYT ngy 19/04/2011.Thc hnh
tt nh thuc ban hnh km theo quyt nh s 11/20027/Q-BYT ngy
24/01/2007.Thc hin nim yt gi thuc theo quy nh ti thng t lin tch s
11/2007/TTLT-BYT-BTC ngy 31/08/2007.Thc hin nghim chnh quyt nh s
04/2008/Q-BYT ngy 01/02/2008 v quy ch k n thuc trong iu tr ngoi tr
v thng t s 08/2009/TT-BYT ngy 01/07/2009 ban hnh Danh mc thuc khng
k n.Thc hin mt s nhim v khc khi c Ph trng khoa Dc yu cu.Chu trch
nhim trc Ph trng khoa Dc v nhim v c phn cng.
Chng II: KT QU THC TP1.Sp xp ,phn loi v bo qun thuc ti kho Dc
bnh vin. Nguyn tc Hng nhp v phi phn loi ngay, hng nhp trc hay c hn
dng ngn hoc sp ht hn...phi xp bn ngoi v cp pht trc. Hng d chy n
ring v bo qun ring Phn loi:Theo dng dng: thuc ung, thuc tim, thuc
tim truyn...Theo dng bo ch: thuc vin, thuc nc...Theo ch qun l: thuc
gy nghin, thuc hng tm thn, thuc c A-B v thuc thngTheo tc dng dc l:
Theo yu cu bo qun: iu kin ghi trn nhn thuc ( nhit , m ) Nhit thng
15-250 C Nhit mt 8-150 C Kho lnh nh hn 8 0 C T lnh 2-80C Theo yu cu
bo qun c bit: chy, n, c, n mn, d bay hi Sp xpSp xp theo nguyn tc 3
dD thy thuc: xp nhn quay ra ngoiD ly thuc: xp thnh dy hng, khi hng
ring bit, mi khi hng cha mt s t hng D kim tra: Kim tra s bin i v
cht lng bng cm quan, biu hin km cht lng: Thuc bt: dnh l, vn cc mu
sc thay i, mi v thay i Vin nn: nt, m, b, mc bi, nm mc pht trin trn
mt vin Vin bao ng: sc loang l, lp bao b chy Vin bao phim: xut hin
nhng chm mc c mu bn trn mt vin Vin nang: v nang dnh vi nhau, b mc
hoc b rn li Thuc tim: vn c, bin mu... Thuc nc: nhim mc men xut hin
vng mc Bo quncn m bo nguyn tc thc hnh tt bo qun thuc Yu cu v v tr,
thit k:- Kho thuc c b tr ni cao ro, an ton, thun tin cho vic xut,
nhp, vn chuyn v bo v;.- m bo v sinh chng nhim khun.- Din tch kho cn
rng bo m vic bo qun thuc p ng vi yu cu ca tng mt hng thuc.- Kho ha
cht (pha ch, st khun) b tr khu vc ring. Yu cu v trang thit b: -
Trang b t lnh bo qun thuc c yu cu nhit thp - Kho c qut thng gi, iu
ha nhit , nhit k, m k, my ht m.- Cc thit b dng theo di iu kin bo
qun phi c hiu chun nh k.- C gi, k, t xp thuc; khong cch gia cc gi,
k rng v sinh v xp d hng.- trang thit b cho phng chy, cha chy (bnh
cu ha, thng ct, vi nc). Quy nh v bo qun C s theo di cng tc bo qun,
kim sot, s theo di nhit , m ti thiu 2 ln (sng, chiu) trong ngy v
theo di xut, nhp sn phm. Trnh nh sng trc tip v cc tc ng khc t bn
ngoi. Thuc, ho cht, vc xin, sinh phm c bo qun ng yu cu iu kin bo
qun do nh sn xut ghi trn nhn hoc theo yu cu ca hot cht (vi cc nh sn
xut khng ghi trn nhn) m bo cht lng ca sn phm. Thuc cn kim sot c bit
(thuc gy nghin, thuc hng tm thn v tin cht dng lm thuc, thuc phng x)
v thuc bo qun iu kin nhit c bit th bo qun theo quy nh hin hnh v yu
cu ca nh sn xut. Theo di hn dng ca thuc thng xuyn. Khi pht hin thuc
gn ht hn s dng hoc thuc cn hn s dng nhng c du hiu nt, v, bin mu, vn
c phi khu vc ring ch x l. Thuc, ho cht d chy n, vc xin, sinh phm bo
qun ti kho ring.Kim tra sc khe i vi th kho thuc, ha cht: 6
thng/ln.HNG DN BO QUN VACCIN TRONG DY CHUYN LNH CC TUYN(Km theo
Quyt nh s 23/2008/Q-BYT ngy 07 thng 7 nm 2008 ca B trng B Y
t)Vaccin, sinh phm y tKho quc gia
Kho cc tuyn
Khu vcTnhHuynC s y tim tim chng
6-9 thng3-6 thngTi a 3 thng1-3 thng1 thng hoc t hnTheo k hoch
bui tim chng
OPV-150C n -250C+20C n +80C
BCGSiMMRMRHib dung dchBo qun nhit +20C n +80C nhng c th bo qun
nhit -150C n -250C nu khng c ch.
+20C n +80C
Vim gan B
Bo qun +20C n +80C, Khng c ng bng
Bo qun +20C n +80C, Khng c ng bng
DTP-VGB
Hib dung dch
DTP
DT/TT/Td
DtaP
DTP-VBG-Hib
DTP-VBG-IPV-Hib
Cc loi vc xin, sinh phm y t khc bo qun theo hng dn ca nh sn
xut.Vc xin, sinh phm y t c ng gi cng vi nc hi chnh th bo qun nhit t
+20C n +80C. Nu nc hi chnh khng ng gi cng vi vc xin th c th c bo
qun ngoi dy chuyn lnh nhng phi c lm lnh trc khi s dng mt ngy trc
hoc mt khong thi gian cn thit bo m vc xin, sinh phm y t v nc hi
chnh nhit 80C khi pha hi chnh.Vc xin, sinh phm y t m trong bui tim
chng ln trn ming xp trong phch vc xin.QUY NH V DY CHUYN LNH V BO
QUN VACCIN TI CC C S SN XUT TIM CHNG:1.Thi gian lu tr v bo qun
vaccin:Nhit bo qunThi gian lu trLu
T mt chuyn dng2- 80 C1 3 thngVx Sabin ung: di 1 thng
T lnh gia nh2- 80 CDi 1 thng
2. Theo di nhit trong t mt chuyn dng/t lnh gia nh mi ngyMi t mt
chuyn dng/ t lnh c 1 nhit k theo di nhit . Nht k cn phi kim chun
nhit 2 ln/ nmKim tra nhit 2 ln/ ngy & 7 ngy/ tun (u gi sng v
cui gi chiu)Ghi nhn nhit kim tra trn bng theo di nhit hng thng lu
tr bng theo di trong 3 nm)3. Lu tr v bo qun vaaccin trong t mt
chuyn dng/ t lnh gia nha vaccin vo t ngay sau khi vaccin c chuyn
nVaccin trong t phi cn nguyn bao b gcSp xp vaccin theo tng loi, gi
khong cch trong cch sp xp vaccin lu thng kh tt, khng qu nhiu vaccin
>50% so dung tch t lnh, khng vaccin st cc thnh t, st phi trn ca
mi tng ca gi t, y t, ca tVaccin trong t theo tng l cng hn dng v c
th nhn c hn dng, o vaccin hng thng vaccin c hn dng gn c s dng trc4.
khng lm nhit trong t mt chuyn dng/ t lnh gia nh thay i nhiuHn ch m
ca t - khng thc n, ung trong t nhng chai y nc ca t, y t gi nhit n
nh5.Bin php d phng t mt chuyn dng/t lnh gia nhTable cm in an
tonPhch cm in tt & cm cht vo in c ghi: khng c rt phch cm inMi t
mt chuyn dng/ t lnh gia nh c 1 n p i km6.C k hoch p ng nhanh cc s c
nh t ngt ct ngun in, t h bt ngC my pht in ring cho kho vaccin v
Phng chch ngaKhi pht hin c s c nhn vin bo v bo cho Ban Gim c2.kho
thuc trong bnh vin theo hng dn GSP Yu cu v v tr, thit k:- Kho thuc
c b tr ni cao ro, an ton, thun tin cho vic xut, nhp, vn chuyn v bo
v;.- m bo v sinh chng nhim khun.- Din tch kho cn rng bo m vic bo
qun thuc p ng vi yu cu ca tng mt hng thuc.- Kho ha cht (pha ch, st
khun) b tr khu vc ring. Yu cu v trang thit b: - Trang b t lnh bo
qun thuc c yu cu nhit thp - Kho c qut thng gi, iu ha nhit , nhit k,
m k, my ht m.- Cc thit b dng theo di iu kin bo qun phi c hiu chun
nh k.- C gi, k, t xp thuc; khong cch gia cc gi, k rng v sinh v xp d
hng.- trang thit b cho phng chy, cha chy (bnh cu ha, thng ct, vi
nc). Quy nh v bo qun C s theo di cng tc bo qun, kim sot, s theo di
nhit , m ti thiu 2 ln (sng, chiu) trong ngy v theo di xut, nhp sn
phm. Trnh nh sng trc tip v cc tc ng khc t bn ngoi. Thuc, ho cht, vc
xin, sinh phm c bo qun ng yu cu iu kin bo qun do nh sn xut ghi trn
nhn hoc theo yu cu ca hot cht (vi cc nh sn xut khng ghi trn nhn) m
bo cht lng ca sn phm. Thuc cn kim sot c bit (thuc gy nghin, thuc
hng tm thn v tin cht dng lm thuc, thuc phng x) v thuc bo qun iu kin
nhit c bit th bo qun theo quy nh hin hnh v yu cu ca nh sn xut. Theo
di hn dng ca thuc thng xuyn. Khi pht hin thuc gn ht hn s dng hoc
thuc cn hn s dng nhng c du hiu nt, v, bin mu, vn c phi khu vc ring
ch x l. Thuc, ho cht d chy n, vc xin, sinh phm bo qun ti kho
ring.Kim tra sc khe i vi th kho thuc, ha cht: 6 thng/ln.3.hot ng
thng tin gii thiu thuc trong bnh vin v hi ng thuc v iu tr3.1 Thng
tin thuc, t vn s dng thuc Cng tc thng tin thuc v t vn v s dng thuc
T chc n v thng tin thuc ph bin, theo di, tuyn truyn s dng thuc an
ton, hp l v hiu qu. Thng tin v thuc: tn thuc, hot cht, liu dng, liu
c, qu liu; hiu chnh liu cho cc i tng ngi bnh c bit; ch nh, chng ch
nh, tc dng khng mong mun ca thuc, tng tc thuc, tng hp, tng k ca
thuc; la chn thuc trong iu tr; s dng thuc cho ph n c thai/cho con
b, cc lu khi s dng thuc. Thng bo kp thi nhng thng tin v thuc mi: tn
thuc, thnh phn; tc dng dc l, tc dng khng mong mun, ch nh, chng ch
nh, liu dng n cc khoa lm sng. T vn cho Hi ng thuc v iu tr trong vic
la chn thuc a vo Danh mc thuc dng trong bnh vin, trong vic xy dng
tiu ch la chn thuc trong u thu. T vn v s dng thuc cho bc s k n la
chn thuc trong iu tr. Hng dn v s dng thuc cho iu dng, ngi bnh nhm
tng cng s dng thuc an ton, hp l; hng dn cch dng, ng dng, khong cch
dng, thi im dng thuc; hng dn, theo di, gim st iu tr. Tham gia ph
bin, cp nht cc kin thc chuyn mn lin quan n thuc v s dng thuc cho cn
b y t. Tham gia cng tc cnh gic dc; theo di, tp hp cc bo co v tc dng
khng mong mun ca thuc trong n v v bo co v Trung tm Quc gia v Thng
tin thuc v theo di phn ng c hi ca thuc. xut bin php gii quyt v kin
ngh v s dng thuc hp l, an ton. Tham gia nghin cu khoa hc v s dng
thuc, v th nghim thuc trn lm sng, nh gi hiu qu kinh t y t trong bnh
vin. Tham gia ch o tuyn trc i vi bnh vin tuyn trung ng v tuyn tnh.
S dng thuc Xy dng hng dn s dng danh mc thuc bnh vin. Xy dng cc tiu
ch la chn thuc, ho cht (pha ch, st khun) cung cp cho Hi ng thuc v
iu tr v Hi ng u thu la chn thuc, ha cht (pha ch, st khun) s dng
trong bnh vin. Kim tra, gim st vic s dng thuc hp l, an ton trong
bnh vin. nh gi s dng thuc v ch nh (s ph hp vi hng dn iu tr, vi danh
mc thuc bnh vin), chng ch nh, liu dng, tng tc thuc thng qua vic
duyt thuc cho cc khoa lm sng v tham gia phn tch s dng thuc trong cc
trng hp lm sng v nh gi qu trnh s dng thuc.3.2 Hi ng thuc Mc Tiu -
Thc hin tt quy nh HT & T do BYT ban hnh- m bo y thuc s dng theo
danh mc ca BYT v theo yu cu thc t ti n v.- m bo thuc mua vo gi hp
l, s dng c hiu qu cao nht v hn ch ti a s lng b qu hn s dng. Chc
nng- nhim v: Xy dng cc quy nh v qun l v s dng thuc trong bnh vin.
Xy dng danh mc thuc ph hp vi c th bnh tt v chi ph v thuc, vt t tiu
hao iu tr ca bnh vin: Danh mc theo phc iu tr. Xy dng v thc hin cc
hng dn iu tr. Xy dng vaphn tch cc vn lin quan n s dng thuc. Gim st
phn ng c hi ca thuc ( ADR ) v cc sai st trong iu tr. Thng bo, kim
st thng tin v thuc. L li lm vic: Hi ng thuc v iu tr hp nh k hng
thng. Hp bt thng do Ch tch Hi ng yu cu. Thc hin s kt tng kt v bo co
nh k 3, 6 , 9,12 thng. Ni dung thc hin : Hi ng c chc nng t vn cho
gim c bnh vin cc vn lin quan n thuc v iu tr bng thuc ca bnh vin,
thc hin tt chnh sch quc gia v thuc trong bnh vin. Thc hin nghim tc
nhim v ca Hi ng thuc v iu tr. Xy dng cc qui nh v qun l, s dng thuc
trong bnh vin. Xy dng danh mc thuc, VTYT, HCXN dng trong bnh vin.
Hon chnh phc iu tr cho ton Bnh Vin. Hn ch ti a thuc, VTYT, Ha cht
xin thanh l. Gii php:- Thc hin nghim tc nhim v ca HTT: Tng cng vai
tr ca tng thnh vin HTT. Nng cao vai tr ca cc khoa lm sng trong gim
st h s bnh n, k n. m bo qui trnh nhp, s dng hiu qu cao nht. Thng
xuyn kim tra kp thi chn chnh h thng phn mm m bo thuc c thng tin y
.- Tham mu Gam c t chc u thu Ha cht XN nm. Chun b danh mc HCXN y
theo yu cu iu tr. Thc hin nghim tc lut u thu theo quy nh.- Han chnh
phc iu tr cho bnh vin.- Hn ch ti a thuc, VTYT, Ha cht xin thanh l.
* i vi thuc, VTYT, HC t s dng ko di 3-6 thng: thng bo cc khoa lu s
dng.+ 06 thng :-Nn thng bo lin tc cho khoa hng thng lu s dng.-ng
thi lin h cng ty i thuc hn dng xa hn.-Nu khng i c : thay th hot cht
tng ng s dng cho ht.-Hng thng bo co s lng c s dng nhm nhc nh khoa
tng cng s dng.+ 03 thng :-Tip tc lin lc vi cng ty xin i thuc khc
hoc hn s dng xa hn.-Nu l ngun iu tr ni tr nn chuyn kho ngoi tr tng
s dng.( i vi thuc c php s dng iu tr ngoi tr ).-Nu l ngoi tr nn tng
cng s dng hot cht.-Nu cn tn ng nn xem li nhu cu s dng cn nhc tip tc
mua loi thuc ny hay khng? * i vi thuc ht HSD Khoa Dc hng dn c th
quy trnh cho cc khoa thc hin. Phn cng thc hin:1/ Bs . V Ngc Hi- PG
iu tr: Trng tiu ban xy dng danh muc thuc va giam sat s dng thuc
trong bnh vin. Xy dng k hoach hoat ng cua tiu ban. Tham gia xy dng
danh mc thuc ph hp vi c th bnh tt v chi ph v thuc, vt t y t tiu hao
iu tr ca bnh vn ( theo d tr cc khoa, theo qui nh ca bnh vin hng
III).Cung cac thanh vin co tn: Ba Trn Thi Tuyt Mai Trng phong Tai
chinh k toan BS. Nguyn Vn Tn Trng khoa Ni DS. Pham Hoa An Pho Trng
khoa Dc2/ DS Phm Hoa An Pho Trng Khoa Dc Tham gia tiu ban xy dng
danh mc thuc v gim st s dng thuc. Hng thng chun b bo co hot ng HT
& T. Tham gia xy dng danh mc thuc ph hp vi c th bnh tt v chi ph
v thuc, vt t y t tiu hao iu tr ca bnh vn ( theo d tr cc khoa, theo
qui nh ca bnh vin hng III). Tham mu cho Ban Gim c kp thi, m bo thuc
BHYT s dng theo thc t ti n v. (b sung danh mc thuc cp nht theo phc
iu tr, theo tin iu tr - c bit thuc cp cu, thuc tr em.) Thc hin nhim
v (3) v (4) ca qui ch hot ng HTT Gim st qui ch cng tc khoa dc.3/
Trn Th Tuyt Mai Trng phng TCKT Tham gia tiu ban xy dng danh mc thuc
v gim st s dng thuc. Tham gia xy dng danh mc thuc ph hp vi c th bnh
tt v chi ph v thuc, vt t y t tiu hao iu tr ca bnh vn ( theo d tr cc
khoa, theo qui nh ca bnh vin hng III). Tham mu Ban Gim c s lng thuc
cn mua( theo d tr ca khoa Dc, v s lng xut tn, v theo cn i ngn sch
). Gim st bo co xut nhp tn thuc v vt dng y t tiu hao ca bnh vin hng
thng, hng qu. m bo quy trnh mua sm cng khai, nhanh chng thanh ton
cng n trnh tnh trng thiu thuc do cha thanh ton.4/ BS. Nguyn Vn Tn
Trng khoa Ni Tham gia tiu ban xy dng danh mc thuc v gim st s dng
thuc. Tham gia xy dng danh mc thuc ph hp vi c th bnh tt v chi ph v
thuc, vt t y t tiu hao iu tr ca bnh vn ( theo d tr cc khoa, theo
qui nh ca bnh vin hng III). Xy dng danh mc thuc s dng cho khoa theo
qui nh v theo yu cu thc t ti khoa mnh ph trch Gim st vic thc hin
quy ch chuyn mn, h s bnh n, k n thuc, quy ch s dng thuc, quy ch cng
tc dc ti khoa mnh ph trch v ca HT&T .T chc bnh bnh n, bnh n
thuc hng thng bo co li phng KHTH trc ngy 30 hng thng .
5/ DS.ng Th Th Kiu- Dc s lm sng: Trng tiu ban giam sat thng tin
thuc trong bnh vin. Xy dng k hoach hoat ng cua tiu ban. Tham gia xy
dng danh mc thuc ph hp vi c th bnh tt v chi ph v thuc, vt t y t tiu
hao iu tr ca bnh vn ( theo d tr cc khoa, theo qui nh ca bnh vin hng
III). Chun b cc n thuc cho cng tc bnh n thuc hng tun. Bo co kt qu
bnh n thuc hng thng. Tham gia thc hin quy ch cng tc dc ti khoa mnh
v ca HT&T . Tham gia bnh bnh n, bnh n thuc. Cung cac thanh vin
co tn: + BS. Nguyn Ngc Chn Trng khoa CC- HSTC- C6/ BS. Nguyn Ngc
Chn- Trng khoa CC HSTC - C: Tham gia tiu ban giam sat thng tin thuc
trong bnh vin. Tham gia xy dng danh mc thuc ph hp vi c th bnh tt v
chi ph v thuc, vt t y t tiu hao iu tr ca bnh vn ( theo d tr cc
khoa, theo qui nh ca bnh vin hng III). Xy dng danh mc thuc s dng
cho khoa theo qui nh v theo yu cu thc t ti khoa mnh ph trch. Gim st
vic thc hin quy ch chuyn mn, h s bnh n, k n thuc, quy ch s dng
thuc, quy ch cng tc dc ti khoa mnh ph trch v ca HT&T. T chc bnh
bnh n, bnh n thuc hng thng bo co li phng KHTH trc ngy 30 hng thng
.7/ BS. Nguyn Th L Hng- Trng Phng KHTH Trng tiu ban giam sat s dng
khng sinh v theo di s khng thuc ca vi khun gy bnh thng gp trong bnh
vin. Xy dng k hoach hoat ng cua tiu ban. Tham gia xy dng danh mc
thuc ph hp vi c th bnh tt v chi ph v thuc, vt t y t tiu hao iu tr
ca bnh vn ( theo d tr cc khoa, theo qui nh ca bnh vin hng III).
Chun b bnh n bnh hng tun cho cc Bc s. Tng hp bnh bnh n - bnh n thuc
cc khoa hng thng Gim st vic thc hin quy ch chuyn mn, lm h s bnh n v
k n thuc ca bnh vin. Tham mu Ban Gim c duyt cc phc iu tr cho ton
bnh vin. Gim st vic thc hin quy ch chuyn mn, lm h s bnh n v k n , s
dng thuc theo ng phc c duyt. L th k cho cc bui hp HT & T hng
thng. Cung cac thanh vin co tn: BS. Trn Th Thy H Trng khoa Dinh dng
Tit ch 8/ BS. Trn Thi Thuy Ha- Trng khoa Dinh dng- Tit ch Tham gia
tiu ban giam sat s dng khng sinh v theo di s khng thuc ca vi khun
gy bnh thng gp trong bnh vin. Tham gia xy dng danh mc thuc ph hp vi
c th bnh tt v chi ph v thuc, vt t y t tiu hao iu tr ca bnh vn (
theo d tr cc khoa, theo qui nh ca bnh vin hng III). Xy dng danh mc
thuc s dng cho khoa theo qui nh v theo yu cu thc t ti khoa mnh ph
trch Gim st vic thc hin quy ch chuyn mn, h s bnh n, k n thuc, quy
ch s dng thuc, quy ch cng tc dc ti khoa mnh ph trch v ca HT&T .
T chc bnh bnh n, bnh n thuc hng thng bo co li phng KHTH trc ngy 30
hng thng . 9/ BS. Ng T Loan- Trng khoa Khm bnh Trng tiu ban giam
sat ADR v sai sot trong iu tr. Xy dng k hoach hoat ng cua tiu ban.
Tham gia xy dng danh mc thuc ph hp vi c th bnh tt v chi ph v thuc,
vt t y t tiu hao iu tr ca bnh vn ( theo d tr cc khoa, theo qui nh
ca bnh vin hng III). Xy dng danh mc thuc s dng cho khoa theo qui nh
v theo yu cu thc t ti khoa mnh ph trch Gim st vic thc hin quy ch
chuyn mn, h s bnh n, k n thuc, quy ch s dng thuc, quy ch cng tc dc
ti khoa mnh ph trch v ca HT&T . T chc bnh bnh n, bnh n thuc hng
thng bo co li phng KHTH trc ngy 30 hng thng . Cung cac thanh vin co
tn: DS. H Chu Xun Binh Dc si khoa Dc 10/ DS. H Chu Xun Binh- Dc si
khoa Dc Tham gia tiu ban giam sat ADR v sai sot trong iu tr. Xy dng
k hoach hoat ng cua tiu ban. Tham gia xy dng danh mc thuc ph hp vi
c th bnh tt v chi ph v thuc, vt t y t tiu hao iu tr ca bnh vin (
theo d tr cc khoa, theo qui nh ca bnh vin hng III). Tham gia thc
hin quy ch cng tc dc ti khoa mnh v ca HT&T . Tham gia bnh bnh
n, bnh n thuc 11/ BS. Lm My Dung- Trng khoa Nhi Trng tiu ban giam
sat Xy dng hng dn iu tr. Xy dng k hoach hoat ng cua tiu ban. Tham
gia xy dng danh mc thuc ph hp vi c th bnh tt v chi ph v thuc, vt t
y t tiu hao iu tr ca bnh vn ( theo d tr cc khoa, theo qui nh ca bnh
vin hng III). Xy dng danh mc thuc s dng cho khoa theo qui nh v theo
yu cu thc t ti khoa mnh ph trch Gim st vic thc hin quy ch chuyn mn,
h s bnh n, k n thuc, quy ch s dng thuc, quy ch cng tc dc ti khoa
mnh ph trch v ca HT&T . T chc bnh bnh n, bnh n thuc hng thng bo
co li phng KHTH trc ngy 30 hng thng . Cung cac thanh vin co tn: BS.
Bui Ngoc Sanh Trng khoa Ngoai BS. Trng Ngoc Thao Trng khoa San BS.
Bui Thi Kim Lin Pho trng LCK BS. Pham Ngoc Kiu Trang Pho trng khoa
YHCT 12/ BS. Bui Ngoc Sanh Trng khoa Ngoai Tham gia tiu ban giam
sat Xy dng hng dn iu tr. Tham gia xy dng danh mc thuc ph hp vi c th
bnh tt v chi ph v thuc, vt t y t tiu hao iu tr ca bnh vn ( theo d
tr cc khoa, theo qui nh ca bnh vin hng III). Xy dng danh mc thuc s
dng cho khoa theo qui nh v theo yu cu thc t ti khoa mnh ph trch Gim
st vic thc hin quy ch chuyn mn, h s bnh n, k n thuc, quy ch s dng
thuc, quy ch cng tc dc ti khoa mnh ph trch v ca HT&T . T chc
bnh bnh n, bnh n thuc hng thng bo co li phng KHTH trc ngy 30 hng
thng .13/ BS. Trng Ngoc Thao Trng khoa San Tham gia tiu ban giam
sat Xy dng hng dn iu tr. Tham gia xy dng danh mc thuc ph hp vi c th
bnh tt v chi ph v thuc, vt t y t tiu hao iu tr ca bnh vn ( theo d
tr cc khoa, theo qui nh ca bnh vin hng III). Xy dng danh mc thuc s
dng cho khoa theo qui nh v theo yu cu thc t ti khoa mnh ph trch Gim
st vic thc hin quy ch chuyn mn, h s bnh n, k n thuc, quy ch s dng
thuc, quy ch cng tc dc ti khoa mnh ph trch v ca HT&T . T chc
bnh bnh n, bnh n thuc hng thng bo co li phng KHTH trc ngy 30 hng
thng .14/ BS. Bui Thi Kim Lin Pho Trng khoa LCK Tham gia tiu ban
giam sat Xy dng hng dn iu tr. Tham gia xy dng danh mc thuc ph hp vi
c th bnh tt v chi ph v thuc, vt t y t tiu hao iu tr ca bnh vn (
theo d tr cc khoa, theo qui nh ca bnh vin hng III). Xy dng danh mc
thuc s dng cho khoa theo qui nh v theo yu cu thc t ti khoa mnh ph
trch. Gim st vic thc hin quy ch chuyn mn, h s bnh n, k n thuc, quy
ch s dng thuc, quy ch cng tc dc ti khoa mnh ph trch v ca HT&T .
T chc bnh bnh n, bnh n thuc hng thng bo co li phng KHTH trc ngy 30
hng thng .15/ BS. Pham Ngoc Kiu Trang Pho trng khoa YHCT Tham gia
tiu ban giam sat Xy dng hng dn iu tr. Tham gia xy dng danh mc thuc
ph hp vi c th bnh tt v chi ph v thuc, vt t y t tiu hao iu tr ca bnh
vn ( theo d tr cc khoa, theo qui nh ca bnh vin hng III). Xy dng
danh mc thuc s dng cho khoa theo qui nh v theo yu cu thc t ti khoa
mnh ph trch. Gim st vic thc hin quy ch chuyn mn, h s bnh n, k n
thuc, quy ch s dng thuc, quy ch cng tc dc ti khoa mnh ph trch v ca
HT&T . T chc bnh bnh n, bnh n thuc hng thng bo co li phng KHTH
trc ngy 30 hng thng .16/ C nhn iu dng Nguyn Th Thu Thy - Trng phng
iu dng Tham gia xy dng danh mc thuc ph hp vi c th bnh tt v chi ph v
thuc, vt t y t tiu hao iu tr ca bnh vn ( theo d tr cc khoa, theo
qui nh ca bnh vin hng III). Tham gia thc hin quy ch cng tc dc ti
khoa mnh v ca HT&T . Tham gia bnh bnh n, bnh n thuc. T chc bnh
phiu chm sc cho iu dng hng thng, bo co li phng KHTH trc ngy 30 hng
thng lm tng hp gi v SYT. Tham gia bnh bnh n phn chm sc iu dng hng
thng qua cuc hp hi ng thuc iu tr. Gim st vic thc hin nhim v chuyn
mn ca cng tc iu dng.
4. Cung ng v cp pht thuc trong bnh vin D tr Ty tnh hnh bnh vin m
lp d tr, s lng d tr da trn tnh hnh bnh tt v lng thuc dng trong nm
ngoi T cung tiu v t kho theo di, thng bo sn phm sp ht hng Theo di s
lng ng k ngay t u nm, mc xut hng cc thi k trc, lng tn kho hin ti...
Nhu cu v sn phm mi: do bc s cc khoa d tr, c hi ng thuc v iu tr thng
qua, ph duyt D tr b sung: khi c nhu cu tng t xut Nhp: theo ha n c
du hp php Xut: theo toa thuc ca bc s, phiu xut hoc phiu lnh thuc
Quy trnh mua thuc vt t chuyn mn , ha cht, vt dng y t ti bnh vinQUY
TRNH MUA THUC VT T CHUYN MN TI BNH VIN QUN 4Mc ch: m bo vt t chuyn
mn t tiu chun cht lng, p ng kp thi nhu cu v ng quy nh hin hnh. Phm
vi p dng: Cc loi vt t chuyn mn nhp vo kho Dc. i tng thc hin: Thnh
vin trong Hi ng kim nhp theo Q s 144/Q-BVQ4 ngy 12/11/2012 Ni dung
quy trnh: Chnh sch mua vt t chuyn mn:D tr ti a: i vi thuc ngoi nhp
hng 3 thng.D tr mc cn thit: i vi thuc ni, vt t tiu hao, ha cht xt
nghim, do ngun cung cp n nh nhp hng 1 thng..Chnh sch v cht lng v gi
c vt t chuyn mn: Cn c vo kt qu u thu ca Bnh vin hng nm. Th tc mua
vt t chuyn mn: Nhm kim sot cht ch qu trnh mua hng theo ng cc chnh
sch ca Bnh vin.Tt c cc nghip v mua vt t chuyn mn u phi lp n t hng
theo mu v phi c xt duyt bi b phn mua vt t chuyn mn (cung ng). B phn
mua cn c vo nhu cu s dng ca cc khoa trn c s danh mc vt t chuyn mn c
duyt ca Hi ng thuc Bnh vin. Th tc nhn hng, kim sot cht lng:Nhp vt t
chuyn mn vo kho phi qua s kim tra ca Hi ng kim nhp kho. Kim tra ha
n: y tn, a ch Bnh vin, MST, ngy, thng, nm, s H, ch k ngi c trch
nhim. i chiu gia ha n thc t v kt qu thu v cc chi tit ca tng mt hng.
Kim nhp chi tit: Kim tra ln lt tng thng hng. Phn loi hng theo l,
HD, sp xp ngay ngn. Kim tra bng cm quan (2-3 mu i din). Kim tra s
l, hn dng, tt c cc thuc khi nhp vo kho hn dng cn li phi trn 6 thng,
hng sn xut, nc sn xut. Kim tra s lng, cht lng. Kim tra ngun gc (SK,
tem nhp khu..) Mi trng hp nhp phi lp phiu nhp kho, bin bn kim nhp,
s kim nhp (theo ph lc 14 Thng t s 22/2011/TT-BYT ngy 10/06/2011) c
y ch k ca ngi giao, th kho v i din b phn nhn vt t chuyn mn theo
Quyt nh s 144/Q-BVQ4 ngy 12/11/2012. Thuc c yu cu kim sot c bit
(thuc gy nghin, thuc hng tm thn..) lm bin bn kim nhp ring.
QUY TRNH MUA THUC- HA CHT- VT DNG Y T1.Quy trnh din gii:TTCHC
DANH THC HINM T CNG VICBIU MU/H S LIN QUAN
1Dc s lm cng tc nghip v dc Lp phiu t hng thuc (s lng 01 thng Hi
ng Thuc-iu tr duyt), ha cht, vt dng y t, phim Xquang (s lng theo
nhu cu ca khoa lm sng). Trnh phiu t hng cho Trng khoa DcPhiu t hng
thuc, ha cht, vt dng y t, phim Xquang
2Trng khoa DcXem xt phiu t hng, nu:+ ng : k duyt.+ Khng ng : yu
cu chnh sa b sung.Phiu t hng thuc, ha cht, vt dng y t, phim
Xquang
3Dc s lm cng tc nghip v dc t hng theo phiu t hng c duyt. Gi phiu
t hng cho th kho.Phiu t hng thuc, ha cht, vt dng y t, phim
Xquang.
4Hi ng kim nhp Nhp hng theo n t hng. Kim tra hng nhp s vi n t
hng.Bin bn kim nhp
5Th kho Dc v K ton Nhp kho, nhp th kho Hng thng k ton v th kho
dc i chiu s liu nhp xut tn kho.Bo co s liu xut nhp tnTh kho
2.Nhng quy nh lin quan: khng c3.H s lu trSTTTn biu mu/ h sB phn/
ngi lu trThi gian lu tr
1Phiu t hng thuc, ha cht, vt dng y t, phim XquangKhoa Dc03
nm
2Bin bn kim nhpKhoa Dc03 nm
3Bo co s liu xut nhp tnKhoa Dc03 nm
QUY TRNH CP PHT THUC CHO BNH NHN IU TR NGOI
1BC SKhm bnh, ch nh s dng thuc vo n thuc2BNH NHN IU TR NGOI
TRSauk hi thc chi v ng tin ti phng thu ph3 PHNG PHT THUC CHO BNH
NHN IU TR NGOI TR-Chuyn b phn trnh duyt cp (nu trong n c thuc phi
duyt)-Pht thuc theo n-Kim tra, i chiu khi cp pht thuc+Th thc n
thuc, hn s dng BHYT+Kim tra tn thuc,nng (hm lng), dng bo ch, liu
dng, ng dng, khong cch dng thuc trn n thuc vi thuc s giao+Nhn
thuc+Cht lng thuc, hn s dng+S lng, s khon thuc trong n thuc, phiu
lnh thuc vi s thuc s giao+Kim tra, i chiu n thuc vi phiu thc
chi4BNH NHNKim tra thuc, k nhn v ghi r h tn trn thc chi, n
thucTR
QUY TRNH CP PHT THUC, VT T Y T TIU HAO CHO BNH NHN IU TR NI
T
1BC SKhm bnh, ch nh s dng thuc vo h s bnh n 2 IU DNG- Tng hp
thuc, vt t y t tiu hao (dy truyn dch, bm tim, kim lun, kim bm,kim
pha) t bnh n vo s tng hp thuc phiu lnh thuc, vt t y t tiu hao- Trnh
Trng Khoa lm sng duyt3PH TRNG KHOA DCDuyt Phiu lnh thuc, vt t y
t4PHNG TI CHNH K TONLm phiu xut kho5PH TRNG KHOA DCDuyt phiu xut
kho, trnh k Gim c6KHOA DC (Dc s ph trch Kho l ni tr)Cp pht theo
phiu xut kho + Phiu lnh thuc, vt t y tKhi cp pht kim tra, i
chiu:-Th thc phiu lnh thuc, vt t y t tiu hao-Kim tra tn thuc, nng
(hm lng), dng bo ch, liu dng, ng dng, khong cch dng thuc trn phiu
lnh thuc vi thuc s giao-Nhn thuc-Cht lng thuc, hn s dng-S lng, s
khon thuc, vt t y t trong phiu lnh vi hng ha s giao7IU DNGNhp kim
tra ng, thuc, vt t y t
QUY TRNH CP PHT THUC VT T Y T TIU HAO T KHO CHN N KHO L KHOA
DC
1KHO L (Dc s ph trch kho l thuc, vt t y t)-Tng hp thuc, vt t y t
s dng trong tun vo phiu lnh thuc.-Trnh Ph Trng khoa duyt 2 PH TRNG
KHOA DCDuyt phiu thuc Vt t y t3PHNG TI CHNH K TONLm phiu xut kho4PH
TRNG KHOA DCDuyt Phiu xut kho, trnh k Gim c5KHO CHN ( Dc s ph trch
kho chn thuc, vt t y t)-Cp pht theo phiu lnh-Kim tra, i chiu khi cp
pht+Th thc phiu lnh v phiu xut kho thuc, vt t tiu hao+Kim tra tn,
nng (hm lng), dng bo ch thuc, vt t y t trn phiu lnh+Nhn thuc+Cht
lng thuc+S lng, s khon thuc, vt t y t trong phiu lnh vi hng ha s
giao6KHO L (Dc s ph trch kho l thuc, vt t y t)Nhn kim tra ng, thuc,
vt t y t
QUY TRNH CP PHT THUC VT T Y T TIU HAO, HA CHT CHO KHOA LM
SNG
IU DNG KHOA LM SNG Tng hp vt t y t, ha cht s dng trong tun vo
phiu lnh vt t Trnh Trng Khoa duyt 2 PH TRNG KHOA DC Duyt phiu lnh
vt t y t, ha cht3 PHNG TI CHNH K TON Lm phiu xut kho4 PH TRNG KHOA
DC Duyt Phiu xut kho, trnh k Gim c 5 KHO DC ( Dc s ph trch kho Vt t
y t, Ha cht) Cp pht theo phiu lnh v phiu xut kho Kim tra, i chiu
khi cp pht:Th thc phiu lnh ha cht, vt t y tKim tra tn, hng ha trn
phiu lnh vi hng ha s giaoNhn hng haCht lng hng haS lng, s khon hng
ha trong phiu lnh vi s hng ha s giao6 IU DNGNhn kim tra ng, vt t y
t, ha cht.
DANH MC THUC THIT YUSTTSTT theo DMT ca BYTTN THUC /TN HOT CHTTN
THNH PHMHM LNG/NNG NH SN XUTN V TNHGHI CH
HNG SXNC SX
I/THUC GY T ,M
12Bupivacacine HydrocloricdeMarcaine Spinal HeavyDung dch
0.5%/4mlAstraZenecaAB-SwedenThy inng
25EtomidateEtomidate20mg/10mlB.Braun MelsungenAGc ng
36FentanylFentanyl50mcg/mlHamelncng
49Isofrurane USPArrane250mlBaxterheathcare of Puerto RioML
59Isofrurane USPArrane100mlBaxterheathcare of Puerto RioML
10ketaminKetamin10mlHalmencng
616morphinMorphin5mg/mlHamelncng
II/THUC GIM AU ,H ST ,CHNG VIM KHNG STEROID,GT,XNG KHP
1.GIM AU ,H ST ,CHNG VIM KHONG STEROID
718CelecoxibSarinex200mgEfrozepakistanVin
830DiclofenacVoltaren50mgNovartis Fama S.p.AVin
930DiclofenacDiclophenac75mg/3mlFreseniuns Kabi bidipharVit
namng
1033EtodolacRolac200mgBV PharmaVit NamVin
1134NefopamNISIDOL (inj)20mgZenith BiochemicalBng
1241MeloxicamMobic7,5mgBoehringer ingelheim pharma
gmbH&CO.K.GcVinBGD DUYT
1349NefopamNISIDOL20mgZenith BiochemicalBng
1450ParacetamolHapacol325mgCTCP Hu GiangVit NamVin
1550ParacetamolTydol325mgCty CPDP OPVVit NamVin
1650ParacetamolTydol500mgCty CPDP OPVVit Namvin
1750ParacetamolEfferalgan suppo150mgBristol-Myers
SquibbPhpVin
1850ParacetamolPerfalgan1g/ 100mlBristol-Myers Squibb S.r.l
Chai
1952Paracetamol + CodeinTydol Codein Forte( 500mg + 30mg )Cty
CPDP OPVVit Nam Vin
2053Paracetamo+IbuprofenPartamol Extra( 325mg +200mg )Lin
DoanhStada - VNVit NamVin
2157PiroxicamFeldene20mgPfizer PGM - FrancePhp VinBGD DUYT
2257Piroxicam -cyclodextrinBrexin Tab20mgChiesi Farmaceutici
S.p.A. vinBGD DUYT
2357PiroxicamPiroxicam20mgKhnh ha Vit NamVin
2458TenoxicamTilcotil20mgF.Hoffmann-La Roche
LtdSwitzerlandVinBGD DUYT
2558TenoxicamCotixil20mgMekopharVit NamVin
2650+60Paracetamol+tramdolultracet( 325mg+ 37,5mg )JANSSEN KOREA
LTD.Hn QucVinBGD DUYT
2750+60Paracetamol + TramadolDOLZERO 325mg+ 37,5mgPhanacea
Biotec LimutedIndiaVin
2. THUC CHNG THOI HA KHP:
2865DiacereinShuraten50mgSchnell PharmaKoreaVinBGD DUYT
2965DiacereinAGDICERIN50mgC.ty CPDP AgimexpharmVit NamVINBGD
DUYT
3067Glucosamin sulfatGLUCOSAMIN250mgCng ty CP DP H TyVit
NamVin
`3167Glucosamin sulfatGLUCOSAMIN500mgNIC PharmaVit NamVin
3. THUC IU TR GT:
3261AllopurinolAllopurinol Stada300mgLin Doanh Stada - VNVit
NamVin
3362ColchicineColchicine Stada1mgLin Doanh Stada - VNVit Nam
Vin
4. THUC KHC:
3469AlendronatForcimax70mgOPVVit Nam VinBGD DUYT
3571AlphachymotrypsinALPHACHYMOTRYPSIN5mgCTY TNHH MTV DP&SH
Y TVit nam Vin
3672Calcitonin c hi tng hpMiacalcic inj50IUNovartis Pharma Stein
AGThy Sng
3774MethocarbamolMaxophine750mgMyungmoon Pharmaceutical Co ;
LtdHn Quc Vin
3877SerratiopeptidaseAtizal10mgCTLD US Pharma USA -CagipharmVit
Nam Vin
III / THUC CHNG D NG:
4082CetirizineKacerin10mgKhnh HaVit NamVin
4184ChlopheniraminClopheniramin4mgKhnh HaVit Nam Vin
4285DesloratadinSavi Deslo5mgSavipharmVit Nam Vin
4386DexchlorpheniramineMekopora2mgMekopharVit Nam Vin
4487CalcitriolDongdo Calio0,25mcgCng ty CPDP Nam HVit NamVin
4592FexofenadinHasalfast60mgHasan DermapharmVN LD cVin
4692FexofenadinTelfast BD60mgSanofi-Aventis U.S.LLCM Vin
4792FexofenadinTelfor180mgCTCP Dc Hu GiangVit NamVin
4895LevocetirizinXyzal5mgUCB Farchim S.A - SwitzerlandThy S
VinBGD DUYT
4996LoratadineLORAVIDI10mgC.TYCPDP Trung ng Vidipha Vit
NamVin
50100PromethazinePhenergan Cream2% /10gSanofi-Aventis Vit NamVit
NamtupBGD DUYT
51100Promethazin hydrocloridSiro Promethazine60mlBidiphar 1Vit
Nam LBGD DUYT
IV/ THUC GII C:
52102AtropinAtropin0.25mg/ 1mlVnh Phc Vit Namng
53110DL-MethioninMethionin250 mgCPDP3/2Vit NamVin
54122Naloxone (hydrocloride)Naloxone0.4 mg/ 1
mlRotexGermanyng
54124Natri hydrocarbonatNatribicarbonat1,4% / 250mlFresenius
Kabi BidipharVit NamChai
55126NatrithiosulfatVACOSULFENE330mgVacopharmVit Nam Vin
56138Gabapentin 300mgNeurontin Cap300mgGodecke GmbH -cc VinBGD
DUYT
V/ THUC CHNG CO GIT, CHNG NG KINH:
57137CarbamazepineTegretol200mgNovartis Farma S.p.AVin
58141PhenobarbitalLumidone100mg/ mlDaewoonHn Quc ng
59141PhenobarbitalPhenobarbital100mgVidipharVit NamVin
VI/ THUC IU TR K SINH TRNG, CHNG NHIM KHUN:
1. THUC TR GIUN, SN:
60149AlbendazolMeko Zetel400mgMekopharVit NamVin
61149AlbendazolZentel (VN)200mgOPV-Vit NamVit NamVinBGD DUYT
62149AlbendazolMeko Zetel200mgMekopharVit NamVin
63149Mebendazole 500mgFugacar (Choco)500mgOLIC (Thailand)
Ltd.Thi Lan VinBGD DUYT
64152MebendazoleMebendazol 500mgMekopharVit NamVin
2. THUC CHNG NHIM KHUN:
A/ NHM BETA- LACTAM:
65158AmoxicilinHagimox250mgCTCP Dc Hu GiangVit NamGi
66158AmoxicilinAMOXICILLIN500mgBrawn Laboratories
LtdIndiaVin
67159Amoxicilin +Acid ClavulanicAugmentin BD( 500mg + 125mg
)SmithKline Beecham Pharmaceuticals - UKAnh VinBGD DUYT
68159Amoxicilin +Acid ClavulanicKlamentin250mg+ 31,25mg )CTCP Dc
Hu GiangVit NamGi BGD DUYT
69162Ampicillin+ SulbactamUnasyn( 1g + 500mg )Pfizer Italia
S.r.l - L
70165Cefaclorpms-Imeclorgi 125mgImexpharmVNLDGi
71165CefaclorCeclor250mgFacta Farmaceutici SPA - ItalyVinBGD
DUYT
72165CefaclorKefcin375mgCTCP Dc Hu GiangVit NamVinBGD DUYT
73166CefadroxilHoldacef500mgHoldacefCyprusVin
74167Cefalexinpms-Opxil500mgImexpharmVNLDVin
75167CephalexinCephalexin MPK250mgMekopharVit NamVin
76167CefalexinMECETA350mgCty CP Tp on MerapVit NamVin
77174Cefetamet pivoxilCetamet250mgDomescoVit NamVinBGD DUYT
78174Cefetamet pivoxilCetamet500mgDomescoVit NamVinBGD DUYT
79175CefiximMECEFIX100mgHatapharVit NamVin
80179CefotaximMEZICEF1500mgCty CP Tp on MerapVit NamL
81184CefpodoximSacboudii100mgBidiphar 1Vit NamVin
82184CefpodoximPENFIXIL100mg/5mlPenta LabsINDIAGi BGD DUYT
83185Cefradin 500mgBifradin500mgBidiphar 1Vit NamVin
84186CeftazidimeFortum1gGlaxoSmithkline L
85193CefuroximeActixim125mgGlomedVit NamGi
86193CefuroximeZinnat Tab125mgGlaxo Operations UK Ltd
-UKAnhVinBGD DUYT
87193CefuroximeCEFUROBIOTIC500mgNQ:Unitex-Tenamyd
Canada-Medipharco TenamydVit NamVinBGD DUYT
89198OxacillinOxalipen500mgAntibiotice S.AMVinBGD DUYT
B/ NHM AMINOGLYCOSID:
90206GentamycinGentamicin80mg / 2mlFresenius Kabi BidipharVit
Namng
91205Amikacin sulfateAmikacin500mgBidiphar 1Vit NamL
92206GentamicinGentamicin0,3%/ 5mlBidiphar 1Vit NamL
93214TobramycinTobrex0,3%/ 5mlS.A.Alcon Couvreur N.VBLBGD
DUYT
94214TobramycinMETOBRA0,3%/ 5mlCng ty Dc KhoaVit NamLBGD
DUYT
95215Tobramycin;Dexamethasonnatri
phosphatTobidex15mg+5mgBidiphar 1Vit NamLBGD DUYT
C/ NHM PHENICOL:
96217Chloramphenicol ,dexamethason natri
phosphateDexatifo0,4g+0,1gBidiphar 1Vit NamL
D/ NHM NITROIMIDAZOL:
97220MetronidazoleFlagyl250mgSanofi-AventisVit NamVin
98220MetronidazoleMetronidazol500mg/100mlFresenius Kabi
BidipharVit NamChai nha PP khng b
99220+295Clotrimazol + MetronidazoleMeclo100mg+ 500mgFarmigea
ItaliaItaliaVinBGD DUYT
100224TinidazolTinidazol500mgBidiphar 1Vit NamVin
E/ NHM LINCOSAMID:
101225ClindamycinDalacin C300mg / 2mlPfizer Manufacturing
Belgium NVB L
F/ NHM MACROLID:
102226AzithromycinGlazi500mgGLOMEDVit NamVinBGD DUYT
103228ClarithromycinClabact500mgCTCP Dc Hu GiangVit NamVinBGD
DUYT
104229Erythromycin ethylsuccinatErythromycin250ngBidiphar 1Vit
NamVin
105232RoxithromycinRulid150mgRoussel V.NamVit NamVin
G/ NHM QUINOLON:
106236CiprofloxacinScanax500mgLin Doanh Stada - VNVit NamVin
107242Nalidixic acidNergamdicin500mgKhnh HaVit NamVin
108244OfloxacinBiloxcin Eye15mgBidiphar 1Vit NamVinBGD DUYT
H/ NHM SULFAMID:
109252Sulfamethoxazol +TrimethoprimSulfaprim400mg +
80mgMekopharVit NamVin
I/ NHM TETRACYCLIN:
110255DoxycyclinDoxycyclin100mgBidiphar 1Vit NamVin
3. THUC CHNG VURUT
111270AcyclovirAcyclovir Stada200mgLin Doanh Stada - VNVit
NamVin
112270AcyclovirAcyclovir MKP5%/ 5gBidiphar 1Vit NamTubeBGD
DUYT
4. THUC CHNG NM:
113295ClotrimazoleMetrima100mgCPDP3/2Vit NamVin
114360Metronidazol; Nystatin; Chloramphenicol; Dexamethason
acetatMegyna PK(200mg+100.000UI+80mg + 0,5mg )CPDP3/2Vit NamVin
5. THUC KHC:
115268VancomycinVancomycin100mgPharbacoVit NamL
VII/ THUC IU TR AU NA U, CHNG MT:
116343Donepezil HCLRizax5mgCng ty TNHH DP t Vi PhVit NamVinBGD
DUYT
117345FlunarizineSibelium5MGOlic (Thailand) Ltd - ThailandThi
lanvin
VIII/ THUC IU TR BNH NG TIT NIU:
118413Cao Pygium Africanum ExtractConnec50mgOPCVit NamVinBGD
DUYT
IX/ THUC TC DNG VI MU:
119429Folic acidACID FOLIC5mgPharmedicVit NamVin
120445CyanocobalaminVitamin B12 1000mcg / 1mlFresenius Kabi
BidipharVit Namng
121456PhytomenadionVitamin K15mg / 1mlFisiopharmaItaliang
122480ErythropoietinVintor 4000 UI4000 UI/ 1 mlEmcure
Pharmaceuticaln ng
X/ THUC TIM MCH:
1/ CHNG AU THT NGC:
123484AtenololAtenolol Stada50mgLin Doanh Stada - VNVit
NamVin
1244 85DiltiazemTilHazem60mgHasan DermapharmVN LD cVin
125486Glyceryl trinitrateNitrostad Retard2,5mgLin Doanh Stada -
VNVit NamVin
2/ THUC CHNG LON NHP:
126491AminodaroneCordarone.200mgSanofi Winthrop
IndustriephpVinBGD DUYT
127496LidocainLidocain2%/10mlEgisHungary ng
128499PropranololDorocardyl40mgDomescoVit NamVin
3/ IU TR CAO HUYT P:
129503AmlodipinAmlodipin Stada5mgLin Doanh Stada - VNVit
NamVin
130505BisoprololBiHasal5mgHasan DermapharmVN LD cVin
131508CaptoprilCaptopril25mgCng ty CP XNK Yt DomescoVit
NamVin
132519IrbesartanIrbevel150mgHasan DermapharmVN LD cVin
4/ THUC IU TR H HUYT P:
133544HeptaminolHeptaminol187,8mgDOMESCOVit NamVin
5/ IU TR SUY TIM:
134547CarvedilolPERUZI6,25 mgDavi PharmVit NamVin
135548DigoxinDigoxine Qualy0,25 mgCPDP3/2Vit NamVin
136550DobutamineDobutamine250mgHospira, IncUSAL
5/ CHNG HUYT KHI:
137556Acetylsalicyclic acidAspirin Stada81mgLin Doanh Stada -
VNVit NamVin
138558Clopidogrel bisulfateInfartan75mgCty CPDP OPVVit NamVinBGD
DUYT
6/ H LIPID MU:
139566AtorvastatinAmtopid10mgAMN LifeIndiaVin
140569FenofibratLipanthyl Supra160mgLaboratoires Fournier
S.A.Php VinBGD DUYT
141574RosuvastatinGlodiaVin 20 mgGlomedVit NamVin
7/ THUC KHC:
142578CerebrolysinCerebrolysin10mgEbewe Pharmao ng
143590PiracetamNEU - STAM400mgPymepharcoVit NamVin
XI/ THUC IU TR BNH DA LIU:
144619DiethylphtalatD.E.PMECOPHARVit NamVin
145626Fucidic AcidFoban Cream2% /15gHOE PharmaMalaysiaTubeBGD
DUYT
146644Hydrogen peroxyd ( nc oxy gi )Hydrogen peroxyd3%
/60mlBidiphar 1Vit NamChai
XII/ THUC DNG CHN ON:
1. CHUYN KHOA MT
147657PilocarpinPilocarpin2% / 10mlAlcon Cusi, S.ANhtng
2. THUC CN QUANG
148668IobitridolXenetix 300100mlGuerbetPhp L
XIII/ THUC TY TRNG V ST KHUN:
149685Povidone IodinePovidone Iodine10%-20mlCTCCPDP3/2Vit
NamChai
XIV/ THUC LI TIU:
150688HydrochlorothiazideTHIAZIFAR25mgPharmedicVit NamVin
151689Malvapurpurea+ Camphomonobromid +Xanh MethylenDOMITAZOL(
250mg+ 20mg + 25 mg )DOMESCOVit NamVin
XV/ THUC NG TIU HA:
1/ KHNG ACID V CHNG LOT:
152692Aluminium phosphatePhosphalugel12,38gPharmatisPhpGi
153695CimetidinCimetidin MKP300mgMekopharVit NamVin
154708OmeprazoleTV-Omepazol20mgTV PharmVit NamVin
155712RANITIDINERATIDI150mgPharmedicVit NamVin
2/ CHNG NN:
156716Acetyl leucinTADIZIN500mgMeyer-BPCVit NamVin
156719DomperidoneDomperidon Stada10mgLin doanhStada-VNVit
NamVin
3/ CHNG CO THT:
157725Alverine (citrate) + simethiconMETEOSPASMYL( 60mg + 300mg
)Mayoly SpindlerPhp Vin
158730Hyoscine-N-butylbromideHyoscine Butylbromide
Inj20mg/mlRotexmedicac ng
159729Drotaverin chlohydraNo-Spa tab40mgSanofi-AventisVit
NamVin
4/ TY, NHUN TRNG:
160743LactuloseDuphalac10g/ 15mlSolvayPharmaceuticals B.V.H lan
Gi
161750Sorbitol 5g (xanh)Sorbitol (xanh)5gDOMESCOVit NamGi
5/ IU TR TIU CHY:
162753Bacillus subtilisBidisubtilis10^8Bidiphar 1Vit NamGi
163760Km gluconatFARZINCOL70mgPhamaricVit NamVin
6/ IU TR TR:
164770Ginkgobiloba +Heptaminol HCl +TroxerGinkor Fort( 14mg +
300mg + 300mg )Beaufour Ipsen Industrie-PhpPhp Vin
165773Trimebutin +RuscogeninesProctolog Sup120mg+10mgPfizer PGM
- FrancePhp Vin
7/ THUC KHC:
167775Amylase , Papain , SimethiconeNEOPEPTINE100mg
100mgRaptakosn Vin
168776Arginin HClFudophar800 mg / 8mlPhng ngVit Nam vin
169787+789Pancreatine+SimethiconHawonpansim170mg+84,433mgHawon
Pharmaceutical CorporationHn QucVin
XVI/ HOCMON V CC THUC TC NG VO H THNG NI TIT:
1/ HOCMON THNG THN V NHNG CHT TNG HP THAY TH:
170808Dexamethason natri phosphateDexamethason 4mg/mlFresenius
Kabi BidipharVit Nam ng
171815HydrocortisonHydrocortison100mgBidiphar 1Vit NamL
172819PrednisolonePrednison5mgDOMESCOVit Namvin
2/ CC CH PHM ANDROGEN, ESTROGEN, PROGESTERON:
173831EstriolOvestin1mgN.V.Organon-H LanH Lan Vin
174840ProgesteroneProgendo100mgProcaps S.A & Laboratorios
Recalcine S.A.olombia, Chi LeVinBGD DUYT
175842TestosteroneSustanon Inj250mg/ 1mlN.V.Organon-H LanH
LanL
3/ INSULIN V NHM H NG HUYT:
176845GlibenclamideDIABIFAR5mgPhamedicVit NamVin
177847GlimepirideAmaryl4mgSanofi Aventis S.p.AItalyVinBGD
DUYT
178854MetforminGlucophage850mgMerck Sante s.a.sFranceVin
4/ HOCMON TUYN GIP, KHNG GIP:
179862LevothyroxineBerlthyrox100mcgBerlin Chemie AG -
GermanycVin
180864ThiamazoleThyrozol5mgMerck KGaAGermanyVin
XVII/ THUC GIN C:
181873AtracuriumTracrium25mg/2.5mlGlaxo Smithkline SpA - Italy
L
182878MephenesinDecontractyl500mgSanofi- AventisVit Nam
LDVin
183884Rocunorium bromideEsmeron Inj10 mg/ml, 5mlN.V. Organon H
LanH Lan L
XVIII/ THUC IU TR MT, TAI MI HNG:
1/ IU TR MT:
184914DicainTetracain0,5% /10mlCPDP3/2Vit Nam vinBGD DUYT
185921HyaluronidaseHyaluronidase1500IUShanghaiTrung QucLBGD
DUYT
186957Timolol maleateOftan Timolol Eye drop2,5mg/mlSanten OYPhn
LanLBGD DUYT
2/ THUC TAI MI HNG:
187969Naphazolin nitratEuvinex0,05% / 15mlEuvipharmVit Nam giBGD
DUYT
189966Fluticasone propionateFlixotide Evo Spr125mcg/ 120
liuGlaxo Wellcome Production - SpainTy Ban Nha, ng gi ti UcLBGD
DUYT
XIX/ THUC TC DNG THC , CM MU , CHNG NON:
190898OxytocinOxytocin5 UI / 1mlG.RichterHungaryng
191993Salbutamol sulfatSabumax1mgBidiphar 1Vit NamVin
XX/ DUNG DCH THM PHN PHC MC:
192995Dung dch lc thn bicarbonaDch Bidihaemo 1B8,4g / 10 lt8,4g
/ 10 ltVit Nam Thng
193996Sodium cloride+ Potassium cloride+ Calcium cloride+ Acid
aceticDch Bidihaemo 2 A( 210,7g+ 5,222g+ 3,558g+ 6,310g )/ 10
ltFresenius kabi BidipharVit Nam Thng
XXI/ THUC CHNG RI LON TM THN:
1/ THUC AN THN:
1941000DiazepamDiazepam5mgPharmedicVit NamVin
195997BromazepamRoxomil6mgPymepharcoVit namVin
2/ THUC CHNG RI LON TM THN:
1961024SulpirideSulpiride Stada50mgLin Doanh Stada - VNVit
namVin
XXII/ THUC TC DNG TRN NG H HP:
1/ THUC CHA HEN V BNH PHI TC NGHN MN TNH:
1971037AminophyllineDIAPHYLLIN240mg hoc
4,8%G.RichterHungaryng
1981039BudesonidePulmicort respules500mcg/2mlAstraZeneca AB -
SwedenThy inngBGD DUYT
1991045Natri MontelukasteSingulair Tab5mgMerck Sharp & Dohme
Ltd., packed by AutraliaAnh ng gi cVinBGD DUYT
2/ THUC CHA HO:
2001053AlimemazineTheralene5mgSanofi- AventisVit Nam LDVin
2011055BromhexineBromhexine4mgCPDP3/2Vit namVin
XXIII/ DUNG DCH IU CHNH NC, IN GII, DUNG DCH TIM TRUY
2/ THUC TIM TRUYN:
2021077Acid amin (HI CHN)Alvesin 10E10% x 250mlBerlin Chemie
AGcChai
2031080GlucoseGlucose5% x 500mlFresenius Kabi BidipharVit
NamChai nha PP khng b
3/ THUC KHC:
2041093Nc ct pha timNc ct pha tim5mlDP3/2Vit Namng
XXIV/ KHONG CHT V VITAMIN:
2051109Canxi glucoheptonat+Vitamin C+D2+PPVicaldex( 1,100mg +
100mg + 0,05mg + 50mg ) / 10mlCtcpdp2/9Vit Namng
2061137Rutin; Vitamin CRutin; Vitamin C( 50mg + 50mg
)MecopharVit NamVin
2071131Vitamin B6 +magnesi Toplife Mg B65mg+470mgOPVVit
NamVin
5. Nghip v Dc bnh vin1. Thc hin cng tc kim tra quy nh chuyn mn
dc ti khoa Dc, lm sng v Nh thuc trong bnh vin.1. Cp nht thng xuyn
cc vn bn quy nh v qun l chuyn mn, tham mu cho Trng khoa trnh Gim c
bnh vin k hoch ph bin, trin khai thc hin cc quy nh ny ti cc khoa
trong bnh vin.1. m nhim vic cung ng thuc.1. nh k kim tra vic bo
qun, qun l, cp pht thuc ti khoa Dc.1. Kim tra vic s dng v bo qun
thuc-vt t y t trong t trc ti cc khoa lm sng 1 thng/ ln.1. Kim k
trang thit b, y dng c 6 thng/ln.1. Lp bng trc, chm cng.1. Thng bo
mi hp, kim k, kim nhp.1. Theo di, cp nht vo s sch nhit , m trong t
lnh vaccin 2 ln/ngy vo bui sng/chiu.1. Bo co nhp-xut-tn thuc vaccin
(dch v).1. Thc hin mt s nhim v khc khi c Ph trng khoa Dc giao.1.
Trch nhim trc Ph trng khoa Dc v nhim v c phn.MT S TOA THUC
BNH VIN QUN 4S /YNgy: 20/3/2014
N THUC
H tn: L Nguyn Trang AnhNm sinh: 2009Gii tnh: n
a ch: A73/2 Nguyn Tt Thnh F18 Q 4
M bnh nhn: 45249S BHYT: TE 1791401500249
Ngy cp: 1/5/2013Ngy ht hn: 30/04/2014
Chn on: Thy u
1/Aciclovir 800mg10 vinNgy4/ln, mi ln1/2/vin
2/VitaminPP5vinNgy2/ln, mi ln1/2/vin3/DESLO 5mg 5 vinNgy2/ln, mi
ln1/vin4/Ngy/ln, mi ln/vin5/Ngy/ln, mi ln/vinR/p:Cng khon:Bnh nhnBc
s iu trKhm li nn mang theo n thuc ny
BNH TOA 11/Aciclovir 800mg Ch nh: Nhim Herpes simplex, phng nga
ti nhim Herpes sinh dc v cc dng nng .suy gim min dch.Tc dng ph:Ri
lon tiu ha,ni mn,chng mt ,l ln,o gic v ngy ngt.Chng ch nh:Qa mn cm
,ngi suy thn hay v niu,ph n c thai3/DESLO 5mgCh nh:Lm gim nhanh cc
triu chng vim mi d ng nh ht hi,xut tit mi v nga,nght mi kh th ,nga
chy nc mt ,ni ban c th quan st thy ,nga vng ming v ho.Lm gim cc
triu gy nn do m ay t pht mn tnh ,nhng lm bt nga ,lm gim kch c v s
lng cc vt pht ban.Tc dng ph:Mt mi ,kh ming ,au uHim thy:tim p nhanh
,nh trng ngc,tng men gan v tng bilirubin.Chng ch nh:Mn cm vi bt k
thnh phn no ca thuc.2/VitaminPPCh nh:Nga v iu tr bnh pellagra vi
biu hin cc triu chng:Thng tn da,nht l nhng ni tip xc nh sng mt tri
.Viem li ,vim mingTc dng ph:Khi dng liu cao ,c th gy:bun nn ,nn,
bng mt ,nga v cm gic rt bng da, tiu chy.Nhng tc dng ny s ht ngay
say khi ngng thuc Chng ch nh;D ng vi nicotinamid,bnh gan nng ,lot d
dy tin trin ,ngi h huyt p.KT LUN:Toa thuc an ton , hp l,hiu qu
BNH VIN QUN 4S /YNgy: 20/3/2014
N THUC
H tn: Hunh Th Thu ThyNm sinh: 1983Gii tnh: N
a ch: 416/57b ,on Vn B ,p18 ,Q4
M bnh nhn: 211801S BHYT: GD7791401504739
Ngy cp: 1/1/2014Ngy ht hn: 31/12/2014
Chn on: Vim d dy/nhc u
1/Esomeprazol 20mg20 vinNgy01/ln, mi ln01/vin 2/Varogel
10ml/gi30 vinNgy02/ln, mi ln01/vin3/Magne B620 vinNgy02/ln, mi
ln01/vin4/Greatcet20 vinNgy02/ln, mi ln01/vin5/Ngy/ln, mi
ln/vinR/p:Cng khon:Bnh nhnBc s iu trKhm li nn mang theo n thuc
nyBnh toa 21/Esomeprazol 20mgCh nh: bnh tro ngc d dy thc qun, phng
nga v iu tr lot d dy t trngChng ch nh: Qu mn vi tin s ca thucTc dng
ph: Nhc u, au bng, tiu chy, y hi, bun nn, to bn
2/Varogel 10ml/giCh nh: Vim lot d dy t trng cp, mn tnhTng tit
acid d dy, hi chng d dy kch thchiu tr v phng nga xut huyt tiu ha,
tro ngc d dy thc qunChng ch nh: qu mn vi thnh phn ca thuc
3/Magne B6Ch nh:iu tr cc trng hp thiu magnesi huyt nng, ring bit
hay kt hp. iu tr cc ri lon chc nng trong nhng cn lo u i km vi tng
thng khChng ch nhQu mn vi bt k thnh phn no ca thuc.Suy thn nng vi
thanh thi creatinin di 30 ml/ pht.Tc dng ph:Tiu chy, au
bng.4/GreatcetCh nhiu tr trong giai on cp ca chn thng s no nng c ri
lon tri gic.Dng trong iu tr cc tai bin mch mu no.Chng ch nh: D ng
vi thnh phn ca thuc.Tc dng ph:C ghi nhn mt s trng hp kch thch c hi
phc.KT LUN:Toa thuc an ton , hp l, hiu qu
BNH VIN QUN 4S /YNgy: 20/3/2014
N THUC
Htn: Nguyn Th Phng TmNm sinh: 1993Gii tnh: n
a ch: trng Nguyn Hu Cnh
M bnh nhn: 217890S BHYT: HS 7791903007840
Ngy cp: 1/10/2013Ngy ht hn: 30/9/2014
Chn on:au ct sng lng 1/CELECOXIB 200mg 5vinNgy01/ln, mi ln02/vin
2/Dorotyl 250mg15vinNgy03/ln, mi ln01/vin3/ vinNgy/ln, mi ln/vin4/
vinNgy/ln, mi ln/vin5/Ngy/ln, mi ln/vinR/p:Cng khon:Bnh nhnBc s iu
tr
Khm li nn mang theo n thuc ny
BNH TOA 31/CELECOXIB 200mg Ch nh: iu tr vim khp dng thp v cc bnh
xng khp ngi ln.Chng ch nh:Qu mn vi thnh phn ca thuc,lot d dy tin
trin hay xut huyt trng v.Suy gan ,thn nng, tr em
