Trong thad gian qua cong tac kiem soar nhiern khuan (KSNK) va dieu clueing cham soc nguoi benh tai the benh vien tren dia ban tinh da c6 nhieu cai tien, gop phan nang cao chat luting b[r]
Trang 1UBND T1NH HA TINH
SO Y TE SO: /SYT-NVY V/v nang cao chat hicmg cong tac KSNK va dieu duang CSNB krang ted su hai long cua ngueri benh
Hoc - Tty do - H#nh phtic
Ha Tinh, ngay thang 02 nam 2017
Kinh Cac benh vien trong tinh
Trong thad gian qua cong tac kiem soar nhiern khuan (KSNK) va dieu clueing cham soc nguoi benh tai the benh vien tren dia ban tinh da c6 nhieu cai tien, gop phan nang cao chat luting benh vien, huang tai six hai long cila nguoi benh Tuy nhien qua ket qua danh gia chat luting benh vien nam 2016, Si Y to nhan thy tieu chi C4 Phong ngira va kiem soat,nhiem khuan, C6 Hoat dOng dieu duang va cham soc nguoi benh dang mirc rat thdp; nhan, vien y to chua thgc hien tot cac hugng dan phOng ngira va kiem sok nhi;em khuan; hoat dOng tu van, giao chic sirc,khoe cho nguoi benh chua dat you cau; viec ghi chop phial theo doi cham soc mat nhieu, thiyi gian, thong tin chua day va trUng lap nhung chua dugc quan tam cai tien,
Nham nang cao chat luting cong tac KSNK va dieu duang hugng six hai long dm nguoi benh, Giam dOc So Y to de nghi Giam doc cac benh vien chi ciao thirc hien tot nhang not dung sau:
1 Tiep tuc thirc hien chi ciao dm Sae Y to tai Cong van so 1014/SYT-NVY ngay 16/6/2014 Ve viec tang cuong chit luting cong tac dieu clang cham soc ngtrOi benh va Cong van so 12/SYT-NVY ngay 06/01/2016 ve viec tang man ding tac KSNK;
2 TO chirc te -1g ket, danh gia viec thirc hien Thong tu 07/2011/TT-BYT va
Thong to so 18/2009/TT-BYT d6' rut kinh nghirn, khdc phiic ton tai va xay Ong
ke hoach thirc hien trong giai doan tai Tiep tuc phO bien, huong dan, thirc hien nghiem tuc Thong tu 07/2011/TT-BYT ngay 26/01/2011 dm BO Y to Huong dan cong tac dieu duang ve cham soc nguoi benh trong benh vien, Thong tu so 18/2009/TT-BYT hating dan to chdc thirc hien cong tac kiem soat nhi6m khuan tai cac co so kham, chita berth va Ke hoach hanh dOng quOc gia KSNK giai doan 2016-2020
3 CUng c6, tang ctrarng he theing to chirc gnarl ly KSNK va dieu duang; bo sung nhan ltrc dieu du&ng, hO sinh va cac trang thiet bi, phucmg tien cham soc de bao dam thirc hien tot cac nhiem vu chuyen mon cham soc nguoi benh theo quy dinh Xay dung ke hoach cu the cai tien chat luting cac tieu chi C4 Phong ngira
va kiem sok nhiern khuan, C6 Hoat dOng dieu duang va cham soc nguoi benh
Người ký: Sở Y tế
Email:
soyte@hatinh.gov.
vn
Cơ quan: Tỉnh Hà
Tĩnh
Thời gian ký:
08.02.2017
08:44:53 +07:00
Trang 2T GIAM DOC IAM DOC
Nguyen Tun
4 Xay dung, ban hanh huang clan thuc ‘hien phan cap cham soc nguaci benh, tang cueng S1,1 phoi hop Oita bac si va dieu duemg/hO sinh trong phan cap cham soc
5 Trien khai thirc hien ghi chep phieu theo dai - cham soc cai tien theo Ket Juan cua Giam doc Si Y to tai Hoi nghi trien khai cong tac dieu du"ang nam 2017 (Thong bao s6 155/TB-SYT ngdy 20/01/2017 cna So Y te); to chtrc tap huan huOng clan viec ghi chep phi'eu theo doi - cham soc dam bap chat luong; dank gia,
rut kinh nghiem viec thuc hien (cac mau phie'u theo cloi - chain soc kern theo)
6 Tang cueing kiem tra, danh gia viec thuc hien quy dinh, quy trinh chuyen mon k'S"T thuat linh v‘rc KSNK va dieu duOng cham soc nguiyi benh, dOng vien, khen thuong kip theyi cac tap the, ca nhan thuc hien tot 6ng theyi kiem diem trach nhiem, xir ly nghiern cac tap the, ca nhan vi pham./
Nol nhan:
- Nhtr tren;
- Cuc Quan ly KCB-BYT; (de bac) cao)
- Giarn d6c Sa; (de bac) cao)
- Ltru: VT, NVY
Trang 3Mau so 1: Danh cho he n.oi, HSCC Phieu so
KHOA :
Ngay/thang
Gio
Phan cap cham soc
Mach (l/p)
NI)* do
Fluyet dp (mmHg)
Nhip thO/Sp02 (%)
Da, niem mac
Tri giac, diem Glasgow
Can Ong (kg)/BMI
Van Ong
Loet/ Vi tri
Phan
Tieu: BT/Sonde(MS, SL)
rc hieu
-ThuOc thtremg quy
Thu4zic b6 sung
Xet nghim
Tha 02
Che 0' an
DiLlu du•o'ng thirc lien
Trang 4Mau so 2: Depth cho Khoa Nhi Phi6u so
KIIOA :
Tien sir di irn : Co Khan Loai •
Ngay/thang
Gi6
Phan cap cham soc
Mach (Up)
Nhiet dO (OC)
Huyet dp (mmHg)
Nhip ther/Sp02 (%)
Tri gide, diem Glasgow
Da, niem mac
Chieu cao/can Ong
Dich da day
Phan
Tie u , S nde(MS, SL) o
binh thuong
)
ThuOc thutmg quy
ThuOc b6 sung
Xet nghiem
Ther 02
Che dO an
—
-1
a4
;,-
5
H
- -
Di&I ( trang thtic NO
Trang 5Milu se; 3: Danh cho Khoa Ngoigi - Chdn thurrng Phi6u so
KHOA :
Ti&I sir di frn : Co Khon Loai •
Ngay/thing
Gib
Phan cap chaff' s6c
Mach (l/p)
Nhi6t d6 (OC)
Huy6t ap (mmHg)
Nhip tha/Sp02 (%)
Da, niem mac
Tri giac, di6M Glasgow
Can nOng (kg)/BMI
Ve't m6NT/DAn luu
Dich din km
Phan
Ti&i: BT/Sonde(MS, SL)
Thu6c thtrorng quy
Thu6c b6 sung
Xet nghi6m
Thos 02
Chec d6 an
'.:
2
E-
Dieu &din thkrc hi4n
Trang 6Mau so 4: Danh cho Khoa San PhiL so
KFIOA :
Ngay/thang
Gib
Phan cap cham soc
Tri giac, diem Glasgow
Mach (l/p)
Nhiet do (OC)
Huy& dp (mmHg)
Nhip ther/Sp02 (%)
Da, niem mac
Can Wang (kg)/BMI
Co hal tit cung
San dich
Vet me/Dan Itru
Dich clan Itru
Phan
Tieu: BT/Sonde(MS, SL)
DAu
Thueic thtrang quy
Thuac ba sung
Xet nghiem
Thor 02
Che do an
Han
- -
Dieu throng thtyc hi0
Trang 71301H VICIN : PHIEU THEO DOI - CHAM SOC
KHOA :
Chan doan:
Ma BN•
Nam/ Nit
SO buOng/Gu•Ong Ti'n sir di an : CO 1 KW& [ Loai •
Ngay/thang
Gi6
Phan cap chain soc
Tri giac, diem Glasgow
Mach (lip)
Nhiet dO (OC)
Huyet dp (mmHg)
Nhip ther/Sp02 (%)
Da, niem mac
Cao/nang/BMI
Phan
Ntrorc tieu
)
ThuOc thu•ang quy
ThuOc bO sung
Xet nghiem
Tha 02
Che 0 an
Dieu ( u•o'ng thu•c hien
Trang 8Phu lyc: Throng thin ghi cite') Phieu so
KHOA :
Tien sit di irn : Co ] Khan ] Loai
Tieu: BT/Sonde(MS, SL) BT, 1500/24h
D'Au
Dau
Non
Phit
) Glucose5% x 500, XL Bat dau het, an town
ac Ttr thj
Hitt rtia phe qucin
Dat sonde da day
Thong tle.0
Duy tri thu 'de qua BTD
Chtrenn mat
Dinh &rang
d'au 20 de
x
x
x
x
x
x
x
x
x
x
x
Rut RCA
x
NOi quy
Phong bin cluing
Chet (45 an
x cam, DD13
x
x
Di&I duOng time hi0
Khong (-) Co (+) Co nhiki (++/+++) / Loet: DO I:v6t do da; dell: ten thuang bieu Kum da; de 111: hoai tir; de IV: loet
Tri gide (tinh, la ma, vat va, Won me, thang diOrn Glasgow); Tha oxy (l/p-Canulla:C, Mask:M)
D'Au hiOu khac: Dau, non, kilo ther, ho, phu, d6m, v6t thuang, dan luu, be bet._