BO CO THC TP TI TRM Y T X GIAO CHU GIAO THY NAM NH Li ni u

Trm y t x, phng l mt t chc y t c s trong h thng mng li chm sc sc khe quc gia. l ni thc hin chm sc sc khe ban u cho nhn dn, di s lnh o ca y ban nhn dn x, trm y t l ni cung ng p ng nhu cu thuc cho nhn dn. Trm y t x Giao Chu cng l mt t chc y t c s thuc m hnh qun l thuc x, phng. Trm c xy dng ngay trung tm x, nm trn con ng giao thng lin huyn, l ni tp trung ng dn c, con ng ny ni lin cc thn trong x v cc x khc. Giao Chu l mt x tuy nh nhng ang pht trin tng ngy nhng khng v th m vn sc khe b b qua m n lun c quan tm hng u, bi c sc khe th s c tt c m do chnh sc lc con ngi m c c. Cng tc chm sc sc khe cho cng ng lun c x cao v ch trng, quan tm hng u. Vi i ng cn b tr, nhit tnh, lun t sc khe ca ngi dn ln trn. Trong tri tim cn b y t x lun ghi nh Thy thuc nh m hin. phc v nhit tnh ht mnh cho nhn dn, nh c s quan tm chm sc ca cn b y t x, s hng dn nhit tnh, s gip ca h ngi dn hiu v chm sc sc khe ca mnh tt hn. Cng tc chm sc sc khe ca nhn dn lun m bo, pht hin v cha tr kp thi, nn y li khng bnh dch ly lan v pht trin, chnh v th trm y t x lun nhn c s quan tm v khen ngi ca cp trn. Trong nm 2012 v nhng nm ti trm y t phn u pht trin nhiu hn na trong vn chm sc sc khe cng nh pht trin c s h tng, u t thm nhng trang thit b mi hn chm sc sc khe ca ngi dn trong x cng nh mt s vng ln cn. Ngy nay, khi t nc ngy cng pht trin, ngnh y t c ng v Nh nc, t chc y t th gii WTO quan tm t trung ng n a phng. Cng tc chm sc sc khe cho ngi dn ngy cng c nng cao. S tn tnh quan tm, chm sc ngi dn ca cn b y t x lun lm cho ngi bnh tin tng v qu mn, trm y t x cn phi hp vi cn b y t huyn, t chc xung tn thn xm thm hi, khm bnh cho nhn dn. Nh vy m cng tc chm sc sc khe lun thu c kt qu cao, to c nim tin tng ca nhn dn i vi cn b y t x. y ban nhn dn x lun ch trng chm sc sc khe cho nhn dn u t xy dng trm khang trang, rng ln, sch s cng tc chm sc sc khe cho ngi dn tt hn. Trm y t x c hai dy nh mi bng, mt nh gia, hai dy nh i din nhau: mt phng khm bnh, phng h sinh, phng trc, phng bn thuc v hai phng cho bnh nhn ngh ngi sau khi khm bnh v iu tr ti trm. Trong phng khm bnh c mt ging bnh, t ng nhit k, xilanh, bng bng, gc, ng nghe khm bnh, o huyt p, s sch, bn k n, giy t lu , bn cn sc khe, dng c ct tng sinh mn, t cp cu, phng bn
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thuc... C t thuc thit yu, t thuc cp pht, cc t ng thuc u l t knh c kha cn thn, ring vi thuc nh thuc c, thuc hng thn t thuc c ring ghi r v c kha ng chc chn, c cc gi k h xp cc dng c y t c xp ng trnh t, ngn np, d thy, d ly, d tm. Thuc c xp ring theo nhm: thuc khng sinh, thuc dng ngoi, thuc mt thuc c hn dng di c xp trong, cn thuc c hn dng ngn c xp ngoi, cc thuc khi c nhp v s c phn loi ty tng loi thuc nh thuc nc, chai l thy tinh, dng dung dch s c t di, thuc dng v, bt t trn. Thuc nhp v sau t vo trong, thuc nhp v trc t ra ngoi. T thuc cp pht c thuc ca chng trnh, c t lnh nh t vo hai phng bnh c bn ging qut trn v t ng thuc cp. Ngoi ra trm c cng trnh v sinh sch s v y thit b. Trm y t x Giao Chu cn c mt vn thuc nam bao gm rt nhiu cy thuc thuc cc nhm nh: cm cm, d dy, cm mu, tr bnh ph n Vn thuc nam thng xuyn c tu b v trng mi nhiu loi cy khc nhau. Tuy nhin v ngn sch cn hn hp nn cha c ni ch bin v quy thuc y hc c truyn, x ang kt hp vi trm xin cp trn trm c thm c s ng y. Xung quanh khu nh trm y t cn c cc cy xanh to c khng kh trong lnh mt m, cc nhn vin y t trm lun c thi tn tnh chm sc v vy m nhn dn n khm bnh rt an ton v tin tng. Trong sut qu trnh thc tp ti trm y t x Giao Chu, vi s gip tn tnh ca trng trm y t x v cc cn b y, dc em tm hiu c: danh mc thuc thit yu c trong trm, bit c nhu cu cung ng thuc ti a phng, c cu bnh tt. c tham gia cc cng tc chuyn mn nh l: cp pht, bn thuc di s hng dn ca cn b dc. Tham gia tu b vn thuc nam ca trm Ni dung bo co thc tp gm 3 phn Phn 1 Cng tc thc tp, thc t ti trm y t x Giao Chu Giao Thy Nam nh I. Mt vi nt v c s ca trm y t 1. C s 2. Trang thit b 3. Ngi iu tr II. Nhim v ca trm y t III. Cng tc khm cha bnh 1. Cng tc bo qun thuc v cch sp xp thuc ti trm y t 2. Ngun thuc Phn 2 Danh mc thuc thit yu c trong t thuc v danh mc thuc cp cu phc v Danh mc thuc thit yu c trong t thuc v danh mc thuc cp cu phc v 1. C s 2. Trang thit b 3. Ngi iu tr
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Phn 3: Kt lun Mc d qua mt thi gian thc tp ti trm y t em c tip cn v tm hiu thc t nhng do trnh v thi gian c hn nn trong qu trnh thc tp khng trnh khi nhng thiu st, em rt mong s gp , b sung ca cc thy c gio hng dn v cc cn b nhn vin ca trm y t bn bo co ca em c hon thin hn. S LC V TRM Y T X GIAO CHU I. Tng quan v c s thc tp 1. Tng quan v trm y t x Giao Chu a. T chc ca trm y t x gm c: - Ph trm trng Y s: Phm Vn Hon - Y t: Cao Ngc Bo - N h sinh: Tng Th Minh Xun - Dc s: Nguyn Th Hng b. Cc phng ban trc thuc - Nh khm bnh phng hp - Phng bnh nhn - Phng khm ng y - Phng bn thuc - Phng Chm sc sc khe sinh sn - Nh d n dn s - Nh bp - Nh xe - Phng sn - Phng th thut 2. T chc ca trm y t x Giao Chu Trm y t x Giao Chu chu s qun l, ch o v gim st ca phng y t huyn Giao Thy v chuyn mn, nghip v, kinh ph, nhn lc, y t v chu s qun l ca UBND x Giao Chu trong cng tc xy dng k hoch, t chc thc hin k hoch pht trin cng tc chm sc v bo v sc khe nhn dn. a. Kinh t x hi Tng dn s ton x: 9117 ngi (nm 2011) - Ngh nghip chnh l: Nng nghip, lng ngh (an, nc mm, cy cnh) - Vn ha ton x c 2 trng Mm Non, 1 trng Tiu Hc, 1 trng Trung Hc c s. b. V sinh mi trng - L mt x khng tp trung nhiu cng ti t nhn, x nghip do x Giao Chu khng chu s nhim t nc thi, khi bi t cc nh my ny, nht l vo ma nng, khi bi t cc phng tin vn ti, cc cht thi sinh hot v sn xut to nn cc yu t thun li cho nhiu dch bnh sy ra, nguy c gy ra cc dch bnh pht sinh v ly lan nhanh chng. Tuy nhin c s quan tm ca trm Y t x, chnh quyn a phng cng s tham gia tch cc ca cng ng khng ch khng cc dch bnh nguy him no sy ra trn a bn x.
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c. Mng li y t x H thng mng li y t x su rng cht ch .Ngoi cn b y t ca trm cn c i ng y t thn qua o to ti v cc cng tc vin chng trnh ti cc thn xm lun theo di,chm sc, nm r tnh hnh dch bnh ti mi thn xm nn cng tc chm sc sc khe nhn dn lun t kt qu cao. 3. Nhim v ca trm y t c s a. Lp k hoch hot ng v la chn chng trnh u tin v chuyn mn y t ca UBND x, phng th trn duyt, bo co trung tm y t huyn, qun, th x v t chc trin khai thc hin sau khi k hoch c ph duyt. b. Pht hin, bo co kp thi cc bnh dch ln tuyn trn v gip chnh quyn a phng thc hin cc bin php v cng tc v sinh phng bnh, phng chn dch gi v sinh nhng ni cng ng v ng lng, x, tuyn truyn thc bo v sc khe cho mi i tng ti cng ng. c. Tuyn truyn vn ng trin khai thc hin cc bin php chuyn mn v bo v sc khe B m tr em v K hoch ha gia nh bo m vic qun l thai v thng cho sn ph. d. T chc s cu ban u, khm cha bnh thng thng cho nhn dn ti trm y t v m rng dn vic qun l ti h gia nh. e. T chc khm sc khe v qun l sc khe cho cc i tng trong khu vc mnh ph trch, tham gia tuyn ngha v qun s. f. Xy dng vn t thuc, hng dn s dng thuc an ton v hp l, c k hoch qun l cc ngun thuc, xy dng pht trin thuc nam, kt hp ng dng y hc dn tc trong phng v cha bnh. g. Qun l cc ch s sc khe v tng hp bo co, cung cp thng tin kp thi, chnh xc ln tuyn trn theo quy nh thuc n v mnh ph trch. h. Bi dng kin thc chuyn mn, k thut ca cn b y t thn, lng, p, bn thn v nhn vin y t cng ng. i. Tham mu cho chnh quyn x, phng,th trn v phng y t Huyn ch o thc hin cc ni dung chm sc sc khe ban u v t chc thc hin cc ni dung chuyn mn thuc cc chng trnh trng im v y t ti a phng. k. Pht hin bo co UBND x v c quan y t cp trn, cc hnh vi hot ng y t phm php trn a bn, kp thi ngn chn v x l. l. Kt hp cht ch vi cc on th qun chng, cc nghnh trong x tuyn truyn v t chc thc hin cc ni dung chm sc sc khe cho nhn dn. 4. Nhim v ca trm trng y t x I. Nhim v Trng trm y t x l ngi ng u n v, chu trch nhim trc cp trn v trc Php lut v mi mt hot ng ca trm y t,thc hin cc nhim v sau: 1. Lp k hoch hot ng ca trm y t x, trnh cp c thm quyn ph duyt v t chc trin khai thc hin k hoch c ph duyt.Tng kt nh gi, rt kinh nghim hng nm.
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2. Tham gia ban ch o chm sc sc khe ban u, lm ph ban thng trc ch o, ch tr cng tc truyn thng gio dc sc khe cho nhn dn trn i bn. 3. Xy dng quy ch hot ng ca trm y t x theo hng dn ca gim c trung tm y t d phng huyn, qun l nhn lc v hot ng ca trm theo quy ch, theo chc trch c nhn v thc hin cc ch , chnh sch theo Quy nh ca Nh nc i vi cn b y t thuc quyn qun l. 4. Trc tip thc hin nhim v chuyn mn v t chc trin khai thc hin cc Quy ch chuyn mn ti trm y t. 5. Phn cng cc nhn vin y t thuc trm qun l, thc hin cc trng trnh mc tiu Quc gia ph hp vi chuyn mn tng ngi, t hiu qu: chng trnh v sinh phng chng dch bnh, v sinh mi trng. An ton v sinh thc phm, y t, trng hc, khm cha bnh v phc hi chc nng, y hc c truyn, chm sc sc khe tr em, chm sc sc khe sinh sn v cc chng trnh y t Quc gia khc 6. Qun l, ch o y t thn xm, t dn ph hot ng chuyn mn, t chc giao ban hng thng, phi hp hot ng v cng tc Dn s - K hoch ha gia nh vi cn b chuyn trch x v cng tc vin thn, xm. 7. Hun luyn, bi dng chuyn mng nghip v cho y t thn, xm. 8. T chc phong tro thi ua, khen thng phi hp vi cc t chc, on th ti trm theo ni dung s y t Quy nh. 9. Bo m qun l v t chc cung ng thuc thit yu v s dng thuc an ton hp l cha bnh ti trm cho nhn dn v cc i tng chnh sachskhacs theo Quy nh, quy ch hin hnh. 10. Tham mu cho UBND x qun l hnh ngh y dc t nhn trn ton x. 11. Qun l c s vt cht, ti sn, y dng c, thuc cha bnh ca trm y t. 12. Qun l ti chnh thu, chi cu trm theo Quy nh. 13. Tip nhn v qun l cng vn, ti liu. 14. Thc hin ch thng k bo co theo Quy nh v khi c dch trn a bn qun l phi bo co kp thi ng quy nh. 15. Tham gia cc cuc hp v cc cng vic khc khi c giao. II. Mi quan h Chu s qun l ch o trc tip ca gim c trung tm y t d phng huyn v ch o chuyn mn ca bnh vin huyn v cc trung tm chuyn khoa. Chu s qun l ch o ca ch tch UBND x v xy dng k hoch pht trin y t ca a phng. Gi mi quan h cht ch vi ng y, chnh quyn a phng, v cc on th chnh tr - x hi trong x, phi hp thc hin tt nhim v chm sc v bo v sc khe nhn dn trn a bn. III. Tiu chun - V trnh chuyn mn: Phn u Trm trng trm y t x phi c trnh bc s, trc mt phi c trnh y s a khoa.
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- V qun l: Phn u phi qua lp o to, tp hun v k nng qun l. 5. Nhim v ca ph trm trng trm y t x I. Nhim v: 1. Ph trm trng trm y t x l ngi gip Trm trng, chu trch nhim trc trm trng v trc Php lut nhng vic c phn cng, khi trm trng vng mt c y nhim iu hnh hot ng ca trm y t x. 2. Trc tip thc hin nhim v chuyn mn theo chc trch phn cng v phi hp vi trm trng t chc trin khai thc hin cc quy ch chuyn mn ti trm y t. 3. Tham gia cc cuc hp v cng vic khc khi c giao. II. Mi quan h Chu s qun l ch o trc tip ca trm trng y t x v ch o chuyn mn ca bnh vin huyn v cc trung tm chuyn khoa. Gi mi quan h cht ch vi ng y, chnh quyn a phng, v cc on th chnh tr - x hi trong x, phi hp thc hin tt nhim v chm sc v bo v sc khe nhn dn trn a bn. III. Tiu chun - V trnh chuyn mn: Phi c trnh trung cp y t tr ln. - V qun l: Phn u phi c trnh v k nng qun l. 6. Nhim v ca bc s, y s a khoa I. Nhim v 1. Khm cha bnh, thng trc cp cu, theo phn cp chuyn mn. 2. Tuyn truyn gio dc sc khe cng ng. 3. Hun luyn, bi dng chuyn mn nghip v cho y t thn, xm theo k hoch ca trm. 4. Qun l sc khe cng ng v tham gia tuyn ngha v qun s khi c phn cng. 6. Tham mu vi trng trm y t trin khai thc hin cc ni dung trong 10 chun Quc gia v y t x trn a bn duy tr thng xuyn t hiu qu. 7. Ghi chp, thng k s liu theo biu mu nhng vic c giao, bo co trm trng tng hp. 8. Thc hin cc th thut v lm cc tiu phu ti trm theo phn cp. 9. Hng dn kim tra y t thc hin y lnh. 10. Thc hin cc nhim v khc khi c phn cng. II. Mi quan h Chu s ch o trc tip ca trng trm y t v ch o v chuyn mn nghip v ca trung tm y t d phng huyn, bnh vin huyn v cc chuyn khoa nghnh dc cp trn. Gi mi quan h vi chnh quyn a phng v kt hp cht ch vi cc on th qun chng ti a phng, quan h phi hp cng tc vi cc thnh vin trong trm. 7. Nhim v ca y s sn v n h sinh I.Nhim v 1. Khm cha bnh, thng trc cp cu theo phn cp, c trm trng giao.
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2. Tham gia khm thai, thng, theo di qun l thai sn, lm cc th thut chuyn mn c phn cp. 3. Qun l theo di, thc hin chm sc chng trnh CSSK b m tr em nh sc khe sinh sn, phng chng suy dinh dng, phng chng tiu chy, tim chng m rng. 4. Tham gia tuyn truyn bo v sc khe cng ng. 5. Thc hin dch v KHHG c phn cp. 6. Ghi chp thng k s liu theo biu mu nhng vic c giao bo co trng trm tng hp. 7. Thc hin cc nhim v khc khi c phn cng. II. Mi quan h Chu s ch o trc tip ca trng trm y t v ch o v chuyn mn nghip v ca trung tm y t d phng huyn, bnh vin huyn v cc chuyn khoa nghnh dc cp trn. Gi mi quan h vi chnh quyn a phng v kt hp cht ch vi cc on th qun chng ti a phng, quan h phi hp cng tc vi cc thnh vin trong trm. 8. Nhim v ca iu dng (y t) I. Nhim v 1. Thc hin mnh lnh ca y s v chm sc bnh nhn ti trm, tham gia thng trc cp cu cng vi y s 2. Thc hin quy trnh v sinh, chng nhim khun ti trm. 3. Tham gia tuyn truyn gio dc sc khe cng ng. 4. Ghi chp thng k s liu theo biu mu nhng vic c giao bo co Trng trm tng hp. 5. Tham gia thc hin chng trnh tim chng m rng v cc chng trnh y t Quc gia khc khi c phn cng. 6. Thc hin cc nhim v khc khi c trng phn cng ph hp vi bng cp chuyn mn ca iu dng(y t) II. Mi quan h Chu s ch o trc tip ca trng trm y t v ch o v chuyn mn nghip v ca trung tm y t d phng huyn, bnh vin huyn v cc chuyn khoa nghnh dc cp trn. Gi mi quan h vi chnh quyn a phng v kt hp cht ch vi cc on th qun chng ti a phng, quan h phi hp cng tc vi cc thnh vin trong trm. 9. Nhim v ca dc s trung cp I. Nhim v 1. Qun l quy thuc thit yu (phi c 60 loi thuc tr ln theo danh mc thuc quy nh ca B y t) bo qun thuc theo yu cu ghi trn nhn thuc, c t, ngn thuc gy nghin, thuc c ring theo Quy ch. 2. Qun l cp pht thuc cho cc i tng khm cha bnh v ngi c the bo him y t, thc hin theo ng quy ch dc chnh, c bit l thuc gy nghin, thuc hng tm thn, thuc c, qun l thuc r rng theo tng ngun v s dng theo ng quy nh.
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3. Tham mu vi trm trng kim tra, hng dn thc hin t thuc cp cu ti phng khm, lun c thuc cp cu trn a bn thuc chng sc theo quy nh 4. Thc hin ch thng k bo co v cng tc Dc chnh xc,kp thi. 5. Thc hin cc nhim v khc khi c phn cng. II. Mi quan h Chu s ch o trc tip ca trng trm y t v ch o v chuyn mn nghip v ca trung tm y t d phng huyn, bnh vin huyn v cc chuyn khoa nghnh dc cp trn. Gi mi quan h vi chnh quyn a phng v kt hp cht ch vi cc on th qun chng ti a phng, quan h phi hp cng tc vi cc thnh vin trong trm. QUY NH V Y C (Tiu chun o c ca ngi lm cng tc y t) (Ban hnh km theo quyt nh s: 20881BYT-Q ngy 06 thng 11nm 1996 ca B trng B Y t) Y c l phm cht tt p ca ngi lm cng tc y t, c biu hin tinh thn trch nhim cao, tn tu phc v, ht lng thng yu chm sc ngi bnh, coi h au n nh mnh au n, nh li Ch tch H Ch Minh dy: "Lng y phi nh t mu". Phi tht th on kt, khc phc kh khn, hc tp vn ln hon thnh nhim v, ton tm ton xy dng nn Y hc Vit Nam. Y c phi th hin qua nhng tiu chun, nguyn tc o c c x hi tha nhn. 1. Chm sc sc kho cho mi ngi l ngh cao qu. Khi t nguyn ng trong hng ng y t phi nghim tc thc hin li dy ca Bc H. Phi c lng tm v trch nhim cao, ht lng yu ngh, lun rn luyn nng cao phm cht o c ca thy thuc. Khng ngng hc tp v tch cc nghin cu khoa hc nng cao trnh chuyn mn. Sn sng vt qua mi kh khn gian kh v s nghip chm sc v bo v sc khe nhn dn. 2. Tn trng php lut v thc hin nghim tc cc quy ch chuyn mn. Khng c s dng ngi bnh lm thc nghim cho nhng phng php chn on, iu tr, nghin cu khoa hc khi cha c php ca B Y t v s chp nhn ca ngi bnh. 3. Tn trng quyn c khm bnh, cha bnh ca nhn dn. Tn trng nhng b mt ring t ca ngi bnh; khi thm khm, chm sc cn bo m kn o v lch s. Quan tm n nhng ngi bnh trong din chnh sch u i x hi. Khng c phn bit i x vi ngi bnh. Khng c c thi ban n, lm dng ngh nghip v gy phin h cho ngi bnh. Phi trung thc khi thanh ton cc chi ph khm bnh, cha bnh.
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4. Khi tip xc vi ngi bnh v gia nh h, lun c thi nim n, tn tnh; trang phc phi chnh t, sch s to nim tin cho ngi bnh. Phi gii thch tnh hnh bnh tt cho ngi bnh v gia nh h hiu cng hp tc iu tr; ph bin cho h v ch , chnh sch, quyn li v ngha v ca ngi bnh; ng vin an i, khuyn khch ngi bnh iu tr, tp luyn chng hi phc. Trong trng hp bnh nng hoc tin lng xu cng phi ht lng cu cha v chm sc n cng, ng thi thng bo cho gia nh ngi bnh bit. 5. Khi cp cu phi khn trng chn on, x tr kp thi khng c n y ngi bnh. 6. K n phi ph hp vi chn on v bo m s dng thuc hp l an ton; khng v li ch c nhn m giao cho ngi bnh thuc km phm cht, thuc khng ng vi yu cu v mc bnh. 7. Khng c ri b v tr trong khi lm nhim v, theo di v x tr kp thi cc din bin ca ngi bnh. 8. Khi ngi bnh ra vin phi dn d chu o, hng dn h tip tc iu tr, t chm sc v gi gn sc khe. 9. Khi ngi bnh t vong, phi thng cm su sc, chia bun v hng dn, gip gia nh h lm cc th tc cn thit. 10. Tht th, on kt tn trng ng nghip, knh trng cc bc thy, sn sng truyn th kin thc, hc hi kinh nghim, gip ln nhau. 11. Khi bn thn c thiu st, phi t gic nhn trch nhim v mnh khng li cho ng nghip, cho tuyn trc 12. Hng hi tham gia cng tc tuyn truyn gio dc sc khe, phng chng dch bnh, cu cha ngi b nn, m au ti cng ng; gng mu thc hin np sng v sinh, gi gn mi trng trong sch. 4. Hot ng cc chng trnh a. Tim chng m rng - T l tr em < 1 tui tim phng 7 bnh t 100%. - VAT2 _ ph n c thai 100%. - VAT2 _ ph n 15 16 tui 100%. - Tng cng tim vim gan B v vin no Nht bn. - Trnh sai xt trong chuyn mn, c bit m bo dy chuyn lnh. 5. Suy dinh dng
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- Qun l cht ch trong din qun l 100%. - Duy tr thng xuyn cn tr theo di suy dinh dng. - Gim t l suy dinh dng < 16%. - Gim tr s sinh < 2.500gram. - Tng cng hng dn kin thc cho b m c con di 5 tui, thai ph. 6. Bo v b m tr em KHHG a. B m tr em - Qun l cht ph n trong din sinh , tng cng cng tc chm sc sc khe sinh sn. - Sinh ti c s y t 100%. - T sut sinh sn gim 0,5%. - Qun l thai ph 100%. - Khm thai t nht 3 ln trc khi sinh. - B m sau sinh ung Vitamin A 100%. - Ph n mang thai ung vin st 100%. b. K hoch ha gia nh - Qun l v tuyn truyn vn ng cc cp v chng thc hin sinh k hoch. - ng k thi hn. - Gim t l sinh con th 3 xung 1,5%. - Tng cng dch v SKSS KHHG n ngi dn. - T chc tt 2 chin dch SKSS KHHG t ch tiu giao. 7. Gio dc sc khe - Tuyn truyn qua h thng lao i, ni chuyn chuyn GSK nhm, vng gia 24 ln/ nm. - Tng cng gim st k nng GSK mng li y t x 12 ln/ nm. - Vit tin bi, pht tranh nh, ti liu cho cng ng 24 ln/ nm. 8. HIV/AIDS - Bnh nhn nhim HIV/AIDS: qun l 100%. - i tng nguy c: qun l 100%.
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- T vn ti trm y t cho ph n c thai v i tng nguy c i xt nghim mu ti Trung tm y t Huyn Giao Thy. - Ni chuyn chuyn : 12 bui. - Gio dc sc khe nhm i tng nguy c: 12 bui. - Cng c im cp bao cao su x. 9. V sinh an ton thc phm, v sinh mi trng a. V sinh an ton thc phm - H kinh doanh: qun l 100%. - Vn ng khm sc khe nh k cp s 100%. - Tp hun kin thc an ton thc phm cho ngi trc tip kinh doanh: 1 ln/ nm. - Kim tra: 4 ln/ nm. b. V sinh mi trng - H chn nui : qun l 100%. - Thc hin 3 chng trnh v sinh : t 100%. - T l h dng nc sch : 92%. 10. Y t hc ng - Mu gio, cp I, cp II qun l hc sinh 12 ln/ nm. - Ni chuyn chuyn : 12 bui/ nm. - Khm sc khe u nm hc v ty giun nh k 2 ln/ nm. 11. CDD - Gim s ca mc bnh tiu chy nht l tr < 6 tui. - Bnh nhn tiu chy s dng ORS 100%. - Khng xy ra t vong. 12. ARI - Gim t l tr < 6 tui mc ARI. Trong gim ti a bnh vim phi nng, vim ph qun - Hn ch iu tr khng sinh trong bnh Tai Mi Hng : t 35%. - Khng s dng khng sinh trong bnh Cm, ho. - Khng xy ra t vong.
11

13. St xut huyt - Khng xy ra dch st xut huyt trn a bn. - T chc tuyn truyn Gio dc sc khe vn ng ngi dn tch cc dit lng qung, v sinh mi trng xung quanh phng chng st xut huyt. - Cp t bm, t ri cho ngi dn. - T chc tt t chin dch dit lng qung ti cc i. 14. Phng chng tai nn thng tch - Hn ch thp nht cc ca tai nn thng tch xy ra. - Tai nn giao thng. - Tai nn lao ng. - Tai nn chn thng khc. - Phi kt hp vi nghnh cng an tuyn truyn kin thc an ton giao thng, cc tai nn trong cng ng: 2 ln/ nm. 15. St rt - Thc hin tt cc chi tiu k hoch ra. Hng dn ngi dn khm v cp thuc khi c bnh xy ra. - Pht thanh tuyn truyn, cung cp v hng dn ngi dn trc khi i vo vng st rt. 16. Bu c - iu tra qun l bnh nhn bu c, hng dn khm v iu tr bnh. - T chc cung cp mui it cho cc i, xm. - Vn ng tuyn truyn ngi dn dng mui it thay cho mui thng. - T l h dng mui it 97%. - Pht t ri, GDSK nhm, pht thanh tuyn truyn. 17. Bnh phong - Theo di, pht hin, qun l bnh nhn phong. - T chc gio dc kin thc phng bnh phong trong trng hc cng nh trong cng ng, hp ng pht thanh vi nghnh VHTT. 18. Bnh truyn nhim - chng dch - Gim t l mc bnh nht l tr em v ngi gi. Cc bnh thng gp:
12

. Vim phi. . Vim ph qun. . Tiu chy. . Cm. - Khng dch bnh xy ra. 19. Lao - Qun l 100% bnh nhn lao ung v tim thuc ti trm y t x. - Khng bnh nhn b tr v ti pht. - Hng dn bnh nhn nghi ng bnh Lao nn i xt nghim m. 20. Thng k v bo co - m bo thng k cp nht s liu thng xuyn. - Bo co y ng thi gian Quy nh. - Cc chng trnh cng c s sch, bo co ng tuyn quy nh. - T chc s kt nh gi hng qu v rt kinh nghim cho qu sau. 21. Cng tc Dn s - K hoch ha gia nh a. Cng tc dn s - Gim t sut sinh nm 2011 t 13,6% xung cn 13,1% gim 0,5%. - Gim t l sinh con th 3 t 7,14% xung cn 5,64% gim 1,5%. - C th gim s sinh t 70 tr xung cn 68 tr v con th 3 t..tr xung cn.tr gim.tr. b. K hoch ha gia nh - nh sn -Vng trnh thai - Thuc vin - Thuc tim - Thuc cy - Bao cao su c. Phng chng vim nhim - Khm ph khoa - iu tr
13

III. Danh mc thuc, hng dn s dng thuc. a. Danh mc thuc 1. Thuc m tra mt Tetracycyclin 1% + Hm lng Tetracylin hy droclorid: 0,05g. + Ch nh: au mt ht, vin kt mc v gic mc do nhim trng, lot gic mc c bi nhim, vin mi mt, lo. 2. Thuc tra mt),4% Hm lng Cloraphenicol: 32mg Acid boric:88 mg Natri clorid: 16 mg Natri borat: 16 mg Methyl paraben: 1,44 mg Methyl paraben: 0,16 mg Nc ct va : 8ml + Ch nh: Cha vin mt, vin ti l, vim gic mc, nhim khun mt, au mt ht. 3. Vin nang Coldacmin. + Hm lng: Paracetamol: 325 mg Chlor pheniramaine maleate: 4 mg + Ch nh: Cm st, au nhc nh au nght mi, s mi, vim mi, vim mng nhy do d ng vi thi tit Cc trng hp d ng, my ay , mn nga, vim da tip xc hay vim mi vn mch do hirtamin. Trong cc bnh nhim trng ng h hp trn c biu hin st, nhc u, s mi, n lnh. 4. Vin bao phim Mofen 400. - Hm lng: Ibuprofen USP: 400 mg. - Ch nh: Mofen l dng thuc chng vim khng c cu trc steraid, va c tc dng chng vim, gim au v h st, thuc c hiu qu gim vim, gim au v h st, thuc c hiu qu gim au tt trong hu ht cc chng au thng
14

thng nh au rng, au trong lc kinh k, au khp, au m mm trong chn thng sau m. 5. Vin nn cimetidin 200 mg. - Hm lng: Cimetidin 200mg - Ch nh + iu tr ngn hn: Lot t trng tin trin. + iu tr duy tr lot t trng vi liu thp sau khi lot lnh. + iu tr ngn hn lot d dy tin trin lnh tnh. + iu tr chng tro ngc d dy thc qun gy lot. + iu tr chy mu tiu ha do lot d dy t trng + Chy mu ng tiu ha trn ngi c bnh nng. 6. Thuc bt Mitux. - Hm lng: Acetylcystein 200 mg - Ch nh: iu tr cc ri lon v tit dch ca nim mc ng h hp trong cc bnh vim ph qun, vim kh ph qun, vim ph qun phi cp v mn tnh, vim mi, vim thanh qun, vim xoang, vim tai gia tit dch. 7. Vim nn di bao phim Penicilin V Kali 1000000 IU - Hm lng: Phenoxymethylpenicilin Kali 1000000 IU - Ch nh: + iu tr nhim khun thng thng nh v trung bnh, nhim khun ng h hp trn, vim, hng, vim amidan, vim tai gia. + Nhim khun ming, hng. + Vim ph th nh do Pneumaococus + Nhim khun da v m mm. + Phng thp khp ti pht. + Nhim khun huyt, vim xng ty cp v mn, vim mng trong tim do lin cu, bch hu do vi khun nhy cm. 8. Vin nang cng Amoxicilin 250 mg hoc 500 mg. - Ch nh

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+ iu tr trong nhim trng ng h hp trn (vim tai gia, vim xoang, vim amidan, ....), nhim trng ng h hp di (Vim ph, vim ph qun), nhi trng da, m mm (Vim m t bo, vt thng nhim trng, nhim trng hoa liu), nhim trng tit niu, nhim khun rng ming iu tr d phng vim mng trong tim. 9. Vin nang cng Cephalexin 250mg, 500mg. - Hm lng. Cephalexin 250 mg hoc 500 mg - Ch nh. Nhim khun ng h hp: Vim ph qun cp v mn tnh v gin ph qun nhim khun. + Nhim khun tai - mi - hng: Vim tai gia, vim xng chm, vim xoang, vim amidan, hc v vim hng. + Vim xng khp: nhim khun rng. + Vim da v cc m mm. + Nhim khun ng niu + Nhim khun sn v ph khoa + Bnh lu 10. Vin nang Helinzole - Hm lng: Omeprazol 20mg. + Ch nh: iu tr vim lot d dy, t trng, vim thc qun do tro ngc, hi chng tng tit acid dch v. 11. Vin bao phimtan trong rut serratiopeptidase 10mg Stada 10mg. - Hm lng serratiopeptidase 10mg + Ch nh: Vim sau phu thut hoc chn thng ph v sng do vim bnh nhn tr ni hay tr ngoi. + Vim trong nh tai, mi, hng, vim xong, vim tai, vim tai gia, vim hng, sau phu thut m hang vim nu rng, apxe rng + Sn ph khoa cng ngc sa. + Niu khoa: Vim bng quang, vim mng tinh hon. + Khoa mt: Xut huyt mt, m c thy tinh th. iu tr ng thi vi khng sinh trong cc tnh trng nhim trng.
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+ Kho khc m trong cc trng hp sau: Vim ph qun, lao phi, hen suyn v sau khi gy m. 12. Vin ngan mm: Enpovid A,D - Hm lng: Vitamin A 50000 IU. + Vitamin D3 400 IU. - Ch nh: B sung vitamin A, D cho tr ci xng, tui ang pht trineer, ph n mang thai v cho con b, bnh qung g, gim th lc do thiu vitamin A. + Chng co git, co git do thiu cacli, bnh nhim xng. 13. Vin nn bao phim Lobenrin. - Hm lng: Bereerin Clorid 25mg. Mc hng 175 mg. Ba ch 100mg - Ch nh: a chy, au bng, vim rut cp v mn tnh, cha l trc trng, phng v iu tr cc bnh nhim khun ng rut khc. 14. Vin nn vitaminC 100mg - Hm lng Acid ascarbic 100 mg - Ch nh: Phng v iu tr bnh do thiu vitamin C + Phi hp vi derferioxamin lm tng thm o thi st trong iu tr Thalassemia. 15. Vin nn Metronidazole 250 mg - Hm lng: Metronidaxole 250 - Ch nh + Nhim trichomonas vaginalis ng niu sinh dc. + Bnh do amip, vim m o khng c hiu, bnh do Giardia lambilia, vim lot ming, trng c , iu tr cc nhim khun k khi sau phu thut bnh nhn phi phu thut ng mt, i trc trng, ph khoa. Vim lot d dy, t trng do nhim Helycobacter pylori 16. Vin nn Devomir - Hm lng: Cinarizin 25mg
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- Ch nh: Phng nga v iu tr say nng, say tu xe, my bay. + Phng nga v iu tr au na u. + Phng nga v iu tr chng mt, bun nn do ri lon tin nh, tht mch mu no. 17. Vin nn di Paracetamol - Hm lng: Paracetamol 500 mg - Ch nh: iu tr cc chng au cho nguyn nhn khc nhau: nhc u, au na u, au bng kinh, au dy thn kinh, au nhc h xng c, au rng. + St do nhim khun, vim hng, vim ph qun, lm gim au nhc v h st trong cc trng hp cm lnh, cm cm, st do virut. 18. Vin nn Clorocid 250mg. - Hm lng: Cloramphenicol 250mg. - Ch nh: iu tr nhim khun do vi khun nhy cm, do RicKettsia, Chlamcydia. 19. Vin nn bao phim Sepratis. - Hm lng: Ciprofloxacin 500mg. - Ch nh: Tr cc bnh nhim trng ng h hp, phi, tai - mi - hng. + Tr cc bnh nhim trng ng tit niu, sinh dc, bnh lu, vim nhim phn ph, vim tuyn tin lit. + Cc bnh nhim trng da v m mm, nhim trng xng, khp, nhim trng huyt, vim phc mc, vim ng mt 20. Vin bao ng Aminazin 25mg - Hm lng. Chlopromazin Hydroclorid 25mg. - Ch nh: Tt c cc th tm thn phn lit, giai on hng cm ca ri lon lng cc, bun nn, nn, cc chng nc kh cha tr, an thn trc phu thut, bnh porphyrin cp gin cch, bnh un vn. 21. Vin nn Pharacoter - Hm lng: Terpin Hydrat 100mg Codei base 10mg - Ch nh: Ho gi, ho khan, ho do vim kh qun, ho do vim ph qun.
18

22. Vin nn Hapacol Codein - Hm lng: Paracetamol 500mg Codein Phosphat 8mg - Ch nh: iu tr cc triu chng au nhc c hoc khng km st trong cc trng hp sau: au u, au nhc c bp, au xng, bong gn, au khp, au lng, au rng, au bng kinh, au do chn thng, au thn kinh, cm lnh, cm cm. 23. Vin nn Hasalbu - Hm lng: Salbutamal 2mg - Ch nh: iu tr v d phng cc cn hen ph qun, iu tr tc nghn ng th hi phc c. Cc bnh qun phi mn tnh, d phng do hen suyn trc khi luyn tp hoc gng sc. 24. Vin nn di bao phim Vita Alpha - Hm lng: Thiamin Nitrat 5mg Riboflavin 4mg Pyridoxin Hydroclorid 5mg Nicotinamid 10mg Claci pantothenat 6mg - Ch nh: Cung cp cn i cho c th cac Vitamin trong trng hp thiu do ch n ung khng cn i, thiu nin trong giai on tng trng, ngi gi, ngi nghin ru kinh nin, bnh nhn i tho ng, giai on dng bnh. - D phng v iu tr trng hp thiu Vitamin nh trong bnh Beri Beri, bnh Sprue, bnh PellagraCc bnh ri lon hp thu, tiu chy, dng khng sinh di ngy. 25. Vin nn bao phim tan trong rut Diclofenac - Hm lng: Diclofenac 50mg - Ch nh: iu tr vim, au trong cc trng hp: + Ri lon c xng v khp: Vim khp dng thp, vim xng khp, cc dng vim v thoi ha tin trin ca thp khp, cc hi chng au ca ct sng,
19

thoi ha t sng cng khp, au nhc do trt khp, au nhc xng. Ri lon m mm: Bong gn, cng gn. + Cc trng hp au nhc khc: au lng, au nhc vai, au do chn thng, au u, au bnh gout cp, au bng kinh, chng thng kinh, au vim phn ph. au sau phu thut, nh rng, ct Amidan>Lm gim cc triu chng au, vim hoc khng c km theo st trong cc trng hp dao nhim virut, vi khun. 26. Vin nn Vitamin B6 25mg - Hm lng: Pyridoxin Hydroclorid 25mg - Ch nh: Phng v iu tr thiu ht Vitamin B6 ph n c thai v cho con b c nhu cu tng v mi Vitamin. iu tr nhim c Isoniazid hoc Cycloserin. iu tr chng thiu mu nguyn bo st di truyn. Nn, run, co git, vim d dy thn kinh. 27. Thuc bt Klamentin 250mg - Hm lng: Amoxiclin 250mg Acid Clavulanic 31,25mg - Ch nh: iu tr ngn hn cc nhim khun ng h hp trn v di, ng tit liu sinh dc, da v m mim, xng v khp. Klametin c tnh dit khun i vi nhiu loi vi khun k c cc dng tit Betalactamase khng vi ampicillin v Amoxicilin. 28. Vin nn Trimazon - Hm lng: Sulfamethoxaxzol 400mg Trimethoprim 80mg - Ch nh: Nhim khun do cc vi khun nhy cm vi Trimazon. Nhim khun ng tit liu, nhim khun ng h hp, ng tiu ha, vim phi. 29.Vin nn bao phim Nifedipin 10mg - Hm lng: Nifedipin 10mg - Ch nh: iu tr v d phng cc cn au tht ngc, c bit khi c yu t co mch nh trong au tht ngc kiu Prizmental tng huyt p, hi chng Raynaud.
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30. Vin bao ng hot huyt dng no - Hm lng: Cao l bch qu 40mg Cao c inh lng 160mg - Ch nh: Suy gim tr nh, thiu nng tun hon no, hi chng ri lon tuyn nh. + Suy gim tun hon no vi cc biu hin: au u, hoa mt, chng mt, hay mt thng bng. Gim chc nng no b, gim tr nh, suy nhc thn kinh, nhn no, di chng no. + Ngi lm vic tr c cng thng b au u, hoa mt, chng mt, mt mi, chng run git ca bnh nhn Parkinson. 31. Thuc tim Cephradine USP - Hm lng: Cephradine P 1gam - Ch nh: Nhim trng do cc vi khun nhy cm ng h hp, ng sinh dc tit niu, da v t chc mm, ng mt, nhim khun, xng khp v sinh dc, nhim khun mu v vim mng trong tim. 32. Dung dch tim Atropin Sulfat 0,25mg/ml - Hm lng: Atropin Sulfat 0,25mg - Ch nh: Ct cn au do co tht c trn: au bng t chy, au bng do vim lot d dy, rut, cn au ti mt, cn au thn, ct cn hen ph qun, cha ho. 33. Dung dch tim Bidizym - Hm lng: Vitamin B1 1mg Vitamin B6 4mg Vitamin B2 4mg Vitamin PP 40mg Vitamin B5 6mg - Ch nh: Dng phng v iu tr cc bnh thiu Vitamin nhm B trng hp nui dng hon ton ngi ng tiu ha, tr ri lon tng trng, vim tiu kt trng, ct d dy, vim ming, vim da, vim thn kinh, nghin ru. 34. Vin nn Meloxicam
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- Hm lng: Meloxincam BP 7,5mg - Ch nh: Lm gim cc du hiu v triu chng ca vim xng khp. iu tr cc chng au cp tnh va v nh ngi trng thnh. b. Hng dn s dng thuc - Mai Ngc Linh, 16 tui, n, hc sinh, vim kt mc Thuc Maxitrol coll 5ml c tc dng phi hp vi khng sinh v khng vim. Cch dng: Ngy nh 8 ln mi ln 3 5 git Thuc Diclofenac 50mg c tc dng khng vim Cch dng: Ngy 2 ln mi ln 1 vin - Phng Duy Anh, 28 tui, nam, cng nhn, vim da do cn trng Thuc Kem bi Pesancoft c tc dng khng khun, iu tr vim khun ngoi da. Cch dung: Ngy bi 2 ln trnh s dng lu di trn vng da mt Thuc BB Cin 500mg c tc dng khng sinh Cch dng: Ngy 2 ln mi ln 1 vin. Thuc Elcet c tc dng chng d ng gim nga Cch dung: Ngy dng 1 ln vo bui sng. IV. Cc hot ng y t ca trm y t x Giao Chu Trm y t x Giao Chu l n v u tin tip xc vi ngi dn trong x gi vai tr quan trng trong cng tc chm sc sc khe nhn dn .Trong nhng nm qua trm t chc tt cc hot ng y t ti a phng v hon thnh k hoch, ch tiu cp trn giao.Cc hot ng bao gm 1. Hot ng khm cha bnh: Trm t chc khm cha bnh ti trm cho ngi dn trong x ch yu l cc i tng c th bo him y t tr em di 6 tui, cc i tng khm dch v c cht lng v hiu qu. Bn thng u nm 2012 t 5000 ca Trong Tr di 6 tui l 609 ca, Ty y l 4001 ca ng y 390 ca 2. Hot ng Chm sc sc khe sinh sn ti trm 78 ca.
22

3. Sinh k hoch Bn thng u nm 2012 trm thc hin t vng 145 ca 4. Hot ng tim chng T chc tim chng cho tr em theo chng trnh tim chng m rng nm 2012 t 100% trong 4 thng u nm. Tim chng y 340/340 chu t 35%. Tim chng BCG 129/340 chu t 37%. 5. Hot ng phng chng suy dinh dng cho tr di 5 tui Ton x c 1346 tr <5 tui S tr suy dinh dng l bn thng u nm l 80 tr chim t l 6% 6. Chng trnh phng chng Tm thn Ton x c 50 ca ang c theo di, iu tr v cp pht thuc hng thng ti trm. 7. Chng trnh phng chng st Xut huyt T 01/01/2012 n 06/4/2012 trn a bn x Giao Chu pht hin 3 ca st Xut huyt, trm y t cng cc y t xm, cng tc vin chng trnh v hc sinh thc tp n tn tng h gia nh tuyn truyn dit b gy v mt s vn sc khe u tin, nn dch bnh c khng ch v khng ly lan. 8. Hot ng v sinh mi trng v cng tc phng chng dch bnh L mt x lun coi trng vn v sinh mi trng lun c trm quan tm, x t chc mt i vi nhiu xe thu gom rc thi sinh hot cc thn. Hng nm trm y t x lp k hoch trnh U ban nhn dn x t chc, phi hp vi cc on th (Thanh Nin, Ph N) tuyn truyn vn ng n tng h dn thu gom rc thi, pht quang bi dm, dit b gy, v sinh ni .nn khng c dch bnh no bng pht mnh. *Nc sch: Mi h gia nh u c ging khoan hp v sinh hoc my lc nc hin i. *H x hp v vinh: Qua kho st 100% s h trong ton x c nh v sinh, cng trnh ph t tiu chun.

23

9. Hot ng theo di, qun l hnh ngh y dc t nhn: Ton x c75 c s hnh Y Dc trong hnh ngh y 10 c s. Dc l 65 c s hot ng c giy php t thiu chun theo Quy nh. 10. Hot ng cung ng v s dng thuc a.Thuc Tn dc-ng dc Phng dc ca trm c T thuc cp cu v T thuc do bo him y t cung ng theo nhu cu khm cha bnh, ngoi ra cn c t thuc bn theo n (Bng 1)

Bng danh mc thuc Tn Dc(Bng 1) Khng sinh g E ERYTHROMYCIN250 mg CEFACLOX250mg g CIPROFLOXACIN500m

24

AMOXCILLIN 500mg AMOXCILLIN 250 mg PYMECETAM 500 mg (Cephalecin) PYMECETAM 250 mg (Cephalecin) ERYTHROMYCIN500m

Vin nang Vin nang Vin nang Vin nang Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn

CEFACLOX500mg COTRIMOXAZOL480m

g SPIRAMYCIN 7500ui ACID Vin nn Vin nn Vin nn

NALIDIXIC500mg METRONIDAZOL250m g Chng vim gim ph n Chng vim gim au Gim au h st MELOXICAM 7,5mg EFFERALGAN150mg TATANOL500mg (Paracetamol) TATANOL-CODEIN ALPHACHEMOTRUYS IN DICLOFENAC50mg

Vin nn

Vin nn Vin nn Vin n Vin nn Vin nn Vin nn Vin nn Vin nn Dch treo Vin nang Vin nn Gi Gi

Gim au chng co tht

530mg NO-SPA 40 mg SPACMAVERIN SURAFAR STOCGEN (Photphalugen) OMEPRAZON20mg MALOX BIDISUBTYL ORS
25

D dy

Thuc

ng tiu ha Thuc ty giun Thuc chng d ng Thuc ho long m 2) Thuc iu tr tng huyt p V. Toa thuc
26

SORBITOL 25G ALBENZADAZOL

Gi Vin nn Vin nn Nang mm

400mg CLOPHENIRAMIN4mg CITIRIZIN10mg PIMECIMUC 200 mg (Acetylsys) VITAMINE400UI MULTIVITAMIM MAGE-B6 TRINEURON(B1,B6,B1 VITAMIN B1 100mg VITAMIN B6 100mg FERONB9 BCOMPLEXC VITAMINPP50mg METHYlDOPA250mg

Nang mm Nang mm Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn

Vitami n

Vin nn

- Vim hng + Cephalexin 500mg, 10 vin, ngy 2 ln, mi ln 1 vin. + Coldacmin 10 vin, ngy 2 ln, mi ln 1 vin. + Serratiopeptidase 10mg, 10 vin, ngy 2 ln, mi ln 1 vin. + Pharcoter 10 vin, ngy 2 ln mi ln 1 vin . - Chn thng gi do ng + Mofen 400mg, 20 vin, ngy 2 ln, mi ln 2 vin. + Cimetidin 200mg, 20 vin, ngy 2 ln, mi ln 2 vin. + Vitamin C 100mg, 30 vin, ngy 2 ln, mi ln 3 vin. - Vim quanh cung chn rng + Cephalexin 500mg, 10 vin, ngy 2 ln, mi ln 1 vin. + Serratio peptidase 10mg, 10 vin, ngy 2 ln, mi ln 1 vin. + Mofen 400mg, 20 vin, ngy 2 ln, mi ln 1 vin. + Vitamin C 100mg, 30 vin, ngy 2 ln, mi ln 3 vin. - Cao huyt p + Nifedipin 10mg, 20 vin, ngy 2 ln, mi ln 2 vin. + Hapacol Codei 20 vin, ngy 2 ln, mi ln 2 vin. - Vim ph qun + Amoxicilin 200mg, 10 vin, ngy 2 ln, mi ln 1 vin. + Hapacol Codei 20 vin, ngy 2 ln, mi ln 1 vin. + Pharcoter, 10 vin, ngy 2 ln, mi ln 1 vin. + Vitamin C 100mg, 30 vin, ngy 2 ln, mi ln 3 vin. - Vim ng tit liu + Amoxicilin 500mg, 20 vin, ngy 2 ln, mi ln 2 vin. + Vitamin C 100mg, 30 vin, ngy 2 ln, mi ln 3 vin. - Vim a khp + Penicilin V 1.000.000 IU, 10 vin, ngy 2 ln, mi ln 1 vin. + Mofen 400mg, 20 vin, ngy 2 ln, mi ln 1 vin. + Cimetidin 200mg, 20 vin, ngy 2 ln, mi ln 2 vin. - St virut
27

+ Cephalexin 500mg, 20 vin, ngy 2 ln, mi ln 2 vin. + Coldacmin 10 vin, ngy 2 ln, mi ln 2 vin. + Pharcoter 20 vin, ngy 2 ln mi ln 2 vin. - Tng huyt p v vim hng + Nifedipin 10mg, 10 vin, ngy 2 ln, mi ln 1 vin. + Amoxicilin 500mg, 10 vin, ngy 2 ln, mi ln 1 vin. + Vitamin C 100mg, 30 vin, ngy 2 ln, mi ln 3 vin. - Ri lon tun hon no + Devomir( Cinarifin 25mg), 20 vin, ngy 2 ln, mi ln 2 vin. + Paracetamol 500mg, 10 vin, ngy 2 ln, mi ln 1 vin. + Vitamin A,D 10 vin, ngy 2 ln, mi ln 1 vin. + Vitamin B6 40 vin, ngy 2 ln, mi ln 4 vin. - Hi chng l + Loberin 20 vin, ngy 2 ln, mi ln 2 vin. + Metronidazole 250mg, 20 vin, ngy 2 ln, mi ln 2 vin. + Vitamin B1 100 vin, ngy 2 ln, mi ln 5 vin. - Vim kt mc + Penicilin V 1.000.000 IU, 10 vin, ngy 2 ln, mi ln 1 vin. + Vitamin A,D 10 vin, ngy 2 ln, mi ln 1 vin. + Vitamin C 100mg, 30 vin, ngy 2 ln, mi ln 3 vin. + M Tetracylin 1%, 1 tup, tra mt bnh 1 on thuc khong 0,5cm, 3-4 ln mi ngy. - Vim i trng + Biseptol 480mg, 20 vin, ngy 2 ln, mi ln 2 vin. + Berberin 200 vin, ngy 2 ln, mi ln 10 vin. + Papaverin 20 vin, ngy 2 ln, mi ln 2 vin. - Vim khp c tay + Penicilin V 1.000.000 IU, 10 vin, ngy 2 ln, mi ln 1 vin. + Mofen 400mg, 20 vin, ngy 2 ln, mi ln 1 vin. + Omeprazol 20mg, 10 vin, ngy 2 ln, mi ln 1 vin.
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- Tng huyt p + Nifedipin 10mg, 10 vin, ngy 2 ln, mi ln 1 vin. + Paracetamol 500mg, 10 vin, ngy 2 ln, mi ln 2 vin. + Vitamin C 100mg, 30 vin, ngy 2 ln, mi ln 3 vin. - Suy nhc c th + Vitamin A,D 20 vin, ngy 2 ln, mi ln 2 vin. + Vitamin C 100mg, 30 vin, ngy 2 ln, mi ln 3 vin. + M Tetracylin 1%, 1 tup, tra vo mt b bnh 1 on thuc khong 0,5cm, 3 ln mi ngy. - Vim nhim tng ngoi mu bn tay + Cephalexin 500mg, 20 vin, ngy 2 ln, mi ln 2 vin. + Serratio peptidase 10mg, 10 vin, ngy 2 ln, mi ln 1 vin. + Paracetamol 500mg, 10 vin, ngy 2 ln, mi ln 1 vin. - Vim li + Amoxicilin 500mg, 20 vin, ngy 2 ln, mi ln 2 vin. + Hapacol Codei 10 vin, ngy 2 ln, mi ln 1 vin. + Vitamin A,D 10 vin, ngy 2 ln, mi ln 1 vin. - Lo th + Vitamin A,D 20 vin, ngy 2 ln, mi ln 2 vin. + Vitamin C 100mg, 30 vin, ngy 2 ln, mi ln 3 vin. Bng danh mc thuc ng dc (bng 2) STT 1 2 3 4 5 6 7 8 9 10 11 TN THUC Thp ton i b Bt v b thn dng Dng tm ch tr Hot huyt dng no Dip h chu i trng HD Cao ch mu Kim tin tho Vin thp khp Vin phong thp Boganic
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DNG BO CH Vin hon Nang cng Bao ng Bao ng Bao ng Bao ng Siro Bao ng Bao ng Bao ng Bao ng

Bng danh mc thuc iu tr bnh x hi(Bng 3)

D T N BNH TN THUC NG BO CH N BNH T TN THUC D NG BO CH

Isoniazid30 0mg Terbuzid40

L AO

Vi n nn Vi n nn Vi n nn L bt Vi n nn Vi n nn Vi n nn (Bng 3)

Levomepromaz in25mg Haloperidol2m g

T M THN

Vi n bao Vi n nn Vi n nn Vi n nn Vi n nn

0mg Ethambutol 400mg Streptomyci n1g Phenobacbit

Cazerol200mg Fonzepin10mg Domefin50mg

T M THN

al Diazepam5 mg Aminazin25 mg

b.Vn cy Thuc nam Trm c vn cy thuc nam gm 42 loi cy thuc mu c trng theo tng nhm bnh rt thun tin cho vic tuyn truyn nhn dn x dng cy thuc nam cha bnh v hng dn nhn dn tham kho vun cy thuc gm cc loi cy (Bng 4) Danh mc cy thuc nam(Bng 4)
NH M CY THUC S TT TN CY THUC
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NH M CY THUC

S TT

NHM CY THUC

1 2 3 4 Cy thuc tr cm cm

S Sn dy Hng nhu Bc h Hng chanh Rau m Ta t Qut H Cy l di Cam tho bc Thin mn ng Cy r qut Cy rng Cy huyt d Trc b dip Lc tin(chum
31

2 4 Cy thuc c tc dng li tiu 2 5 2 6 2 7 2 Cy thuc tr vim khp 8

M C tranh Du ng Ma tm C xc(ngu

6 7 8 9 Cy thuc tr ho 1 0 1 1 1 2 Cy thuc tr ho vim hng Cy thuc cm mu Cy 1 3 1 4 1 5 1 6 1 7

tt) L 2 lng(i 9 tng qun) 3 Ci say 0 3 L i 1 3 M tam 2 3 3 3 4 3 5 th Ring Gng Sn dy

Cy thuc tr bnh ng tiu ha(Tiu chy, kit l, n khng tiu)

3 Ty giun 7 Cy thuc c 3 8 6 3

Cau S qun t Cy nhn sm

thuc c tc dng an thn nhu n trng

1 8 1 9 2 0 2 1 2 2 2 3

bao) Vng nem tc dng Du tm b dng Nha am Da cn Trinh n hong cung ch mu Cy thuc c tc dng tim mch 2 1 9

3 4 0 4 4

Sm i hnh Ngh Bo bo Trc o

Cy thuc cha bnh ph n

VI. Chn on cng ng tm hiu cc vn sc khe X Giao Chu c tt c 15 xm i, qua tham kho s sch ti trm v s ng gp kin ca cc cn b y t ti trm chng em chn i 2 xm Tin Thnh tm hiu cng ng, thu thp thng tin, la chn cc vn sc khe cn gii quyt v tin hnh cc hot ng truyn thng gio dc sc khe cho ngi dn. 1. S lc i 2 xm Tin Thnh. i 2 xm Tin Thnh l mt xm thuc pha Bc x Giao Chu, l mt xm gn trm y t x Giao Chu nht. - Tng dn s ton x 9117 ngi - Tng s h: 2382 h - Tng s tr em di 5 tui: 215 chu 2. Tm hiu cng ng thu thp ch s 2.1 Thi gian thc hin: 17/3 n 23/3/2012 2.2 i tng tm hiu: Tm hiu ngu nhin 10 h gia nh trong thn. 2.3 Phng thc thc hin: - Thu thp cc thng tin t s sch bo co v thong tin t nhn vin y t.
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- Quan st h gia: Nh , ngun nc sinh hot, cng trnh ph, x l rc thi sinh hot. - Phng vn h Gia nh: Ni dung ch yu vo cc vn V sinh n ung v v sinh thc phm, x l rc thi, tim chng cho tr di 5 tui, s dng thuc an ton hp l , p dng cc bin php k hoch ha gia nh, tnh hnh bnh tt v mt s vn khc. 2.4 Kt qu: Qua quan st chng em thu c mt s vn sau: - Nh ti cc h tm hiu th ton thn khng cn nh tranh vch t nhn chung v sinh nh ca ca cc h iu tra l tt ( c gn gng, c ca s, khng khc nh ra nn nh). - Ngun nc sinh hot cc h u c ging khoan, c b lc hp v sinh v hu ht u s dng my lc nc t 100% - H x hp v sinh: Qua kho st 10 h gia nh th 10 h c h x hp v sinh t tiu chun. - X l rc thi: Cc h u tp trung rc thi ni ng quy nh nhn vin v sinh trong thn thu gom. Cn mt s h cn vt rc cha ng ni quy nh - V sinh n ung: Trong 10 h c tm hiu 100% h s dng my lc nc trong sinh hot hng ngy, ra tay trc khi n v sau khi i v sinh. - Tim chng m rng c 25 tr trong tng cc h gia nh u c tim chng y . - Tnh hnh dch bnh: Trong thi gian t 17/3 n 23/3/2012 trn a bn xm Tin Thnh pht hin 3 ca st Xut huyt, trm y t cng cc y t thn, cng tc vin chng trnh v hc sinh thc tp n tn tng h gia nh tuyn truyn dit b gy v mt s vn sc khe u tin, nn dch bnh c khng ch v khng ly lan. - S dng thuc an ton hp l: Qua phng vn 20 ngi dn trong cc h tm hiu v vic dng thuc khi b bnh (Cm st, au u, nhc mi, au rng.) c 5 ngi tr li l ch ung theo n khm bnh, s cn li t ti mua

33

thuc ti tim thuc tn dc v ung m khng c n, ch i khm bnh khi ung thuc 2-3 ngy bnh khng ht v thy bnh nng hn. Bng tm tt cc ch s(Bng 5) S TT 1 CH S THU THP T L S dng ngun nc ging c 1 00% 0 % X l rc thi cha t tiu 0% 1 00% 1 00% 7 0% 7 S dng thuc khng theo n 0% 3. Xc nh vn sc khe,la chn vn u tin Qua cc ch s thu thp trn chng em xc nh cc vn sc khe da vo cc tiu chun sau(Bng 6) Bng xc nh vn sc khe(Bng 6) S t Xut Tiu chun xc nh vn sc khe huyt V n I Cc ch s biu hin vn vt qu mc
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b lc hp l 10/10 h 2 S h khng c nh v sinh 0/10 h 3 chun 2/10 h 4 V sinh n ung khng t v sinh 0/10 h 5 Tim chng m rng y 25/25 tr 6 St xut huyt

im X V l Rc thi V n II 0 2 sinh n ung

S dng thuc

theo n V Vn n III 02 IV 03

03

bnh thng Cng ng bit tn v c phn ng c hnh ng ca nhiu ban nghnh on th Ngoi s cn b y t c mt nhm ngi thng tho v vn Tng cng

03

0 2 0 3 0 3 1 0

02

02

03

03

02

03

02

03

12

09

10

* im s c cho nh sau: 03 im rt r rng 02 im r rng 01 c thc khng r lm * Kt qu 09-12 im c vn sc khe 4. La chn vn u tin T cc vn sc khe trn(bng 6) chng em la chn cc vn sc khe u tin da vo bng im sau (Bng 7) Bng la chn vn sc khe u tin (Bng 7) im St Xut Tiu chun xt u tin Mc ph bin ca vn Gy tc hi ln nh hng n lp ngi kh khn c k thut phng huyt Den 03 03 03 03
35

S l rc thi

n ung hp v sinh 03 02 03 03

S dng thuc theo n 03 03 03 03

03 03 03 02

php gii quyt Kinh ph ph hp Cng ng sn sng tham gia gii quyt Cng * nh gi >14 im u tin

03 03 18

03 02 16

03 02 16

03 02 17

T (bng 7) Chng em rt ra cc vn u tin ti xm Tin Thnh - u tin 1 : St Xut huyt Den - u tin 2 : S dng thuc theo n - u tin 3: X l rc thi - u tin 4: n ung hp v sinh

LI KT
Qua thi gian thc tp ti trm nh s gip ch bo tn tnh ca cn b nhn vin y t trm y t Giao Chu. Chng em rt ra c nhiu bi hc thc t ,bit cch vn dng l thuyt vo thc hnh c v chuyn mn v kinh nghim v k nng giao tip, iu tra cng ng dn c ca ngi nhn vin y t tuyn c s. Cng qua t thc t ny gip em thu hiu hn v cc mi quan h y c hn .Cc nhn vin y t c s vi trang thit b y t thiu thn nhng vi lng yu ngh,ht lng v dn phc v khc phc nhng kh khn bm chc a bn hon thnh tt cc chng trnh mc tiu y t quc gia trong s nghip chm sc sc khe nhn dn Chng em chn thnh cm n cc thy c gio Trng trung cp y t Kinh t k thut Dc Tu Tnh trang b cho chng em nhng kin thc c bn v Y hc, kin thc v t chc y t cc k nng giao tip...Cm n cn b nhn vin trm y t Giao Chu cho chng em nhng bi hc thc t cng c thm kin thc tng bc hon thin ngh nghip bn thn. Chng em xin chn thnh cm n!.

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Xc nhn ca trm y t x Giao Chu . . . . . . . . . . . .

37

. . . . . . . . . . . Ngy 06 thng 04 nm 2012 Ph trng trm y t x Giao Chu

Xc nhn ca trng Trung cp y t Kinh t k thut Dc Tu Tnh

. . . . . . . . . . . . .
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. . . . . . . . H Ni, Ngy.thng.nm 2012

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