TRNG TRUNG CP U VIT

Tr s : 371 NGUYN KIM, P.3 , Q.G VP, TP.HCM

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in thoi : 086.278.0083 086.271.8664

BO CO THC TP TT NGHIP
(H TCCN khoa 2009 2011 nghnh Dc)
Bnh vin An Bnh
Cng ty dc Si Gn - SAPHARCO
Cng Ty C Phn Dc Phm 2/9 - NADYPHAR

H & tn GVHD : Nguyn Th nh Nguyt

Bi Th Thy Phng
Phan Th Hip
Tn hc vin : Phan Thc Nh
Ngy sinh : 07/03/1991
Ni sinh : ng Thp
Lp : 09DS-03C

Thnh ph H Ch Minh

Thng 6/2011

LI CM N
Trong sut thi gian hc tp ti khoa Dc ,thuc chng trnh o to TCCN h chnh
quy trng Trung Cp u Vit , em nhn c rt nhiu s h tr t nh trng, i
ng ging vin , cn b vn phng v cc bn cng kha .
Li u tin em xin chn thnh cm n cc ging vin nhit tnh ging dy , trang b
cho em kin thc c bn vng chi,cc nhn vin cn b vn phng tn tnh ch dn v em
xin cm n nh trng to iu kin tt nht cho em c tip cn vi thc t qua
chuyn thc tp ba tun ti c s sn xut , nh thuc , nh phn phi , khoa dc bnh
vin t kt hp vi kin thc l thuyt hc trn lp vn dng trong sut qu
trnh thc tp gp phn gip em hon thin tt k nng ngh v c hai mt l thuyt v thc
hnh mt cch trn vn nht !
Xin cm n Cng ty dc Si Gn SAPHARCO , Cng Ty C Phn Dc Phm 2/9
NADYPHAR v bnh vin An Bnh cho em c hi n thc tp ti c s. Ti y ,
nh s dn dt ca cc anh/ch gip em n li l thuyt bng nhng cu hi thc t, nm
bt c quy m hot ng ca cng ty , bnh vin y cng chnh l c hi cho em tip
cn thc tin , vn dng ly thuyt v gii p c nhng thc mc v ngh Dc, ng
thi bit thm c rt nhiu iu b ch cho mnh . Cng ty , bnh vin to iu kin
cho em c thc tp , hc hi , quan st cng nh tham gia vo mt s cng vic l
iu c bit quan trng v rt c ch cho mt sinh vin sp ra trng nh em , em xin cm
n rt nhiu !
Bn cnh , hon thnh tt qu trnh thc tp va qua em xin cm n c Nguyn
Th nh Nguyt , c Bi Th Thy Phng v c ch nhim Phan Th Hip mc d cc c
cn rt tr v c Phng ln u tin dn on thc tp cng khng ngi nng ma dn
dt c lp chng em i thc tp , qun l gi gic v dn d tn tnh trong sut qu trnh
cng ty, bnh vin .
Cm n tt c cc bn hc cng kha nhit tnh gip , chia s kinh nghim v
nhng kin thc qu bu gip mnh hon thnh tt kha hc.
Mc d em c gng hon thin bi bo co vi tt c s n lc ca bn thn, nhng
chc chn khng trnh khi nhng thiu st, em knh mong cc thy c ch bo.
Mt ln na em xin gi ti mi ngi li cm n chn thnh nht !

NHN XT CA C QUAN, N V THC TP

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NHN XT CA GIO VIN

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LI M U
Theo nh gi ca t chc y t th gii (WHO), cng nghip dc Vit Nam mc
ang pht trin. Vit Nam c cng nghip dc ni a, nhng a s phi nhp khu
nguyn vt liu, do nhn nhn mt cch khch quan c th ni rng cng nghip dc
Vit Nam vn mc pht trin trung bnh - thp( theo bo co Dc 2010) .
Ngnh dc VN chia lm 2 nhm l : Tn dc v ng dc .
Trong nhng nm gn y, Vit Nam ngy cng gia tng vic chi tiu v dch v y t,
c bit l chi tiu cho dc phm. Hin nay, nguyn vt liu sn xut dc trong nc
phi nhp khu t nc ngoi cho nn gi nguyn vt liu u vo tng do gi thnh
dc phm cng tng ng k v vy dc phm c xp vo danh mc hng ha thc
hin bnh n gi ca Chnh ph.
Trnh k thut, cng ngh sn xut thuc ang c u t v pht trin c quy m.
Trong s 174 c s sn xut tn dc,c 59 c s t tiu chun GMP (thc hnh tt sn
xut thuc) cc doanh nghip hin nay ang nng cp cc dy chuyn hin i theo tiu
chun quc t ( s liu nm 2010 )
Ngoi vic sn xut thuc ra th vic bn thuc, t vn s dng thuc iu tr cho ngi
bnh cng l mt khu rt quan trng. Ngi bn thuc phi c nhng kin thc, am hiu
su v thuc c th gip ngi mua thuc s dng thuc hp l, ng cch, c th
t c hiu qu iu tr cao trong khi dng thuc.
Qua qu trnh thc tp ti 3 c s th em c n thc tp ti cc ni t tiu chun
GMP , GDP , GSP , GLP v GPP :

Cng ty t tiu chun GMP (thc hnh tt sn xut thuc), GSP (Thc hnh tt bo qun
thuc), GLP (h thng an ton cht lng phng th nghim ) Cng Ty C Phn Dc
Phm 2/9 NADYPHAR .
C s t tiu chun GDP(Thc hnh tt phn phi thuc), GSP (Thc hnh tt bo qun
thuc), GPP (thc hnh tt qun l nh thuc ) Cng ty dc Si Gn SAPHARCO .
C s t tiu chun GSP (Thc hnh tt bo qun thuc ) GPP ( thc hnh tt qun l nh
thuc ) khoa Dc bnh vin An Bnh.

Nhng nm gn y, nn kinh t - x hi pht trin, mc sng ca ngi dn c nng

cao, chi tiu cho tin thuc hng nm tng ln. Vi li th v dn s ng v tr, Vit Nam
l mt th trng tiu th tim nng i vi cc doanh nghip sn xut thuc trong nc
cng nh a quc gia v vy ngnh dc ng 1 vai tr rt quan trng trong qu trnh pht
trin t nc.
Vic cho sinh vin i thc tp ti cc c s v Dc s gip cho sinh vin nm c
nhng k nng, kin thc m mnh c hc trn lp, gip sinh vin trao ri kinh
nghim thc tin ca mnh, ng thi cng gip cho sinh vin nhn thc c cng vic
hin ti cng nh sau ny ca mnh khi tt nghip v tr thnh mt ngun nhn lc c trnh
phc v cho ngnh dc Vit Nam .
C th ni khng c thnh cng no m khng c s tri nghim thc t, s tm ti sng
to ca mi ngi s gp phn mang li s thnh cng chung cho c tp th. Mong tt c
mi ngi s c nhng thnh cng ca ring mnh trong hc tp cng nh cuc sng ca
mnh.

Chng I :

BNH VIN AN BNH

Phn A :

Lch s Bnh vin An Bnh

( a ch 146, ng An Bnh , P.7, Q.5 , TP.HCM )

Bnh vin An Bnh nm trn mt khu t rng 17.361 m2

Giai on u tin ca bnh vin l mt ngi cha ca ngi Hoa, c xy t nm
1892. Ti y vo nm 1885 c nhng hot ng nhn o : Khm bnh v iu tr min
ph da trn nn tng y hc c truyn .
Do cu ngy cng tng nn bnh vin bt u xy dng t nm 1916. n nm
1945 a Ty y vo s dng v bt u ly tn l bnh vin Triu Chu. Sau nhiu ln kin
thit hin i , bnh vin c b mt nh hin nay vo nm 1970.
Nm 1978 , bnh vin c cng lp ha tr thnh Bnh vin An Bnh, l bnh vin a
khoa do s y t Thnh Ph H Ch Minh qun l trc tip.
Ngy 19/5/1994 Bnh vin An Bnh c vinh d nhn trch nhim do ng b v
chnh quyn thnh ph giao : Chm lo sc khe cho nhn dn lao ng ngho ca thnh
ph H Ch Minh . V t mang tn mi l Bnh vin min ph An Bnh .
Sau khi tri qua hng lot cc kh khn ny sinh nh : kinh ph, c s vt cht, trang
thit b xung cp, thu nhp ca cn b cng nhn vin gim st...Thng 11/2001 Bnh vin
min ph An Bnh c UBND TP.HCM quyt nh chuyn Bnh vin min ph An Bnh
thnh bnh vin c thu ph v i tn tr li thnh Bnh vin An Bnh cho n nay .
Song song bnh vin tip tc khm cha bnh cho bnh nhn c th min ph, hay
cc ngi c th bo him y t; khm sc khe, chng thc sc khe theo quy nh nh
nc; khm gim nh sc khe, gim nh php y khi Hi ng Gim nh y khoa thnh
ph trng cu.

Phn B :

Khoa dc Bnh vin An Bnh

I.

S t chc khoa Dc bnh vin An Bnh :

TRNG KHOA
DC

DC T
TRNG

PH KHOA

DC LM SNG
V THNG TIN
THUC

KHO CHN

KHO
THUC
TY Y

KHO VT
T Y T
TIU HAO

H THNG KHO
(DS PH TRCH
KHO)

NH THUC BNH
VIN

KHO DCH
TRUYN V
HA CHT

H L
(V
SINH)

THNG
K DC

KHO L

KHO CP
PHT NI
TR

KHO CP
PHT
NGOI TR

Trng khoa : DS. V Th Kim Dung

Khoa dc hot ng theo m hnh trc tuyn ( Trng khoa trc tip qun l)
7

II.
1)
2)

Chc nng nhim v ca khoa Dc :

Chc nng :
Cung ng v qun l thuc, vt t y t tiu hao v ha cht ca bnh vin .
Nhim v :

Nhim v chung :
-

Bo qun, cp pht thuc, vt t y t tiu hao v ha cht.

m bo cht lng thuc, vt t y t tiu hao v ha cht.
Theo di k n hp l.
Hng dn s dng thuc hp l, an ton.
Kim tra ch chuyn mn v Dc.
Tham gia hi ng thuc bnh vin.
Pha ch dung dch dng ngoi v s dng trong bnh vin
Bo co s dng thuc
Bo co phn ng c hi ca thuc (ADR).
Thng tin thuc n cc khoa phng.
Nhim v ring:
a. Dc lm sng v thng tin thuc :

Tham gia vo ban an ton bnh nhn v thng tin thuc , theo di tc dng ph
ca thuc.
Duyt thuc cho cc vin, khoa, phng kim tra gim st s dng thuc an ton
hp l. Kim tra quy ch chuyn mn
Hot ng thng tin thuc: T vn liu dng, tc dng dc l, thay th thuc.
Sinh hot chuyn mn.
b. Thng k dc :
Gm 5 ngi :
1 ngi iu hnh qun l chung , bo co.
2 ngi ph trch thuc ni tr.
2 ngi ph trch thuc ngoi tr.
Sau khi u thu thuc hng nm, khoa Dc da theo danh mc thuc, vt t y
t, ha cht ca cng ty trng thu, t mua hang . Sau c a vo kho chn
nhp kho ( hoc i vi ca hng thuc cng da vo kt qu trng thu mua thuc
v bn) c ha n ti chnh.
Ni tr :

T kho chn, cp pht thuc, vt t y t, ha cht cho kho l theo yu cu v

chuyn phiu lnh thuc cho thng k cp nht vo my vi tnh theo mu (Mu A1 +
A2).
T khoa tri bnh lm s lnh thuc, vt t y t, ha cht c chia lm 3 lin:
1 lin c lu trong s lnh thuc tri.
1 lin bn chnh c chuyn sang phng Ti chnh k ton.
1 lin bn ph c chuyn sang phng Thng k dc.
Sau khi kho l cp pht thuc, vt t y t, ha cht cho cc khoa tri bnh c
chuyn cho Thng k vo my vi tnh theo mu (Mu B1 + B2 ), gm c 2 ngi
ph trch i chiu Ni tr.
-

Ngoi tr:
-

T kho chn, cp pht thuc, vt t y t tiu hao cho kho BHYT theo yu cu v
chuyn phiu lnh thuc, vt t y t tiu hao cho Thng k cp nht vo my vi tnh
theo mu (A1 + A2).
Bnh nhn BHYT ngoi tr sau khi khm bnh toa thuc c chia lm 3 lin:
1 lin c lu trong s lnh thuc
1 lin bn chnh toa thuc c chuyn sang phng Ti chnh k ton.
1 lin bn ph c chuyn sang phng Thng k dc.
Sau khi kho BHYT cp pht thuc cho bnh nhn xong chuyn toa thuc cho
Thng k cp nht vo my vi tnh theo mu (Mu C), gm c 2 ngi ph trch v
i chiu Ngoi tr.
i chiu:

Cc phiu lnh thuc vt t y t - ha cht, toa thuc

( Mu A,B,C) sau khi vo my xong th in ra giy (tng hp ngy). Mu D( ni
tr), mu E ( ngoi tr) v c i chiu vi kho l (ni tr), kho BHYT (ngoi
tr).
nh k 10 ngy Thng k v Ti chnh k ton i
chiu s sch Nhp , Xut, Tn kho ( Mu F)
nh k 1 thng Thng k v Ti chnh k ton i
chiu s sch Nhp , Xut, Tn kho ( Mu F)
-

Bo co:

Sau khi i chiu thng xong Thng k tng hp

in ra bng Bo co ( Mu G).

c. H l :

Lm v sinh sch s , khng bi rc tch t ti kho hay cc khu vc hnh lan,

ca knh

d. H thng kho :

123

CNG TY
Thuc
Vt t y t
Ha cht
23

KHO CHN
Thuc
Vt t y t
Ha cht
1

123

NH THUC BV
Bn theo toa BS
Bn khch l

KHO L
Ni tr
1

S h thng kho
v lu thng phn
phi thuc vt t y
t - ha cht

KHO BHYT
Cp pht cho
bnh nhn theo
toa BHYT

CC KHOA
TRI
Cp pht cho
bnh nhn nm
ni tr

Kho chn : Gm 3 kho

- Kho thuc Ty y ( bao gm c thuc gy nghin v hng tm thn)
- Kho vt t y t tiu hao
- Kho dch truyn v ha cht
Nhp thuc , vt t y t, dch truyn v ha cht v v xut thuc cho kho l ;
xut thuc, vt t y t, dch truyn cho kho l ( thuc xut cho BHYT; xut vt t y
t tiu hao, dch truyn, ha cht cho cc khoa tri cp pht ni tr khi c phiu
lnh .)

Kho l : Gm 2 kho
-

Kho cp pht ni tr
Kho cp pht ngoi tr ( BHYT)
Nhp thuc t kho chn v v cp pht cho cc khoa tri , kho BHYT khi c phiu
lnh thuc .

Nh thuc bnh vin :

10

Bn thuc theo toa thuc bc s v bn cho khch theo yu cu vi cc loi thuc

khng k n .

Kho BHYT :
Cp pht thuc cho bnh nhn theo toa BS khi bnh nhn c bo him y t (theo
ng quy ch).

III.

Bo qun thuc:

Bnh vin An bnh c kho t tiu chun GSP: Thc hnh tt bo qun thuc - Good
Storage Practices (vit tt : GSP) l cc bin php c bit, ph hp cho vic bo qun v
vn chuyn nguyn liu, sn phm tt c cc giai on sn xut, bo qun, tn tr, vn
chuyn v phn phi thuc m bo cho thnh phm thuc c cht lng nh khi
n tay ngi tiu dng.
GSP a ra cc nguyn tc c bn, cc hng dn chung v Thc hnh tt bo qun
thuc, vi 7 iu khon v 115 yu cu. Tuy nhin, cc nguyn tc, hng dn ny c th
c iu chnh p ng cc yu cu c th ring bit, nhng vn m bo thuc c cht
lng nh.
thuc m bo cht lng n tay ngi s dng th bo qun thuc l cng vic
khng th thiu. Ti khoa Dc Bnh vin An Bnh bo qun Dc c thc hin tt c
cc khu t lc nhp thuc, lu kho, cho n xut kho v cui cng n tay ngi s dng.

Sp xp:
- Tt c cc kho u sp xp thuc theo th t dy ch ci A,B,C,D v theo tc
dng dc l
VD: Kho l ni tr chia thuc lm 5 nhm do 5 ngi qun l .
- Theo nguyn tc 3 d :d thy ,d ly ,d tm.

Nhn s :
Cc dc s t trnh chuyn mn t Dc s trung hc tr ln.
Kim k:
Mt nm 2 ln ( 6 thng u v 6 thng cui nm)

T chc qun l chuyn mn:

- Cng vic u tin ca ngy l i chiu s sch (3 tra 3 i )
- Hp giao ban hng ngy (Bo co kt qu hot ng trong ngy)
- T chc nghin cu dc lm sng.

Nhit , m :
- Ti kho: Nhit phng t 15 n 250C
m khng vt qu 700C
- i vi thuc cn bo qun lnh: t lnh lun m bo nhit t 2-80C

Khoa Dc bnh vin An Bnh p dng nguyn tc 5 chng :

Chng nhm ln
Chng qu hn
Chng mi, mt, chut gin
11

Chng trm cp
Chng thm ha ( chy, n, ngp, lt)
Khoa Dc lun tun th nhng nguyn tc trn .
1.
Chng nhm ln:
Thuc sau khi vo kho hay nh thuc bnh vin u c phn theo nhm bo
m nguyn tc 3 d: D thy D ly D kim tra.
Nhm thuc gy nghin v hng tm thn c bo qun k trong t ring c hai
ln ca, c kha v dn tn, c quy nh ring v vic lnh nhm thuc ny.
Cc thuc thng c bo qun trn cc t, k, sp xp theo mc ch s dng
( s dng thng xuyn ni d ly, thuc l ngoi , thuc nhp trc dng
trc) v phn theo bng ch ci A,B,C,D ng thi chia vn ch ci ra cho dc s
qun l ( mi dc s s qun l 2 n 3 vn theo th t bng ch ci). Cc thuc c rt
nhiu loi thuc ging nhau v mt bao b nhng hm lng hon ton khc , i hi s
cn thn v tinh thn trch nhim cao trong cng tc trnh nhm ln .
VD : Ciprofloxacin : C 2 loi vin + chai
Cefaclor : C 2 hm lng 250mg v 500mg
Cc thuc ht hn dng, khng t tiu chun cht lng s ring ch x l .
2.
Chng qu hn:
Dc s cc kho hay nh thuc s cp nht hn s dng ca thuc hng ngy ghi vo
s sch .
Cc thuc gn ht hn s dng s c thng bo cc kho hay nh thuc c bin
php x l v d nh : u tin s dng trc, tr v cng ty hay ngh bc s k toa
nhiu hn...
3.
Chng mi, mt, chut, gin:
Thuc lun c bo qun ni kh ro, thong gi,lm v sinh thng xuyn vi h
thng qut, n, my iu ha, nhit k, m k, cc t, k, nhit v m theo di
hang ngy qua bng theo di nhit . Nu cc thng s c g thay i s iu chnh kp
thi.
Hng thng s c ngi n kim tra nhm ngn chn, tiu dit v kim sot s xm
nhp pht trin ca cn trng.
4.
Chng trm cp:
Tt c cc s liu c qun l cht ch bng s sch v h thng my vi tnh t khu
nhp n khu xut do tnh trng tht thot, mt mt rt hn ch .
ng thi ni quy vo kho, xut, nhp thuc rt nghim ngt, cht ch nn c th
trnh c tnh trng trm cp.
5.
Chng thm ha (chy, n, ngp, lt):
Cc vt chy hay d chy tuyt i khng mang vo kho.
Kho ha cht (kho c cc loi cn 700, 900 v oxy gi c) c bo qun ring, m
bo nhit bng n v lun kha ca cn thn.
H thng in lun c kim tra thng xuyn gim ti a nguy c v in v
ng thi bnh vin ang c ch tiu tit kim in.
Nhit v m ca phng lun c theo di v m bo mc n nh.
Hot ng cp pht cn lu :
- Khng sinh thng c 2 , 3 hm lng cng mt loi thuc
- Ch n v ( Chai , vin, ng )
- Hn s dng gn pht trc
- Nhiu mt hng bao b ging nhng tn khc
12

- Thuc chch khi pht cn cn thn nh nhng

- Khi nhp , thuc hn s dng t 1 nm tr ln mi nhp
- i chiu ng mt hng, ng cng ty trng thu( trong danh mc)

IV.

Danh mc thuc bnh vin:

Hng nm cn c vo kt qu u thu thuc. Bnh vin tin hnh lp v ban hnh

danh mc thuc phc v cho cng tc iu tr bnh nhn.
Danh mc gm cc nhm thuc nh sau:
1. Thuc gy t m
2. Thuc gim au h st khng vim khng Steroid thuc iu tr gt v cc
bnh xng khp
3. Thuc chng d ng v dung trong cc trng hp qu mn
4. Thuc gii c v thuc dung trong trng hp ng c
5. Thuc chng co git chng ng kinh
6. Thuc iu tr k sinh trng, chng nhim khun
7. Thuc iu tr au na u, chng mt
8. Thuc iu tr ung th v iu ha min dch
9. Thuc iu tr bnh ng tit niu
10. Thuc chng Parkinson
11. Thuc tc dng i vi mu
12. Thuc tim mch
13. Thuc iu tr bnh da liu
14. Thuc dung chun on
15. Thuc ty trng v st khun
16. Thuc li tiu
17. Thuc ng tiu ha
18. Hocmon v cc thuc tc ng vo h thng ni tit
19. Thuc gin c v c ch Cholinesterase
20. Thuc iu tr bnh mt, tai mi hng
21. Thuc c tc dng thc , cm mu sau sinh v chng sinh non
22. Dung dch thm phn phc mc
23. Thuc chng ri lon tm thn
24. Thuc tc dng trn ng h hp
25. Dung dch iu chnh nc, in gii, cn bng Acid Base v cc dung dch
tim truyn khc
26. Khong cht v Vitamin
27. Ch phm ng y
Mt s thuc trong danh mc thuc nh :
S
TT

Tn thuc/hot
cht

Tn thnh
phm c
th

ng
dng, dng
dng, hm
lng

Hng sn
xut

Nc
sn
xut

n gi

Ghi
ch

13

205

Clotrimazole 1%
15g

CALCRE
M 15g

206

Fluconazol
150mg
Itraconazol
100mg
Ketoconazol
200mg
Ketoconazol
200mg

FLUCOSA
N 150
TRIFUNGI

210

Ketoconazol 2%

Etoral
cream 2%

211

Nystatin
100000UI
Metronidazol,
Chloramphenicol
, Nystatin,
Dexamethason
200mg + 80mg +
100000UI +
0.5mg
Nystatin +
Neomycine +
Polymycine
3500UI +
35000UI +
100.000UI

Nystatin
100.000ui
Megyna

207
208
209

212

213

Etoral
200mg
Antanazol
Tab

Thuc dng
ngoi tube
Pde 15g
Ung, vin
150mg
Ung, vin
100mg
Ung, vin
200mg
Ung, vin
200mg
Thuc dung
ngoi tube
Pde 10g
Ung, vin
100000ui
Thuc t,
vin 80mg
+ 10000ui +
0.5mg

Etexvalix

Raptakos

India

11.226,6
0

Srs

Vit
Nam
Vit
Nam
Vit
Nam

12.500,0
0
11.500,0
0
1.050,00

Vit
Nam

4.200,00

CTCPDP
3/2
CTY
CPDP 3/2

Vit
Nam
Vit
Nam

441,00

Korea
Etex.inc.

Hn
Quc

4.800,00

Pymepharc
o
Ctcp Dc
Hu Giang
Ctcp Dp
Shinboong
Daewoo
Ctcp Dc
Hu Giang

630,00

600,00

7.THUC IU TR AU NA U, CHNG MT
214
215

Dihydro
ergotamine
mesylat 3mg
Flunarizine 5mg

216

Flunarizin 5mg

Tamik

Ung, vin
3mg

Laphal

Php

2.835,00

Sibelium
Cap 5mg
Beejenac
5mg

Ung, vin
5mg
Ung, vin
5mg

OLIC

Thi
Lan
n

4.554,00

Newgene
Pharm

765,00

8.THUC IU TR UNG TH V IU HA MIN DCH:

8.1.thuc iu ha min dch:
Acridone acetic
Cycloferon
acid +
Methylglucamine
(Cycloferon)
0,15g
218 Acridone acetic
Cycloferon
acid +
Methylglucamine
(Cycloferon)
12,5g
217

Ung, vin
0,15mg

Polysan

Php

13.440,0
0

Tim, ng
12,5mg

Polysan

Php

65.940,0
0

Vit
Nam

664,00

9. THUC IU TR BNH NG TIT NIU

219

Malva +
Camphoronobro
mide +
Methylenblue

Domitazol

Ung, vin
250mg

Domesco

14

220

250mg + 20mg +
25mg
Alfuzosin 5mg

Xatral 5mg

Ung, vin
5mg

Sanofi
Winthrop
Industrie

Php

6.017,55

20. THUC IU TR BNH MT, TAI- MI HNG

20.2 Thuc tai mi hng :
511 Betahistin 16mg
Betaserc 16
512
513

514
515

516
517

Fluticason
propionate spray
60 dose 0,05%
Budesonide
Nasal 120 liu
1,28mg/ml ;
64mcg/liu
Naphazolin
Triprolidine HCL
+
Pseudoephedrine
2,5mg + 60mg
Tyrothricin +
tetracain
clordydrat
Xylometazolin

Ung, vin
16mg
Thuc xt,
l 60 dose
0,05%
Thuc xt ,
l 120 liu
1,28mg/ml ;
64mcg/liu
Thuc nh
mi, l
0,05% 10ml
Ung, vin
2,5mg +
60mg

Solvay

Tyrotab

Ngm, vin

Xylometaz
olin 0,05%

Flixonase
Spr 0.05%
Besonin
Aqua Nasal
spray
Nasoline
0,05%
10ml
Cenicid

GLAXO
WELLCOME

H
Lan
Ty
Ban
Nha

2.750,00
117.201,00

Thu
ph

121.000,00

Synmosa
Biopharma
Corp.
Pharmedic

Vit
Nam

1.995,00

SHINBOONG
DEAWOO
VN

Vit
Nam

735,00

Pharmedic

Vit
Nam

238,00

Thuc nh
Pharmedic
mi, l
0,05%/10ml

Vit
Nam

2.993,00

21. THUC C TC DNG THC , CM MU SAU SINH V

CHNG SINH NON :
21.1 Thuc thc , cm mu sau sinh :
518 Oxytocin
OXYTOCI
5UI/1ml
N 5UI
519 Oxytocin ng
OXYTOCI
5UI
N 5UI
520 Methylergometri Methylergo
ne 0,2mg/1ml
metrin
521 Mifepriston
Mifestad
200mg
200
522 Misoprostol
Misoprostol
200mcg
Stada
200mcg

Tim, ng
5UI/1ml
Tim, ng
5UI/1ml
Tim,ng
0,2mg/1ml
Ung, vin
200mg
Ung, vin
200mcg

GEDEONRICHTER
Rotex

Hung
ary
c

3.430,35

Rotex
medical
Ld Stada
vn
Ld Stada
vn

12.600,00

Vit
Nam
Vit
Nam

95.000,00

4.600,00

Thu
ph

4.000,00

22.DUNG DCH THM PHN PHC MC :

523

Dung dch thm

phn mng bng

HDM8

524

Dung dch thm

phn mng bng

HDM4

Ti, dung
dch thm
phn
Ti, dung
dch thm
phn

Bbraun

Vit
Nam

Bbraun

Vit
Nam

23.THUC CHNG RI LON TM THN :

23.1 Thuc an thn:
525 Bromazepam
6mg
526 Diazepam 5mg

Lexomil
6mg
Diazepam

Ung, vin
6mg
Ung, vin

CENEXI

Php

3.000,00

PHARME

Vit

200,00

15

5mg
Seduxen

527

Diazepam
10mg/2ml
528 Etifoxine HCL
Stresam
50mg
23.2 Thuc chng ri lon tm thn:
529 Haloperidol
Haloperido
1.5mg
l 1.5mg
530 Sulpirid 50mg
Maxdotyl
531

Sulpirid 50mg

Dogmatil
50mg

5mg
Tim, ng
10mg/2ml
Ung, vin
50mg

DIC
RICHTER

Ung, vin
1,5mg
Ung, vin
50mg
Ung, vin
50mg

Danapha

BIOCODE
X

DOMESC
O
Sanofi
Winthrop
Industrie

Nam
Hung
ary
Php

Vit
Nam
Vit
Nam
Php

6.300,00
3.000,00

131,00
215,00
2.852,85

Mt s ha cht v dch truyn em c thy cc kho nh:

Kho ha cht :
- Cn 2 loi : 700 v 900
- Oxy gi m c

Kho dch truyn : Cc cht in gii nh

- Glucose ( c 3 loi)
- Ringar lactate ( truyn mch cho ngi bnh hn m)
- Neoamiyu 200ml ( khoa thn nhn to)
- Kidmin 200ml( khoa thn nhn to)
- Aminoleban 500ml (Gan)
- Morihepamin 500ml(Gan)
- Morihepamin 200ml(Gan

16

V. Cc mu phiu :

BNH VIN:...................
Khoa:................................
S:.....................................

MU A1(1)

PHIU LNH THUC GY NGHIN

STT

Tn thuc, nng , hm
lng

Tng s: ...............khon
Ngi pht

Khoa dc kim tra

n v
tnh

S lng
tnh

Ghi ch

Ngi lnh

Ngy.......... thng ....... nm..........

Trng khoa iu tr

17

BNH VIN:...................
Khoa:................................
S:.....................................

MU A1(2)

PHIU LNH THUC HNG TM THN

STT

Tn thuc, nng , hm
lng

Tng s: ...............
Ngi pht

Khoa dc kim tra

n v
tnh

S lng
tnh

Ghi ch

Ngi lnh

Ngy.......... thng ....... nm..........

Ch nhim khoa

18

S Y T TP.H CH MINH

PHIU LNH THUC

Ngy..thng..nm.

BNH VIN AN BNH

KHOA:...................................

STT M

S:...................
MU A2

Tn thuc hm
lng

n v

S lng yu cu
BHYT

Thu ph

Tng
cng

Thc
pht

Ghi ch

Cng khon :
Ngy. thng. Nm.
TRNG KHOA DC

NGI PHT

H tn: ..............................

H tn: ........................

NGI LNH

H tn:.........................

TRNG KHOA

H tn:.........................

19

PHIU LNH

S Y T TP.H CH MINH

THUC

S:
Ngy..thng..nm.

BNH VIN AN BNH

KHOA:...................................

STT M

Tn thuc hm
lng

n v

MU B2

S lng yu cu
BHYT

Thu ph

Tng
cng

Thc
pht

Ghi ch

Cng khon :
Ngy. thng. Nm.
TRNG KHOA DC

NGI PHT

H tn: ..............................

H tn: ........................

NGI LNH

H tn:.........................

TRNG KHOA

H tn:.........................

20

MU E

TNH HNH XUT THUC Y DNG C KHO BHYT

Ngy 5/5/09
M ngun

Tn thuc y dng c

Hm
lng

Loi

Tng cng

BHYT

XD

ACY06
T
ACY01
T
ALD11
T
AMT27
T
ANG02
T
ANG03
T
BER01
T
BER05
T
BIP04T

ACYCLOVIR MR 800 H

800mg

Ng

70

70

ACYCLOVIR (Zovirax)
H
ALDONIN

200mg

Ng

40

40

2,5mg

Ng

58

58

AMITRIP H/100

25mg

41

41

ANGIZAAR 25 H/30

25mg

Ng

356

356

ANGIZAAR 50 H/30

50mg

Ng

375

375

Ng

11

11

Ng

60

60

Ng

387

387

BIH01T

BIHASAL 2,5 H/30

2,5mg

1227

1227

BIH02T

BIHASAL 5 H/30

5mg

Ng

799

799

DEP06T

DEPAKINE H/30V

500mg

Ng

105

105

DIA01T

DIAZEPAM (Diazefar)

5mg

104

104

DOP03
T
DOR07
T
FEX02T

DOPEGYT H/1000

250mg

Ng

90

90

Ng

1410

1410

FEX01T
FOR10
T
GLY08
T
GP01T
INS03T
LEV01
T
LOD04
T
MAD06
T
MAX06
T
MEL05
T
MEN02
T

BERODUAL spray
BERTHYROX H/100

100mcg

BI-PRETERAX

DOROVER Pluz H/30

FEXIDINE (FENAFEX)
120
FEXIDINE (FENAFEX)
60
FORMIN HASAN H/30

120mg

Ng

368

368

60mg

Ng

1321

1321

850mg

3987

3987

GLYMEPIA H/30

2mg

Ng

135

135

G-P 2

2mg

Ng

10

10

Ng

INSULATARD
100UI/10ml
LEVOTHYROX H/50V28
LODOZ 2,5 H/30

50mg

Ng

255

255

2,5mg

Ng

175

175

MADOPAR

250mg

Ng

33

33

MAXDOTYD
(Dogmatil) H/3
MELOTOP H/100

50mg

Ng

256

256

1051

1051

MENISON

16mg

112

112

CS-NT

HT K2

21

MES04
T
MIX03
T
MIX01
T
NAT01
T
PRE12T

MESON H/30

4mg

12

12

MIXTARD 30-70
(100UI/10ml)
MIXTARD (Insulin) 3040UI
NATRILIX
(NATISEDINE)
PREDNISOLON

10ml

Ng

12

12

10ml

Ng

Ng

160

160

416

416

PRE14T

PRENILONE coll

Ng

SCI01T

SCILIN M

30-40UI

Ng

11

11

SCI02T

SCILIN N 10ml

40UI

Ng

SED05T

SEDACORON H/50V

200mg

Ng

30

30

SIB01T

SIBELIUM H/100

Ng

60

60

5mg

MU G
BNH VIN AN BNH
KHOA DC

BO CO TNH HNH XUT NHP THUC V DCH TRUYN TIM TRUYN

Thng 04 nm 2009

TON KHO ( KHO CHN, KHO L, KHO BHYT)

S N N M T
t
h
t

n
m t
h t
u h
u
c
c

H
/
l

n
g

N
Tn u k
/
n N
g
v

K K K Tng
h h h
tn
o o o
s
lng
K K K
1 2 3

Nhp

Ha
n
cty

T
r
gi

n
h
p
h
a

n
c
5
%

Xut

T
r
i
H
T
c
h
o
K
2

K K
2 3
H H
T T
c c
h h
o o
K K
1 1

K Lm
3 sng
H
T
c
h
o
K
K 1
2
x
u

K K
2 3

t
r

t t
r o
a
i

x
u

K1
xu
t
kh
o
T K K
h h
n o o
g
K K
x 2 3
u

K H
2 o

n
tr
X
u c

t n
c g
h ty
o
K
3

Tn cui
k

K K K T
h h h ng
o o o t
n
K K K
1 2 3

x
u

22

Thng k dc
Bo co

K ton Ti Chnh

Trng khoa Dc

23

MU C
Ms:................

S Y T TP H CH MINH
BNH VIN AN BNH

S y t TP.H Ch Minh

S h s:.........

S BHYT:.....

BO HIM Y T
S BHYT: ....................

N THUC
H tn: ...................Tui: ....GT:........................................
................................
a ch:................................................................................
Chun on:.........................................................................

A. CN LM SNG:
.......................................................................................
B. THUC:
1. ...............................................................................
Ngy ....ln, mi ln.................vin(ng)............
2.
3.
4.
5.

...............................................................................
Ngy. ....ln, mi ln.................vin(ng)............
..........
...............................................................................
Ngy.....ln, mi ln.................vin(ng)............
...............................................................................
Ngy.....ln, mi ln.................vin(ng).............
...............................................................................
Ngy.....ln, mi ln.................vin(ng).............

Li dn:
............................................................................................
............................................................................................
............................................................................................
............................................................................................
............................................................................................

BNH VIN AN BNH

S h s:.......................

BNG K CHI PH IU TR
BNH NHN KHM V IU TR NGOI TR

Ngy khm bnh: ..................

Ngy thng k:

H Tn: .............................................Nm sinh:............

a ch: ........................................................................
Ngh nghip: ..................................................................
Vo khoa: ..........................................Chun on:........

K THUT:
S TT

Tn k thut

Trong BHYT

Ngoi BHYT

Tng cng:
THUC-Y C :
S
Tn thuc y c
T
T

n gi

S
lng

Trong
BHYT

Ngoi
BHYT

1
2
3
Tng cng:

THANH TON

TNG
CNG

BHYT THANH
TON

BN THANH
TON 20%

Trong DM BHYT
Ngoi DM BHYT
Thu 20% cc phiu trc khm trong ngy(nu c)
Tng cng

Ngy.. thng ..nm..

Bc s khm bnh
K ton

Duyt BHYT

Bnh nhn

Cng khon:........................
Ti khm sau: .................... H tn:...................................

24

Kt lun :
L mt ngi lm cng tc y t, phi thc s khch quan, trung thc, thn trng, khn
trng, tun th nghim ngt cng tc ngh nghip.
Nh li dy Lng y nh t mu, mi ngi lm cng tc y t lun phi khc phc
kh khn hc tp, vn ln hon thnh nhim v. Nh chuyn thc tp ti bnh vin An
Bnh di s ch dy, gip tn tnh ca cc anh/ch, cc c/ch v c trng khoa em
c hc hi rt nhiu v cc thc lm vic ca khoa Dc bnh vin, tc phong ngh
nghip, thn trng, tinh thn trch nhim cao,tnh t m trong cng tc Dc bnh vin cng
nh i vi ngnh Dc m em ang c hc. Cng thng qua chuyn thc tp bnh
vin An Bnh em c bit l thuyt c p dng linh ng, kho lo vo thc t
nhng vn hon thnh tt trch nhim v lun t tiu chun GSP v tr thnh dc s
gii phi khng ngng trau di chuyn mn, rn luyn o c ngh.
Khi n khoa Dc ti bnh vin An Bnh ,em c th hnh dung ra c cng vic
sau khi bc ra ngoi ging ng, tt c mi ngi y to cho chng em cm gic thn
thit, khng kh vui v, lun cho chng em iu kin thc tp tt, to c hi cho chng em
c tham gia vo hot ng thc t , tn tnh ch dn. Em xin chn thnh cm n mi
ngi ti khoa Dc bnh vin An Bnh, cm n c Dung v bnh vin cho chng em
chuyn thc tp b ch ti bnh vin .

25

Chng II :

CNG TY DC SI GN SAPHARCO
Phn A :

Lch s hnh thnh v pht trin cng ty Dc Si Gn

SAPHARCO

Cng ty Dc Si gn SAPHARCO hin nay nm ti a ch s 18 20 Nguyn Trng

T, P.12, Q.4, Tp.HCM.
T nhng thng cui nm 1975, t mt s nh thuc trn a bn Tp.HCM, cng ty bt
u hot ng vi tn gi Quc doanh dc phm Thnh Ph.
Ngy 07/01/1977, cng ty chnh thc c thnh lp theo Quyt nh s 12/Q-UB ca
UBND Tp. H Ch Minh vi tn gi Cng ty dc phm Cp II trc thuc S Y T
Thnh ph.
Tri qua nhng nm di hot ng thng 01/1986, theo ch trng ca Thnh ph,
Cng ty c st nhp vo Lin hip cc x nghip dc phm Dc liu Tp.H Ch
Minh, nhng vn l n v kinh t c lp, c t cch php nhn thuc S Y T.
n thng 01/1990, theo quyt nh s 11/Q-UB ngy 05/01/1990 ca UBND
Tp.HCM, Cng ty c php tch ra khi Lin hip cc X nghip Dc phm Dc
liu Thnh ph v i tn thnh Cng ty dc phm thnh ph vi tn i ngoi l
SAPHARCO, trc thuc S Y T.
Sau theo Quyt nh s 3112/Q-UB ngy 16/12/1992 ca UBND Tp.HCM, thng
01/1993, st nhp X nghip Dc liu vo Cng ty Dc phm Thnh ph v i tn
thnh Cng ty dc thnh ph - Sapharco.
Thng 03/1993, vi tn Cng ty Dc Thnh Ph nhng tn giao dch i ngoi l
SAPHARCO (theo Quyt nh s 130/Q-UB ngy 24/03/1993 ca UBND Tp.HCM).
Nm 2003 Tip nhn cng ty Roussel Vit Nam.
Nm 2004 Xy dng nh my t chun GMP-WHO.
n nm 2007 cng ty c kho bo qun lnh t chun GSP.
Ngy 21/12/2007, Cng ty li mt ln na i tn, b co thnh lp Cng ty dc Si
Gn Sapharco, hot ng theo m hnh cng ty m - cng ty con. Theo , ng L
Minh Tr Tng Gim c l ngi i din theo php lut ca cng ty.
Nm 2009 Thnh lp cng ty c phn xut khu phn phi v tip th Dc Si Gn, gi
tt l MED.
Nm 2010 Chuyn i thnh cng ty TNHH mt thnh vin Dc Si Gn cho n nay.

26

Phn B :

Cng ty Dc Si Gn Sapharco
I. Tng quan v cng ty Dc Si Gn Sapharco :
a. Gii thiu c cu t chc ca cng ty :

Tng gim c : L Minh Tr

Ph Tng Gim c ph trch kinh doanh: Trn Vit Trung
Ph Tng Gim c ph trch sn xut: Cp Hu nh
Trng phng qun l Dc : DS.Vng Qu Anh
27

b.

Phm vi hot ng :

T khi thnh lp, Sapharco lun tp trung vo lnh vc kinh doanh v phn phi
cc dc phm, m phm, nguyn liu sn xut dc phm v dc liu. y l lnh
vc ch yu m cng ty v ang thc hin trong sut 33 nm qua v l n v lun
dn u Vit nam trong lnh vc phn phi dc phm. Cng ty xy dng c
mng li phn phi rng khp c nc, ti tng bnh vin, nh thuc, trm y t.
Cng vi h thng phn phi l i ng nhn vin hng hu mang s mnh cung cp
dc phm n vi tt c mi ngi.
Lnh vc hot ng ca Sapharco bao gm:
Kinh doanh dc phm, m phm, nguyn liu sn xut dc phm v dc liu
Mua bn vaccin, cerum, cc sn phm sinh hc, cc sn phm thc phm, sn
phm v sinh c nhn, phng nga dch bnh, my mc thit b vt t ngnh y t.
Dch v khai thu hi quan, qung co
T vn u t nc ngoi trong lnh vc y t.
ng k thuc xut nhp khu
u t vn, ti sn vo cc doanh nghip trong v ngoi nc.
Kinh doanh a c, u t pht trin cc d n bt ng sn, trung tm phn phi,
vn phng cho thu, khch sn.
Kinh doanh khai thc cc dch v v a c, cao c vn phng cho thu v khch
sn.

c.

Chnh sch cng ty:

Chnh sch ca Sapharco l Win Win, ngha l mi ngi u chin thng:

Khch hng chin thng, cn b cng nhn vin chin thng v Cng ty chin
thng.C nh vy, mi thnh vin s cng pht trin v gp phn xy dng mt ngnh
dc vng mnh trong tng lai.
Ngoi ra, chnh sch ca cng ty lun coi con ngi l nhn t trung tm ca s
pht trin. Mi thnh vin trong cng ty u c to mi iu kin nh nhau pht
huy nng lc, nng cao kin thc, kinh nghim lm vic. Cng ty lun khuyn khch,
to iu kin, i th kinh ph cho nhn vin t nng cao trnh hiu bit chuyn
mn, ngoi ng v cng ngh thng tin.
Tt c u hng v mt mc ch, xy dng Sapharco thnh mt tp on kinh t
vng mnh. Vi tinh thn hp tc, i bn cng c li, iu cng chnh l s ln
mnh, phn thnh cho Cng ty TNHH mt thnh vin Dc Si Gn Sapharco.

d.

Tm nhn , trit l kinh doanh :

Cng ty Dc Si Gn l cng ty phn phi t tiu chun GDP:

GDP l t vit tt ca Good Distribution Practices - Thc hnh tt phn phi
thuc.
GDP l mt phn ca cng tc bo m cht lng ton din bo m cht
lng thuc c duy tr qua vic kim sot y tt c cc hot ng lin quan n
qu trnh phn phi thuc.
GDP bao gm cc nguyn tc c bn, cc hng dn chung v Thc hnh tt
phn phi thuc, nu ln cc yu cu cn thit cho vic vn chuyn, bo qun, phn
phi thuc bo m vic cung cp thuc n tay ngi tiu dng mt cch kp thi,
y v c cht lng nh d kin.
1.Tm nhn:
28

Tr thnh nh phn phi dc phm chuyn nghip hng u Vit Nam bng vic
p dng cc k thut, cng ngh phn phi hin i nht cng vi mng li phn
phi rng khp ton quc.
2.
Khu hiu :
Nh phn ph dc phm chuyn nghip.

3.Trit l kinh doanh:

Trit l kinh doanh ca Sapharco l lun lm hi ha li ch ngi tiu dng, li

ch x hi, li ch i tc v li ch cng ty vi nhau. iu ny c cch iu qua
hnh nh ch Bn Thnh trn logo ca Sapharco.

- Li ch ngi tiu dng l mi quan tm hng u ca cng ty v n c th

hin qua mi nh ca logo. N c ngha bao trm ln trn cc li ch khc.
- Bn cnh , li ch x hi l li ch nn tng m Sapharco lun phn u t
c, bi v li ch ny s nng tt c cc li ch khc. V th, n c th hin
qua phn nn nh ca logo.
- Phn kt ni gia mi nh v nn nh l li ch ca i tc, khch hng v cng
ty. N th hin phng chm "i bn cng c li", cng nhau pht trin v li ch
chung ca ngi tiu dng v x hi.
S cn i hi ha gia cc li ch ny chnh l s m bo cho s pht trin lu
di v bn vng cho Sapharco.
e. H thng phn phi:

Sau khi gia nhp WTO, vi nng lc mnh v ti chnh, cng ngh hin i, cc
cng ty dc nc ngoi s tr thnh nhng i th cnh tranh gay gt vi cc cng ty
dc phm ni a, c bit l h thng phn phi. Chnh v vy, cng c v y
mnh h thng phn phi l yu t quyt nh n s pht trin ca Sapharco trong
thi gian ti.
29

Ngoi 3 trung tm phn phi s dc phm ln Qun 1 (Tn nh), Qun 5 (Trn
Hng o) v Qun 11 (Ph Th), Sapharco c h thng 400 ca hng v i l thuc
ti cc qun, huyn Tp.HCM v mng li i l cc tnh v thnh ph ln nh: H
Ni, Hu, Nng, Quy Nhn, Vng Tu, Ty Ninh, Cn Th, Long Xuyn Ngoi
ra, Sapharco gi quan h phn phi cht ch vi:
- 34 bnh vin ln ca Thnh ph H Ch Minh, mt s bnh vin cc tnh
v trung tm chuyn khoa.
- 2500 nh thuc t Thnh ph H Ch Minh.
- Gn 100 x nghip, cng ty dc v vt t y t ca cc tnh trn c nc.
- Mt s cng ty dc phm Campuchia v Lo, cc nc ng u v
Chu Phi.
ch ng hn trong vic phn phi ca mnh, cng ty cn c k hoch tin
hnh thnh lp trung tm phn phi dc phm, pht trin chui nh thuc t chun
quc t GPP theo nh hng hin i ha v chuyn nghip ha thng qua vic in
t ha ton b knh phn phi bng phn mn qun tr hin i theo tiu chun quc
t CRM, ERP.
Mc tiu hng u ca Sapharco chnh l tr thnh nh phn phi chuyn nghip
hng u Vit Nam cnh tranh vi cc cng ty nc ngoi trn con ng hi
nhp quc t. (26 Thng 3 2008).
f. Cc cng ty thnh vin:

1. Cty TNHH 1 thnh vin HP & SH y t - MEBIPHAR

2. Nh my roussel VN
3. Cty c phn dc phm Cn Gi - CAGIPHARM
4. Cty c phn xut khu phn phi v tip th dc SG
5. Cty c phn DP qun 10
6. Cty CPXNK y t - YTECO
7. Cty CPXNK DP Ch Ln CHOLIPHARCO
8. Cty CPDP ng dc FIDOPHAM
9. Cty CPDP Phong Ph PP.PHARCO
10. Cty CPDP 2/9 NADYPHAR
11. Cty CPDP Qun 3 THREEPHARCO
12. Cty CPDP Dc Liu PHARMEDIC
13. Cty CPDP Ph Th - PT PHARMA
14. Cty CP Mt Knh SG SANOTC
15. Cty CPDP 3/2 F.T.PHARMA
16. Cty CPDP & dch v y t Khnh Hi
17. Cty CPDP Gia nh
18. Cty CPDP Bn Thnh BEN THANH PHARCO
II. H thng kho v bo qun :

Sapharco l cng ty c h thng kho t tiu chun GSP: Thc hnh tt bo qun
thuc - Good Storage Practices (vit tt : GSP) l cc bin php c bit, ph hp cho
vic bo qun v vn chuyn nguyn liu, sn phm tt c cc giai on sn xut,
bo qun, tn tr, vn chuyn v phn phi thuc m bo cho thnh phm thuc
c cht lng nh khi n tay ngi tiu dng.
1.

H thng kho :
30

Kho thuc l ni tip nhn, xut/nhp theo k hoch, bo qun cc loi thuc, ha
cht, dng c, ng thi l ni tn tr, x l, ng gi licc hng ha km phm
cht, hng tr v, hng thu hi, Kho thuc l ni din ra hu ht cc hot ng
chuyn mn ca ngi lm cng tc bo qun.

V mt xy dng :
- Kho kh ro, thong mt,m bo nhit , m v d vn chuyn, bo qun
, thun tin cho vic cung cp in, nc.
- Nn kho tuyt i bng phng, chu lc tt.
- Tng kho xy bng vt liu chc chn, nu l kho lnh hay kho mt th phi
xy tng 2 lp v tuyt i kho khng c ca s trnh nh sng v trm cp.
- Ca c thit k cnh m ra ngoi.
- Nh kho c thit k p ng yu cu v ng i, li thot him, h thng
phng chy, cha chy.
- Trong kho, khu vc bo qun phi rng, c s phn cch gia cc khu vc
m bo qu trnh bo qun cch ly tng loi thuc, tng l hng .

V mt trang thit b:
- Trang b phng tin, thit b ph hp m bo cc iu kin bo qun:
Qut thng gi, h thng iu ha khng kh, nhit k, m k,..
- Trang thit b vn chuyn, sp xp hng ha: Bao gm gi, k, t xp
hng( khong cch gia gi k vi nn kho phi rng m bo cho vic lm
v sinh kho, kim tra v bc/xp hng), xe xc, xe nng, xe y, thang ch A v
quan trng nht l cc palet l phng tin xp hng ha thng dng nht( palet
nha l s la chn tt nht v palet nha c tnh bn v chu lc tt hn palet
g, ng thi ngn nga c mi, mt t g).

- C thit b v phng chy cha chy: H thng phng chy cha chy t ng
hoc h thng phun nc v bnh kh cha chy

V mt nhn s :
Trng kho v th kho l nhng ngi c trnh chuyn mn.
Trng kho : Dc s i Hc
Th kho : Dc s Trung Hc tr ln, c sc khe tt .

i vi th kho :
- Khng ngi khng c nhim v vo kho
- Khi xut/nhp hang phi kim tra y th tc, i chiu mi cho xut/nhp
hng.
- Hng nhp kho phi kim tra k bao b , hn ch trng hp h hao, v
khi vn chuyn, bo ln trng kho gii quyt .
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- Khi hng nhp kho phi dn thm nhn ph ting Vit, khi dn ch khng
dn trng ln nhn hng, kim tra nhn ( s l, hn dng, tn) ph hp vi
nhn hng th mi tin hnh dn nhn ph
- Thng xuyn kim tra hng ha, xp gn gng, cao ro d quan st, v sinh
kho sch s, chng m mc, nh hng ti cht lng thuc.
- Chp hnh nghim chnh nhim v v chc nng ca mnh trong chuyn mn.
- Khi tan ca phi kim tra h thng n in , dn bng m bo ca.
- Trng hp hng h hng, ht hn phi a vo khu bit tr ch gii quyt .

Gm c cc kho ring bit :

-

Kho nguyn liu:

Kho nguyn liu cha cc nguyn vt liu dc, ha cht dng s

dng trong qu trnh sn xut thuc, gm : Hot cht, t dc,
Kho lnh:

Kho lnh dng bo qun cc nguyn liu, sn phm thuc cn iu

kin bo qun lnh.
- Kho thnh phm:
Kho thnh phm l kho dng bo qun nhng sn phm dc
tri qua tt c cc giai on ca qu trnh sn xut, bao gm c giai on
ng gi.
C cc loi thuc: Ngoi nhp v thuc ni chia lm 2 dy
2.
Bo qun:
Ni dung bo qun :
Theo di nhit , m trong kho v c nhng bin php khc phc kp
thi.

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Kho lun lun c nhit k, m k t nhng ni cn thit ng thi ghi chp,

cp nht hng ngy.
p dng phng php thng hn thong gi bng my ht m, my iu ha.
C bin php ngn nh sng lm h hng thuc, dc liu
C ch v sinh kho, ni lm vic
Tuyt i khng dung bao b ca loi thuc ny cho loi thuc khc.
Thuc phi c nhn ng qui nh, quy ch, c nhn ting Vit km theo.
Thuc km cht lng , ht hn dung, h hng lu tr khu ring v c
bin php x l.
C h thng s sch cho cng tc bo qun v kim sot, theo di vic xut,
nhp, cht lng thuc.
C phiu theo di xut, nhp thuc ring cho tng loi sn phm cng nh cho
tng loi qui cch sn phm , c bit l cc loi thuc c, gy nghin, hng
tm thn phi tun th ng cc quy ch.
iu kin bo qun:
Nhit :
- Kho lnh : Nhit khng vt qu 80C
( phng dn tem nhit 200C)
- Kho mt : Nhit trong khong t 8 150C
- Kho nhit phng : Nhit trong khong 15- 250C

m :
Khng vt qu 70%

nh sng:
Trnh nh sng gay gt lm h hng thuc, dc liu
Bao b v nhn:
- Bao b thch hp, khng gy nh hng n thuc, ng thi bo v thuc
khi cc nh hng ca mi trng ( chng nhim khun)
- Bao b phi c gi nguyn vn trong sut qu trnh bo qun. Khng
dng ln ln bao b ca loi ny cho loi khc.
- Nhn thuc phi r rang, d c, khng s dng cc t vit tt.
- C khu vc ring bo qun nhn v bao b .
Vn chuyn hng :
- Vic cp pht v xp hng ln phng tin vn chuyn ch c thc hin
sau khi c lnh bng vn bn. Cc nguyn tc, qui nh v qui trnh vn
chuyn phi c thit lp ty theo bn cht ca sn phm sau khi cn
nhc cc bin php phng nga
- i vi nhng sn phm c iu kin bo qun c bit, trong thi gian
vn chuyn phi m bo cc iu kin
VD : Sn phm bo qun lnh s dng xe c my iu ha , container
lnh hay ti kh.

iu kin c bit:

- Cc thuc, ha cht c mi nh tinh du cc loi ammoniac, cn thuc

bo qun trong bao b kn, ti khu vc ring, trnh mi hp th vo thuc
khc.
33

i vi thuc c, gy nghin, hng tm thn bo qun ring ng qui

nh v cc quy ch.
- Cc thuc c iu kin bo qun c yu cu nh : Bo qun lnh,mt
hay nhit thng th nhit v m cn lu kim tra v duy tr
trong sut qu trnh bo qun. Khu vc dn tem, ng gi tch bit khi khu
vc bo qun khc, trang b cc thit b cn thit tin hng cng vic.
- Thuc b h hng, ht hn hay b loi b c bo qun khu bit tr,
cch ly hp l ngn nga vic nhm ln v dng chng vo sn xut, lu
thng, s dng.
Kim tra nh k:
- nh k tin hnh i chiu thuc trong kho theo cch so snh thuc cn
v lng hng cn tn da trn phiu theo di xut, nhp thuc. Vic i
chiu c tin hnh khi l hng c s dng ht.
- Thng xuyn kim tra s l, hn dng m bo nguyn tc FIFO v
FEFO v pht hin hng gn ht hoc ht hn dng.
- nh k kim tra cht lng ca hng lu kho pht hin bin cht, h
hng trong qu trnh bo qun do iu kin nhit , m hoc cc yu t
khc nh hng n thuc.
- Cc thit b theo di qu trnh bo qun nh nhit k, m k.. nh k
c kim tra, hiu chnh v kt qu kim tra, hiu chnh c ghi chp, lu
tr.
Nguyn tc bo qun:
Thc hin tt nguyn tc 5 chng:
- Chng nhm ln
- Chng qu hn
- Chng mi, mt, chut gin
- Chng trm cp
- Chng thm ha ( chy, n, ngp, lt)
Cch sp xp:
Thc hin nguyn tc 3 d:
- D thy : Thuc sp xp nhn quay ra ngoi, mi khi hng c th ghi
thm mt nhn ln
- D ly: Thuc xp thnh tng dy, khi hng ring bit, mi khi ch
cha t 2-4 mt hng. Khi hng c chiu cao va phi, hng nng xp
di, hng nh xp trn. Thuc thng xuyn xut, nhp bn ngoi, ni
d ly.
- D kim tra: D kim tra hng v pht hin s xm nhp, ph hoi ca
mi mt
Bo h lao ng :
C cc ni quy sau:
- Ni quy s dng an ton in trong kho
- Ni quy s dng my mc, trang thit b
- Ni quy an ton lao ng khi tip xc vi cht c, nguy him, d
chy, n v cp cu phng nga tai nn
- Trang b y cc phng tin bo h lao ng m bo an ton,
sc khe cho cn b, nhn vin kho.
H thng s sch:
-

34

- C h thng s sch thch hp cho vic ghi chp, theo di xut, nhp
cc thuc bao gm tn thuc, s l, hn dng, s lng, cht lng, nh
cung cp, nh sn xut
- C bin php phng nga s xm nhp, s dng, sa cha mt cch bt
hp php vi cc s liu lu tr.
- Cc loi phiu cn lu tr nh :
Phiu theo di xut nhp thuc
Phiu theo di cht lng thuc
Cc biu mu khc theo qui nh

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