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GPP

3. So snh iu kin ca c s thc tp vi ni dung quy nh ca GPP Nh thuc s 57 l c s thc tp t chun GPP. Nh vy iu kin ca c s thc tp tng ng vi ni dung quy nh ca GPP. Di y l iu kin ca c s thc tp v cng l ni dung quy nh ca GPP Nhn s Ch Nh thuc c chng ch hnh ngh dc (Dc s i hc). Nhn lc gm 3 dc s (1 dc s i hc v 2 dc s trung cp), Nhn vin trc tip tham gia bn thuc, giao nhn, bo qun thuc, qun l cht lng thuc l 3 dc s trn, c 3 dc s u c iu kin sc khe, khng ang mc bnh truyn nhim no, v khng ang trong thi gian b k lut t hnh thc cnh co tr ln c lin quan n chuyn mn y, dc. V din tch xy dng v thit k, b tr cc v tr trong Nh thuc: a im c nh ring bit, cao ro, thong mt, an ton, cch xa ngun nhim, xy dng chc chn c trn ngn bi, nn d lm v sinh v nh sng. Din tch nh thuc l 20m2 (Ph hp vi qui m kinh doanh, ti thiu l 10m2). C khu vc trng by bo qun, giao tip khch hng, c ni ra tay dnh cho ngi bn thuc, khu vc dnh ring cho t vn khch hng v gh ngi ch, c khu vc dnh ring cho nhng sn phm khng phi l thuc (m phm, thc phm chc nng, dng c y t). Thit b bo qun thuc Nh thuc c thit b bo qun thuc, trnh c nhng nh hng bt li i vi thuc. Nh thuc c t, quy, gi, k chc chn, trn nhn, d v sinh, thun tin cho by bn, bo qun v m bo thm m, c nhit m k (nhit di 30oC, m di 75%), c h thng thng gi v chiu sng. Dng c ra l, bao b ra l thuc ph hp gm : ko inox, khay inox, bao b nylon ng kn c v bao giy sch ( trnh sng v cho nhng thuc d chy). H s, s sch, ti liu chuyn mn Nh thuc c ti liu hng dn s dng thuc v cc quy ch c hin hnh. C h s, s sch lin quan n hot ng kinh doanh thuc: s sch qun l thuc tn tr, s sch lu d liu thng tin v bnh nhn , s sch v hot ng mua bn thuc. Cc h s s sch lu tr t nht l 1 nm k t khi thuc ht hn dng. Xy dng v thc hin cc quy trnh thao tc chun cho tt c quy trnh chuyn mn. Cc SOP c ti nh thuc Quy trnh mua thuc v kim sot cht lng; Quy trnh bn thuc theo n; Quy trnh bn thuc khng k n; Quy trnh bo qun v theo di cht lng; Quy trnh gii quyt i vi thuc b khiu ni hoc thu hi; Nh thuc trin khai tt cc qui trnh trn, c bit cc qui trnh bn thuc theo n v khng theo n thc hin kh cht ch.

Vai tr ca dc s i hc trong qun l, iu hnh, t vn thuc ti nh thuc Dc s i hc l ngi c nhim v : Lp k hoch cung ng thuc m bo s lng, cht lng cho nhu cu iu tr bnh. Qun l, theo di, hng dn nhn vin vic bn l thuc theo nhu cu iu tr bnh v cc nhu cu khc. Thc hin cng tc t vn s dng thuc, v c bit l tham gia cnh gic dc. Tham gia theo di, qun l kinh ph s dng thuc. Dc s i hc l ngi ng ra chu trch nhim trc php lut v : Cht lng thuc Phng php kinh doanh Thc hin ch qun l thuc theo ch thuc bn theo n v khng bn theo n. Lp k hoch s dng thuc Bo m cc loi thuc thit yu Thc hin ngha v np thu theo quy nh ca php lut.

Tnh hnh bn/nhp thuc


Cch t chc nhp thuc : D tr mua thuc theo cc s sch c cp nht thng xuyn : S theo di lng thuc mua vo. S theo di lng thuc hng ngy. S theo di nhng mt hng no khch hng mua khng c n tin cho vic t hng. S theo di xut nhp kho theo di s lng hng. Da vo thng tin thu c trong cc s theo di m nh thuc c nhng d tr mua thuc hp l, m bo thuc khng thiu ht trong mi trng hp, cng nh p ng ng nh yu cu ca ngi bnh. Thi im mua thuc : Da vo cc s theo di lng thuc, khi lng thuc mt s mt hng gn ht th nh thuc tin hnh lp d tr ngay v n cc c s kinh doanh mua thuc, thng l 1 thng s nhp thuc khong 4 ln. Bn cnh cn da vo s theo di vic t hng ca khch hng m tin hnh mua nhng mt hng yu cu. Ngun cung ng thuc Ngun thuc c mua ti c s kinh doanh thuc hp php. Ngun chnh l t Cng ty c phn dc phm Khnh Hi, phn cn li trong danh mc c mua b sung t cc c s kinh doanh khc (Thng l thng qua trnh dc vin n t cc cng ty ln). NhthucC h s theo di, la chn cc nh cung cp c uy tn, m bo cht lng thuc trong qu trnh kinh doanh. Kim tra thuc nhp vo Ch mua cc thuc c php lu hnh. Thuc mua cn nguyn vn v c y bao gi ca nh sn xut, nhn ng quy nh theo quy ch hin hnh. C ha n, chng t hp l ca thuc mua v. Khi nhp thuc, ngi bn l kim tra hn dng, kim tra cc thng tin trn nhn thuc theo quy ch ghi nhn, kim tra cht lng v c kim sot trong qu trnh bo qun. Nh thuc phi c thuc thuc Danh mc thuc thit yu dng cho tuyn C trong Danh mc thuc thit yu Vit Nam do S Y t a phng quy nh Cch tnh gi thuc : Gi bn = gi nhp thuc cng thm 15-20%, tnh cho tng n v bn l l vin. Cc nhm, loi thuc c bn ra nhiu ti nh thuc : Thuc gim au h st (paracetamol) , thuc khng vim (NSAID, Corticoid), khng sinh (bta lactam, quinolon, macrolid), khng d ng (khng H1). Thuc tr lot d dy (PPI, antacid), tr au bng, y hi, tiu chy, to bn. Thuc tr ho, thuc long m. Cc thuc tim mch : thuc h huyt p (Beta blocker, Chn canxi, ARB, ACEI, li tiu), thuc lm bn thnh mch. Vic bn ra nhiu cc loi thuc trn l do :

iu kin mi trng sng tp HCM (in hnh l khu vc ln cn nh thuc khu vc ch) khng c m bo v sinh, mi trng khng kh nhim, khi thi xe c nhiu, thi tit oi bc v m t, mt dn c ng dn n vic ngi dn d mc cc bnh vim nhim, cc bnh d ng. Bn cnh do li sng khng hp l ca a s ngi dn, c bit l trong khu n, ung, v sinh. iu ny dn n cc ri lon v bt thng v h tiu ha in hnh l lot d dy v kh tiu. Tng huyt p v cc bnh v tim mch th kh ph bin bi l nhng cn bnh thng din n i vi nhng ngi ln tui ngi gi, v th nn nhu cu thuc tim mch ti nh thuc cng chim phn ln. V d v cc loi thuc c bn ra trong cc ca bnh nhn t khai : Thuc Vim hng, nga hng cho ngi ln : Cefadroxil 500 mg, Prednisolone 5mg, Eugica, Certirizine 10 mg Thuc vim lot d dy, y hi, chua : Omeprazole 20 mg, Pantoprazol 40 mg, Phosphalugel, Cimetidine 200 mg, Trimebutin 100 mg, Maalox Thuc ho, long m, tiu m : cc dng phi hp, codein, dextromethorphan, bromhexin, acetyl cystein, tinh du trm. Thuc cm s mi, d ng : certirizine 10 mg, fexofenadine 60mg, chlopheniramin maleat 4 mg, loratadine Tnh hnh bn thuc theo t khai bnh : ty thuc vo li khai bnh ca bnh nhn cng nh nhng cu tr li km theo khi c dc s hi, m dc s quyt nh vic k n cho bnh nhn, phc thng gm cc thuc nh vo cc triu trng hin c v vo cn nguyn ca bnh. Bn cnh ty thuc vo nhu cu v mc p ng thuc ca bnh nhn i vi tng loi thuc thng qua lch s dng thuc m dc s cng c th k thuc thay i cho bnh nhn, c th s dng thay i nhiu thuc generic c cng hot cht v nng nhm mc tiu t hiu qu tr liu cao nht. Lng ngi bnh mua thuc theo kiu t khai ny chim phn ng v c bit l h c nhu cu rt cao v nhng thuc s dng c p ng, cng nh cc thuc c ngun gc nc ngoi (mc d gi c cao hn rt nhiu so vi thuc ca cty trong nc) Tnh hnh bn thuc k n ti nh thuc Lng bnh mua thuc k n chim phn t hn v thng ch yu l nhng bnh mn tnh, ung di ngy. Thuc k n thng c bn ra theo n ca bc s do bnh nhn cung cp, bn thuc ng nh toa k (ch yu l chnh xc v hot cht v hm lng), thng l khng ph hp v tn bit dc th nn Dc s phi gii thich r v cc hot cht tng ng vi cc bit dc ghi trong toa bnh nhn yn tm s dng. Nu bnh nhn c nhu cu t thuc theo ng tn bit dc trong toa, nh thuc cng lin lc vi cng ty phn phi t mua v giao thuc cho bnh nhn theo ng ngy hn. 20 toa thuc tr cc bnh khc nhau : Bnh nhn 1: H tn: Nguyn Th Hoa Tui: 36 Gii tnh: N Ngh nghip: Cng nhn a ch: KP6A, P. Tn Thi Nht, Q.12 Chn on: Vim a khp 1) Diclofenac 50mg 15 vin 1 vin x 3 ln/ngy 2) Paracetamol 500mg 15 vin 1 vin x 3 ln/ngy 3) Vitamin B1 250mg 10 vin 1 vin x 2 ln/ngy 4) Vitamin A-D 10 vin 1 vin x 2 ln/ngy

Bnh nhn 2: H tn: T Thanh Ngc Tui: 64 Gii tnh: Nam Ngh nghip: Bun bn a ch: KP2, P. Tn Thi Nht, Q.12 Chn on: Vim ph qun 1) Amoxicilin 500mg 15 vin 1 vin x 3 ln/ngy 2) Paracetamol 500mg 15 vin 1 vin x 3 ln/ngy 3) chymotripsin 20 vin 2 vin x 2 ln/ngy 4) Salbutamol 2mg 30 vin 2 vin x 3 ln/ngy 5) Mg B6 1 vin x 2 ln/ngy Bnh nhn 3: H tn ngi bnh: L Vn Chu Tui: 56 Gii tnh: Nam Ngh nghip: Sa xe my a ch: KP7, Tn Thi Nht, Q.12 Chn on: Cao huyt p, tiu ng. 1) Amlodipin 5mg 20 vin 1 vin x 2 ln/ngy 2) Metformin 850mg 20 vin 1 vin x 2 ln/ngy 3) Vitamin C 500mg 10 vin 1 vin x 2 ln/ngy 4) Paracetamol 500mg 15 vin 1 vin x 3 ln/ngy Bnh nhn 4 H tn: Trn Minh Tui: 37 Gii tnh: Nam Ngh nghip: Cng nhn a ch: KP7, P. TTN, Q.12 Chn on: Vim h hp trn 1) Cefalexin 500 mg 15 vin 1 vin/ln x 3 ln/ngy. 2) Seratiopeptidase 15 vin 1 vin/ln x 3 ln/ngy. 3) Paracetamol 500 mg 1 vin/ln x 3 ln/ngy. 4) Bromhexin 8 mg 1 vin/ln x 3 ln/ngy.

15 vin

Bnh nhn 5 H tn: Nguyn Th i Tui: 60 Gii tnh: N Ngh nghip: Bun bn a ch: KP5, P. TTN, Q. !2 Chn on: Ri lon tin nh 1) Cinnarizin 25 mg 15 vin 1 vin/ln x 3 ln/ngy. 2) Paracetamol 500 mg 15 vin 1 vin/ln x 3 ln/ngy. 3) Mg B6 10 vin 1 vin/ln x 2 ln/ngy Bnh nhn 6 H tn: Hunh Th Hoa Tui 47 Gii tnh N ia ch Tp long xuyn An giang Chun on Bnh dy thn kinh lin sn vim d dy cp khc 1 Meloxicam 7.5 mg 14 vin 1 vin x 2 ln/ngy 2 Mephenesin 250 mg 14 vin 2 vin x 2 ln/ngy 3 - Vitamin B1 250 mg 14 vin 1 vin x 2 ln/ngy 4 Paracetamol 500 mg 14 vin 1 vin x 2 ln/ngy 5 Domperion 10 mg 14 vin 1 vin x 2 ln/ ngy Bnh nhn 7 Vn Th Hoi Thng 40 tui N Huyn Hc mn Vim a xoang Cytas 250 mg 20 vin 1 vin x 2 ln/ngy Noflux 30 vin ngy ngm 3 vin Bnh nhn 8 Nguyn Minh Trng Nam 50 tui Qun 11 Cao huyt p Betasore 16 mg 9 vin sng tra ti 1 vin Metomol 5 mg 9 vin sng tra ti 1 vin Ginkgo Bilopa 60 mg 6 vin Sng Ti 1 vin Bnh nhn 9 Phm Quang Tun 29 tui Nam Soc trng Vim d dy t trng, khng xc nh Amoxycillin 500 mg 40 vin 2 vin x 2 ln/ngy (sng chiu) Metronidazol 250 mg 40 vin 2 vin x 2 ln/ngy (sng chiu) Drotaverin clohydrat 40 mg 40 vin 2 vin x 2 ln/ngy (sng chiu) Omeprazole 20m mg 10 vin 1 vin x 2 ln/ngy (sng chiu trc n 15 pht)

Bnh nhn 10 Mai Kim Anh N 23 tui Ph nhun Bng la xng, din tch 7%, I,II vng u,mt c,i Augmentine 1 g 6 vin 1 vin x 2 ln/ngy Panadol 500 mg 6 vin 1 vin x 2 ln/ngy Siliverin 1 tube bi vt bng 1 ln/ngy Bnh nhn 11 Nguyn Th tuyt Mai N 52 tui Tp hcm Sa trc trng - sa sinh dc Pharlive 8 vin 1 vin x 2 ln/ngy Flagyl 250 16 vin 2 vin x 2 ln/ngy Diantavic 1 12 vin 1 vin x 1 ln/ngy Augmentin 1g 8 vin 1 vin x 2 ln /ngy Bnh nhn 12 Nguyn Th Diu, N, 1950 Rch gi, kin giang Thoi ha khp gi 2 bn Celecoxib 200 mg 30 vin 1 vin x 2 ln/ngy sau n Ordase 45 vin 1 vin x 3 ln/ngy sau n Diacerhein 50 mg 30 vin 1 vin x 2 ln/ngy trong khi n Glucosamine 45 vin 1 vin x 3 ln/ngy sau n Osteomax 30 vin 1 vin x 2 ln/ngy sau n Frezefev 500 mg Ha tan trong nc 2 ln, mi ln 1 vin sau n Bnh nhn 13 Nguyn Th Thong N 42 tui, Cam ranh khnh ha Mt ng - ri lon lo u Nhc u migrain Flunarizine 5 60 vin 1 vin x 1 ln/ngy (ti) Magnesium valproate 200 60 vin 1 vin x 2 ln/ngy (sng chiu) Levosulpiride 25 mg 60 vin 1 vin x 2 ln/ngy (sng chiu) Piracetam 800 mg 60 vin 1 vin x 3 ln/ngy (Sng tra chiu) Bnh nhn 14 L th hng N 50 tui Cn th Ri lon gic ng Remeron 30 mg 5 vin vin x 1 ln (ti) Dogmatil 50 mg 1 vin x 2ln/ngy (sng ti)

Bnh nhn 15 Nguyn th l, N 40 tui, Qun 4 tphcm Vim d dy + hi chng rut kch thch Rapeprazole 20 mg 14 vin 1 vin x 1 ln trc n sng Trimebutine 100 mg 32 vin 1 vin x 3 ln trc n Bisacodyl 5 mg 14 vin 1 vin x 1 ln sau n chiu Enzystal 28 vin 1 vin x 2 ln trc n Bnh nhn 16 L Minh Ch, Nam 48 tui, Q9 tp hcm Suy gim tnh mch 2 chi di Mg B6 20 vin 1 vin x 2 ln/ngy Ginkgo Biloba 20 vin 1 vin x 2 ln/ngy Vitamin C 500 10 vin 1 vin x 1 ln /ngy Omega 3 20 vin 1 vin x 2 ln /ngy Aspirin pH 8 10 vin 1 vin x 1 ln /ngy Bnh nhn 17 Phm Nh Qunh 8 tui n QUn th c tphcm Chn thng vng mng sn tri, cnh tay, 2 bn m Alphachymotrypsin 14 vin 1 vin x 2 ln /ngy Paracetamol 500 mg 14 vin 1 vin x 2 ln/ngy Bnh nhn 18 H th Mai, n 40, hc mn tphcm au c lng tiu c cn Betashiphon 1 hp 1 ng x 3 ln/ngy Vialex 10 vin 1 vin x 1 ln/ngy Toperis 21 vin 1 vin x 3 ln/ngy Trivit B 10 vin 1 vin x 1 ln ngy Bnh nhn 19 L Th Tho, 50 tui, Q10 tphcm Hi chng ng c tay Aussamin 30 vin 1 vin x 2 ln/ngy sau n Celebrex 200 mg 30 vin 1 vin x 2 ln/ngy sau n M Cal 250 mg 30 vin 1 vin x 2 ln/ngy sau n Maecran 30 vin 1 vin x 2 ln/ngy sau n Rabtase 20 mg 30 vin 1 vin x 2 ln/ngy trc khi n Tribulog 2 vin 1 vin trc n 30 phut/ngy

Bnh nhn 20 Nguyn th ngc mai 27 tui, q5 tphcm Vim ph qun dng hen 2. M ay mn tnh v cn 3. Thiu protein calo mn Clarithromycin 500 mg 14 vin 1 vin x 2 ln/ngy (sng chiu) Fexofenadine 60 mg 14 vin 1 vin x 2 ln/ngy (sng chiu) Acemuc 200 mg gi 14 gi 1 gi x 2 ln/ngy (sng chiu) Terpin codein 21 vin 1 vin x 3 ln/ngy (sng tra chiu) Moriamine fort 21 vin 1 vin x 3 ln/ngy (sng tra chiu) Vitamin E 400 UI 7 vin 1 vin x 1 ln/ngy (chiu) Vitamin B1 B6 B12 21 vin 1 vin x 3 ln/ngy (sng tra chiu) Tnh hnh bn m phm, thc phm chc nng Thc phm chc nng, m phm ti nh thuc cng c bn ra kh nhiu do nhu cu cao ca ngi dn, ch yu l cc loi thc phm chc nng nhm h tr cho vic iu tr bnh nh cc loi h tr iu tr tng huyt p, iu ha lu thng mu, gim lipid mu, bn thnh mch, ci thin tun hon mu no, i tho ng v cc ch phm vi tc dng bi b c th, tng cng cht lng sng Th hiu ca ngi dn l cc sn phm c cht lng tt (do c gii thiu), xut x t cc hng ni ting, v c bng chng v kt qu tht v s dng sn phm, c th k n cc ch phm nh : Hot huyt dng no, Ginkgo Biloba (cao bch qu), Am tr vng, Xch th vng, Tr Gio C Lam, Maxxhair Ha M phm bn ch yu l cc loi dung dch v sinh ph n, cc loi sa tm, x bng tm tit khun, bng v sinh, BCS Cc chi ph s dng ti nh thuc : Chi ph cho nhn vin l 2 dc s trung hc Chi ph in, nc s dng cho nh thuc Chi ph cho bao b, dng c ra l thuc Chi ph nhp thuc theo nh k Chi ph nhp thuc khng nh k

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