TRNG CAO NG NGUYN TT THNH

KHOA DC

BO CO THC TP

HIU THUC NH THUC

H v tn sinh vin: Lng Hng c

Lp

: 08TDS11

M hc sinh

: 310893025

Ni thc tp

: Nh thuc s 5 s 77 Ng Quyn, qun 10, tp hcm

Cn B trc tip hng dn ti c s: Dng Th Thu Sng

Gao vin b mn PT thc tp: Trn Ngc Nhung
Thi gian thc tp:
T ngy 15 thng 12

nm 2009.

n ngy 23 thng 01

nm 2010.

Li m u
Thuc l mt sn phm thit yu trong cuc sng con ngi, thuc l phng tin
phng bnh v cha bnh khng th thiu trong cng tc y t. Thuc tt v s dng ng
cch s gip lm bnh mau khi, nu thuc khng m bo cht lng, s dng sai s
lm cho ta khng khi bnh m cn c th gy nhng tc hi cho ngi s dng, thm
ch c th gy t vong cho ngi s dng thuc. V vy ta nn cn nhng quy nh, ni
qun l, bo qun, phn phi m bo cht lng thuc tt nht khi n tay ngi s
dng.
Nh thuc Hiu thuc l mt trong nhng phng tin bo qun, bn l thuc, a
thuc ti tay ngi dn. V ngi dc s c vai tr quan trng trong vic t vn hng
dn cho ngi s dng thuc v gip a thuc ti tay ngi dn.
Thi gian thc tp nh thuc l khong thi gian gip em hiu c vai tr ca ngi
dc s trung cp trong nh thuc. Mt phn hiu c cch b tr sp xp thuc nh
thuc, bit c cch bo qun thuc v pht trin c kh nng giao tip t vn
hng dn cho nhng ngi s dng bit c cch s dng thuc mt cch an ton v
hp l, nm r c cc quy nh, nguyn tc tiu chun trong ngnh.
Qua bi bo co em mun trnh by nhng hiu bit, kt qu m em c hc hi trong
sut qu trnh c nh trng sp xp cho i thc tp thc t ti c s nh thuc.

I. Tng quan v c s thc tp:

1. Tng quan v Nh thuc Hiu thuc:
- Nh thuc s 5, 77 Ng Quyn Qun 10 tp H Ch Minh.
- Tng s nhn vin trong nh thuc l: 2
- Giy php kinh doanh s GPS: 3410/GCNKKDT.

- Dc s ph trch: Dng Th Thu Sng.

2. Vai tr ca Dc s trung cp ti Nh thuc Hiu thuc:
- Bn l v phn phi thuc theo s ch dn ca dc s i hc.
- Sp xp cc loi thuc theo nhm dc l.
- T vn hng dn ngi mua s dng thuc ng cch v hp l.
II. Kt qu thc tp:
1. Cc hnh thc bn l thuc, a bn m c s bn l thuc, phm vi hot ng:
- Nh thuc c m ti tt c a phng trn c nc. Phm vi hot ng ca nh
thuc c bn l thuc thnh phm, pha ch thuc theo n.
- Quy thuc c m ti a bn huyn x ca cc huyn ngoi thnh, ngoi th i vi
cc tnh, thnh ph trc thuc trung ng. i vi a bn qun, phng ca thnh ph,
th x cha c 1 nh thuc phc v 2000 dn, trong nm 2007 S y t tnh xem xt
vic t chc mi quy thuc, sau ty tnh hnh a phng c vn bn bo co B y t
xem xt, quyt nh vic tip tc gia hn hoc m thm cc quy thuc. Cc c s bn
l thuc do dc s trung hc l ngi qun l chuyn mn c trc ngy 01/06/2003
ang hot ng cc qun, phng ca thnh ph, th x, nu cha dc s i hc

chuyn thnh nh thuc nhng p ng cc iu kin v c s thit b theo quy nh

v iu kin i vi c s bn l th c tip tc gia hn ti ht ngy 31/12/2010 Phm
vi hot ng ca quy thuc l c bn l thuc thnh phm.
- i l bn thuc ca doanh nghip c bn ti a bn huyn x ca cc huyn
ngoi thnh, ngoi th i vi cc tnh, thnh ph trc thuc trung ng. Cc c s bn l
thuc thuc doanh nghip thuc cc tnh vng cao, vng su, c gia hn n ht
ngy 31/12/2005 theo thng t s 09/2004/TT-BYT, nu cha dc s i hc, dc s
trung hc chuyn thnh nh thuc hoc quy thuc nhng p ng cc iu kin v c
s thit b theo quy nh v iu kin i vi c s bn l thuc th c tip tc gia hn
ti ht ngy 31/12/2010. Phm vi hot ng ca i l bn thuc l c bn l thuc
thnh phm theo danh mc thuc thit yu.
- T thuc ca trm y t c m ti a bn cc x ca cc huyn ngoi thnh ph,
ngoi th x i vi cc tnh, thnh ph trc thuc trung ng. Phm vi hot .ng ca t
thuc ca trm y t c bn l thuc thnh phm theo danh mc thuc thit yu s dng
cho tuyn y t cp x.
Lu : cc c s bn l thuc khng c bn nguyn liu lm thuc.
2. iu kin kinh doanh thuc :
- iu kin cp giy chng nhn iu kin kinh doanh thuc: c s vt cht k
thut v nhn s phi c trnh chuyn mn cn thit cho hnh thc hiu thuc nh
thuc. Ngi qun l chuyn mn v dc c cp chng ch hnh ngh dc ph
hp vi hnh thc kinh doanh nh thuc.
- iu kin cp chng ch hnh ngh dc: c vn bng, chng ch chuyn mn ph
hp vi tng hnh thc kinh doanh thuc. qua thc hnh t nht 2 nm n 5 nm ti
c s dc hp php i vi tng hnh thc kinh doanh. C o c ngh nghip v
sc khe hnh ngh dc.
- Giy chng nhn iu kin kinh doanh thuc c thi hn hiu lc l 5 nm k t
ngy cp. Thi gian gia hn ti a c php ca giy l 5 nm.

- Giy chng nhn hnh ngh dc c thi hn hiu lc l 5 nm k t ngy cp, thi
gian gia hn ca giy c php ti a l 5 nm,khng hn ch s ln gia hn.
3. Cc tiu chun ca nh thuc cha t chun GPP v t chun GPP
Nh thuc
Cha t chun GPP

t chun GPP

Tiu chun
- Ngi ph trch hoc ch
c s bn l thuc phi c
chng ch hnh ngh dc.(
- Ngi ph trch hoc ch cphi l dc s i hc )
s bn l thuc phi c chng
ch hnh ngh dc.( phi l - Nhn lc phi thch hp
dc s i hc )

v p ng quy m hot
ng.

- Nhn vin phi c vn bng

Nhn s

chuyn mn v dc v thi- Nhn vin phi c vn

gian thc hnh ngh nghip phbng chuyn mn v dc
hp, sc khe khng bi bnhv thi gian thc hnh ngh
truyn nhim, khng b k lutnghip ph hp, sc
cnh co tr ln c lin quankhe khng bi bnh truyn
nhim, khng b k lut
n chuyn mn y dc.
cnh co tr ln c lin
quan n chuyn mn y
dc.
- Ring bit, cao ro, thong
- Ring bit, cao ro, thongmt, an ton, cch xa ngun

Xy dng v thit k

mt, an ton, cch xa ngun nhim, xy dng chc

nhim, xy dng chc chn cchn c trn v tng, nn
trn v tng, nn nh sng d lm v sinh v nh
sng

Din tch ni bn thuc t

Din tch ni bn thuc
ph hp vi quy m kinh
doanh, c khu vc trng
by bo qun, giao tip
Din tch

10m2 tr ln, ph hp vi
quy m kinh doanh, c khu
vc trng by bo qun,
giao tip khch hng. C

phng ra l thuc, phng

khch hng. Ni ra tay
pha ch thuc theo n (nu
dnh cho ngi bn thuc,
c) phi t chun quy nh,
khu vc dnh cho t vn
ni ra tay dnh cho ngi
khch hng v gh ngi
bn thuc, khu vc dnh
ch. C khu vc dnh ring
cho t vn khch hng v
cho nhng sn phm khng
gh ngi ch. C khu vc
phi l thuc.
dnh ring cho nhng sn
phm khng phi l thuc.
- trang thit b bo qun- thit b bo qun
thuc, trnh nhng nhthuc, trnh c nhng
hng bt li.

nh hng bt li i vi
thuc.

- Cng phi c t, quy, k

Thit b bo qun thuc

chc chn, tr nhn, d v- T, quy, gi, k chc

sinh, thun tin cho bychn, trn nhn, d v sinh,
bn, bo qun v m bothun tin cho by bn, bo
qun v m bo thm m.
thm m.
Phi c nhit m k, c h
- Ni bn thuc phi thongthng thng gi v chiu
mt.
sng.

- Phi c ti liu hng

- Phi c ti liu hngdn s dng thuc, cc quy
dn s dng thuc, cc quych dc hin hnh.
ch dc hin hnh.
- Phi c h s, s sch v
- Phi c h s, s sch vhot ng kinh doanh thuc,
hot ng kinh doanh muagm s sch hoc my tnh
bn thuc.
H s, s sch, ti liu
chuyn mn

Xy dng v thc hin cc

c phn mm qun l thuc

tn tr, h s, s sch lu

d liu v bnh nhn,v

quy trnh thao tc chun
hot ng mua bn thuc,
cho tt c quy trnh chuyn
pha ch thuc. Cc h s, s
mn
sch phi lu tr trong thi
- Cc h s, s sch phigian t nht l 1 nm k t
lu tr trong thi gian tkhi thuc ht hn dng. Xy
nht l 1 nm k t khidng v thc hin cc quy
thuc ht hn dng.

trnh thao tc chun cho tt

c quy trnh chuyn mn.

4. Hot ng ch yu ca c s bn l thuc:
a. Mua thuc:
- Ngun mua phi l c s kinh doanh thuc hp php.
- Thuc phi c php lu hnh, bao b cn nguyn vn v c ha n chng t hp
l chng minh ngun gc thuc.
- Khi nhp thuc phi kim tra hn dng, thng tin trn nhn, cht lng thuc v kim
sot thng xuyn trong qu trnh bo qun.
- thuc trong danh mc thuc thit yu dng cho tuyn C.
b. Bn thuc:
- Bn ng thuc, ng gi.
- Bn ng toa, ng s lng m ngi mua cn.
- T vn v cch s dng thuc, cc loi thuc cho ngi mua thuc.
c. Cc bc c bn ca bn thuc:
- Hi ngi mua v bnh v thuc m ngi mua yu cu.
- T vn v la chn thuc, cch dng thuc, hng dn cch s dng thuc bng li v
vit lrn6 bao b ng gi thuc trong trng hp khng c n thuc km theo.
- Cung cp cc thuc ph hp. Kim tra i chiu thuc bn ra vi toa thuc khi giao
thuc cho bnh nhn v tn thuc, hm lng, s lng, chng loi, cht lng thuc
bng cm quan.
d. Cc quy nh v t vn cho ngi mua thuc:
- T vn ng n, m bo hiu qu iu tr.

- Ch t vn, cung cp thng tin v loi thuc khng bn theo n.

- Trng hp cn c s chn on ca bc s, phi t vn cho bnh nhn i khm bc s
vi chuyn khoa thch hp hoc vi bc s iu tr.
- T vn bnh nhn chn loi thuc c gi tr hp l, nht l ngi ngho.
- Khng thng tin, qung co thuc tri quy nh, khng khuyn khch mua thuc nhiu
hn mc cn thit.
e. Bn thuc theo n:
- Ngi bn thuc theo on phi c trnh chuyn mn ph hp vi quy nh ca B Y
T.
- Phi bn ng thuc ghi trong n. Khi pht hin c sai phm hoc nh hng n sc
khe ngi bnh, ngi bn l phi thng bo li cho ngi k n bit.
- Phi gii thch r cho ngi mua v c quyn t chi bn thuc theo n trong cc
trng hp n thuc khng hp l, n thuc c sai st hoc nghi vn, n thuc k
khng nhm mc ch cha bnh.
- Dc s i hc c quyn thay th thuc bng mt thuc khc c cng hot cht, dng
bo ch, cng liu lng khi c s ng ca ngi mua.
-Hng dn ngi mua v cch s dng thuc v nhc nh thc hin ng n thuc.
- Bn thuc gy nghin, phi vo s, lu n thuc bn chnh.
f. Bo qun thuc:
- Thuc c sp xp theo nhm tc dng dc l.
- Bo qun thuc theo yu cu ghi trn nhn thuc.

- Thuc k n c by bn v bo qun ti khu vc ring c ghi r Thuc k n

hoc trong cng mt khu vc phi sp xp ring cc thuc bn theo n, trnh gy nhm
ln
5. Yu cu i vi ngi bn l trong ngnh dc:
a. i vi ngi lm vic trong c s bn l thuc:
- C thi ha nh, lch s khi tip xc vi ngi mua thuc, bnh nhn.
- T vn thng tin cn thit v cch dng thuc cho ngi mua hoc bnh nhn nhm
m bo s dng thuc hp l, an ton v hiu qu.
- Gi b mt cc thng tin ca ngi bnh.
- Trang phc o blu trng, sch s, gn gng, c eo bin ghi r h tn, chc nh.
- Thc hin ng cc quy ch dc, t nguyn tun th o c hnh ngh dc.
- Tham gia cc lp o to, cp nhn kin thc chuyn mn v php lut y t.
b. i vi ngi qun l chuyn mn hoc ch c s bn l:
- Phi thng xuyn c mt trong thi gian hot ng v chu trch nhim trc ph lut
v mi mt hot ng ca c s, khi vng mt phi y quyn cho nhn vin c trnh
chuyn mn tng ng tr ln iu hnh theo quy nh.
- Trc tip tham gia vic bn cc thuc phi k toa, t vn cho ngi mua.
- Lin h vi bc s k n trong cc trng hp cn thit.
- Thng xuyn cp nht cc kin thc chuyn mn, vn bn quy phm php lut v hnh
ngh dc v khng ngng nng cao cht lng dch v cung ng thuc.
- o to, hng dn cc nhn vin v chuyn mn cng nh o c hnh ngh dc.

- Cng tc vi y t c s, cung cp thuc thit yu, tham gia truyn thng gio dc v
thuc cho cng ng v cc hot ng khc.
- Theo di v thng bo cho c quan y t v cc tc dng khng mong mun ca thuc.
c. Cc hot ng i vi thuc b khiu ni hoc thu hi:
- Phi c h thng lu gi cc thng tin, thng bo v thuc khiu ni, thuc khng c
php lu hnh, thuc phi thu hi.
- C thng bo thu hi cho khch hng. Kim tra v trc tip thu hi, bit tr cc thuc
phi thu hi ch x l.
- C h s ghi r v vic khiu ni v bin php gii quyt.
- Nu hy thuc phi c bin bn theo quy ch qun l cht lng thuc.
- C bo co cc cp theo quy nh.
6. Danh mc thuc c php kinh doanh ti Hiu thuc Nh thuc.
- Kem bi da Pesancort.
- Hm lng betamethason valerat.. 1mg, acid fusidic20mg.
- Kem bi ngoi da c tc dng khng khun.

- Kem bi ngoi da Gentri-sone.

- Hm lng betamethasone 0.64mg, Clotrimazole 10mg, Gentamicin sulfate 1mg.
- Kem bi ngoi da c tc dng khng khun

- Thuc nh mt, mi Efticol

- Hm lng natri clorid 0.9%.
- Thuc nh mt mi c tc dng ra mt mi hng ngy.

- Vin nn bao phim Cefucap 250

- Hm lng cefuroxim 250mg.
- Thuc c tc dng khng sinh iu tr vim h hp, vim tai mi hng, vim tit niu.

- Vim si EFFERALGAN 500mg.

- Hm lng paracetamol 500mg.
- Thuc c tc dng gim au, h st.

- Thuc aulakan.
- Hm lng Ginkgo biloba 40mg.
- Thuc c tc dng iu tr ri lon tr nh ngi gi, iu tr tr.

- Thuc Panadol Extra.

- Hm lng Paracetamol 500mg, Codein 65mg.
- Thuc c tc dng gim au, h st khng gy bun ng.

- Vin nn Youngil Captopril

- Hm lng Captoril 25mg.
- Thuc c tc dng iu tr cao huyt p, suy tim.

- Vin bao ng Neurobion

- Hm lng vitamin B6 200mg, vitamin B1 100mg, vitamin B12
200mcg.
- Thuc c tc dng iu tr ri lon thn kinh ngoi vi, diue962 tr ri
lon thiu ht vitamin B1, B6, B12.

- Thuc Cadifixim.
- Hm lng Cefixim 100mg.
- Thuc c tc dng khng sinh

- Thuc Glucofine 500mg.

- Hm lng Metformin hydroclorid 500mg.
- Thuc c tc dng iu tiu ng type II..

- Vin bao ng NEO-CODION

- Hm lng Codein camphosulphonate 25mg, Sulfogaiacol 100mg, cao
mm Grindelia 20mg.
- Thuc c tc dng iu tr ho khan kch thch.

- Vin nn NifeHEXAL retard

- Hm lng Nifedipine 20mg.
- Thuc c tc dng iu tr tng huyt p, au tht ngc

- Thuc Paracetamol codein.

- Hm lng paracetamol 500mg, codein 30mg.
- Thuc c tc dng gim au h st, khng gy bun ng

- Thuc bt Acemuc.
- Hm lng Acetylcysteine 100mg
- Thuc c tc dng iu tr ri lon v dch tit h hp, vim ph qun.

- Thuc nh mt MAXITROL
- Hm lng Neomycin sulfate 3500I.U./ml, polymyxin B Sulfate
6000I.U./ml, Dexamethasone 0.1%.
- Thuc c tc dng khng sinh iu tr vim kt mc cp.

- Thuc Tragutan.

- Hm lng Eucalyptol 100mg, tinh du gng 0.5mg, tinh du tn

0.18mg, mentol 0.5mg.
- Thuc c tc dng iu tr cc chng ho, lm du cn au khi ho.

- Vin nn Bisolvon
- Hm lng Bromhexine 8mg.
- Thuc c tc dng iu tr lm long m trong cc bnh ph qun.

- Thuc Caditadin.
- Hm lng Loratadin 10mg.
- Thuc c tc dng khng d ng khng gy bun ng..

- Vin bao phim Diclofen.

- Hm lng Diclofenac natri 50mg.
- Thuc c tc dng khng vim.

7. Toa thuc:
- Vim hng:
+ Vercef 350mg, 10 vin. Ngy 2 ln, mi ln 1 vin.
+ Efferalgan 500mg, 15 vin. Ngy 3 ln, mi ln 1 vin.
+ Rebacord, 15 vin. Ngy 3 ln, mi ln 1 vin.
+ Dextromethorphan, 10 vin. Ngy 2 ln, mi ln 1 vin.
+ Polaramin 2mg, 10 vin. Ngy 2 ln, mi ln 1 vin.
+ Pecaldex 10ml. Ngy 1 ln, mi ln 1 ng.
- Vim xoang:
+ Voltaren 75mg.
+ Lenmital 100mg, 14 vin. Ngy ung 2 ln, mi ln 1 vin.
+ Anflamin, 21 vin. Ngy 3 ln, mi ln 1 vin.
+ Mg B6, 21 vin. Ngy 3 ln, mi ln 1 vin.
- Vim da do cn trng:
+ Pesancort, 1 tup. Ngy bi 2 ln, sng 1 ln, chiu 1 ln.
+ B.B.Cin 500mg, 14 vin. Ngy 2 ln, mi ln 1 vin.
+ Elcet, 10 vin. Ngy 1 ln, mi ln 1 vin vo bui sng.

- Vim kt mc cp:

+ Maxitrol coll 5ml, 1 chai. Ngy nh 8 ln, mi ln 2 git.

+ Diclofenac 50mg, 10 vin. Ngy 2 ln, mi ln 1 vin.
- Vim ph qun mn n thun:
+ Canoxine 200mg, 14 vin. Ngy 2 ln, mi ln 1 vin.
+ Flenlaxo 60mg, 14 vin. Ngy 2 ln, mi ln 1 vin.
+ Eramux 50mg, 14 vin. Ngy 2 ln, mi ln 1 vin.
- Chn thng sng ti:
+ Choay, 12 vin. Ngy 3ln, mi ln 2 vin.
+ Pamesic, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Ospexin, 6 vin. Ngy 3 ln, mi ln 1 vin.
- Nhc mi:
+ Diclofenac 50mg, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Decontractyl, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Diantavic, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ 3B, 6 vin. Ngy 3 ln, mi ln 1 vin.
- Cm s mi, ho m:
+ Ciprofloxacin, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Pamesic, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Terpincodein-F. Ngy 3 ln, mi ln 1 vin.

+ Geribon, 6 vin. Ngy 3 ln, mi ln 1 vin.

- Ho m ngi ln:
+ Lincomycin, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Metronidazol, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Prednisone, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Terpincodein-F, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Shinosol, 6 vin. Ngy 3 ln, mi ln 1 vin.

- D ng:
+ Prednisone, 6 vin. Ngy 3 ln, mi ln 1 vin.
+ Sagofen, 12 vin. Ngy 3 ln, mi ln 2 vin.
+ Tendigama, 12 vin. Ngy 3 ln, mi ln 2 vin.
+ Cezil, 4 vin. Ngy 2 ln, mi ln 2 vin.
8. Hng dn s dng thuc:
- Nguyn Vn An, 17 tui Nam Hc sinh Vim kt mc.
+ Maxitrol coll 5ml c tc dng phi hp khng sinh v khng vim. Cch dng: ngy
nh 8 ln, mi ln 3 n 5 git.
+ Diclofenac 50 c tc dng khng vim. Cch dng: ngy 2 ln, mi ln 1 vin.
- Trng, 28 tui Nam Cng nhn Vim da do cn trng.

+ Kem bi Pesancort c tc dng khng khun (c corticoid ti ch) iu tr vim khun

ngoi da. Ngy bi 2 ln, trnh s dng lu di trn vng da mt.
+ B.B.CIN 500mg c tc dng khng sinh. Ngy ung 2 ln, mi ln 1 vin.
+ Elcet c tc dng chng d ng, gim nga. Ngy dng 1 ln vo bui sng.
III. Kt lun:
- Thi gian i thc tp gip em nm r c tc dng ca cc hot cht, cch sp xp
thuc theo nhm dc l, tc dng ca cc loi thuc v cch phi hp cc dng thuc
vi nhau trong vic iu tr bnh. ng thi em cng c hiu thm v cch bn thuc,
cch giao tip vi ngi mua, bit thm nhiu bit dc ang lu hnh ngoi th trng,
qua em c trang b thm nhiu kin thc v thuc, bit dc, cc hot cht, cc
dng bo ch ca thuc v cch ng x vi mi ngi. Vn cn tn ti l sinh vin
khng c tip xc vi thuc nhiu hn, vn cn mt s thc mc v vic phi hp
thuc v bn thuc.

Nhn xt ca c s thc tp:

..
Nhn xt ca gio vin hng dn :

Nhn xt ca ngi phn bin:


..

MC LC

I. Tng quan v c s thc tp

.. 3

1. Tng quan v Nh thuc Hiu thuc

2. Vai tr ca Dc s trung cp ti Nh thuc Hiu thuc
II. Kt qu thc tp

. 3

1. Cc hnh thc bn l thuc, a bn m c s bn l thuc, phm vi hot ng

2. iu kin kinh doanh thuc
3. Cc tiu chun ca nh thuc cha t chun GPP v t chun GPP
4. Hot ng ch yu ca c s bn l thuc
5. Yu cu i vi ngi bn l trong ngnh dc
6. Danh mc thuc c php kinh doanh ti Hiu thuc Nh thuc
7. Toa thuc
8. Hng dn s dng thuc
III. Kt lun

.. 20

Nhn xt ca c s thc tp

21

Nhn xt ca gio vin hng dn

22

Nhn xt ca ngi phn bin

23