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Trng trung cp ktkt dc Tu Tnh

Li cm n
Qua qu trnh hc tp ti trng v thi gian thc t ti trm y t x Ho Thch tip xc, tm hiu, hc hi cc kin thc c bn hon thin bn bo co ny l nh s quan tm gip ch o nhit tnh ca cc thy c trng, cng ton th cn b nhn vin trm y t x Ho Thch lun khch l, gp , b xung kin thc, kinh nghim, cung cp s liu, s sch, to iu kin cho em tip xc a bn dn c d iu tra cc vn sc kho. Trong khun kh hn hp v thi gian v cn t kinh nghim v thc t chuyn mn nn bn thu hoch ny cn nhiu thiu st. V vy, em knh mong c s ng gp ca cc thy c gio cng cn b nhn vin trm y t x Ho Thch. ng thi, em knh mong cc thy c chm trc, b qua nhng khuyt im ca em. Vi tm long bit n su sc, em xin chn thnh cm n qu thy c, cng tp th cn b nhn vin trm y t x Ho Thch tn tnh gip em hon thnh bn bo co ny. Em xin chn thnh cm n! H ni, ngy 30 thng 3 nm 2012 Sinh vin thc tp Nguyn Th Minh (8/12/92) Lp dc 3D3

Nguyn Th Minh(8/12/92)3D3[Type text]

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Trng trung cp ktkt dc Tu Tnh

M u
Ngy nay, khi t nc ngy cng pht trin, ngnh y t c ng v nh nc, t chc y t th gii WHO quan tm t trung ng n a phng. Cng tc chm sc sc kho cho ngi dn ngy cng c nng cao. Trm y t x, phng l mt t chc y t c s trong mng li h thng chm sc sc kho quc gia. l ni thc hin chm sc sc kho ban u cho nhn dn. Trm y t x Ha Thch l mt t chc y t c s di s lnh o ca u ban nhn dn x Ho Thch, t lu tr thnh a ch y t tin cy trong long nhn dn a phng. Cng tc chm sc sc kho cho cng ng lun c x cao, ch trng, quan tm hng u. vi i ng cn b tr, nhit tnh, lun t sc kho ca ngi dn ln trn. Trong tri tim mi cn b y t x lun khc ghi li bc dy: lng y phi nh t mu phc v ht mnh v sc kho ca nhn dn. Nh s quan tm, chm sc ca cn b nhn vin trm y t x Ha Thch, thc hin tt cng tc truyn thng gio dc sc kho m dn hiu v chm sc sc kho ca mnh tt hn. Cng tc chm sc sc kho ca nhn dn lun c m bo, pht hin v cha tr kp thi nn y li, khng dch bnh ly lan pht trin. chnh v th, trm y t lun nhn c s quan tm, khen ngi ca cp trn. Vi c m theo hc ngnh y dc chm sc cho bn thn, gia nh v cng ng, em theo hc ngnh dc s ti trng trung cp kinh t k thut dc Tu Tnh. Em c trng gii thiu thc tp y t c s ti Trm y t x Ha Thch. Trong thi gian thc tp ti trm em c hc tp kin thc, kinh nghim thc t chuyn mn. Qua thi gian tm hiu, thc tp ti trm, cng s gip , hng dn ca thy c trong trng v cn b nhn vin trm, em hon thnh qu trnh thc tp v vit bi thu hoch. Bi thu hoch ca em gm c 7 phn: 1. Phn 1: Tm hiu chc nng, nhim v ca trm y t x, t chc b my trm y t x Ho Thch, nhim v ca tng nhn vin y t. 2. Phn 2: chun on cng ng, tm hiu cc vn sc kho, m hnh bnh tt, thc t s dng thuc ca ngi dn trong x.
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3. Phn 3: k hoch hot ng, t chc hot ng ca trm y t x Ho Thch. 4. Phn 4: Cng tc dc tai trm y t, danh mc thuc. 5. Phn 5: tm hiu m hnh vn thuc nam ti trm v mt s bi thuc y hc c truyn c s dng ti a phng cha cc bnh thng thng. 6. Phn 6: mt s biu mu, ti liu ca trm y t x. 7. Phn 7: kt lun

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Phn 1: tm hiu chc nng, nhim v ca trm y t x, t chc b my ca Trm y t x Ha Thch v nhim v ca tng nhn vin y t.
Vit Nam cng nh tn th gii, ngnh y dc lun c vai tr quan trng trong vic bo v v chm sc sc kho con ngi. con ngi l ti nguyn quan trng nht quyt nh s pht trin ca t nc. Sc kho l ti nguyn vn qu nht ca con ngi v ton x hi. Chnh v vy, u t cho sc kho chnh l u t cho s pht trin ca x hi, ca t nc. Chm sc tt cho sc kho con ngi l nng cao cht lng cuc sng cho mi c nhn, mi gia nh v ton x hi. Trong thi k hi nhp, t nc ang xy dng cng nghip ho hin i ho, t nc ta ang pht trin nh hin nay th vic chm sc sc kho cho con ngi ngy cng c ch trng,n tr thnh nhim v quan trng hng u cho ngnh y dc nc nh. I, Khi qut v chc nng v nhim v ca ngnh y-dc. 1, Chc nng. - Thc hin cng tc chuyn mn dc, nghin cu k thut y-dc. Tham gia tp hun, bi dng cn b. - Qun l thuc, ho cht, y c v ch chuyn mn v dc tai trm. - Tng hp kin thc v xut cc vn cng tc y-dc theo phng hng ca ngnh. 2, Nhim v. - Cn c vo chc nng ca ngnh v da trn c s khoa hc chun mn, v lp k hoch pht trin cng tc dc, lp k hoch v nhu cu d tr thuc, ho cht, dng c y t iu tr: - Bo qun t thuc, y c trong trm. - Chp hnh nghim chnh ch chuyn mn v dc. - Hng dn ngi dn s dng thuc, thc hin hng dn, chm sc sc kho, tham gia kin khoa hc k thut v dc theo yu cu iu tr. - Gp phn xy dng cc tiu chun, ch chuyn mn chuyn ngnh.

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- Hng dn tuyn truyn, chm sc sc kho v k hoach ho gia nh cho ton dn theo nh k trong nm. - Nhp thuc v cp pht thuc cho nhn dn. II, Khi qut tnh hnh a l, dn s, t chc b my ca Trm y t x Ha Thch, nhim v ca tng nhn vin y t. 1, S lc a bn thc tp X Ho Thch l mt trong nhng x trung du min ni, nm pha ty huyn Quc Oai, H Ni, gip vi tnh Ho Bnh. Nm bm ng 21A- ng Cu-Ba, do Cu-Ba gip Vit Nam xy dng t nhng nm 70 ca th k trc_ nay l ng H Ch Minh. X c nhiu cng ty, x nghip, nh my, c quan n v ng qun trn a bn nh: c c s ca tng cng ty ch Vit Nam l cng ty ch Long Ph, 2 m khai thc Thng u, nh my sn xut phn vi sinh, c s ch bin thc phm, doanh tri qun i s on 58,..v..v..X Ho Thch gm c 5 thn l Bch Thch, Ho Trc, Thng u, long Ph, Ho Ph. Sau khi sp nhp v H Ni, v tr ca x kh thun li c th quy hoch, pht trin th theo trc ng H Ch Minh sut t Ho Lc ko di 13km ti Xun Mai (huyn Chng M), hai u l hai trng ai hc ln l i hc Quc Gia H Ni v i hc Lm Nghip Vit Nam. Chnh v c v tr a l thun li m nn kinh t ca x ang phat trin, i sng nhn dn ngy cng c nng cao. Vi din tch 18,34 km2, tng dn s 11304, ngh nghip chinh ca ngi dn trong x l nng nghip. Cng tc chm sc sc khe cho nhn dn c m bo, hot ng khm cha bnh t kt qu cao. Trm y t x Ha Thch_ t chc y t c s di s lnh o ca y ban nhn dn x, ni chm sc sc khe ban u cho nhn dn. Trm nm trung tm x, trn tuyn ng lin huyn, ni tp trung ng dn c. Trm c thnh lp nm 1955 vi 3 dy nh cp bn, c s vt cht cn s khai, thiu thn, ngho nn. n 1963 c xy dng li, cc phng chc nng, i ng nhn vin y t c b sung. c s quan tm, u t ca cc cp chnh quyn, nm 2010 trm c xy dng mi vi din tch khun vin 1155 m2 vi hai dy nh hai tng c din tch
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350m2 , 19 phng chc nng: tng 1 c phng trc n h sinh, phng truyn thng gio dc sc khe, phng tiu phu, phng khm ph khoa, phng k hoch ha gia nh, phng sau , phng ch , phng khm, phng tim, phng bnh nhn, phng sn, phng dc; tng 2 c phng trc y bc s, hi trng, hai phng bnh nhn, phng ph trm, phng trng trm, phng dn s. Cc dng c, trang thit b c ti trm:
DANH MC TRANG THIT B Y T TRM Y T X (C bc s)

S TT I 1 2 3 4 5 6 7 8 9 10 11 12 13

Tn trang thit b

n v

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KHM IU TR CHUNG Ging bnh T u ging Bn khm bnh n bn khm bnh Huyt p k ng nghe bnh Nhit k y hc 42Oc My in tim 1 hoc 3 knh My chm cu My siu m chn on loi xch tay My kh dung My ht in My ht p chn ci ci ci ci ci ci ci ci ci ci ci ci ci 10 5 2 3 4 4 10 1 2 1 1 1 1
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S TT 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Tn trang thit b Knh hin vi Ba th phn x Bp bng ngi ln Bp bng tr em Bn tiu phu B dng c tiu phu B dng c ra d dy Cn trng lng 120kg c thc o chiu cao li thp khng g Bn dng c Cng tay Cng y Xe y cp pht thuc T ng thuc v dng c Khay qu u 825mlthp khng g Khay qu u 475mlthp khng g Khay ng dng c nng Khay ng dng c su Hp hp bng gc hnh trng 24cm Hp hp dng c c np

n v ci ci ci ci ci b b ci ci ci ci ci ci ci ci ci ci ci ci ci

Slng 1 1 2 2 1 2 1 1 8 2 1 1 1 2 2 2 4 4 4 4
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S TT 34 35 36 37

Tn trang thit b Bt ng dung dch 600ml, thp khng g Thng nhm ng nc c vi Cc ng dng dch 500ml c chia Bm tim dng mt ln 2 ml (c s ban u) - dng theo nhu cu Bm tim dng mt ln 5 ml (c s ban u) - dng theo nhu cu Bm tim dng mt ln 10 ml(c s ban u) - dng theo nhu cu Bm tim dng mt ln 20 ml(c s ban u) - dng theo nhu cu Kp phu tch 1x2 rng, di 200mm Kp phu tch khng mu, 140mm Kp Korcher c mu v kho hm Kp phu tch thng kiu Mayo Ko thng, nhn 145mm

n v ci ci ci ci

Slng 2 2 2 50

38

ci

100

39

ci

100

40 41 42 43 44 45

ci ci ci ci ci ci

50 2 4 2 4 4
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S TT 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67

Tn trang thit b Ko thng t 145mm Ko cong nhn/nhn 145mm Ko thng nhn/t 145mm Ko cong t 145mm Ko ct bng gc Kp kim Mayo 200mm Cn dao s 4 Li dao m s 21 - hp 5 li n Clar Gi treo dch truyn n pin B trn Vt i n Vt i nam Thng tiu nam, n cc loi Bc tho tht, dy dn Ti chm nng lnh Gh u quay Cc thu tinh chia Cc b np chn, tay Garo cho tim truyn v garo cm mu ... Bng y t

n v ci ci ci ci ci ci ci ci b

Slng 2 3 3 3 3 2 2 2 1

ci ci ci ci ci ci ci ci ci b ci gi

2 2 2 2 20 1 2 2 2 5 10 10
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S TT 68 69 II 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 III

Tn trang thit b Bng vt thng y t Xoong luc dng c

n v cun ci

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CHUYN KHOA TMH - RHM - MT B khm ng quan + n treo trn Kp ly d vt tai Loa soi tai Kp ly d vt mi Km khm mi Gh rng n gin Km nh rng tr em Km nh rng ngi ln By rng thng By rng cong B ly cao rng bng tay Bm tim nha khoa B khm (khay qu u, gng, gp) B dng c hn rng su ng n gin Bng th th lc Knh lp 2 mt Kp ly d vt trong mt ci ci b 3 cI ci ci ci ci ci ci ci b ci b b ci ci ci 1 1 1 2 1 1 2 2 5 5 2 1 2 2 1 1 2

XT NGHIM
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S TT 87 88 89 90 91 92 IV 93 94 95 96 97 98 99 100 101 102 103 104

Tn trang thit b My xt nghim sinh ho (n gin) My xt nghim huyt hc (n gin) My xt nghim nc tiu (n gin) T lnh 150 lt My ly tm nc tiu My ly tm

n v ci ci ci ci ci ci

Slng 1 1 1 1 1 1

KHM IU TR SN PH KHOA - Bn khm ph khoa M vt c nh, thp khng g M vt c va, thp khng g Van m o cc c Kp gp bng gc thng 200mm Kp cm mu thng, thp khng g Ko cong 160mm thp khng g Khay qu u, thp khng g Thc o t cung Thc o khung chu Kim khu 3 cnh, 3/7 vng Gng m c 6,5 v 7 ci ci ci ci ci ci ci ci ci ci ci 1 2 2 2 2 2 2 1 1 1 2 30
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S TT 105 106 107 108 109 110 111 112 113 114 115 116

Tn trang thit b Thng nhm c vi, 20 lt Bm tim dng mt ln 2 ml Bm tim dng mt ln 5 ml Kp ly vng Kp c t cung 2 rng, 280mm, thp khng g B dng c ht thai 1 van + ng ht s 4, 5, 6 Chu tm tr em 25 lt Bng huyt p k tr em Qu bp tho tht Bu nh git Bng ht nht mi tr s sinh + ng ht nht Kp cm mu thng loi Korcher-Ochner, thp khng g 160mm Bn thp khng g Thc dy 1,5 mt Thc o khung chu ng nghe tim thai Bm ht sa bng tay Ko ct tng sinh mn 200mm Kim khu c t cung

n v ci ci ci ci ci ci ci ci ci ci ci ci

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117 118 119 120 121 122 123

ci ci ci ci ci ci ci

1 1 1 1 1 2 2

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S TT 124 125 126 127 V 128 129 130 131 132 133 134 135 136 VI 137 138 139 140 141 142

Tn trang thit b Ch khu loi khng tiu Balon xy hoc Bnh xy xch tay c ng h Ch Catgut No. 2 Cn tr s sinh 15kg

n v gi ci gi ci

Slng 10 2 5 1

DNG C DIT KHUN Ni hp p lc 18 lt in than Ni luc dng c in Xoong luc dng c Ni luc dng c un du T sy in c nh Kp dng c sy hp Chu thp khng g - dung tch 6 lt Chu nha 10 n 20 lt X ng 12 n 15 lt ci ci ci ci ci ci ci ci ci 1 1 4 1 1 2 1 4 4

THIT B THNG DNG My bm nc in Loa phng thanh cm tay My vi tnh + My in My thu hnh (Tivi) in thoi Bn lm vic ci ci b ci ci ci 1 1 1 1 1 4
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S TT 143 144 145 146 Gh

Tn trang thit b

n v ci ci ci ci

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Gh bng T ng ti liu Bng en

Trm c t thuc thit yu, t thuc cp pht. Cc t thuc u l t knh c kha cn thn. Vi t thuc c, thuc hng thn, t thuc c ring, ghi r v kha chc chn. C cc gi k xp cc dng c y t c xp ng trnh t, ngn np, d thy, d ly. Xung quanh nh trm y t c vng thuc nam v trng cy xanh to khng kh trong lnh,mt m. y ban nhn dn x lun ch trng chm sc sc khe cho nhn dn, u t xy dng trm khang trang, rng ri, sch s, c s vt cht, dng c y thit b y t y . i ng cn b cng nhn vin ng , trnh chuyn mn, nng lc cao, lun ht lng phc v, chm sc sc khe cho nhn dn. Tri qua qu trnh pht trin lu di, vi s c gng phn u ca nhn dn, cc cp chnh quyn, y ban nhn dn x cng i ng cn b trm, trm y t x pht trin c v cht v lng, c s vt cht khang trang, cc hot ng chm sc sc khe t kt qu cao. Chnh v vy m Trm y t x Ha Thch dt chun trm y t t chun quc gia t nm 2006 v lun nhn c s quan tm v khen ngi ca cp trn. 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 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 ngi dn lun t kt qu cao. 2, Chc nng, nhim v ca trm y t x

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Trm y t x l n v k thut u tin, l t chc y t c s trong mng li chm sc sc khe quc gia, chu s qun l, lnh o ca cc c quan nh nc teo quy nh ca php lut_y ban nhn dn x. Trm y t x c chc nng qun l nh nc v y t v trc tip chm sc sc khe ban u cho nhn dn trn a bn vi nhim v nh sau: 1. Lp k hoach v la chn chng trnh u tin v chuyn mn y t trnh ln y ban nhn dn x, bo co vi phng y t v t chc trin khai thc hin. 2. Pht hin v bo co kp thi cc dch bnh ln tuyn trn. Gip chnh quyn a phng thc hin cc bin php v cng tc v sinh, phng chng dch bnh. Gi gn v sinh cng ng, ng lng, ng xm, tuyn truyn thc sc khe cho mi i tng ti cng ng. 3. Tuyn truyn, trin khai thc hin cc bin php chuyn mn v bo v sc khe ngi m, tr em, k hoch ha gia nh, bo m vic qun l thai, khm thai v thng cho sn ph. 4. T chc s cu ban u, khm cha bnh thng thng cho nhn dn ti trm y t v m rng n h gia nh. 5. T chc khm sc khe v qun l sc khe cho i tng trong khu vc mnh ph trch, tham gia khm tuyn ngha v qun s. 6. Xy dng t thuc, hng dn s dng thuc an ton,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. 7. 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 ca n v mnh ph trch. 8. Bi dng kin thc chuyn mn, k thut cho cn b y t thn xm v nhn vin y t cng ng. 9. Tham mu cho chnh quyn x v trng phng y t huyn, ch o cc ni dung chm sc sc khe ban u v t chc thc hin nhng ni dung chuyn mn thuc cc chng trnh trng im y t ti a phng.

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10.Pht hin bo co y ban nhn dn x v cc c quan y t cp trn cc hnh vi, hot ng y t phm php trn a bn, kp thi ngn chn x l. 11.Kt hp cht ch vi cc on th qun chng, cc c quan ban ngnh trong x tuyn truyn v cng t chc thc hin cc ni dung chm sc sc khe cho nhn dn. 3, Chc trch ngi thy thuc ti tuyn y t x. a Nhim v chung - Lun ch n cng tc v sinh phng bnh, tuyn truyn, gio dc nhn dn thc hin v sinh phng bnh, nng cao trnh hiu bit v y hc thng thc cho nhn dn. - Khi trong x c dch bnh xy ra phi c k hoch bao vy, dp tt dch bnh, bo co kp thi ln cp trn. - Y s cng n h sinh t k hoch bo v BMTE trong x theo ch o ca cp trn. - Y s phi c trch nhim trong cng tc thng k c ti liu phc v cng tc nghin cu, bo co ln trn chnh xc v lu tr ti x. - Y s phi ch n cng tc dc, c th l: t k hoch duy tr t thuc v t thuc cp cu ti trm, hng dn v ng vin nhn dn trong x s dng thuc an ton hp l. - Y s phi nghin cu cc k hoch phng h cho nhn dn lao ng. ng gp kin vic bo v sc khe hc sinh cho cc trng hc trong x v bit s dng hc sinh vo vic tuyn truyn v sinh phng bnh. - C trch nhim n c kim tra v gip k hoch cho cc cn b chuyn trch khc (y t thn, cng tc vin dn s, cng tc vin phng chng xut huyt). b Nhim v iu tr - Chu trch nhim chnh trong cng tc khm bnh, thm khm thai, cho nhn dn. - Pht hin sm, x l s b v kp thi cc trng hp cp cu. Sau ty theo tnh hnh c th gi li iu tr hoc chuyn ln tuyn trn.
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- iu tra, nm bt tnh hnh dch bnh ti x. - Pht hin c k hoch iu tra cc bnh truyn nhim x hi. - Hng dn cho nhn dn cch dng cc thuc thng thng, cch trng, thu hi, s dng thuc nam. - Khi cha bnh phi kt hp c thuc tn dc v ng dc. - Nu l trm trng th phi lm nhim v lnh o trm y t. 4, T chc b my trm v nhim v ca nhn vin y t Trm y t x Ha Thch chu s qun l ch o gim st ca trung tm y t huyn Quc Oai v chuyn mn nghip v, kinh ph, nhn lc y t v chu s qun l ca y ban nhn dn x Ha Thch trong cng tc chm sc bo v sc khe cho nhn dn. Trm trng trm y t x Ha Thch c b phiu tn nhim, sau gim c s y t H Ni k quyt nh b nhim. Trm y t x Ha Thch c 10 cn b nhn vin trm, cng nm cn b y t thn trong c 10 cn b bin chc v 5 cn b hp ng bao gm cc chc danh chuyn mn v ngi ph trch tng cng vic cu th nh sau: 1. Trm trng: bc s Phng Vn Vin. Ngi lnh o trm y t, chu trch nhim trc cp trn, thc hin cc nhim v sau: - Lp k hoach 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. - Tham gia 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 a bn. - Xy dng quy ch hot ngca 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. - Trc tip thc hin nhim v chuyn mn v t chc trin khai thc hin cc quy ch chuyn mn ti trm y t.
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- Phn cng cc nhn vin y t thuc trm qun l, thc hin cc chng 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 - Qun l ch o y t thn xm 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. - Hun luyn, bi dng chuyn mn nghip v cho y t thn xm. - 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. - 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 sch khc theo quy nh, quy ch hin hnh. - Tham mu cho y ban nhn dn x qun l hnh ngh y dc t nhn trn ton x. - Qun l c s vt cht, ti sn, y dng c, thuc cha bnhca trm y t - Qun l ti chnh thu, chi ca trm theo quy nh. - Tip nhn, qun l cng vn ti liu. - 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. - Tham gia cc cuc hp v cc cng vic khc khi c giao. 2. Ph trng trm: y s a khoa Ngc Ln c nhim v v ph trch chng trnh y t Quc Gia nm 2012: - Ph trch ch o chung trm y t. - Ph trch chng trnh phng chng HIV/AIDS - Ph trch truyn thng gio dc sc khe. - Ph trch duy tr chun quc gia v y t x - Nng cao cht lng y t c s - Ph trch chun I 3. Y s sn nhi: Bi Th Dung c nhim v:
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- Khm cha bnh, thng trc cp cu theo phn cp, c trm trng giao. - Tham gia khm thai, thng, theo di qun ly thai sn, lm cc th thut chuyn mn c phn cp. - Qun l theo di, thc hin chm sc chng trnh chm sc sc khe b m tr em nh sc khe sinh sn, phng chng suy dinh dng, phng chng tiu chy,tim chng m rng. - Tham gia truyn thng bo v sc khe cng ng. - Thc hin dich v k hoch ha gia nh c phn cp. - Ghi chp thng k s liu theo biu mu nhng vic c giao bo co trng trm tng hp. - Ph trch chng trnh phng chng dch, an ton v sin thc phm. - Phng chng st xut huyt, st rt - Ph trch thn Long Ph, chun II, chun III. 4. Y s a khoa: Nguyn Vn C c nhim v: - Ph trch dc, cung ng thuc, s dng thuc an ton hp l. - Ph trch xt nghim, cn lm sang. - Ph trch cc ri lon do thiu iod - Ph trch kt hp qun dn phng chng thm ha, thin tai - T trng cng on - Ph trch gim st dch nm 2012 G Da, Bc, Bng Rui thn Bch Thch. 5. N h sinh trung hc: V Th Ngha c phn cng nhim v: - Khm cha bnh, thng trc cp cu theo phn cp, c trm trng giao. - Tham gia khm thai, thng, theo di qun ly thai sn, lm cc th thut chuyn mn c phn cp. - Qun l theo di, thc hin chm sc chng trnh chm sc sc khe b m tr em nh sc khe sinh sn, phng chng suy dinh dng, phng chng tiu chy,tim chng m rng. - Tham gia truyn thng bo v sc khe cng ng. - Thc hin dich v k hoch ha gia nh c phn cp. - Phng chng cc bnh ly qua ng tinh dc.
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- Phng chng ri lon do thiu vitamin A - P trch thu chi ti chnh ca trm. - Ph trch lng vn ha sc khe - Ph trch thn Thng u, chun V, chun VI. - Gim st dch thn Thng u. 6. N h sinh trung hc: ng Th Long ph trch: - Khm cha bnh, thng trc cp cu theo phn cp, c trm trng giao. - Tham gia khm thai, thng, theo di qun ly thai sn, lm cc th thut chuyn mn c phn cp. - Qun l theo di, thc hin chm sc chng trnh chm sc sc khe b m tr em nh sc khe sinh sn, phng chng suy dinh dng, phng chng tiu chy,tim chng m rng. - Tham gia truyn thng bo v sc khe cng ng. - Thc hin dich v k hoch ha gia nh c phn cp. - Phng chng cc bnh ly qua ng tinh dc. - Ph trch y t hc ng, y t lao ng, mi trng. - Phng chng bnh di, da liu, m la - Khi phc vn thuc nam, a y hc c truyn dn tc cng ng. - Tng hp bo co chung ca trm. - Ph trch thn Ha Ph, chun IV, chun IX. - Ph trch gim st dch xm 3,4 thn Ha Ph. 7. iu dng trung hc: Nguyn Vn Dng c nhim v: - Thc hin mnh lnh ca y, bc s v chm sc bnh nhn ti trm - Thc hin quy trnh v sinh chng nhim khun ti trm. - Tham gia tuyn truyn gio dc sc khe cng ng. - Ghi chp thng k biu mu nhng vic c giao bo co trng trm tng hp. - Ph trch chng trnh tim chng m rng. - Ph trch chng trnh bo v sc khe tm thn cng ng - Ph trch phc hi chc nng ua vo cng ng - Chm sc ngi cao tui - Ph trch thn Ha Ph, chun VIII.
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- Gim st dch t i 1 n i 5 thn Bch Thch. 8. Y s a khoa: Nguyn Quang Huy( cn b hp ng TTYT) - Ph trch cng tc khm cha bnh cng ng ch Dung. - Ph trch nng cao cht lng chm sc sc khe ngi bnh. - Phng chng tai nn thng tch. - Phng chng bnh tiu ng, cao huyt p, bnh K. - Phng chng tiu chy, nhim khun h hp cp tnh. - Gim st dch i 4 ln so_Thng u. 9. Bi Th Hi: cn b hp ng x: gim st dch t i 6 n i 8 thn Bch Thch. 10.Phng Th Hng: y t thn Bch Thch, gim st dch oi 9,10 xm mi thn Bch Thch. 11.Phng Thanh Lun: cn b hp ng x: gim st dch t xm 1 n xm 3 thn Ha Trc. 12.Phng Th Minh: cn b hp ng x: ph trch gim st dch xm 46 thn Ha Trc. 13.L Th Thng: y t thn Ha Ph: ph trch gim st dch xom 1,2 thn Ha Trc. 14.V Th Ngc: y t thn Long Ph: ph trch gim st dch xom 1-3 thn Long Ph. 15. Vn Trng:cn b hp ng x, ph trch gim st dch t xm 4-6 thn Long ph.

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Phn II: Chun on cng ng, tm hiu cc vn sc khe, m hnh bnh tt, thc t s dng thuc ca ngi dn trong x
X Ha Thch l vng bn sn a, giao thng thun tin, nhiu tuyn ng giao thng quan trng huyt mch bc qua a bn x c bit l ng H Ch Minh. Ni c nhiu c quan n v ng qun trn a bn, l x tp trung nhiu cng ty, x nghip, m hnh trang tri chn nui,..v..v.V vy x chu s nhim t nc thi, khi bi t cc nh my,nht l vo ma nng, khi b t cc phng tin vn ti, cc cht thi sinh hot v sn xut. Hn na hot ng thng mi,giao lu trao i,bun bn kh si ni. l cc yu t thun li cho nhiu dch bnh xy ra, c 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 nn trong nhng nm qua dch bnh c dp tt, khng ly lan,pht trin. Qua tham kho s sch ti trm v s ng gp kin ca cn b y t trm, em chn thn Thng u 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 ngi dn. I, S lc v thn Thng u Thng u l thn nm pha ty x Ha Thch, l a bn gip danh vi a hnh i ni, c c s ca m khai thc , nh my sn xut phn vi sinh, nhiu trang tri chn nui ln,..v..v.nn hot ng giao lu bun bn, thng mi nhn nhp, hn na li nm cnh tuyn ng H Ch Minh nn tnh hnh giao thng tp np, lu lng xe qua li ln. Tng dn s ton thn 2151 ngi, tng s h 486 h, s tr em di 5 tui l 279 chu. II, Tm hiu cng ng thu thp ch s 1, thi gian thc tp 6/3-30/3/2012 2, i tng tm hiu: tm hiu ngu nhin 10 h gia nh trong thn v v sinh thn xm. 3, phng thc thc hin
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o Thu thp cc thng tin t s sch, bo co v thng tin t nhn vin y t o Quan st h gia nh: nh , ngun nc sinh hot, nh v sinh, x l rc thi sinh hot m hnh VAC. o Phng vn h gia nh: ni dung ch yu vo cc vn v sinh n ung, v sinh thc phm, x l rc thi, tim chng cho tr em di 5 tui, s dng thuc an ton hp l, p dng bin php k hoch ha gia nh, tnh hnh dch bnh v mt s vn khc. 4,kt qu: qua quan st tm hiu em thu c mt s vn sau: - Nh : nhn chung v sinh nh ca ca cc h iu tra l tt - Ngun nc sinh hot cc h u c ging khi, c b lc hp v sinh t 100% - Nh v sinh hp v sinh:qua kho st 10 h gia nh th c 8 h c nh v sinh t hoi, s cn li cha c iu kin xy t hoi. - X l rc thi: c 4 h co h rc, cc h cn li thu gom vo bao sau vt ra khu t trng, bi tp kt rc. - V sinh n ung: trong 10 h c tm hiu c 2 h s dng nc ng bnh ung, cc h cn li ung nc ging un si. Ra tay trc khi n v chun b nu n, i din 8 h tr li l khng. - Tim chng m rng c 19 tr em trong tng s 10 h u c tim chng y . - Tnh hnh dch bnh: do mng li y t thn x lm tt cng tc phng chng dch bnh nn mc d c im ca a phng (gip i ni l ni d xy ra dch st rt, ri nhiu nh my x nghip, c s sn xut kinh doanh, trang tri chn nui, hot ong gaio thng tp np,) c nhiu diu kin thun li, tim n nguy c cao dch bnh bng pht nhng do cng tc phng chng dch tt nn t u nm ti nay trong thn khng pht hin dich bnh no ly lan, pht trin. Ngy 16/3/2012 ton th nhn vin trm y t tin hnh chin dch tm mn, ly mu xt nghim k sinh trng st rt ti a bn thn nhng khng pht hin trng hp no c k sinh trng st rt.
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- S dng thuc an ton hp l: qua phng vn 20 ngi dn trong cc h, tm hiu v vic dng thuc khi au bnh (cm st, au u, nhc mi,) c 12 ngi tr li ch ung theo n khm bnh, s cn li mua thuc ti tim thuc ty v ung, ch i khm khi ung thuc 2-3 ngy m cha ht bnh. - Vn dn s, k hoch ha gia nh: qua kho st 10 h th c 8 h co b m thc hin bin php t vng, 1 b m dng thuc trnh thai, v mt b m khng s dng bin php trnh thai no. Hn na t l sinh con th 3 thn x cn kh cao. 5, Ch s thu thp Stt 1 2 3 4 5 6 7 Ch s thu thp S dng ngun nc ging c b lc 10/10 h S h khng c nh v sinh t hoi 2/10 h X l rc thi chua t tiu chun 6/10 h V sinh n ung, khng ra tay trc khi n 8/10 h Tim chng m rng y 19/19 tr S dng thuc khng theo n p dng bin php trnh thai T l 100% 20% 60% 80% 100% 40% 90%

6, bng xc dnh vn sc khe im 3: im rt r rng 2: im r rng 1: c thc khng r lm Tiu chun xc nh vn sc khe Phng chng dch X l rc thi Dn s V sinh k hoach n ha gia ung,ra nh tay trc khi n 3 2 3 2
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Cc chi s biu hin vn Cng ng bit tn v c

3 3

2 2

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phn ng c hot ng ca nhiu ban ngnh on th Ngoi cn b y t c mt nhm ngi thng tho vn Tng cng Tiu chun xt u tin

3 2

3 2

3 2

2 2

11

11

7, T cc vn sc khe trn, em la chn cc vn sc khe u tin Phng chng dch X Dn s V sinh l k n rc hoch ung,ra thi ha gia tay nh trc khi n 3 3 3 3 2 2 2 2 2 3 3 2 2 2 15 3 2 13 2 2 13

Mc ph bin ca vn Gy tc hi ln nh hng n lp ngi kh khn c k thut, phng php gii quyt Kinh ph ph hp Cng ng sn sng tham gia gii quyt Tng cng

3 3 3 3 3 3 18

nh gi: u tin 1: phng chng dch bnh u tin 2: dn s, k hoch ha gia nh u tin 3: x l rc thi u tin 4: v sinh n ung, ra tay trc khi n III, Tm hiu m hnh bnh tt Sau thi gian thc tp ti trm y t x Ha Thch, em c tip xc vi nhiu bnh nhn khc nhau. Tnh hnh bnh tt ca bnh nhn ph

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thuc rt nhiu vo cng tc chm sc sc khe, iu kin mi trng, kinh t, vn ha x hi, chnh tr, tp qun, - Vic xc nh m hnh bnh tt l c s koa hc gip cho cng tc phng bnh, xy dng k hoach cp cu v iu tr gip h thp ti a tn sut mc bnh v t l t vong. - i tng tm hiu: tt c bnh nhn n khm v iu tr ti trm y t x t nm 2011 n 2/2012. - Phng php nghin cu: hi cu tt c h s bnh n ca trm t nm 2011 n thng 2/2012 - Tng s bnh nhn: 4897 Nhm bnh Bnh dch Tn bnh St rt St xut huyt del Tay chn ming St pht ban Vim amidal (chu yu tr em) Vim phi Tiu chy Bnh da liu: l nga, m ay,.. Chn thng do tai nn giao thng, lao ng, sinh hot,.. Hi chng c, vai tay,.. Hi chng tht lng hng Hi chng suy nhc thn kinh suy nhc c th Hi chng ri lon tin nh au mt S ca 3 5 5 9 1273 1034 498 107 276 T l 0,06% 0,1% 0,1% 1,8% 39% 21% 10% 2,2% 5,6%

Bnh ni khoa

Bnh ngoi khoa

Bnh v thn kinh

45 51 375 39

0,92% 1% 7,7% 0,8%

Bnh v chuyn -

15

0,03%
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khoa rng hm mt, tai mi hng Bnh ph khoa

- Vim kt mc - Vim chn rng, vim li - Vim nhim ng sinh dc - Ri lon kinh nguyt

67 262 769 64

1,4% 5,4% 15,7% 1,3%

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Phn III: k hoch hot ng, t chc hot ng ca trm y t x Ha Thch


I, k hoch phng bnh nm 2012 - Chng trnh phng chng HIV/AIDS - Truyn thng phng chng HIV/AIDS cho ph n mang thai, ph n c nguy c cao v ph n tui sinh . - Trin khai l pht ng thng phng chng HIV/AIDS. - Chng trnh dinh dng: cn o tr em di 5 tui b suy dinh dng hng thng ( thng 1, 2, 4, 5, 7, 8, 10, 11), cn o tr em di 2 tui hng qu ( I, III, IV). - Chng trnh y t hc ng: khm sc khe cho hc sinh trng mm non, tiu hc, trung hc c s nm hc 2012-2013 (1500 hc sinh) thng 10. - Chng trnh phng chng m la thng 3. - Khi phc vn thuc nam: 12 thng. - Chng trnh v sinh an ton thc phm: truyn thng kim tra, gim st: thng 1, 4, 9. - Chng trnh truyn thng gio dc sc khe: thng 4, 11. - Chng trnh phng chng ri lon do thiu iod: thng 10. - Phng chng st rt: thng 3. K hoch cng tc thng 1 nm 2012 ca trm y t x Ha Thch. Tun Tun 1 ngy 2-8 Ni dung cng vic t - Ch ng gim st cht ch dch bnh ma ng xun cc thn ( nh t, tay chn ming, cm AH5N,..) - Ch ng lp k hoch kim tra, gim st v sinh an ton thc phm trong dp tt nguyn n v ma l hi 100% c s sn xut kinh doanh. - Ch ng lp k hoch phc v sc khe nhn dn trong dp tt nguyn n (trc 2/24h, y c s
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Tun 2 t 915

Tun 3 t 1622 Tun 4 -

thuc, trang thit b. T chc tim chng m rng thng xuyn cho tr em v ph n c thai thng 1/2012 T chc tim chng dch v cho i tng np tin. Vit bi truyn thng v v sinh an ton thc phm, phng chng dch gi v i truyn thanh ca x pht trc trong v sau tt nguyn n. T chc tng kt y t, dn s nm 2011 (y ban nhn dn x t chc ch o). Chun b kinh ph mua qu tt v cp ch tt cho cn b, cng nhn vin chc trm y t. T chc on th kim tra v sinh an ton thc phm trn a bn. Phn cng cn b trc tt nguyn n mi kp 2 ngi trc 24/24h. T chc tng v sinh mi trng trm y t trc khi ngh tt. Cn b ph trch dc trong dip tt hng ngy kim thuc v bn giao cc kp trc, b sung thuc hng ngy. T chc tt trng cy: mi cn b trm y t v y t thn trng cc loi cy lm thuc vo vn thuc nam ti trm. Cc ng ch ph trch cc chng trnh tng hp bo co trong thng gi v trung tm y t theo quy nh.

II, Cc hot ng y t ca trm y t x Ha Thch 1, t chc hot ng chuyn mn c s quan tm ch o ca trung tm y t huyn Quc Oai, s h tr v chuyn mn ca cc trung tm chuyn khoa, cng s on kt

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thng nht ca n v quyt tm hon thnh cc ch tiu, k hoch chuyn mn do cp trn giao. Tp th n v lun c gng hon thnh cng tc, chp hnh mi ch trng, chnh sch ca ng v nh nc ra, gng mu chp hnh s phn cng ca cp trn, ni quy, quy ch ca n v v ngnh, thc hnh tit kim chng lng ph. C tinh thn hc tp chuyn mn, nghip v, chnh tr, tham gia y cc t thc tp chuyn mn, nghip v nng cao trnh nng lc p ng yu cu nhim v ngy cng cao. 2, T chc hot ng cc chng trnh mc tiu y t quc gia, v chng trnh khc. Trm y t x 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. 2.1, 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. Nm 2011 t 4236 ca, 3 thng u nm 2012 t 661 ca. 2.2, Hot ng chm sc sc khe sinh sn Chm sc sc khe sinh sn l mt chin lc Quc gia m hin nay ang c ng v Nh nc rt quan tm v ch trng. c bit cn quan tm n sc khe sinh sn ca ngi ph n la tui sinh v thin chc cao qu nht ca ngi ph n m to ha ban tng l mang thai v sinh con. Tuy nhin lm tt thin chc ca mnh ngoi trch nhim thing ling ca tnh mu t ngi ph n cn phi c nhng kin thc c bn v chm sc sc khe sinh sn cho bn thn mnh. Lm th no sinh cho mnh, cho gia nh, cho x hi mt a con thng minh khe mnh th ngay t khi bt u c thai, i khm thai l vic lm cn thit ngi m bit c sc khe ca m c m bo tt
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cho s pht trin ca con hay khng, bit cch t chm sc bn thn v sc khe c cc can thip kp thi khi cn thit. Trong qu trnh mang thai, ph n c thai nn i khm thai nhiu ln, ti thiu phi c khm 03 ln trn 03 k thai nghn. Quan trng nht l khm thai trong ba thng u, giai on ny c nh hng quyt nh n cuc i a tr v l giai on hnh thnh thai nhi. Th nhng khng phi b m no cng nhn thc c nh vy nn vic i ng k qun l thai sm trong ba thng u l rt t, hu nh khi c thai c 04 n 05 thng thm ch 06 n 07 thng mi n trm y t khm thai v tim phng un vn cho m v con. y l tnh trng khin cn b Trm Y t x lun trn tr. Cc thn u c mt cn b y t thn ph trch, l iu kin thun li cho Trm Y t trong vic thc hin nhim v c giao. lm tt cng tc chm sc sc khe sinh sn,ngay t u nm, Trm Y t ch ng lp k hoch, ln danh sch i tng ph n trong tui sinh , i tng no mi kt hn, i tng no mi c mt con vn cn tip tc sinh ca tng thn giao cho y t thn ph trch. ng thi lp k hoch c th cho hng tun, hng thng, hng qu v truyn thng t vn v bi dng kin thc k nng t vn cho y t thn. T chc giao ban vi y t thn, trin khai k hoch kim tra sc khe, tuyn truyn v chm sc sc khe sinh sn ti h gia nh kt hp iu tra i tng ph n c thai, vn ng h i ng k qun l thai sm trong ba thng u. C th nm 2011, vit c 18 bi tuyn truyn v pht trn h thng truyn thanh ca x mi tun pht mt ln; t chc truyn thng t vn ph n c thai c 03 bui ti Trm Y t vi tng s 172 lt ngi tham gia; Phi kt hp vi cc ban ngnh on th, thn xm t vn truyn thng lng ghp c 12 bui cho 620 lt ngi nghe v kin thc chm sc SKSS; 100% ph n c thai c ti c s y t do cn b c chuyn mn , khng sy ra tai bin g do sai st v chuyn mn; c bit l cng tc qun l thai sm trong ba thng u th tng r rt nm 2012 vi 99 ph n c thai th c 76 ph n c qun l thai sm trong ba thng u t 76,8% tng 25,2% so vi nm 2011
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Kt qu trn nh du mt bc thay i v hnh vi nhn thc ca ch em ph n trong tui sinh v cng l c mt qu trnh vn ng ca i ng lm cng tc y t x Ha Thch. duy tr v lm tt hn na cng tc chm sc sc khe sinh sn ni chung v qun l thai nghn trong ba thng u ni ring cho nhng nm tip theo, Trm Y t x Ha Thch s lm tt cng tc chuyn mn nghip v, nng lc qun l, k nng truyn thng, t vn. Phi kt hp cht ch vi cc ban ngnh on th, a dng ha cc loi hnh truyn thng c hiu qu a cng tc chm sc sc khe sinh sn c bit l cng tc qun l thai sm trong ba thng u ca x Ha Thch ngy mt tt hn. 2.3, sinh k hoch Nm 2011, Ban dn s k hoch ha gia nh t chc khm ph khoa cho 362 lt ngi; t vng trnh thai cho 78 lt ngi/93 ch tiu t 84%k hoch c giao; Bao cao su 89/86 = 103% k hoch; Thuc ung trnh thai: 100/92 = 109% k hoch; Tim thuc trnh thai 6/5 = 120% k hoch; 3 thng u nm 2012 trm thc hin t vng 10 ca. 2.4, Tim chng m rng - tr em MD v PNCT c phng un vn s sinh t 100% nm 2011, tr em c tim chng 3 thng u nm 2012 y t 35%, tim chng BCG t 375, UV2 t 42%. - T chc tim chng dch v cc loi rubella, quai b, si, vim gan b. - Trm m bo cung ng vacxin y , khng c tai bin xy ra, khng pht hin tr em mc cc bnh trong chng trnh TCMR. 2.5, Hot ng phng chng suy dinh dng cho tr em di 5 tui - ton x c 1346 tr <5 tui s tr suy dinh dng 3 thng u nm l 80 tr, chim t l 6% - gim t l tr s sinh di 2.5kg <5% - trn 90% ph n mang thai c d thc hnh dinh dng - 100% tr em di 2 tui c theo di cn nng v biu tng trng hng thng_qu 2.6, cng tc phng chng bnh st rt
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- cng tc phng chng dch st rt c quan tm, st sao cht ch, nht l thn Thng Du do a hnh gip i ni. - Ngy 16/3 trm t chc chin dch phng chng bnh st rt: tin hnh tm mn cho dn, v ko lam mu tm k sinh trng. 2.7, Cng tc phng chng bnh st xut huyt - thc hin chin dch dit lng qung ti 5 thn phng chng st xut huyt t kt qu cao. - thng xuyn gim st hot ng cng tc vin cc thn xm n tng h gia nh dit b gy v mt s vn sc khe u tin, nn dch bnh khng bng pht. - t u nm n nay khng pht hin ca no mc st xut huyt. 2.8, phng bnh tay chn ming - t chc tuyn truyn, gio dc sc khe, vit bi v cch phng chng, biu hin, triu chng ca bnh tay chn ming gi ln truyn thanh x. - t chc pht t ri khuyn co v bnh tay chn ming. - c cn b y t phi hp cng nhn vin y t trng hc n cc lp hc ca trng mm non, tiu hc, trung hc c s tuyn truyn, hng dn cch phng tr, ra tay bng x phng. - t u nm n nay, pht hin 1 trng hp mc bnh tay chn ming nhng c cha tr kp thi, dch khng ly lan. 2.9, phng chng vim no m cu, t. ngy mng 10/2/2012 trm y t gi thng bo tnh hnh dch bnh vim mng no do no m cu n ton th cn b, nhn vin, cc c quan n v ng qun trn a bn. 2.10, cng tc phng chng HIV/AIDS - thc hin truyn thanh trn i pht thanh x - -thc hin t vn cho nhng i tng nhim HIV. 2.11, cng tc phng chng cc ri lon do thiu iod thng xuyn t chc tuyn truyn, vn ng nhn dn dng mui iod v t chc kim tra, gim st cht lng mui lu hnh trn th trng v s dng ti h gia nh. T l gia nh dng mui iod t 97%
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2.12, cng tc phng chng bnh tm thn. - thc hin cng tc vng gia, gim st v hng dn gia nh ngi bnh trong vic chm sc bnh nhn tm thn. - qun l tt ngi bnh, m bo thuc iu tr. - thc hin qun l v iu tr: 5 ngi cc th loi bnh. 2.13, cng tc phng chng bnh lao Thc hin qun l tt ngi bnh lao. Khm pht hin ngi bnh c triu chng ho khc, t chc ly m xt nghim, tm vi trng v thc hin iu tr. 2.14, cng tc m bo v sinh an ton thc phm. - -khng c ca t vong do ng c thc phm, hn ch n mc thp nht ng c thc phm xy ra. - trin khai tp hun, kim tra VSATTP cho cc c s sn xut kinh doanh dch v n ung trn a bn x. - t chc khm v qun l sc khe cng nhn lao ngti cc cng ty, x nghip thuc phm vi x. 2.15, cng tc phng bnh v mt - t chc khm mt hc ng v khc x hc ng ti cc trng tiu hc, trung hc c s trn a bn. - -phi hp khm sng lc bnh nhn c thy tinh th. Nm 2011, 10 bnh nhn c chuyn ln tuyn huyn. - thc hin khm, pht hin bnh nhn 2.16, cng tc phng chng bnh nhim khun h hp tr em - thng xuyn thc hin tuyn truyn phng chng bnh nhim khun h hp tr em trn i truyn thanh x. - tng cng gim st h thng y t t nhn nhm qun l tt vic khm cha bnh cho tr em mc ARI 1.17, hot ng v sinh mi trng Trm y t x lp k hoach trnh ln y ban nhn dn x t chc, phi hp vi cc on th (thanh nin, ph n) thu gom, x l rc thi. tuyn truyn, vn ng tng h gia nh thu gom rc thi, khng vt rc thi ba bivv..

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Phn IV: Cng Tc Dc Ti Trm Y T, Danh Mc Thuc. I, Hot ng theo di, qun l hnh ngh y dc t nhn. Ton x c 16 c s hnh ngh y dc, trong hnh ngh y c 10 c s, dc 6 c s. II, Hot ng cung ng v s dng thuc. - Qun l tt thuc chng trnh mc tiu, ha cht, vacxin, trng thit b, vt t y t. - m bo cung cp thuc cc chng trnh mc tiu, cung cp cc loi vacxin, ha cht, trang thit b c bn cng tc phng v cha bnh. Phng dc ca trm c t thuc cp cu, t thuc c, t thuc hng thn ring, kha cn thn. T thuc bo him do bo him y t cung cp theo nhu cu khm cha bnh. Ngoi ra, cn c t thuc nipol- t thuc bn theo n. - Chun b, d tr thuc cho dch bnh. - Khi no trm ht thuc iu tr th lp k hoch cung ng thuc. - Lng thuc trm nhn trn thng khong hn 11 n 12 triu ng 1 thng. 1. Trch nhim trong vic ch nh v hng dn s dng thuc 1.1, Ngi chu trch nhim v ch nh dng thuc cho ngi bnh (gi chung l Thy thuc) bao gm: a) Bc s; b) Y s c) Lng y, y s y hc c truyn ti trm y t x chu trch nhim v ch nh cc thuc ng y, thuc t dc liu cho ngi bnh; 1.2, Hng dn s dng thuc a) Dc s chu trch nhim cp nht thng tin v thuc v hng dn s dng thuc cho Thy thuc, dc s, iu dng vin v ngi bnh.

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b) Thy thuc hng dn ngi bnh (hoc ngi nh ngi bnh) cch dng thuc. c) iu dng vin, H sinh vin chu trch nhim cho ngi bnh dng thuc hoc hng dn ngi bnh dng thuc bo m thuc c dng ng cch, ng thi gian, liu theo y lnh. d) Ngi bnh phi tun th iu tr, khng t b thuc hoc t dng thuc khng ng ch nh ca Thy thuc. Ngi bnh hoc ngi nh ngi bnh chu trch nhim v mi s c do t dng thuc khng ng ch nh ca Thy thuc. 2, hng dn s dng thuc 2.1, Thy thuc thc hin ch nh thuc 1. Khi khm bnh, Thy thuc khai thc tin s dng thuc, tin s d ng, lit k cc thuc ngi bnh dng trc khi nhp vin trong vng 24 gi v ghi din bin lm sng ca ngi bnh vo h s bnh n ch nh s dng thuc hoc ngng s dng thuc. 2. Thuc ch nh cho ngi bnh cn bo m cc yu cu sau: a) Ph hp vi chn on v din bin bnh; b) Ph hp tnh trng bnh l v c a ngi bnh; c) Ph hp vi tui v cn nng; d) Ph hp vi hng dn iu tr (nu c); ) Khng lm dng thuc. 3. ghi ch nh thuc a) Ch nh dng thuc ghi y , r rng vo n thuc, h s bnh n b) Ni dung ch nh thuc bao gm: tn thuc, nng (hm lng), liu dng mt ln, s ln dng thuc trong 24 gi, khong cch gia cc ln dng thuc, thi im dng thuc, ng dng thuc v nhng ch c bit khi dng thuc.
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c) Ghi ch nh thuc theo trnh t: ng tim, ung, t, dng ngoi v cc ng dng khc. 4. nh s th t ngy dng thuc i vi mt s nhm thuc cn thn trng khi s dng Nhm thuc phi nh s th t ngy dng thuc gm: - Thuc phng x; - Thuc gy nghin; - Thuc hng tm thn; - Thuc khng sinh; - Thuc iu tr lao; - Thuc corticoid. 5. Ch nh thi gian dng thuc a) Trng hp ngi bnh cp cu, thy thuc ch nh thuc theo din bin ca bnh. b) Trng hp ngi bnh cn theo di la chn thuc hoc la chn liu thch hp, thy thuc ch nh thuc hng ngy. c) Trng hp ngi bnh c la chn thuc v liu thch hp, thi gian ch nh thuc ti a khng qu 2 ngy (i vi ngy lm vic) v khng qu 3 ngy (i vi ngy ngh). 6. La chn ng dng thuc cho ngi bnh a) Cn c vo tnh trng ngi bnh, mc bnh l, ng dng ca thuc ra y lnh ng dng thuc thch hp. b) Ch dng ng tim khi ngi bnh khng ung c thuc hoc khi s dng thuc theo ng ung khng p ng c yu cu iu tr hoc vi thuc ch dng ng tim. 7. thng bo tc dng khng mong mun ca thuc cho iu dng chm sc theo di v ngi bnh (hoc gia nh ngi bnh). Theo di p ng ca ngi bnh khi dng thuc v x l kp thi cc tai bin do dng thuc. Bo co phn ng c hi 3, Tng hp thuc
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1. iu dng vin tng hp thuc, ha cht t bnh n vo s tng hp thuc hng ngy sau tng hp thuc dng ca c trm vo Phiu lnh thuc, ring Phiu lnh ha cht, Phiu lnh vt t y t tiu hao tng hp hng tun. 2. Thuc gy nghin, thuc hng tm thn, thuc phng x c phiu lnh thuc ring theo quy nh hin hnh. 3. Phiu lnh thuc c Trng trm y quyn bng vn bn ph duyt. Phiu lnh thuc vo ngy ngh v i vi cc trng hp ngh cp thuc t xut, bc s, y s trc c php k phiu lnh thuc. 4. S tng hp v cc phiu lnh thuc c ghi chp r rng, y ni dung, chnh xc, khng vit tt, trng hp sa cha k xc nhn bn cnh. 4, t chc cp pht thuc bo m cht lng v hng dn s dng thuc 1. Kim duyt n thuc, phiu lnh thuc hng ngy trc khi cp pht. 2. T chc pht thuc hng ngy v thuc b sung theo y lnh. Pht thuc kp thi bo m ngi bnh c dng thuc ng thi gian. 3. Thuc cp pht l khng cn nguyn bao gi c ng gi li trong bao b kn kh v c nhn ghi tn thuc, nng (hm lng), hn dng. Vic ra l thuc bo m thc hin trong mi trng v sinh sch s v thao tc hp v sinh. 4. Thng bo nhng thng tin v thuc: tn thuc, thnh phn, tc dng dc l, tc dng khng mong mun, liu dng, p dng iu tr, gi tin, lng tn tr. 5, Trch nhim ca thy thuc trong vic cho ngi bnh dng thuc 1. Trc khi ngi bnh dng thuc a) Cng khai thuc dng hng ngy cho tng ngi bnh bng cch thng bo cho ngi bnh trc khi dng thuc, ng thi yu cu

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ngi bnh hoc ngi nh k nhn vo Phiu cng khai thuc ,Phiu cng khai thuc kp u hoc cui ging bnh. b) Hng dn, gii thch cho ngi bnh tun th iu tr. c) Kim tra thuc (tn thuc, nng , hm lng, liu dng mt ln, s ln dng thuc trong 24 gi, khong cch gia cc ln dng thuc, thi im dng thuc v ng dng thuc) so vi y lnh, kim tra hn s dng v cht lng cm quan ca thuc. Khi pht hin nhng bt thng trong y lnh nh ch nh s dng thuc qu liu quy nh, ng dng khng hp l hoc dng nhiu thuc ng thi gy tng tc, iu dng vin phi bo co vi trm d) Chun b phng tin v thuc: - Chun b phng tin cho ngi bnh dng thuc: khay thuc, nc ung hp v sinh i vi trng hp ngi bnh dng thuc ung, l ng thuc ung theo gi cho tng ngi bnh; - Phng tin vn chuyn thuc m bo sch s, sp xp gn gng, d thy; - Chun b sn sng hp thuc cp cu v phc chng sc i vi thuc phi dng ng tim; - Chun b dung dch tim cho ngi bnh phi pha ng dung mi, th tch v theo quy nh ca nh sn xut. 2. Trong khi ngi bnh dng thuc a) v sinh chng nhim khun. b) m bo 5 ng: - ng ngi bnh; - ng thuc; - ng liu dng; - ng ng dng; - ng thi gian. c) Trc tip chng kin ngi bnh dng thuc v theo di pht hin kp thi cc bt thng ca ngi bnh trong khi dng thuc.
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3. Sau khi ngi bnh dng thuc a) Theo di ngi bnh: - Theo di thng xuyn kp thi x tr cc bt thng ca ngi bnh. Ghi chp y cc din bin lm sng ca ngi bnh vo h s bnh n. - theo di tc dng ca thuc v x l kp thi cc tai bin do dng thuc, ghi s theo di phn ng c hi ca thuc b) Ghi c th s thuc iu tr cho mi ngi bnh, mi khi thc hin xong mt thuc nh du thuc thc hin. c) Bo qun thuc cn li (nu c) theo ng yu cu ca nh sn xut. d) X l v bo qun dng c lin quan n dng thuc cho ngi bnh theo ng quy nh. 6, Qun l, bo qun thuc Thuc trong t trc, thuc cp cu theo ng danh mc v c s c ph duyt v c bo qun theo ng quy nh v yu cu ca nh sn xut. 1. Thuc gy nghin, thuc hng tm thn, tin cht v thuc phng x c ring, c kha cn thn 2. kim tra, i chiu tn thuc, nng /hm lng, s lng, cht lng, dng bo ch ca thuc trong phiu lnh thuc khi nhn thuc. 3. Thuc d ra do thay i y lnh, do ngi bnh chuyn khoa, ra vin, chuyn vin hoc t vong (sau y gi chung l xut vin) c tng hp), c xc nhn ca trng trm y quyn bng vn bn v tr li phng Dc trong vng 24 gi. i vi thuc gy nghin, thuc hng tm thn, thuc phng x d ra lp bin bn v tr thuc theo quy nh hin hnh. 4. Tng hp thuc, ho cht, vt t y t tiu hao ca tng ngi bnh trc khi ra vin.
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III, bng danh muc thuc s dng ti trm Bng danh mc thuc tn dc: Nhm thuc Khng sinh STT 1 2 3 4 5 6 7 8 9 10 11 12 13 Khng vim 14 15 16 17 Khng vim, 18 gim au 19 20 Gim au h st 21 22 23 24 25 26 Gim au, 27 chng co tht 28 Tn thuc- Hm lng Amoxicilin 500mg Amoxicilin 250mg Pymecetam 500mg ( Cephalecin) Pymecetam 250mg ( Cephalecin) Erythromycin 500mg Erythromycin 250mg Cefadroxil 500mg Cefadroxil 250mg Cotrimoxazol 480mg Ciprofloxaxin 500mg Spiramycin 7500mi Acid nalidixin 500mg Metronidazol 250mg Alphachemotruysin Betamethazol 500mg Seratiopeptin 500mg Mekocetin 500mg Diclofenac 50mg Meloxicam 7,5mg Medron 4mg Efferalgan 500mg Tatanol 500mg Hapacol Panadol extra Difatawic Tatanol- codein 530mg No- spa 40mg Spacmaverin Dng bo ch Vin nang gi Vin nang Vin nang Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin si Vin nn Vin si Vin nn Vin nn Vin nn Vin nn Vin nn
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29 30 31 32 33 34 35 36 37 38 Thuc ng 39 tiu ha 40 41 Thuc ty giun 42 43 44 Thuc chng d 45 ng 46 47 48 49 Thuc ho, long 50 m 51 52 53 54 vitamin 55 56 57 58 59 60 61

Surefar Stocgen(photphalugen) Omeprazol 20mg Molox Cimetidin Yamagel Gastropulgit Lanroprazol Photphat gel Gavircon Bidisubtyl OSR Sorbitol 25g Albenzadazol 400mg Fugaca Zentel Clopheniramin 4mg Cetirizin 10mg Loratadin Telfat 60 180 Telfor Acetylsyr Acc Axomux Mitux Acemuc Vitamine 400mi Multivitamin Mage- B6 Trineuron(B1,B6,B12) Vitamin B1 100mg Vitamin B6 100mg Vitamin A-D

Vin n Dch treo Vin nang Vin nn Vin nn Gel Gel Gel Gel Gel Gi Gi Gi Vin nn Vin nn Vin nn Vin nn Nang mm Vin nn Vin nn Vin nn Vin nang Gi Gi Gi Gi Nang mm Nang mm Vin nn Vin nn Vin nn Vin nn Nang mm
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62 63 64 65 Thuc iu tr 66 tng huyt p 67 68 69 70 71 Thuc tng tun 72 hon no 73 74 Thuc iu tr 75 tiu ng 76 77 78 79 80 Thuc nh mt 81 82 83 84 85 86 87 88 89 Thuc dng 90 ngoi 91 92 93 94

Fazicor(ke ) Feron B9 Bcomplexc Vitamin PP50mg Methyidopa 250mg Amlocipin 5mg Nifedpin retar Duxil Micadis Pluss Coversin Piracetam 400mg Captopril Diapro 80mg( glidazide)

Nang mm Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nn Vin nang Vin nang Vin nn Chai 5ml Chai 5ml

Glucophase S550 Glucovan 500 Diamicro Clesspa Tobradex Tobrex Osla Gentamycin 3% Viroto Eyelight Colydexa nemydexa Iopin Du khuynh dip Cn xoa bp Oxy gia Du gng TD

L L L

L Chai L L Chai
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95 96 97 98 99 100

Betaclin H nc Cn ASA Cn BSI DEP Xanh methylen

L L L L L

Bng danh mc thuc ng dc stt 1 2 3 4 5 6 7 8 9 10 Tn thuc Thp ton i b Bt v b thn dng Dng tm ch tr Hot huyt dng no Dip h chu ai trng HD Cao ch mu Kim tin tho Vin phong thp boganic Dng bo ch Vin hon Nang cng Bao ng Bao ng Bao ng Bao ng Siro Bao ng Bao ng Bao ng

Bng danh mc thuc ng dc Tn bnh lao Stt 1 2 3 4 5 6 7 8 9 Tn thuc Isoniazid 300mg Terbuzid 400mg Etham butol 400mg Streptomycin 1g rifampicin Phenol bcital Diazepam 5 mg Aminazin Leromepromcizin 25mg Dng bo ch Vin nn Vin nn Vin nn L bt Vin nn Vin nn Vin nn

Bnh tm thn

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10 11 12 13 14 15 16 17

Haloperidol 2mg Cazerol 200mg Fonzepin 10mg Domefin 50mg Rotundin Sen vng Dng tm thn Tht dip an thn

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

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Phn 5: tm hiu m hnh vn thuc nam ti trm v mt s bi thuc y hc c truyn c s dng ti a phng cha cc bnh thng thng
I, m hnh vn thuc nam Trong thi gian thc tp thc t c s ti trm, em tham gia cng tc chm sc, ci to, tu b vn thuc nam cng vi cn b nhn vin y t ca trm. Em c tm hiu m hnh vn thuc nam, c hng dn cch chm sc, thu hi, phi sy,bo qun thuc, dc liu, c tm hiu cng dng, mt s bi thuc y hc c truyn c s dng ti x cha mt s bnh thng thng. Trm y t x Ha Thch dnh trn 30m2 b tr vn thuc mu ngay trong khun vin vi 52 cy thuc, c ngn tng phn loi tng nhm thuc. Ti vn thuc, cc cn b x lun quan tm, chm sc, b xung cc cy thuc mu. Hng thng, qu trm cn t chc sinh hot chuyn mn, tuyn truyn nhng bi thuc thng thng cho hi vin, nhm h tr tuyn truyn cho nhn dn bit cng dng, cch trng thuc nam. Bc s: Phng Vn Vin_trng trm trm y t cho bit: vn thuc nam l ni tuyn truyn, gip nhn dn bit cng dng ca cc loi cy thuc, trng v s dng ti gia nh, gp phn thc hin tt cng tc x hi ha y hc c truyn, thc hin tt chun IV v y hc c truyn trong 10 chun quc gia v y t x. Danh mc thuc y hc c truyn ti trm Nhm thuc au nhc c xng khp Stt 1 Tn thuc C xc (ngu tt) L lt B phn dng L, r Cng dng Cha vim khp, au bng kinh nguyt khng thng, au nhc xng khp Cha au khp, au xng, au lng, au u t di, ra m hi, tiu ha km, y hi, au bng, a chy, au rng Cha bong gn, au lng, vim
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Ton cy

Nng hoa L, c

Nguyn Th Minh(8/12/92)3D3[Type text]

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trng 4 t L, qu

Tiu c, tiu vim

5 6 7

Cy ry Si t Dm bt

C Ton cy b r L, c, r

Rau sam

Ton cy b r

Ch Ton cy rng ca b r n Tru khng Nc nc Chanh i L L Ht, v L, r, qu L, qu i xanh

10 11 12 Kch thch tiu ha, cha tiu chy 13 14

khp, gim sng au xng khp Gim au xng khp, vim khp mn tnh, au bng lnh L:cha rn rt cn Cha mn nht, gh sng bn tay, bn chn Bnh ngoi da, mn nht, chc, l, au mt, vim bng quang Cha mn nht, bnh l, bch i, ra vt thng, mn nht, iu kinh Cha l, vi khun, vim d dy v rut cp tnh, vim bng quang, vim v, tr xut huyt, ho ra mu, i ra mu, k sinh trng ng rut, si niu Cha vim gan, vng da, vim thn, i mu, cha mn nht, sng au Tiu c, tr mn nht, mn nga Cha l lot, vim chn rng c m Chng vim, chng d ng, t a, d dy Ho, lm mt, thng tiu tin, cha t thp L v qu i xanh: cha tiu chy, au bng i ngoi L v bp i non: cha bnh gii leo tr vim rut cp v mn, kit l
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Ho

15 16

17 18 Ph n 19

20

21 22 23

24

25 26

Cha ho, kit l, mng tinh, i dt, i ra mu Du tm L,v, r, L: cm st, ho, au rng, au cnh, qu mt V r: hen suyn, ph thng Qu: cha mt m, thiu mu, i ng Mch C Cha ho, long m, thuc b, mn ng li tiu, st, tc tia sa Cy r L Ho, gim au, chng vim qut Hng C Cha kinh nguyt khng u, ph ( c vim t cung, au bng kinh, gu) bnh ph n khi sinh Ngi cu L, cnh iu kinh, an thai, cha l, th trng non huyt, chy mu cam,bng huyt, bch i, au dy thn kinh L lm mi chm cu Rau Cy, l Ph n kh , sng nt v, mng ti cha to bn, lm mt Rau ay L B, li sa, cha to bn, ho Bch Thn, Cha kinh nguyt khng u, ng n cnh,l, vim lot c t cung r C gai R An thai, cha rong kinh, ho ra mu, i ra mu, tr, chy mu, cm cm, st si Rau ngt L ti Ph n st rau, cha tua li tr em Trinh n L iu tr mt s dng ung th, hoang ung th tuyn v, ung th tuyn cung tin lit, iu tr x gan c H L, ht
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Cha l

27 28

Tim mch cm mu

29 30

C sa l to M tam th Nh ni (c mc) He hoa

l l L, cy

chng,.. Cha l mn tnh Cha l

31 32 33 Li tiu 34

B dng

35

36 37 38 39 Cm 40 mo st

Cha nn ra mu, lm lnh vt thng, h st N hoa, Lm thuc bn, chng thm ht thnh mch h huyt p nh, cm mu Thuc L ti Cha bng, cm mu, p vt giu thng Cy l l Cm mu, cha bng, p mn bng nht, vt thng Huyt d L ti Cha rong huyt, i ra mu, ho hoc kh ra mu, l ra mu M Ton cy Li tiu, cha ph, b tiu, tiu b r tin ra mu, si thn, ho lu ngy, vim ph qun, au mt inh lng R, thn Suy nhc c th, tiu ha km, ho ra mu, kit l, au lng, cm st, mn nht Th cao R Lm thuc b, cha ho ly sm Ngh en Thn, r Cha au d dy, n khng tiu, cha ho, lm thuc b Kh sm l Cha au d dy, n khng tiu, cha ho, lm thuc b Ng gia V r Mnh gn ct, khu phong ha b thp, ch tr au bng S L, c -l: cha cm mo, nng st, au u, ho, y hi, chng
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rt 41

42

43 44

45

46 47

Tr, li 48 dom 49 giun 50

51 Nhun trng 52

bng -c: nu nc cha thng tiu Gng Thn, r Cha cm mo, phong hn, ho mt ting, ra m hi, dng khi km n, n ung khng tiu, nn ma, au bng lnh Ta t L, cnh Tn phong hn, cha bnh cm mo, st nhc u, au nhc xng khp, cha trng c, au bng lnh, sng v Kinh gii Ton cy Cm st, nhc u, chy mu cam Xng B r l L ra mu, bng huyt, cha sng bnh t cm st, ho suyn, nn ma, y bng Hng L bnh Cm nng, st nng, n lnh, nhu t au u, au bng, i ngoi, nn ma. nc sc cha hi ming Rau m Ton cy Tr cm mo, phong nhit, thy u, si, st vng da Cc tn l Tiu tn phong hn, tr tiu thng, gim au, cha cm st, au lng, ho, lm mi chm cu Thin l L, hoa Cha tr, sa d con, gii nhit, li dom Gip c L ti au mt , tr ni cau Ht Ht cau tr sn, l trc khun V qu cha thy thng, trng bng, m nghn, nn ma S qun Qu Tr giun a, cha cam tch, t bng ng, chm ln Nha am l Nhun trng, thanh nhit, gii nhit, st trng, chng vim
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Trong nhng cy thuc trn, c nhng cy va lm thuc, v lm cnh nh; he hoa, trinh n hong cung, inh lng, cy thuc bng, nng hoa trng, huyt d Li c nhng cy va lm thuc , va lm rau, gia v nh: chanh, ngi cu, rau mng ti, ay, s, gng, ta t, kinh gii, xng song, rau m, l lt, rau ngt, t, thin l, gip c. II, mt s bi thuc y hc c truyn c s dng ti a phng cha cc bnh thng thng 1, cha cm cm Th phong hn: st nh, khng ra m hi, ngt mi, nc mt, nc mi trong, ru li mng trng. L ta t 15g, kinh gii, hng nhu, cc tn, gng ti mi th 10g, un si 15 pht, ung m, ung xong p chn cho ra m hi, cng c th xng cho tot m hi Th phong nhit: bnh nhn st cao, s gi, au du, kht nc, nc mi c, nc tiu vng, ru li vng, mch nhanh C ch thin 20g, l ci xay, cam tho t 10g, bc h 10g, gng ti 3g. un si 15 pht cho bnh nhn ung 2, cha tiu chy Bp i, c ring, c s mi th 8g sao vng, sc ung Bp i 4g, v qut kh 6g, gng ti 8g, c s 8g, sao vng sc ung 3, cha vim hng Si t 100g, c ch thin 100g, sc ung trong 3 ngy, mi ngy 1-2 ln 4, tiu c, cha mn nga, mn nht -kim ngn hoa 20g, k u nga 10g, 500ml nc, sc ung 3-5 ln trong ngy -b cng anh 15g, si t 10g, kim ngn 5g, k u nga 10g, cam tho t 2g. Nc 500ml, sc ung 3-5 ln/ngy 5, thy u

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Thy u, cn gi l thy hoa, dn gian gi l bnh tri r. y l loi bnh truyn nhim thng thng, tr em hay mc phi, thnh thong cng gp ngi ln 5.1, loi nh - triu chng: st nh hoc khng st, chy nc mi, ho t, n ung bnh thng, cc nt u mc ri rc mu hng nht, nga nhiu - Php cha: thanh phong s nhit - Bi thuc: l du dm ti 30g ra sch, l tre ti 20g, c mn tru ti 20g ra sch thi ngn, cam tho t ti 20g, thi ngn. Nc 1000ml, sc cn 300ml, mi ln ung 30-50ml, chia ung trong ngy. - Nu ngi bnh khng st nng, mn u mc tha t, n ng, tiu tin bnh thng, c th khng cn ung thuc, nn dng nc un si ngui, tm ra, trnh gi, iu dng tt 5.2, loi nng - Triu chng: st cao,bun phin, kht,thy u mc dy, sc tm ti, mt , ming mi kh hng, nim mc ming c nhng nt phng. - Php cha: thanh nhit, gii c l ch yu - Bi thuc: v u xanh hoc u xanh c v 20-30g, sau om ti ra sch, qu dnh dnh 16g, r c tranh 12g. bi thuc nn sc 2 ln. ln 1 cch sc nh bi thuc trn, ln sau 600ml nc sc cn 200ml dn li vi thuc th nht, c li cn 300ml chia 2 ln, ung trong ngy 6, iu ha kinh nguyt Bi thuc: c gu (ch) 20g, ch mu 16g, rau m ti 40g. c nh ni (sao) 40g,sinh a 20g, ch xc (sao en) 16g. Cc v cho vo m 800ml nc sc cn 300ml chia 2 ln ung trong ngy 7, au bng lnh Bi 1: c ring 200g, qu 120g, hu phc 80g, sy kh. Sc ung mi ln 12g vi 200ml nc, cn 50ml ung trong ngy, dng trong 3 ngy
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Bi 2: gng ti 50-80g ra sch, xt mng, sao chn vng, gi nt, ha vi 1 tch nc si, ung m tng ngm nh. C th ha vi mt t mt ong hoc ng ung Bi 3: c ring 8g, i to 5g, sc vi 300ml cn 100ml, chia 2-3 ln ung trong ngy, ung 3-4 ngy Bi 4: ngi cu ti 100g, tht ln 100g bm nh, xo qua cho gia v va , cho khong 1 bt nc un si, cho rau ngi cu vo. Canh si 5 pht bc ra n ngay hoc dng lm canh n vi cm. Dng lin tc 2-3 ngy.

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Phn 6: mt s biu mu, tranh nh


Huyt d (Cordyline terminalis Kunth var.ferrea Bak.) thuc h huyt d (Dracaenaceae), c tn khc l huyt d l , thit th, pht d, ngi Ty gi l chng eng, tn Thi l co trng lu, tn Dao l quyn din i.

uyt d l cy cnh c nhp trng t lu i. Tn gi ca n bt ngun t mt truyn thuyt xa xa nh sau: Ngy xa, c mt ngi chuyn ngh git ln. Nh anh ta cnh mt ngi cha. Hng ngy, c m sng, h nghe ting chung cha l anh ta thc dy m ln. Mt hm, s c ln cha nm mng thy mt ngi n b dt 5 a con n xin cu mng v xin s c nh chung vo sng hm sau chm hn ngy thng. S c thc hin ng li thnh cu, nn ngi t ng qun, dy mun qu, khng kp tht ln na. Lin sau , anh ta thy con ln mnh mua chiu qua nh git tht sng nay c 5 ln con. Anh ta i qua cha c nghe s c k chuyn v gic mng, hi hn v lu nay bn tay mnh vy mu, lin chy v nh cm con dao bu ri sang gia sn cha, cm dao th rng xin gii ngh t nay. V sau, con dao ha thnh mt loi cy c l mu nh mu, nhn nh li dao bu v c ngi i t tn l cy huyt d Theo kinh nghim dn gian, l huyt d c dng lm thuc cm mu cha rong huyt, bng huyt (khng c dng trc khi hoc ri cn st rau), xch bch i, th huyt, l ra mu, i ra mu, ho ra mu, st xut huyt. Liu dng hng ngy: 16-30g l ti hoc 8-16g l phi kh di dng thuc sc. Dng ring hoc phi hp vi cc v thuc khc trong nhng trng hp sau:
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Cha rong kinh, bng huyt: L huyt d 20g, r c tranh 10g, i tn ti qu mp 10g, r c gng 8g. Tt c thi nh, sc vi 400ml nc cn 100ml, ung lm hai ln trong ngy. Hoc l huyt d 20g, cnh ta t 10g, hoa cau c 10g, tc mt nhm (t thnh than). Trn u, thi nh, sao vng, sc ung. Cha i ra mu: L huyt d 20g, r cy rng, l lu, l cy mui, l tit d, mi v 10g. Tt c ra sch, gi nt, thm nc, gn ung. Cha ho ra mu: L huyt d 10g, r r qut 8g, trc bch dip sao en 4g, l thi li ta 4g, phi kh, sc ung lm hai ln trong ngy. Cha kit l ra mu: L huyt d 20g, c nh ni 12g, rau m 20g. Ra sch, gi nt, thm nc, gn ung. Dng 2-3 ngy. Cha xut huyt di da, st xut huyt: L huyt d ti 30g, trc b sao en 20g, c nh ni 20g. Sc ung. Cha bch i, kh h: L huyt d ti 30g, l thuc bng 20g, bch ng n 20g. Sc ung ngy 1 thang.

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Tc Dng Ca Cy Trinh N Hong Cung Trong ng Y Hong cung trinh n cn gi l trinh n hong cung. Tn khoa hc GrinumLatipolium. Theo y hc c truyn, hong cung trinh n c tc dng chng vim, ph hn cc. Dng trong cc trng hp u x tuyn tin lit, u x c t cung, x gan, vim hng ht, gan nhim m v nhng khi u lnh tnh...Sau y l mt s trng hp dng hong cung trinh n cha bnh: Trong v c khi u gy au nhc, bnh nhn b hoa mt chng mt, stcnnhanh: Bi 1: hong cung trinh n 6g, an sm 12g, c inh lng 12g, ch xc 10. Sc ung ngy 1 thang. Bi 2: hong cung trinh n 6g, huyn sm 10g, si h 12g, ng quy 12g, ngn hoa 12g, b cng anh 16g, cam tho 10g. Sc ung ngy 1 thang (ung nng) Ngi cao tui b u x tin lit tuyn: Bi 1: hong cung trinh n 6g, da cn 20g (hai th ti) gi nh, thm nc si ngui, lc ly nc ung ngy 1 ln. Dng 15 ngy lin, ngh 3 ngy ri ung tip t 2. Bi 2: hong cung trinh n 6g, thng nh (sao) 12g, bi mu 10g, mu l ch 12g, xuyn khung 10g, x can 10g, hong k 10g, trn b 10g. Sc ung ngy 1 thang. Bi 3: hong cung trinnh n 6g, ngn hoa 12g, ch bp 10g, l inh lng 20g, b cng anh 16g, cam tho 12g. Sc ung ngy 1 thang.

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Vim hng ht, au c hng, ho nng ting, ngi mt mi, st nh: Bi 1: hong cung trinh n 6g, cam tho 12g, trn b 10g, ct cnh 12g, kinh gii 12g, huyn sm 12g, bn h ch 10g, sinh khng 4g, ng quy 10g. Sc ung ngy 1 thang. Bi 2: hong cung trinh n 6g, xa tin tho 16g, l inh lng 16g, tang dip 16g, bn h ch 10g, huyn sm 10g, sa sm 12g, bch b 12g, ct cnh 12g, cam tho 12g, trn b 10g, mch mn 12g. Sc ung ngy 1 thang...

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CY THUC BNG Tn khc: Cy sng i, Dip sinh cn, Thuc bng, trng sinh, bt t, tu pa sung

(Dao). Tn khoa hc: Kalanchoe mortagei, Kalanchoe pinata (Lam.) Pers., h Thuc bng (Crassulaceae). M t: Cy c, sng lu nm, cao 40 - 60cm. Thn trn, nhn, c m ta. L mc i, nguyn hoc x 3 thy, t khi 5 - 7. Phin l dy, mng nc, c rng ca trn mp. Hoa mc thng xung, mu hoc vng cam t tp thnh xim trn mt cn di ngn thn. Qu gm 4 i. B phn dng: L Phn b: Mc hoang v c trng lm cnh nhiu ni nc ta. Thnh phn ho hc: Acid hu c : citric, isocitric, malic., flavonoid v mt s hp cht phenolic khc. Cng nng: Tiu thng, gim au, sinh c. Cng dng: Khng khun, tiu vim. Dng cha bng, vt thng, l lot, vim ty, au mt sng , chy mu, dng lm thuc gii c. Cch dng, liu dng: Dng trong, ngy 20 - 40g gi ti, thm nc v gn ung. Dng ngoi, ly l ti gi nh, p hoc ch thnh dng thuc
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m bi. Bi thuc : - Cha chn thng do t ng, nh p; bng do la hay nc si v bng do nng: dng l sng i ti gi nhuyn p ln. - Vim hng: n 10 l sng i, chia lm 10 ln trong ngy (sng 4 l, chiu 4 l, ti 2 l), nn nhai ngm v nut c b, dng khong 3 ngy. - Cha vim lot d dy, vim rut, tr ni i ngoi ra mu: ly mt nm l ti (50g), v ly nc ung hoc sc ung. - Mt sa: sng v chiu mi ln n 8 l sng i; ngi mt ng dng n ny, th gic ng s n sm. - Cha kit l v bnh tr: l sng i, rau sam mi th 20g nhai nut nc hay sc ung; hoc mi ngy n 20 l sng i (sng 8 l, chiu 8 l, ti 4 l), n khong 5 ngy. - Gii ru: khi say ru n 10 l sng i, khong 10 pht c tc dng gii ru. - Cha vim xoang mi: gi nt 2 l sng i ly nc thm vo bng, nt l mi bn vim, ngy 4-5 ln; nu vim c 2 bn, th sng nt 1 bn, chiu nt 1 bn. Cch ny cn dng cho ngi b chy mu cam. - Cha phong nga khng r l do: dng l sng i, l ngh rm, l k, l b hn, nu nc xng v tm; dng thm l k u nga, sc ung trong vi ngy. Ch : C thi gian ngi ta dng l cy ny nh l mt loi thuc cha bch bnh.

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Thng tin chi tit sn phm Sn phm : Du khuynh dip OPC S ln xem : 3106 Cng thc Chai 15ml :

Cineol (Eucalyptol) 9,725 g Camphor 4,812 g T dc va 15 ml

(Du parafin, mu xanh chlorophyl, hng liu) V 25ml :


Cineol (Eucalyptol) 64,833g Camphor 18,750g T dc va 100 ml.

Chai 30ml :

Cineol (Eucalyptol) 19,450g Camphor 5,625g T dc va 30 ml

(Du parafin, mu xanh chlorophyl, hng liu) Qui cch ng gi

Du xoa, chai 15ml, 30ml v p v 25ml.

iu tr
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Phng, tr cm cm, s mi, nght mi, ho tc ngc, au bng, nhc mi, nhc u, chng mt, bun nn, cn trng t, trc gn, sng. c bit dng c cho tr s sinh.

Cch dng

Xoa bp ngoi da ti ch au. Cm cm, s mi, nght mi : xoa du hai bn thi dng, c, sau gy, mi. Nhc u, chng mt, bun nn : xoa du hai bn thi dng, c, nhn trung, mi. Ho tc ngc : xoa du trc ngc, c v sau lng. n khng tiu, au bng : xoa du vng bng. Trng hp cm cm, c th xng : cho 510 git du vo bnh xng c khong 250ml nc nng. C th ung : nh vi git du vo mt tch nc m v ung lc cn m.

Hn dng

24 thng k t ngy sn xut.

Tn thuc: Sorbitol Thuc loi: Ri lon tiu ha


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Sorbitol M T Thuc tr to bn, ri lon tiu ha, li mt CNG THC Sorbitol ........................ 5 g DNG BO CH Thuc bt. QUY CCH NG GI Hp 20 gi x 5g thuc bt. TNH CHT Sorbitol thc y s hydrat - ho cc cht cha trong rut. Sorbitol kch thch tit cholecystokinin - pancreazymin, tng nhu ng rut, lm long phn nh tc dng thm thu. CH NH iu tr triu chng to bn, ri lon tiu ha, li mt. CHNG CH NH Tc nghn ng dn mt. au bng cha r nguyn nhn. THN TRNG Khng nn s dng thuc nhun trng lu di. iu tr to bn bng
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thuc ch l mt h tr trong iu tr bng ch v sinh v n ung. i vi ngi b bnh kt trng, trnh dng lc i v cn gim liu. TNG TC THUC Khng nn phi hp Kayexalate (ng ung v t hu mn) v c nguy c gy hoi t kt trng. TC DNG PH C th gy tiu chy, au bng nht l bnh nhn b bnh kt trng chc nng. Thng bo cho bc s nhng tc dng khng mong mun gp phi khi s dng thuc. CCH DNG Ho tan thuc vi mt t nc * Ri lon tiu ha: ung trc ba n hay khi c triu chng. - Ngi ln: ung 1 - 3 gi / ngy. - Tr em: ung na liu ngi ln. * To bn: ung vo lc sng sm hoc trc khi i ng. - Ngi ln: ung 1 - 2 gi. - Tr em: ung na liu ngi ln. Hoc theo ch dn ca Thy thuc. c k hng dn s dng trc khi dng. Nu cn thm thng tin, xin hi kin bc s. HN DNG 24 thng k t ngy sn xut. BO QUN Ni kh mt, trnh nh sng. TIU CHUN t TCCS. (Hot cht Sorbitol c sn xut t Php).

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Phn 7: kt lun Li kt
Qua thi gian thc tp ti trm y t x Ha Thch, nh s gip ch bo, hng dn tn tnh ca cn b nhn vin y t. Em rt ra c nhiu bi hc thc t, bit cch v dng l thuyt vo thc hnh c v chuyn mn v kinh nghim, k nng giao tip, iu tra cng ng dn c ca ngi nhn vin y t c s. Cng qua t thc t ny, gip em thu hiu hn v y c ca thy thuc trong cng tc khm cha bnh, chm sc bnh nhn. Cc cn b nhn vin y t c s vi tm lng y c theo li bc dy : lng y phi nh t mu, 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. Em chn thnh cm n cc thy c c trong trng trung cp kinh t k thut dc Tu Tnh trang b cho 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 x Ha Thch cho em nhng kin thc c bn , nhng bi hc thc t tng bc hon thin ngh nhip bn thn. Mt ln na em xin chn thnh cm n!

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Mc lc
Trang Li cm n 1 M u 2 Phn 1: tm hiu chc nng nhim v ca trm y t x, t chc b 4 my ca trm y t x Ha Thch v nhim v ca tng nhn vin y t I, khi qut v chc nng nhim v ca nghnh y dc 4 1, chc nng 4 2, nhim v 4 II, khi qut tnh hnh a l, dn s, t chc b my ca trm y t 5 x Ha Thch, nhim v ca tng nhn vin y t. 1, s lc a bn thc tp 5 2,chc nng, nhim v ca trm y t x 14 3,chc trch ngi thy thuc ti tuyn y t x 16 4,t chc b my trm v nhim v ca nhn vin y t 17 Phn 2: chun on cng ng, tm hiu cc vn sc khe, m 22 hnh bnh tt, thc t s dng thuc ca ngi dn trong x I, s lc thn thng u 22 II, tm hiu cng ng, thu thp ch s 22 1, thi gian thc tp 22 2, i tng tm hiu 22 3,phng thc thc hin 22 4,kt qu 23 5, ch s thu thp 24 6, bng xc nh vn sc khe 24 7, t cc vn sc khe, la chn vn sc khe u tin 25 III, tm hiu m hnh bnh tt 25 Phn 3: k hoch hot ng, t chc hot ng ca trm y t x Ha 28 Thch I, k hoch phng bnh nm 2012 28 II, cc hot ng y t ca trm y t x Ha Thch 29 1, t chc hot ng chuyn mn 29 2, t chc hot ng cc chng trnh mc tiu quc gia 30 Phn 4: cng tc dc ca trm y t, danh mc thuc. 35 I, hot ng theo di, qun l hnh ngh y dc t nhn 35
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II, hot ng cung ng v s dng thuc 1,trch nhim trong vic ch nh v hng dn s dng thuc 2,hng dn s dng thuc 3,tng hp thuc 4, t chc cp pht thuc, hng dn s dng thuc 5, trch nhim ca thy thuc trong vic cho ngi bnh dng thuc 6, qun l, bo qun thuc III, bng danh mc thuc s dng tai trm Phn 5: tm hiu m hnh vn thuc nam ti trm y t v mt s bi thuc y hc c truyn c s dng ti a phng cha cc bnh thng thng I, m hnh vn thuc nam II, mt s bi thuc y hc c truyn Phn 6: mt s biu mu, tranh nh Phn 7: kt lun Mc lc Nhn xt ca trm y t Nhn xt ca gio vin trng

35 35 36 37 38 38 38 41 46

46 51 54 72 73 75 76

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