BN DCH TING ANH SANG TING VIT B3.

The wellmeadows Hopital Case Study Tnh hung ny m t bnh vin nh c tn l Wellmeadows c dt ti Edinburgh(th Scotland).Bnh vin Wellmeadows chuyn chm sc sc khe cho ngi trung nin.Nhng b phn c lit k ny l mt m t ca trng d liu, c gim st v c truy cp bi b phn qun l bnh vin h tr vic qun l v vn hnh tng ngy ca bnh vin Wellmeadows. B3.1 Yu cu d liu Phng bnh: Bnh vin Wellmeadows c 17 phng v c ton b 204 ging dng cho bnh nhn iu tr ngn v di hn v mt phng khm ngoi tr.Mi phng c xc nh duy nht bng mt m s(v d phng 11) v mt tn phng(v d Othopedit) v v tr(v d khu E),tng s ging, phn m rng ca s in thoi(v d 7711). Nhn vin: Bnh vin Wellmeadows c mt gim c y t(Medical Director), ngi chu trch nhim qun l ton b bnh vin.Medical Director gim st iu khin ton b vic s dng ti nguyn ca bnh vin(bao gm nhn vin, ging, kho vt dng) a ra gi c thc t i vi mi bnh nhn.(tnh tin cho bnh nhn) Bnh vin c 1 gim c nhn vin(personel Officer), ngi m bo rng m s v chuyn ngnh(loi) ca nhn vin c phn b n phng bnh v phng khm ngoi tr tng ng. Thng tin c lu tr cho mi nhn vin gm m nhn vin, tn(first name and last name), a ch, s in thoi, gii tnh, s bo him, chc v, lng, bc lng. Ngoi ra cn c bng cp ca mi nhn vin( bao gm ngy tt nghip, loi, tn trng) v chi tit kinh nghim lm vic( gm tn c quan, chc v, ngy bt u v kt thc lm vic). Loi hp ng cho mi nhn vin cng c ng k bao gm s gi lm vic trn 1 tun, hp ng c nh hay tm thi v kiu tr lng (theo tun/theo thng). V d mu ng k ca nhn vin Moira Samuel ang lm vic ti phng 11 trong bnh vin Wellmeadow c biu din hnh B.1 Mi phng bnh v phng khm ngoi tr c 1 ph trch y t(charge nurse). Charge Nurse ny chu trch nhim trng coi cng vic hng ngy ca phng bnh hoc phng khm ngoi tr. Charge Nurse c cp cho 1 khong kinh ph vn hnh phng bnh v phi m bo rng mi bnh nhn u c th s dng tt c cc ngun ti nguyn(nhn vin, ging, vt dng). The Medical Director phi lm vic cht ch vi Charge Nurse m bo bnh vin hot nng tt. Charge Nurse chu trch nhim phn cng lun phin nhn vin hng tun, v phi m bo rng m nhn vin, loi nhn vin ng vi bn phn ca nhn vin ti mi thi im trong sut 1 ngy hoc 1 m. Trong mt tun mi nhn vin c phn cng lm 1 ca sm(early) ca mun(late) hoc ca m(night)

Cng ging nh ph trch y t(charge nurse) mi phng bnh c b nhim y t cao cp, y t s cp, bc s v cc thit b khm. Cc chuyn vin( v d nh bc s t vn, bc s iu tr vt l) c b nhim n 1 s phng bnh hoc phng khm ngoi tr. V d danh sch chi tit ca nhn vin ti phng 11 c biu din hnh B.2 Bnh nhn Khi mt bnh nhn ln u n bnh vin anh y hoc c y c cp 1 m s (number)khm duy nht. Vo thi gian ny thng tin chi tit ca bnh nhn cng c ng k gm tn(first and last),a ch, s in thoi, ngy sinh, gii tnh, tnh trng hn nhn, ngy khm, v chi tit thn nhn ngi bnh. Thn nhn ca ngi bnh Chi tit thn nhn ca ngi bnh c ng k bao gm tn thn nhn, quan h vi bnh nhn, a ch, s in thoi. Bc s i phng(Local doctor) Ngi bnh thng thng c gi n bnh vin bi bc s(local doctor) ca h, chi tit ca local doctor bao gm tn y (full name), s phng khm ngoi tr, a ch v s in thoi. S phng khm ngoi tr l duy nht trong ton nc anh. Mt v d v mu ng k ca bnh nhn Anne Phelps biu din hnh B.3 Cuc hn ca bnh nhn Khi bnh nhn c gi n bnh vin bi bc s ca anh y hoc c y, th c ngha l bnh nhn ny nhn cuc hn bc s t vn kim tra. Mi cuc hn c m cuc hn duy nht. Chi tit ca mi cuc hn c ng k bao gm tn v m ca bc s t vn(bc s kim tra cho bnh nhn), ngy v gi hn, phng kim tra.v d(phng E252). Kt qu cuc kim tra bnh nhn hoc l c gii thiu n phng khm ngoi tr hoc l c t ch trn danh sch ch n khi c ging ca phng khm thch hp. Bnh nhn ngoi tr Chi tit ca bnh nhn ngoi tr c lu tr v bao gm m s bnh nhn, tn(first and last), a ch, s in thoi,ngy sinh, gii tnh, ngy gi cuc hn ti phng khm ngoi tr. Bnh nhn ni tr Ph trch y t(Charge Nurse) v nhn vin y khoa cao cp(senior medical staff) chu trch nhim cp ging cho bnh nhn trn danh sch ch. Chi tit ch ca bnh nhn hin hnh trong phng bnh v chi tit ch ca bnh nhn trn danh sch ch bao gm cc thng tin: m s bnh nhn, tn(first and last), a ch, s in thoi, ngy sinh, gii tnh, tnh trng hn nhn, thng tin chi tit thn nhn ca ngi bnh, ngy ng k trn danh sch ch, phng yu cu, thi gian (days), ngy , ngy xut vin, ngy xut vin hin ti. Khi mt bnh nhn vo phng, anh y hoc c y c cp 1 chic ging vi m s ging duy nht. Danh sch chi tit ca ni bnh nhn ti phng 11 c biu din hnh B.4

Cp thuc cho bnh nhn Khi mt bnh nhn c k n thuc, thng tin chi tit ng k bao gm tn v m s ca bnh nhn, tn v m thuc, liu dng cho 1 ngy, cch thc ca ngi qun l(v d: ni bng ming, trong tnh mch), ngy bt u v ngy kt thc. Thuc(trong kho dc phm) a cho mi bnh nhn c gim st. V d v chi tit n thuc ca bnh nhn Robert Macdonald c biu din hnh B.5 Dng c phu thut v khng phu thut Bnh vin Wellmeadow c mt kho trung tm cha dng c phu thut (v d:ng tim, bng v trng) v dng c khng phu thut(v d: ti nha, mng che) . Chi tit dng c phu thut v khng phu thut bao gm: M s v tn dng c, m t dng c, s lng lu tr, mc sp xp li, gi c(cho mi dng c). M s dng c l duy nht c xc nh cho tng loi dng c phu thut v khng phu thut. Nhng dng c ny u c gim st khi s dng trong mi phng bnh. Kho dc phm Bnh vin cng c kho lu tr dc phm(v d: thuc khng sinh, thuc gim au). Chi tit ca kho dc phm bao gm: m s v tn thuc, m t, liu lng, cch dng(method of adminitrator), s lng lu tr, mc sp xp li, gi c. M s thuc l duy nht xc nh cho mi loi dc phm trong kho. Nhng loi thuc u c gim st khi s dng trong mi phng bnh. Yu cu phng bnh Khi c yu cu, ngi ph trch y t c th nhn c dng c phu thut, khng phu thut v dc phm t kho lu tr ca bnh vin. iu ny c thc hin bi vic yu cu dng c cho phng bnh da vo mu yu cu(requisition form). Thng tin chi tit trn mu yu cu ny bao gm: m s yu cu(m ny l duy nht), tn nhn vin yu cu, m s v tn ca phng bnh. Ngoi ra cn c m s ca dng c(phu thut hoc khng phu thut) hoc m s loi thuc, tn, m t, liu lng, cch dng(i vi thuc), gi c, s lng yu cu, ngy yu cu, khi kho hng yu cu c giao n phng bnh ngi ph trch y t phi k vo mu yu cu v ghi ngy thng nhn yu cu. V d v mu yu cu thuc morphine cho phng 11 c biu din hnh B.6 Ngi cung cp Thng tin chi tit ca ngi cung cp dng c phu thut, khng phu thut hoc dc phm bao gm: m s v tn ngi cung cp, a ch, email, s in thoi/s fax. M s ngi cung cp l duy nht. B.3.2 Yu cu thc hin Cc bc thc hin sau m bo thng tin tng ng c gi tr cho php nhn vin qun l v gim st hot ng ca bnh vin Wellmeadows hng ngy. Mi bc thc hin c gn kt vi mt chc nng ring bn trong bnh vin. Nhng chc nng ny chnh l nhng cng vic ring bit ca mi nhn vin.

Ngi s dng chnh hoc nhm ngi s dng tng chc nng c nm trong du ngoc n. a. Chc nng to v gim st h s ghi thng tin chi tit ca mi nhn vin(Personal Officer: gim c nhn vin) b. Chc nng tm kim nhn vin ngi c bng cp hoc kinh nghim lm vic trc ( Personal Officer) c. Chc nng lm mt bn bo co danh sch chi tit ca nhn vin c phn b ti mi phng.(Officer and Charge Nurse). d. Chc nng to v gim st h s ghi thng tin chi tit ca bnh nhn c gi n khm bnh vin.(all staff) e. Chc nng to v gim st h s ghi thng chi tit ca bnh nhn c gi n khm ti phng khm ngoi tr.(Charge Nurse) f. Chc nng lm mt bn bo co danh sch chi tit nhng bnh nhn n khm ti phng khm ngoi tr.(Charge Nurse and Medical Director) g. Chc nng to v gim st h s ghi thng tin chi tit ca bnh nhn c a n mi phng khm. h. Chc nng lm mt bn bo co danh sch chi tit ca bnh nhn hin ti trong mi phng bnh .(Charge Nurse and Medical Director) i. Chc nng lm mt bn bo co danh sch chi tit ca bnh nhn hin ti trn danh sch ch c sp xp vo mi phng bnh. (Charge Nurse and Medical Director) j. To v gim st h s ghi thng tin chi tit ca thuc cp cho tng bnh nhn.(Charge Nurse) k. Lm mt bn bo co danh sch chi tit ca thuc cp cho tng bnh nhn.(Charge Nurse) l. To v gim st h s yu cu chi tit cp vt dng t kho(dng c phu thut v k phu thut, thuc) cho mi phng khm.(Charge Nurse) m. Lm mt bn bo co danh sch chi tit nhng vt dng c cung cp n tng phng khm ring bit.