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 M hc sinh : 08TDS11 :
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 n ngy 23 thng
01 nm 2009. nm 2010.
Li m uThuc 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 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 ) - 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
v p ng quy m hot ng. t chun GPP
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. - Cng phi c t, quy, k nh hng bt li i vi 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.
Thit b bo qun thuc
- 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 21 22 23
Nhn xt ca c s thc tp Nhn xt ca gio vin hng dn Nhn xt ca ngi phn
bin
