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so Y TE THANH HOA

B~NH V$N DA KHOA TlNH

CONG HOA xA HOI CHU NGHIA V$T NAM

D9C ldp - Til do - Hann phuc

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PROTOCOL CONG TAc nlEU DUONG(Chuan bi cho ca ghep than tir ngurri cho song ngay 24/02/2020)

DD twang Dang Thi Thu (tel: 0919625396) phu trach moi van d~ lien quan toi cong tacchuan bi benh nhan tnroc md, kiem tra h6 sa dieu duong, kiem tra don doc cac nh6m dieu duong- h¢ly phuc VI,I ca ghep.

A. CONG TAc CHUAN B~TRUOC MO CHO B"¢NHNHAN CHO TH~N- V~ sinh rang mieng, sue mieng ruroc mu6i hang ngay

- V~ sinh than th~ hang ngay bang xa phong Lifebouy

- Che d¢ an: cung cap nang hrong theo chi dinh bac sy

- Ngay tnroc mci23/02/2020

+ Bira sang + trua an u6ng binh thuong; bira chien an nhe (an chao loang hoac u6ng sua)

+ 17h30': tarn goi theo protocol. Cao long nach, b¢ phan sinh due. Thay b¢ quan ao sach

+ 18h30': u6ng 0119 Fleet pha 200 ml ruroc soi M nguoi, Sau d6 u6ng tiep 200ml mrocsoi d~ nguoi. Sau 2h u6ng tiep 0119 Fleet pha 200 ml mroc soi d~ ngu¢i.

+ 21h 30': u6ng Seduxen 5mg x 2 vien

+ Tuy~t d6i khong u6ng nuac sau 22h

-Ngay mci 24/02/2020

+ 7h: danh rang, suc mi~ng nuac mu6i, sat trung vung mci, bang vo khuan vung mci vathay quan ao vo khuan, d¢i mil vo trung

+ 7h30': dua b~nh nban len phong mci bang xe day da v~ sinh bang dung dich Precept vatnii loan vo trung

B. CONG TAc CHUAN B-~TRUOCMO CHO B"¢NHNHANNH~N TH~N- V~ sinh rang mi~ng, suc mi~ng nuac mu6i hang ngay

- V~ sinh than th~'hang ngay bang xa phong Lifebouy. 02 ngay truac mci tAmg¢i theo protocol.,

- Che d¢ an: cung'cap nang luqng theo chi dinh hac sy

- Ngay truac mci 23/02/2020

+ Bua sang + trua an u6ng blnh thuC1ng;bUachi~u an nhy (an chao Joang ho~c u6ng sua)

+ Dung thu6c theo y l~nh cua bac sy gay me

+ 17h30': tam g¢i theo protocol. Cao long nach, b¢ pMn sinh dl,lc.Thay b¢ quan ao s<,lch

+ 18h30': u6ng 0119 Fleet pha 200 ml nuac soi d~ ngu¢i.

+ 2Ih 30': u6ng Seduxen 5mg x 2 vien

+ Tuy~t d6i khong u6ng nuac sau 22h

1

-Ngay m6 24/02/2020

+ 7h: thut hau man 01 tuyp Microlax, danh rang, sue mieng rnroc muoi, sat trung vungmd, bang vo khuan vung m6 va thay quan ao vo khuan, doi mil vo trung

+ 7h30': dira benh nhan len phong m6 bang xe day dil ve sinh bang dung dich Precept vatrai toan vo trung

C. KlEM TRA CONG TAc DlEU DUONG, V~ SINH T~I DON vr GHEP- Bac sy dieu tri:

+ TS. Truong Thanh Tung

+ BS. H6 Hfru Hgp

- Dieu dirong: CN Dang Thi Thu + CN Pham Thi Viet Ha + DO Le Th] Thu HU'O'ng

+ Theo doi, cham soc bn v~ thirc hien y lenh,., I . . .+ Chuan bi rna:

• Chuan bi h6 sa benh an

• Ky giay chap nhan phau thuat

• Thirc hien theo bang churin bi bn tnroc mo cua dieu duong

- Ki~m tra toan bo cong tac ve sinh

+ V¢ sinh giuong, ban dem, cira kinh, chap, nha v¢ sinh, chan nrong

+ Chan ga goi dern

D. KIEM TRA CONG TAc DI~U DUONG, V~ SINH T~I NHAMO16h CN ngay 23/02/2020 cung CN Tr~h Quac Lam va DD Hoang Th~Hoai ki~m tra toan

b¢ cang tac v¢ sinh, toan ao va cac dl:1ngCl:1ph,=,cv,=,ghep th~n va bao cao l':liGiam ~

I

PHl! TRAcH CONGTAc DlEU DUONG

DDT.D~NG TH~THU

2

I

BVDK TiNH THANH HOA PHAN CONG GHEP TH~ T,;.I B:E:NHVI:E:NNGAy 24/02/2020

Khoa/Pbong (BVTH)Nh3n vien SDTStt NQidung

DD

BSCKI Le Hong van GMHSKTV r.e Ngoc Quang GMHSDD Hoang Thj Hoai GMHSDD Trinh Thi Lan GMHS

Kip gay meBS Pham Hoang SOTl GMHSKTV Truong Ngoc B6n GMHSDD r.e Van Tam GMHSDO Pham H6ng Anh GMHSGay me - H6i sireBS Pharn Hoang SOTl GMHSDO Le Ngoc CUOTlg GMHSDO T6ng Van Quyet GMHS

Kip h6i sire DO Nguyen Duy Quan GMHS~------~~--~~~-------+--------------+-----------------~Pham Anh Tu~n GMHS

DO Trinh Quoc Dat GMHSDO Pham Quang Trung GMHS

Le Blnh VU PT ti~t nieuBSCKIITS Truong Thanh Tung PT ti~t nieu

2 Ph~u thuat l~y than tir ngiroi cho songThS Pham Gia Thanh C~p ciruBS Nguyen Thanh Tung PT TK - LNThS Nguy~n Ba Vinh PT ti~t nieu

3 Rira than, bao quan than, chuan bj th~nBS OUOTlgVan Minh PT TK - LN

Le Viet Linh GMHSDOTS Truong Thanh Tung PT ti~t nieuThS Le Quang Anh PT ti~t nieu

4 Ph&u thuat ghep thanBSThS

Nguyen To Hoang PT TK - LNNguy~n Anh LUOTlg PT ti~t nieu

T~yff;kua,ng~~ thang 02 nam 2020GIAM £) 'C •. ~~~KHOA TINH THANH H6~

>- J)AKH~_. ~'--4

s> ....{o:-;-...._~_ ~~&- ~~eVan Sy

LICH TRUC SAU GHEP THAN 24/02/2020DIEUDUONGHSNGO~I

DIEU DlrONG SAU CDHA SINH HOAGHEP, THA Y BANG

NGAy BS HOI BS NQI BS NGO~ISUC

Thu 2 Van Hang Tung, Hoang(24/02)

TWIn,Quan Huang, QT, Phuong TN Bs. H?nh Vi}Duy Lien

Thu 3 Thang 'ru Anh, TungLN(25/02)

Quang, D<;lt Trang, QT, Phuong TN Bs. H?nh r.e Thi Que

Thir 4 Son Cirong Luang, Minh,(26/02)

BOn,Trung Long, QT, Phuong TN Bs. H?nh Trinh Dinh Hili

Thu 5 Van Thai Vinh, Thang,(27/02)

TWIn,Quan Thanh, QT, Phuong TN Bs. H?nh H(TaThi Tien

Tlur 6 Thang Hang Tung" Hoang,(28/02)

Quang, Dat Huang, QT, Phuong TN ThS. Long Ta Mai Hong

. Thir 7 Son Tu Anh, Tungl.N,(29/02)

Bon, Trung Trang, QT, Phuong TN Bs. Hanh Trinh Quae D<;lt

CN Van Cirong Luang, Minh,(01/03)

TWIn,Quan Long, QT, Phuong TN ThS. Long t.e Thi ThI:lY

Thu 2 Thang Thai Vinh, Thang,(02/03)

Quang, Dat Thanh, QT, Phuong TN Bs. H?nh Trinh Dinh Hili

Thir 3 Son Hang Tung" Hoang,(03/03)

BOn,Trung Huang, QT, Phuong TN ThS. Long Dang Trong Chien

Tlnr 4 Van Tu /Anh, Tungl.N,(04/03)

TWIn,Quan Trang, QT, Phuong TN Bs. Hanh r.e Thi Que

Thir 5 Thang Cirong Luang, Minh,(05/03)

Quang, Dat Long, QT, Phuong TN ThS. Long Trinh Dinh Hili

Thir 6 Son Thai Vinh, Thang,(06/03)

Bon, Trung Thanh, QT, Phuong TN Bs. H?nh Le Thi Que

Thu 7 Van Hang Tung" Hoang,(07/03)

TWIn,Quan Huang, QT, Phuong TN ThS. Long Trinh Quae Dar

CN Thang ru Anh, TungLN,(08/03)

Quang, Dat Trang, QT, Phuong TN ~~hi Tien

PHONG KE HOA-CH TONG HOP

TS. TROONG THANH TONG

.u~1,.1.1 'll.,n -z. /I • DAKHokI!~ DOC

T~ Ill'

~

-BSCKII. LE VAN SY

-

so Y TE THANH BOA

BVDKTiNH

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CONG HOA XA HOI CHiT NGHiA VIET NAM. . .DQc I~p - T1}'do - Hanh phuc

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KEHOACH TRIEN KHAI GHEP TANG. .DVkien ngay ghep: 24/02/2020

Mo hinh: Ghep than til nguoi cho song

Chi dao chung: BSCKII. Le Van Sy - GDBV (tel: 0918051963)

Chi dao tnrc tiep: BSCKII. To Hoai Phuong (tel: 0912797568)

Tlmg thir Icy: TS. Truong Thanh Tung (tel: 0915333838)

HQP trien khai ghep: luc 14h ngay 23/02/2020 tai phong hop HQi tnrong

tang 2 nha A5.

I. Cac thanh phAn tham gia ghep th~n ngay 30/7/2019 nlnr sau:

1. Nhom l~y than:

- BSCKII. Le Dinh VG

- TS. Truong Thanh Tung (Thu ky)

- BS. Nguyen Thanh Tung

2. Nhom nra than:

- ThS. Nguyen Ba Vinh

- Duong Van Minh (Thu ky)

3. Nhom Ghep than:

- TS. Truong Thanh Tung

- ThS. Le Quang AM- ThS. Nguyen Anh Luang (Thir Icy)

- BS. Nguyen To Hoang

4. Nhom gay me - h6i sire:

- BSCKI. Le H6ng Van

- BS. Pham Hoang San (Thu ky)

- DD: Truong Ngoc B6n

- DD: L€ Ngoc Quang

- DD: L€ ViSt Linh

- DD: Hoang Thi Hoai

- DD: Pham H6ng Anh

- DD: L€ Van Tam

- DD: Tr~n Thi Lan

- DD: Pham Anh Tufrn

- DD: Nguyen Duy Quan

- DD: Trinh Quoc Dat

- DD: Pham Quang Trung

5. Nhorn diSu tri ire chS miS~ dich va chong thai ghep:

- BSCKII: Han Thi Bich H~ng

TS. L€ Van CUOng

- ThS. D6 Minh Thai

- BS. Dao Anh Ttl (Thu ky)

6. Nhom theo doi, cham soc sau ghep:

- DD: L€ Thi Thu Huang (Thu ky)

- DD: Nguyen Tufrn Long

- DD: Doan Thi Thu Trang

- DD: L€ Trung Thanh

7. Nhom ch~n doan hinh anJ:

- BSCKI. Dinh VanlH~nh

- ThS. L€ Hoang Long (Thu ky)

8. Nhom huyet hoc truyen Jau:

- BSCKII. Nguyen Huy Thach

9. Nhom Sinh Hoa:

- TS. Trinh Quoc Dat

10. Nhom Vi Sinh:

- BSCKII. Ngo Thi Thanh Xuan

11. Nhorn Giai ph~u benh: I

2

- BSCKI1. Ha Minh Th~ng

12. Nhorn thuoc, dich truyen:

- DS. Le Duy Nam

13.Phong k~ hoach tong hop:

- TS. Truong Thanh TUIJg

- BSCKI~ Nguyen Ba Chuyen (Thu ky)

14. Phong t6 chirc can bo:

- DS. Hoang Trung Thong

15. Phong tai chinh kS toan:

- ThS. Nguyen Van Th~ng

, ? '. ",.

II. Hinh thirc lay - ghep th~n va cong tac chuan hi: VIEN'S--y. "1-

- Thuc hien l~y va ghep than dtroi sir chuyen giao ky thuat cua BVV~OA I;

Lily than bang philu thuat ~Qi soi theo quy trinh tai PM T.i~tnieu 2. ';;JJGhep than tir ngiroi cho song theo quy trinh tai phong mo Tim maclf

- Chu~n bi dung cu: dao sieu am co han mach Thunderbit (Olympus);

dao bipolar noi soi (Karl storz).

- Dung cu nra than va ghep than dll chuan bi nhu ca tnroc.

- M9t s6 v~t tu can: tui mroc ti~u dung cho benh nhan ghep than (Diroc

nhap theo m~u BVVD); Sonde d~n luu Redon dung cho b~nh nhan

ghep th~n (DuQ'cnh~p theo m~u BVVD).

III. Phan cong:

1. Khau chu~n bi:

- Phong m6: GMHS, TiSt ni~u, TKLN

- B~nh nhan: N9i th~n, TiSt ni~u, Qu6c t~

- Phong diSu tri sau ghep: Qu6c tS, Hanh chinh

- Thu6c, v~t tu: Khoa DuQ'c, Phong v~t tu

2. Khau thgc hi~n ghep: theo phan cong 6 ph~n 1.

3

3. Ph6i hQ"Pthuc hien diroi sir chi dao tnrc ti8p cua GDBV va ban chi dao

ghep than ngay 24/02~Q020.""~--'-'

Ngay 23/02/2020

GIAMBOC

BSCKII. Le Van Sy

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