ࡱ>    _ Nbjbj .bbn mmmmm8e 71b8<t 6"6"6"6"6"6"6$8:8F6mF6mm6t5t5t5rmm 6t5 6t5t5t5 R884t5 660 7t5:4:t5t5:m5t5F6F6t5 7:! 3: B Y T -------CNG HA X HI CH NGH(A VIT NAM c lp - T do - Hnh phc ---------------S: 52/2017/TT-BYTH Ni, ngy 29thng 12nm 2017 THNG T QUY NH V N THUC V VIC K N THUC HA DC, SINH PHM TRONG IU TR NGOI TR Cn c Lut dc nm 2016; Cn c Ngh nh s HYPERLINK "https://thuvienphapluat.vn/phap-luat/tim-van-ban.aspx?keyword=75/2017/N%C4%90-CP&area=2&type=0&match=False&vc=True&lan=1" \t "_blank" 75/2017/N-CPngy 20 thng 6 nm 2017 ca Chnh ph quy nh chc nng, nhim v, quyn hn v c cu t chc ca B Y t; Theo  ngh ca Cc trng Cc Qun l Khm, cha bnh, B trng B Y t ban hnh Thng t quy nh v n thuc v vic k n thuc ha dc, sinh phm trong iu tr ngoi tr. iu 1. Phm vi iu chnh Thng t ny quy nh v n thuc v vic k n thuc ha dc, sinh phm trong iu tr ngoi tr ti c s khm bnh, cha bnh(sau y vit tt l k n thuc). iu 2. i tng p dng 1. Bc s c chng ch hnh ngh khm bnh, cha bnh v c ng k hnh ngh ti c s khm bnh, cha bnh theo quy nh ca Lut khm bnh, cha bnh. 2. Y s c chng ch hnh ngh v c ng k ngh ti c s khm bnh, cha bnh tuyn 4 quy nh ti thng t s HYPERLINK "https://thuvienphapluat.vn/phap-luat/tim-van-ban.aspx?keyword=43/2013/TT-BYT&area=2&type=0&match=False&vc=True&lan=1" \t "_blank" 43/2013/TT-BYTngy 11 thng 12 nm 2013 ca B trng B Y t quy nh chi tit phn tuyn chuyn mn k thut i vi h thng c s khm bnh, cha bnh. 3. C s khm bnh, cha bnh c cp Giy php hot ng khm bnh, cha bnh theo quy nh ca Lut khm bnh, cha bnh 4. C s bn l thuc, ngi chu trch nhim chuyn mn v dc ca c s bn l thuc theo quy nh ca Lut Dc. 5. Ngi bnh v ngi i din ca ngi bnh c n thuc. 6. C quan, t chc, c nhn khc c hot ng lin quan n n thuc v k n thuc. iu 3. Mu n thuc Ban hnh km theo Thng t ny cc mu n thuc nh sau: 1. Ph lc I: Mu n thuc 2. Ph lc II: Mu n thuc  N (Mu n thuc gy nghin) 3. Ph lc III: Mu n thuc  H (Mu n thuc hng thn, thuc tin cht) iu 4. Nguyn tc k n thuc 1. Ch c k n thuc sau khi  c kt qu khm bnh, chn on bnh. 2. K n thuc ph hp vi chn on bnh v mc  bnh. 3. Vic k n thuc phi t c mc tiu an ton, hp l v hiu qu. u tin k n thuc dng n cht hoc thuc generic. 4. Vic k n thuc phi ph hp vi mt trong cc ti liu sau y: a) Hng dn chn on v iu tr hoc Hng dn iu tr v chm sc HIV/AIDS do B Y t ban hnh hoc cng nhn; Hng dn chn on v iu tr ca c s khm, cha bnh xy dng theo quy nh tiiu 6 Thng t s 21/2013/TT-BYTngy 08 thng 8 nm 2013 ca B trng B Y t quy nh v t chc v hot ng ca Hi ng Thuc v iu tr trong bnh vin trong trng hp cha c hng dn chn on v iu tr ca B Y t. b) T hng dn s dng thuc i km vi thuc  c php lu hnh. c) Dc th quc gia ca Vit Nam; 5. S lng thuc c k n thc hin theo Hng dn chn on v iu tr c quy nh ti im a Khon 4 iu ny hoc  s dng nhng ti a khng qu 30 (ba mi) ngy, tr trng hp quy nh ti cc iu 7, 8 v 9 Thng t ny. 6. i vi ngi bnh phi khm t 3 chuyn khoa tr ln trong ngy th ngi ng u c s khm bnh, cha bnh hoc ngi c ngi ng u c s khm bnh, cha bnh y quyn (trng khoa khm bnh, trng khoa lm sng) hoc ngi ph trch chuyn mn ca c s khm bnh, cha bnh sau khi xem xt kt qu khm bnh ca cc chuyn khoa trc tip k n hoc phn cng bc s c chuyn khoa ph hp  k n thuc cho ngi bnh. 7. Bc s, y s ti c s khm bnh, cha bnh tuyn 4 c khm bnh, cha bnh a khoa v k n thuc iu tr ca tt c chuyn khoa thuc danh mc k thut  tuyn 4 (danh mc k thut ca c s khm bnh, cha bnh  c cp c thm quyn ph duyt). 8. Trng hp cp cu ngi bnh, bc s), y s) quy nh ti cc khon 1, 2 iu 2 Thng t ny k n thuc  x tr cp cu, ph hp vi tnh trng ca ngi bnh. 10. Khng c k vo n thuc cc ni dung quy nh tiKhon 15 iu 6 Lut dc, c th: a) Cc thuc, cht khng nhm mc ch phng bnh, cha bnh; b) Cc thuc cha c php lu hnh hp php ti Vit Nam, c) Thc phm chc nng; d) M phm. iu 5. Hnh thc k n thuc 1. K n thuc i vi ngi bnh n khm bnh ti c s khm bnh, cha bnh: Ngi k n thuc thc hin k n vo n thuc hoc s khm bnh (s y b) ca ngi bnh theo mu quy nh ti Ph lc IV ban hnh km theo Thng t ny v s theo di khm bnh hoc phn mm qun l ngi bnh ca c s khm bnh, cha bnh. 2. K n thuc i vi ngi bnh iu tr ngoi tr: Ngi k n thuc ra ch nh iu tr vo s khm bnh (s y b) ca ngi bnh v bnh n iu tr ngoi tr hoc phn mm qun l ngi bnh ca c s khm bnh, cha bnh. 3. K n thuc i vi ngi bnh ngay sau khi kt thc vic iu tr ni tr: a) Trng hp tin lng ngi bnh cn tip tc s dng thuc t 01 (mt) n  07 (by) ngy th k n thuc (ch nh iu tr) tip vo n thuc hoc S khm bnh ca ngi bnh v Bnh n iu tr ni tr hoc phn mm qun l ngi bnh ca c s khm bnh, cha bnh. b) Trng hp tin lng ngi bnh cn tip tc iu tr trn 07 (by) ngy th k n thuc theo quy nh ti Khon 2 iu ny hoc chuyn tuyn v c s khm bnh, cha bnh ph hp  tip tc iu tr. 4. K n thuc gy nghin, thuc hng thn, thuc tin cht theo thc hin theo quy nh ti cc iu 7, 8 v 9 Thng t ny. iu 6. Yu cu chung vi ni dung k n thuc 1. Ghi , r rng v chnh xc cc mc in trong n thuc hoc trong s khm bnh ca ngi bnh. 2. Ghi a ch ni ngi bnh thng tr hoc tm tr: s nh, ng ph, t dn ph hoc thn/p/bn, x/phng/th trn, qun/huyn/th x/thnh ph thuc tnh, tnh/thnh ph. 3. i vi tr di 72 thng tui th phi ghi s thng tui, ghi tn v s chng minh nhn dn hoc s cn cc cng dn ca b hoc m hoc ngi gim h ca tr. 4. K n thuc theo quy nh nh sau: a) Thuc c mt hot cht - Theo tn chung quc t (INN, generic); V d: thuc c hot cht l Paracetamol, hm lng 500mg th ghi tn thuc nh sau: Paracetamol 500mg. - Theo tn chung quc t + (tn thng mi). V d: thuc c hot cht l Paracetamol, hm lng 500mg, tn thng mi l A th ghi tn thuc nh sau: Paracetamol (A) 500mg. b) Thuc c nhiu hot cht hoc sinh phm y t th ghi theo tn thng mi. 5. Ghi tn thuc, nng /hm lng, s lng/th tch, liu dng, ng dng, thi im dng ca mi loi thuc. Nu n thuc c thuc c phi ghi thuc c trc khi ghi cc thuc khc. 6. S lng thuc gy nghin phi vit bng ch, ch u vit hoa. 7. S lng thuc ch c mt ch s (nh hn 10) th vit s 0 pha trc. 8. Trng hp sa cha n th ngi k n phi k tn ngay bn cnh ni dung sa. 9. Gch cho phn giy cn trng t pha di ni dung k n n pha trn ch k ca ngi k n theo hng t trn xung di, t tri sang phi; k tn, ghi (hoc ng du) h tn ngi k n. iu 7. K n thuc gy nghin 1. n thuc  N c s dng k n thuc gy nghin ti c s khm bnh, cha bnh c ging bnh v c lm thnh 03 bn: 01 n thuc  N lu ti c s khm bnh, cha bnh; 01 n thuc  N lu trong s khm bnh ca ngi bnh; 01 n thuc  N (c ng du treo ca c s khm bnh, cha bnh) lu ti c s cp, bn thuc. Trng hp vic cp, bn thuc ca chnh c s khm bnh, cha bnh k n thuc th khng cn du ca c s khm bnh, cha bnh . 2. K n thuc gy nghin iu tr bnh cp tnh s lng thuc s dng khng vt qu 07 (by) ngy. 3. Trng hp k n thuc gy nghin, ngi k n hng dn ngi bnh hoc ngi i din ca ngi bnh (trong trng hp ngi bnh khng th n c s khm bnh, cha bnh hoc ngi bnh khng c  nng lc hnh vi dn s) vit cam kt v s dng thuc gy nghin. Cam kt c vit theo mu quy nh ti Ph lc V ban hnh km theo thng t ny, c lp thnh 02 bn nh nhau, trong : 01 bn lu ti c s khm bnh, cha bnh, 01 bn giao cho ngi bnh hoc ngi i din ca ngi bnh. 4. C s khm bnh, cha bnh phi lp danh sch ch k mu ca ngi k n thuc gy nghin ca c s mnh gi cho cc b phn c lin quan trong c s khm bnh, cha bnh c bit. iu 8. K n thuc gy nghin  gim au cho ngi bnh ung th hoc ngi bnh AIDS 1. C s khm bnh, cha bnh khi chn on xc nh ngi bnh ung th hoc ngi bnh AIDS th lm Bnh n iu tr ngoi tr cho ngi bnh. Ngi k n hng dn ngi bnh hoc ngi i din ca ngi bnh vit cam kt v s dng thuc gy nghin theo quy nh ti Khon 3 iu 7 Thng t ny. Mi ln k n thuc ti a 30 (ba mi) ngy, phi ghi ng thi 03 n cho 03 t iu tr lin tip, mi n khng vt qu 10 (mi) ngy (ghi r ngy bt u v kt thc ca t iu tr). 2. Trng hp k n thuc gy nghin  gim au cho ngi bnh ung th hoc ngi bnh AIDS giai on cui nm ti nh khng th n khm ti c s khm bnh, cha bnh: Ngi bnh phi c Giy xc nhn ca Trm trng trm y t x, phng, th trn ni ngi bnh c tr xc nh ngi bnh cn tip tc iu tr gim au bng thuc gy nghin theo mu quy nh ti Ph lc VI ban hnh km theo Thng t ny, km theo bn tm tt h s bnh n theo quy nh tiim c Khon 4 iu 59 Lut khm bnh, cha bnhca c s khm bnh, cha bnh cui cng iu tr  lm cn c cho bc s ti c s khm bnh, cha bnh c ging bnh iu tr ni tr k n thuc; mi ln k n, s lng thuc s dng khng vt qu 10 (mi) ngy. iu 9. K n thuc hng thn, thuc tin cht 1. n thuc  H c s dng  k thuc hng thn, thuc tin cht v c lm thnh 03 bn, trong : 01 n thuc  H lu c s khm bnh, cha bnh; 01 n thuc  H lu trong s khm bnh ca ngi bnh; 01 n thuc  H lu ti c s cp, bn thuc c du ca c s khm bnh, cha bnh. Trng hp vic cp, bn thuc ca chnh c s khm bnh, cha bnh k n thuc th khng cn du ca c s khm bnh, cha bnh . 2. i vi bnh cp tnh: K n vi s lng thuc s dng khng vt qu 10 (mi) ngy. 3. i vi bnh cn cha tr di ngy (bnh mn tnh): K n thuc theo hng dn chn on v iu tr ca B Y t hoc k n vi s lng thuc s dng ti a 30 (ba mi) ngy. 4. i vi ngi bnh tm thn, ng kinh: a) K n thuc theo hng dn chn on v iu tr ca chuyn khoa; b) Ngi i din ngi bnh hoc nhn vin trm y t x, phng, th trn ni ngi bnh c tr chu trch nhim l)nh thuc v k, ghi r h tn vo s cp thuc ca trm y t x (mu s theo hng dn ca B Y t cho tng chuyn khoa); c) Ngi k n thuc quyt nh i vi tng trng hp ngi bnh tm thn c c t l)nh thuc hay khng. iu 10. K n thuc ca c s khm bnh, cha bnh c ng dng cng ngh thng tin. 1. n thuc c k trn my tnh 01 ln v lu trn phn mm ti c s khm bnh, cha bnh. i vi n thuc  N v n thuc  H cn phi in ra cho ngi bnh v lu ti c s khm bnh, cha bnh. 2. C s khm bnh, cha bnh phi bo m vic lu n thuc  trch xut d liu khi cn thit. iu 11. Thi hn n thuc c gi tr mua, l)nh thuc 1. n thuc c gi tr mua, l)nh thuc trong thi hn ti a 05 ngy, k t ngy k n thuc. 2. n thuc c mua ti cc c s bn l thuc hp php trn ton quc. 3. Thi gian mua hoc l)nh thuc ca n thuc gy nghin ph hp vi ngy ca t iu tr ghi trong n. Mua hoc l)nh thuc gy nghin t 2 hoc t 3 cho ngi bnh ung th v ngi bnh AIDS trc 01 (mt) n 03 (ba) ngy ca mi t iu tr (nu vo ngy ngh L, Tt, th by, ch nht th mua hoc l)nh vo ngy lin k trc hoc sau ngy ngh). iu 12. Tr li thuc gy nghin, thuc hng thn, thuc tin cht do khng s dng hoc s dng khng ht. 1. Ngi bnh hoc ngi i din ca ngi bnh phi tr li thuc gy nghin, thuc hng thn, thuc tin cht do khng s dng hoc s dng khng ht cho c s  cp hoc bn thuc. C s lp bin bn nhn li thuc nh sau: a) i vi c s cp thuc lp bin bn nhn li thuc theo mu quy nh ti Ph lc VII ban hnh km theo Thng t ny. Bin bn c lp thnh 02 bn (01 bn lu ti ni cp, 01 bn giao cho ngi tr li thuc). b) i vi c s bn l thuc lp bin bn nhn li thuc theo quy nh ti Thng t s HYPERLINK "https://thuvienphapluat.vn/phap-luat/tim-van-ban.aspx?keyword=20/2017/TT-BYT&area=2&type=0&match=False&vc=True&lan=1" \t "_blank" 20/2017/TT-BYTngy 10 thng 5 nm 2017 ca B trng B Y t quy nh chi tit mt s iu ca Lut dc v Ngh nh s HYPERLINK "https://thuvienphapluat.vn/phap-luat/tim-van-ban.aspx?keyword=54/2017/N%C4%90-CP&area=2&type=0&match=False&vc=True&lan=1" \t "_blank" 54/2017/N-CPngy 08 thng 5 nm 2017 ca Chnh ph v thuc v nguyn liu lm thuc phi kim sot c bit. 2. Thuc gy nghin, thuc hng thn, thuc tin cht nhn li  ring, bo qun v x l theo ng quy nh ti Lut dc 2016. iu 13. Lu n, ti liu v thuc 1. C s khm bnh, cha bnh, pha ch, cp thuc lu n thuc, thi gian lu 01 (mt) nm k t ngy k n i vi tt c thuc thuc trng hp phi k n. 2. C s khm bnh, cha bnh lu n thuc  N , giy Cam kt s dng thuc gy nghin cho ngi bnh v n thuc  H , thi gian lu 02 (hai) nm, k t ngy k n. 3. C s pha ch, cp, bn l thuc gy nghin, thuc hng tm thn, thuc tin cht lu ton b n thuc  N , n thuc  H , thi gian lu 02 (hai) nm, k t khi thuc ht hn s dng. 4. C s pha ch, cp, bn l thuc lu n thuc c k thuc khng sinh, thuc khng vi rt trong thi gian 01 (mt) nm, k t ngy k n, vic lu n c th thc hin mt trong cc hnh thc sau y: a) Lu bn chnh hoc bn sao n thuc; b) Lu thng tin v n thuc b * , . 0 2 B D ( * R T x z ιΟι΅lΟΟMM<jhRqhRq6B*CJPJU]^JaJnH*phtH*0 *h&chRqB*CJPJ^JaJnH*phtH*3hRqhRq5B*CJPJ\^JaJnH*phtH*3hRqhRq6B*CJPJ]^JaJnH*phtH*(hRqhRqCJOJPJQJaJnH*tH*-hRqhRqB*CJPJ^JaJnH*phtH*3hRqhRq5B*CJPJ\^JaJnH*phtH* , o\$dx$Ifa$gdRq|kd$$If0 ,"F F  t622 l34B` apytRq$dx$Ifa$gdRq, . 2 D * t nYYnGnnd-DM gdRq$d-DM a$gdRqdx-DM gdRq|kd$$If0 ,"F F  t622 l34B` apytRqz r t dfƬ{bF{b6 *h1dhRq6B*CJPJ]^JaJnH*phtH*0 *h1dhRqB*CJPJ^JaJnH*phtH*3hRqhRq5B*CJPJ\^JaJnH*phtH*-hRqhRqB*CJPJ^JaJnH*phtH*3hRqhRq6B*CJPJ]^JaJnH*phtH*<jhRqhRq6B*CJPJU]^JaJnH*phtH*3hRqhRq6B*CJPJ]^JaJnH*phptH* fjFjFPP< !V%\'dx-DM gdRqd-DM gdRq DDPNfz|: !"R"%%)N)**`00əəəəffəOə-h&chRqB*CJPJ^JaJnH*phtH*0 *h&chRqB*CJPJ^JaJnH*phtH*3hRqhRq5B*CJPJ\^JaJnH*phtH*-hRqhRqB*CJPJ^JaJnH*phtH*0 *h1dhRqB*CJPJ^JaJnH*phptH*0 *h1dhRqB*CJPJ^JaJnH*phtH*9j *h1dhRqB*CJPJU^JaJnH*phtH*\'(b))V****~+l-->T?@"ABCnFIIJJKggS@$h ohRqCJPJ^JaJnH*tH*' *h ohRqCJPJ^JaJnH*tH*0 *hf0hRqB*CJPJ^JaJnH*phtH*6 *h1dhRq5B*CJPJ\^JaJnH*phtH*3hRqhRq5B*CJPJ\^JaJnH*phtH*0 *hZ[KhRqB*CJPJ^JaJnH*phtH*0 *h1dhRqB*CJPJ^JaJnH*phtH*-hRqhRqB*CJPJ^JaJnH*phtH*|;<=>>V?@$ADEIJKOFUUYY&[|[\]^l_aad-DM gdRqdx-DM gdRqKrLLMNPRRSFUU,[z[\]^j_a4bVf0gij\k^kzl|lllrmtmnnnnppqii-hRqhRqB*CJPJ^JaJnH*phptH*6jhRqhRqB*CJPJU^JaJnH*phtH*3hRqhRq5B*CJPJ\^JaJnH*phtH*0 *h ohRqB*CJPJ^JaJnH*phtH*0 *hf0hRqB*CJPJ^JaJnH*phtH*-hRqhRqB*CJPJ^JaJnH*phtH*%a6bbcVf2ghj|opp rZstnvvБ<r"j֢dx-DM gdRqd-DM gdRqqqrXstlvnvv֑,.JL$&JLfh:<pjмЧqqW3hRqhRq5B*CJPJ\^JaJnH*phtH*0 *hWehRqB*CJPJ^JaJnH*phptH*9j *hWehRqB*CJPJU^JaJnH*phtH*U$hhRqCJPJ^JaJnH*tH*' *hhRqCJPJ^JaJnH*tH*-hRqhRqB*CJPJ^JaJnH*phtH*0 *hWehRqB*CJPJ^JaJnH*phtH*ao gm: tn v a ch c s khm bnh, cha bnh, h v tn ca ngi k n thuc, h v tn ca ngi bnh, a ch thng tr ca ngi bnh, tn thuc khng sinh, thuc khng vi rt, hm lng, s lng, liu dng, ng dng. 5. Khi ht thi hn lu ti liu v thuc gy nghin, thuc hng thn v thuc tin cht, c s thnh lp Hi ng hy ti liu theo quy nh ti Thng t s HYPERLINK "https://thuvienphapluat.vn/phap-luat/tim-van-ban.aspx?keyword=20/2017/TT-BYT&area=2&type=0&match=False&vc=True&lan=1" \t "_blank" 20/2017/TT-BYTngy 10 thng 5 nm 2017 ca B trng B Y t quy nh chi tit mt s iu ca Lut Dc v Ngh nh s HYPERLINK "https://thuvienphapluat.vn/phap-luat/tim-van-ban.aspx?keyword=54/2017/N%C4%90-CP&area=2&type=0&match=False&vc=True&lan=1" \t "_blank" 54/2017/N-CPngy 08 thng 5 nm 2017 ca Chnh ph v thuc v nguyn liu lm thuc phi kim sot c bit. Ti liu hy bao gm: n thuc  N ; n thuc  H ; Cam kt v s dng thuc gy nghin cho ngi bnh; Bin bn nhn li thuc gy nghin; Giy xc nhn ngi bnh cn tip tc iu tr gim au bng thuc gy nghin ca Trm y t x, phng, th trn (nu c). iu 14. T chc thc hin 1. Cc Qun l Khm, cha bnh - B Y t c trch nhim hng dn, t chc trin khai, kim tra, nh gi vic thc hin Thng t ny. 2. S Y t tnh, thnh ph trc thuc Trung ng, Y t B, ngnh c trch nhim: a) Ch o, t chc trin khai thc hin Thng t trn a bn, n v qun b) Kim tra, thanh tra v nh gi kt qu vic thc hin Thng t trong phm vi a bn, n v qun l; 3. C s khm bnh, cha bnh, c s bn l thuc c trch nhim: a) Thc hin cc quy nh ti Thng t ny. b) Nhn li thuc gy nghin, thuc hng thn, thuc tin cht do ngi bnh hoc ngi i din ca ngi bnh tr li v x l thuc theo quy nh ti Thng t s HYPERLINK "https://thuvienphapluat.vn/phap-luat/tim-van-ban.aspx?keyword=20/2017/TT-BYT&area=2&type=0&match=False&vc=True&lan=1" \t "_blank" 20/2017/TT-BYTngy 10 thng 5 nm 2017 ca B trng B Y t quy nh chi tit mt s iu ca Lut dc v Ngh nh s HYPERLINK "https://thuvienphapluat.vn/phap-luat/tim-van-ban.aspx?keyword=54/2017/N%C4%90-CP&area=2&type=0&match=False&vc=True&lan=1" \t "_blank" 54/2017/N-CPngy 08 thng 5 nm 2017 ca Chnh ph v thuc v nguyn liu lm thuc phi kim sot c bit. c) i vi thuc khng thuc Danh mc thuc khng k n ban hnh km theo Thng t s HYPERLINK "https://thuvienphapluat.vn/phap-luat/tim-van-ban.aspx?keyword=07/2017/TT-BYT&area=2&type=0&match=False&vc=True&lan=1" \t "_blank" 07/2017/TT-BYTngy 03 thng 5 nm 2017 ca B trng B Y t Ban hnh danh mc thuc khng k n, c s bn l thuc ch c bn thuc khi ngi mua c n thuc theo quy nh ti Thng t ny; d) C s bn l thuc gy nghin phi bn thuc gy nghin cho ngi bnh khi c n thuc  N c k n theo quy nh ti iu 7 v 8 Thng t ny. 4. Ngi k n thuc c trch nhim: a) Thc hin cc quy nh v k n thuc ti Thng t ny v chu trch nhim v n thuc do mnh k cho ngi bnh; b) Hng dn vic s dng thuc, t vn ch  dinh dng, ch  sinh hot cho ngi bnh hoc ngi i din ngi bnh; hng dn ngi bnh hoc ngi i din ngi bnh phi thng bo ngay cho ngi k n thuc hoc n c s y t gn nht khi c du hiu bt thng sau khi s dng thuc. 5. Ngi bnh v ngi i din ca ngi bnh c trch nhim thc hin cc quy nh ti Thng t ny. iu 15. Hiu lc thi hnh 1. Thng t ny c hiu lc t ngy 01 thng 3 nm 2018. 2. Thng t s HYPERLINK "https://thuvienphapluat.vn/phap-luat/tim-van-ban.aspx?keyword=05/2016/TT-BYT&area=2&type=0&match=False&vc=True&lan=1" \t "_blank" 05/2016/TT-BYTngy 29 thng 02 nm 2016 quy nh k n thuc trong iu tr ngoi tr ht hiu lc k t ngy Thng t ny c hiu lc. iu 16. iu khon tham chiu Trong trng hp cc vn bn quy phm php lut v cc quy nh c vin dn trong Thng t ny c s thay i, b sung hoc c thay th th p dng theo vn bn quy phm php lut mi. iu 17. Trch nhim thi hnh Chnh Vn phng B, Chnh Thanh tra B, Tng cc trng, Cc trng V trng thuc B Y t, Gim c S Y t tnh, thnh ph trc thuc Trung ng v c quan, t chc, c nhn c lin quan chu trch nhim thc hin Thng t ny. Trong qu trnh thc hin, nu c kh khn, vng mc,  ngh cc c quan, t chc, c nhn phn nh kp thi v B Y t (Cc Qun l Khm, cha bnh)  xem xt, gii quyt./. Ni nhn: - Vn phng Chnh ph (V KGVX, Cng bo, Cng Thng tin in t Chnh ph); - B T php (Cc Kim tra vn bn QPPL); - y ban cc VXH ca QH ( gim st); - B trng ( bo co); - Cc Th trng B Y t; - S Y t cc tnh, thnh ph trc thuc T; - Y t cc B, Ngnh; - Bo him x hi Vit Nam; - VP B, TTra B, cc V, Cc, Tng cc thuc BYT; - Cc n v trc thuc B Y t; - Cng Thng tin in t BYT; - Lu: VT, PC, KCB (02). KT. B TRNG TH TRNG Nguyn Vit Tin PH LC I ( Chuyn Phng IT ci t trong phn mm) MU N THUC (Ban hnh km theo Thng t s 52/2017/TT-BYT ngy 29 thng 12 nm 2017 ca B trng B Y t) Tn n v & & & .. in thoi & & & & N THUC H tn & & & & & & Tui & & . nam/n & .. H tn b/m/ ngi gim h(nu ngi bnh di 72 thng tui): & & & & & & .. CMND/Cn cc cng dn s.. a ch & & & & & & & & & & & & & & & & & . S th bo him y t (nu c) & & & & & & & Chn on& & & & & & & & & & & & & & & . Thuc iu tr: Li dn: HNG DN PH LC I 1. Giy trng, ch Time New Roman c 14, mu en. 2. Tui: ghi tui ca ngi bnh, vi tr < 72 thng tui ghi s thng tui; 3. n c s dng k n thuc (tr thuc gy nghin, thuc hng thn). 4. in thoi lin h: ghi in thoi ca c s khm bnh, cha bnh hoc ca khoa hoc ca bc s/y s k n thuc. 5. Li dn: - Ch  dinh dng v ch  sinh hot lm vic - Hn ti khm (nu cn).Ngy & .. thng & . nm 20& .. Bc s/Y s khm bnh (K, ghi r h tn)Khm li xin mang theo n ny. PH LC II ( Chuyn Phng IT ci t trong phn mm) MU N THUC  N (Ban hnh km theo Thng t s 52/2017/TT-BYT ngy 29 thng 12 nm 2017 ca B trng B Y t) Tn n v& & & & & & .. in thoi& & & & & & & . S & & .Tn n v & & & . (du treo ca c s khm bnh, cha bnh) in thoi& & & & & &  S & & .N THUC  N (Bn lu ti c s khm bnh, cha bnh) H tn: & & & & & & & & & & & & & & & .. Tui: & & & & & & & & .nam/n& & & & & a ch:& & & & & & & & & & & & & & & & S th bo him y t (nu c)& & & & & & Chn on:& & & & & & & & & & & & & & t& & (t ngy& ./& ./20& .. n ht ngy .../.../20...) Thuc iu tr:N THUC  N (Bn lu ti c s cp, bn thuc) H tn: & & & & & & & & & & & & & & & .. Tui: & & & & & & & & .nam/n& & & & & a ch:& & & & & & & & & & & & & & & & S th bo him y t (nu c)& & & & & & Chn on:& & & & & & & & & & & & & & t& & (t ngy& ./& ./20& .. n ht ngy .../.../20...) Thuc iu tr:Ngy thng nm 20... Bc s khm bnh (K, ghi r h tn)Ngy thng nm 20... Bc s khm bnh (K, ghi r h tn)Ngi nhn thuc (K, ghi r h tn v s chng minh nhn dn/ cn cc cng dn) Tn n v & & & .. in thoi & & & &  S& & ..HNG DN PH LC II: N THUC  N 1. S dng  k n thuc gy nghin. 2. Ch Time New Roman mu en, c 14. in thoi lin h: ghi in thoi ca c s khm bnh, cha bnh hoc ca khoa hoc ca bc s/y s k n thucN THUC  N (Bn giao cho ngi bnh) H tn: & & & & & & & & & & & & & & & & . Tui: & & & & & & & . nam/n& & & & & & ... a ch:& & & & & & & & & & & & & & & & .. S th bo him y t (nu c):& & & & & & & Chn on:& & & & & & & & & & & & & & & . t& & .(t ngy& ./& ../20& .. n ht ngy .../.../20...) Thuc iu tr:Ngy & .. thng & . nm 20& .. Bc s khm bnh (K, ghi r h tn) PH LC III ( Chuyn Phng IT ci t trong phn mm) MU N THUC  H (Ban hnh km theo Thng t s 52/2017/TT-BYT ngy 29 thng 12 nm 2017 ca B trng B Y t) Tn n v& & & & & & .. in thoi& & & & & & & . S & & .Tn n v & & & . (du treo ca c s khm bnh, cha bnh) in thoi& & & & & &  S & & .N THUC  H (Bn lu ti c s khm bnh, cha bnh) H tn: & & & & & & & & & & & & & & & .. Tui: & & & & & & & & .nam/n& & & & & a ch:& & & & & & & & & & & & & & & & S th bo him y t (nu c)& & & & & & Chn on:& & & & & & & & & & & & & & Thuc iu tr:N THUC  H (Bn lu ti c s cp, bn thuc) H tn: & & & & & & & & & & & & & & & .. Tui: & & & & & & & & .nam/n& & & & & a ch:& & & & & & & & & & & & & & & & S th bo him y t (nu c)& & & & & & Chn on:& & & & & & & & & & & & & & Thuc iu tr:Ngy thng nm 20... Bc s khm bnh (K, ghi r h tn)Ngy thng nm 20... Bc s khm bnh (K, ghi r h tn)Ngi nhn thuc (K, ghi r h tn v s chng minh nhn dn/ cn cc cng dn) Tn n v & & & .. in thoi & & & &  S& & ..HNG DN PH LC III: N THUC  H 1. S dng  k n thuc hng tm thn v thuc tin cht. 2. Ch Time New Roman mu en, c 14. 3. in thoi lin h: ghi in thoi ca c s khm bnh, cha bnh hoc ca khoa hoc ca bc s/y s k n thucN THUC  H (Bn giao cho ngi bnh) H tn: & & & & & & & & & & & & & & & & . Tui: & & & & & & & . nam/n& & & & & & ... a ch:& & & & & & & & & & & & & & & & .. S th bo him y t (nu c):& & & & & & & Chn on:& & & & & & & & & & & & & & & . Thuc iu tr: Ngy & .. thng & . nm 20& .. Bc s khm bnh (K, ghi r h tn) PH LC IV (Phng khm hng dn bnh nhn) MU S KHM BNH (Ban hnh km theo Thng t s 52/2017/TT-BYT ngy 29 thng 12 nm 2017 ca B trng B Y t) (Ba 2)(Ba 1)  S KHM BNH H tn:& & & & & & & & & & & Tui& & & a ch:& & & & & & & & & & & & & & & & . & & & & & & & & & & & & & & & & & & & S th bo him y t (nu c) & & & & & & Nm: 20& . (Trang 1)(Trang 2 tr i)S KHM BNH H tn& & & & & & & & & & & & & & . a ch& & & & & & & & & & & & & & . in thoi& & & & & & & & & & & & .. Ngh nghip& & & & & & & & & & & . S th bo him y t: (nu c)& & & .Chn on bnh Thuc iu tr: (T ngy n ngy thng nm 20...) Ngy hn khm li: Ngy& & thng& & nm 20... Bc s/ Y s iu tr (K, ghi r h tn)Kch thc s 1/2 kh giy A4. Ch Time New Roman, mu en PH LC S V ((Phng khm hng dn bnh nhn) MU CAM KT V vic s dng thuc gy nghin ca ngi bnh/ngi i din ca ngi bnh (Ban hnh km theo Thng t s HYPERLINK "https://thuvienphapluat.vn/phap-luat/tim-van-ban.aspx?keyword=62/2017/TT-BYT&area=2&type=0&match=False&vc=True&lan=1" \t "_blank" 52/2017/TT-BYTngy 29 thng 12 nm 2017 ca B trng B Y t) CAM KT V vic s dng thuc gy nghin ca ngi bnh/ngi i din ca ngi bnh Tn ti l: & & & & & & & & & ..& & & & S CMND/cn cc cng dn & & & & & & & & & .. a ch:& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . in thoi:& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. L ngi bnh/ ngi i din ca ngi bnh& & & & & & & & & & & & & & & & & & & & . ang c iu tr ngoi tr ti& & & & & & & & & & & & & & & & & & & & & & & & & & & .. Ti xin cam kt v s dng thuc gim au gy nghin& & & & & & & & & & & & & & ..: 1. Ch s dng thuc theo hng dn. 2. Ch nhn n thuc vo cc bui hn khm, hoc khm li v l do au nng hn ti bnh vin. Khng nhn thm n c k thuc gim au gy nghin v khng tm thuc t bt k ngun no khc. 3. Np li thuc tha cho c s  cp/bn thuc khi khng dng ht. 4. Khng bn thuc  c k n. 5. Ti xin hon ton chu trch nhim trc php lut nu vi phm quy nh v s dng thuc gy nghin. & & & & & ., ngy thng nm 20& & . Ngi cam kt (K, ghi r h tn) PH LC VI (Phng khm hng dn bnh nhn) MU N  NGH Xc nhn ngi bnh cn tip tc iu tr gim au bng thuc gy nghin (Ban hnh km theo Thng t s 52/2017/TT-BYT ngy 29 thng 12 nm 2017 ca B trng B Y t) CNG HA X HI CH NGH(A VIT NAM c lp - T do - Hnh phc ---------------& & & & ngy & . thng & . nm 20& . N  NGH Xc nhn ngi bnh cn tip tc iu tr gim au bng thuc gy nghin Ti tn l (ghi r h v tn) & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. L ngi bnh/ngi i din ca ngi bnh & & & & & & & & & & & & & & & & & & & & CMND/ cn cc cng dn s: & & & & & & & & & & & & & & & & & & & & & & & & & & . a ch thng tr: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. Bnh vin ang iu tr gim au cho ngi bnh bng thuc gy nghin (ghi tn bnh vin v a ch):& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & Ti lm n ny  ngh Trm trng Trm y t x/phng/th trn xc nhn ti/ngi nh ca ti cn tip tc iu tr gim au bng thuc gy nghin. Ngi lm n (k v ghi r h v tn) XC NHN Ngi bnh cn tip tc iu tr gim au bng thuc gy nghin - Cn c vo n  ngh ca ngi bnh/ngi i din ca ngi bnh & & & & & & & & . - CMND/cn cc cng dn s: & & & & & & & & & & & & & & & & & & & & & & & & & & & - a ch thng tr: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . - Ti: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & - Chc v: Trm trng Trm y t x/phng/th trn & & & & & & & & & & & & & & & & & .., huyn & & & & & & & & & & & & & & ., tnh& & & & & & & & & & & & & & & & & & & & & & . - Xc nhn ngi bnh & & & & & & & & & & & & & & & & & & & & Tui & & & & & & & & .. cn tip tc c iu tr gim au bng thuc & & & & & & & & & & & & & & & & & & & & ... TRM TRNG (k, ng du v ghi r h tn) PH LC VII ( Cc th kho lu ) MU BIN BN Nhn thuc gy nghin do ngi bnh hoc ngi nh ngi bnh np li (Ban hnh km theo Thng t s 52/2017/TT-BYT ngy 29 thng 12 nm 2017 ca B trng B Y t) CNG HA X HI CH NGH(A VIT NAM c lp - T do - Hnh phc ---------------& & & & ngy & . thng & . nm 20& . BIN BN Nhn thuc gy nghin do ngi bnh/ngi i din ca ngi bnh np li Hm nay ngy thng nm 20 H v tn ngi nh ngi bnh & & & & & & & & & & & & & & & & & & & & & & & & & . a ch: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . np li thuc do ngi bnh khng dng ht nh sau: 1. Tn thuc, hm lng: 2. S lng: 3. Hn dng: 4. Tnh trng ca thuc: - Hnh thc ng gi ca thuc(v, l, ng hay vin) - Cm quan v cht lng: (mu sc ca vin thuc hoc dung dch,  trong ca dung dch. Bao b, nhn). Bin bn ny c lm thnh 02 bn, 01 bn ni nhn li thuc lu, 01 bn ngi np li thuc gi. Ngi np li (K, ghi r h tn)& & & , ngy & & thng & & .. nm 20& & . 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